This new edition of the classic textbook on health informatics provides readers in healthcare practice and educational settings with an unparalleled depth of information on using informatics methods and tools. However, this new text speaks to nurses and - in a departure from earlier editions of this title - to all health professionals in direct patient care, regardless of their specialty, extending its usefulness as a textbook. This includes physicians, therapists, pharmacists, dieticians and many others. In recognition of the evolving digital environments in all healthcare settings and of interprofessional teams, the book is designed for a wide spectrum of healthcare professions including quality officers, health information managers, administrators and executives, as well as health information technology professionals such as engineers and computer scientists in health care. The book is of special interest to those who bridge the technical and caring domain, particularly nurse and medical informaticians and other informaticians working in the health sciences. Nursing Informatics: An Interprofessional and Global Perspective contains real-life case studies and other didactic features to illustrate the theories and principles discussed, making it an ideal resource for use within health and nursing informatics curricula at both undergraduate and graduate level, as well as for workforce development. It honors the format established by the previous editions by including a content array and questions to guide the reader. Readers are invited to look out of the box through a dedicated global perspective covering health informatics applications in different regions, countries and continents.

This is a meticulously detailed chronological record of significant events in the history of medical informatics and their impact on direct patient care and clinical research, offering a representative sampling of published contributions to the field. The History of Medical Informatics in the United States has been restructured within this new edition, reflecting the transformation medical informatics has undergone in the years since 1990. The systems that were once exclusively institutionally driven - hospital, multihospital, and outpatient information systems - are today joined by systems that are driven by clinical subspecialties, nursing, pathology, clinical laboratory, pharmacy, imaging, and more. At the core is the person - not the clinician, not the institution - whose health all these systems are designed to serve. A group of world-renowned authors have joined forces with Dr Marion Ball to bring Dr Collen's incredible work to press. These recognized leaders in medical informatics, many of whom are recipients of the Morris F. Collen Award in Medical Informatics and were friends of or mentored by Dr Collen, carefully reviewed, editing and updating his draft chapters. This has resulted in the most thorough history of the subject imaginable, and also provides readers with a roadmap for the subject well into later in the century.

Healthcare Information Management Systems, 4th edition, is a comprehensive volume addressing the technical, organizational and management issues confronted by healthcare professionals in the selection, implementation and management of healthcare information systems. With contributions from experts in the field, this book focuses on topics such as strategic planning, turning a plan into reality, implementation, patient-centered technologies, privacy, the new culture of patient safety and the future of technologies in progress. With the addition of many new chapters, the 4th Edition is also richly peppered with case studies of implementation. The case studies are evidence that information technology can be implemented efficiently to yield results, yet they do not overlook pitfalls, hurdles, and other challenges that are encountered. Designed for use by physicians, nurses, nursing and medical directors, department heads, CEOs, CFOs, CIOs, COOs, and healthcare informaticians, the book aims to be a indispensible reference.

Aims and Scope Patients are more empowered to shape their own health care today than ever before. Health information technologies are creating new opportunities for patients and families to participate actively in their care, manage their medical problems and improve communication with their healthcare providers. Moreover, health information technologies are enabling healthcare providers to partner with their patients in a bold effort to optimize quality of care, improve health outcomes and transform the healthcare system on the macro-level. In this book, leading figures discuss the existing needs, challenges and opportunities for improving patient engagement and empowerment through health information technology, mapping out what has been accomplished and what work remains to truly transform the care we deliver and engage patients in their care. Policymakers, healthcare providers and administrators, consultants and industry managers, researchers and students and, not least, patients and their family members should all find value in this book. "In the exciting period that lies just ahead, more will be needed than simply connecting patients to clinicians, and clinicians to each other. The health care systems that will be most effective in meeting patients' needs will be those that can actually design their 'human wares' around that purpose. This book provides deep insight into how information technology can and will support that redesign." Thomas H. Lee, MD, MSc, Chief Medical Officer, Press Ganey Associates; Professor of Medicine, Harvard Medical School and Professor of Health Policy and Management, Harvard School of Public Health The Editors: Drs. Maria Adela Grando, Ronen Rozenblum and David W. Bates are widely recognized professors, researchers and experts in the domain of health information technology, patient engagement and empowerment. Their research, lectures and contributions in these domains have been recognized nationally and internationally. Dr. Grando is affiliated with Arizona State University and the Mayo Clinic, and Drs. Rozenblum and Bates are affiliated with Brigham and Women's Hospital and Harvard University.

Designed to assist the physician in the application of computers in private medical practice, this comprehensive guide outlines where, why, and how this valuable tool can best be used. Integrating the mechanisms of computerization with the implications for health care, the authors draw on personal research and experience to describe models used effectively in the medical setting. Chapters cover administrative procedures, applications for marketing and quality assurance, and the link to an office-hospital application. Aslo included is information on software, hardware, database management, expert systems, artificial intelligence, and indications of future trends. This work will serve as an essential reference in meeting the ever-increasing medical information needs of the private practitioner.

Healthcare Information Management Systems, Third edition, will be a comprehensive volume addressing the technical, organizational, and management issues confronted by healthcare professionals in the selection, implementation, and management of healthcare information systems. With contributions from experts in the field, this book focuses on topics such as strategic planning, turning a plan into reality, implementation, patient-centered technologies, privacy, the new culture of patient safety, and the future of technologies in progress. With the addition of 28 new chapters, the Third Edition is also richly peppered with case studies of implementation, both in the United States and abroad. The case studies are evidence that information technology can be implemented efficiently to yield results, yet they do not overlook pitfalls, hurdles, and other challenges that are encountered. Designed for use by physicians, nurses, nursing and medical directors, department heads, CEOs, CFOs, CIOs, COOs, and healthcare informaticians, the book aims to be a indispensible reference."

Like the previous editions, this book is a primer for those new to nursing informatics. It provides a thorough introduction to basic terms and concepts, as well as an in-depth exploration of the most prevalent applications in nursing practice, education, administration, and research. Expanded and updated to reflect the remarkable technical advances achieved in health care in recent years, this new edition offers the reader illustrative examples and valuable information resources. Topics include: Telecommunications and Informatics; Nursing Aspects of Health Information Systems; Clinical Practice Applications of Nursing Informatics; Infrastructure Elements of the Health Informatics Environment; and Future Opportunities for Nurses in Health Informatics. This primer guides reader who want basic information on how to select and use information systems and information management in all aspects of nursing practice, education, management, and research.

This book focuses on todays attempts to reshape the federal healthcare system. The major strength of the text lies in its use of examples that show how process redesign and the integration of enabling technologies lead to performance improvement and cost reduction. The contributors draw upon their knowledge and experience of the federal healthcare industry. Rather than intending to provide readers with the correct answers the authors map out the various new approaches.

This series is directed to healthcare professionals who are leading the trans formation of health care by using information and knowledge. Launched in 1988 as Computers in Health Care, the series offers a broad range of titles: some addressed to specific professions such as nursing, medicine, and health administration; others to special areas of practice such as trauma and radiol ogy. Still other books in the series focus on interdisciplinary issues, such as the computer-based patient record, electronic health records, and networked healthcare systems. Renamed Health Informatics in 1998 to reflect the rapid evolution in the discipline now known as health informatics, the series will continue to add titles that contribute to the evolution of the field. In the series, eminent ex perts, serving as editors or authors, offer their accounts of innovations in health informatics. Increasingly, these accounts go beyond hardware and soft ware to address the role of information in influencing the transformation of healthcare deli very systems around the world. The series also increasingly focuses on "peopleware" and the organizational, behavioral, and societal changes that accompany the diffusion of information technology in health services environments."

As adoption of Electronic Health Record Systems (EHR-Ss) shifts from early adopters to mainstream, an increasingly large group of decision makers must assess what they want from EHR-Ss and how to go about making their choices. The purpose of this book is to inform that decision. This book explains typical needs of a variety of stakeholders, describes current and imminent technologies, and assesses the available evidence regarding issues in implementing and using EHR-Ss.

Divided into four important sections--Needs, Current State, Technology, and Going Forward--the book provides the background and general notions regarding the EHRS and lays out the framework; delves into the historical review; presents a high-level view of EHR systems, focused on the needs of different stakeholders in the health care and the health enterprise; offers practical views of existing systems and current (and short-term future) issues in specifying a EHR system and deciding how to approach the institution of such a system; deals with technology issues, from front- to back-end; and describes where we are and where we should be going with EHR systems.

Designed for use by chief information officers, chief medical informatics officers, medical liaisons to hospital systems, private practitioners, and business managers at academic and non-academic hospitals, care management organizations, and practices. The book could be used in any medical or health informatics course, at any level (undergrad, fellowship, MBA).

This comprehensive volume explores the evolving fields of consumer informatics and telemedicine as envisioned by the Institute of Medicine in its landmark reports on the electronic medical record, patient safety, and quality care. Each chapter describes the role of computers, technology, and telecommunications as enablers within a specific application focused on the needs of consumers. The applications covered are ones which empower consumers as they seek information, analyze their health care needs, and make decisions about their own health care. Such applications empower professionals in their efforts to serve patients, while increasing the knowledge of the consumer. Richly illustrated with detailed examples, this volume speaks to a wide range of audiences as it addresses issues raised by consumer informatics, the use of technology, research and development effects, and telemedicine. Chapter highlights include: Patient-Centered Communication; Using the Internet Toward Reliable Consumer Health Information; Disease Management and Home Telehealth; and Biothreats and Disaster Management. The book's audience includes all healthcare professionals, healthcare administrators, IT professionals, health informaticians, and students.

Cancer Informatics: Essential Technologies for Clinical Trials describes the National Cancer Institute¿s vision of a Cancer Informatics Infrastructure (CII). By exploiting the best that the Internet and information technology have to offer, the CII will facilitate clinical trials, for all who are involved, including the patient along with the myriad of health professionals involved in cancer trials. To bridge the chasm between discoveries and best clinical practices, the editors describe the CII and how it can function to expedite the clinical trial life cycle, facilitate faster and safer drug development, and make more appropriate treatment choices available to cancer patients. Presented in four comprehensive sections edited by leading experts, the book highlights: ¿ E-commerce ¿ Digital libraries ¿ Standards development ¿ Public health informatics ¿ Common data elements (CDEs) ¿ Clinical trials information systems ¿ Consumer education and support Cancer Informatics: Essential Technologies for Clinical Trials is an indispensable guide to clinical trials. Its contributors speak to oncologists and primary care physicians, as well as researchers, trial managers, administrators, informaticians, and consumers. Today, science is extending our knowledge of genes, proteins, and pathways, and pharmaceutical companies are developing more and more new therapies. In this rapidly changing world, the technologies that cancer informatics provides are essential to efforts to translate cancer research into cancer care, control, and, ultimately, prevention. John S. Silva, M.D., Center for Bioinformatics, National Cancer Institute Marion J. Ball, Ed.D., Vice President, Clinical Solutions, Healthlink, Inc.; Adjunct Professor, The Johns Hopkins University School of Nursing Christopher G. Chute, M.D., Dr.P.H., Professor of Medical Informatics, Head, Section of Medical Information Resources, Mayo Clinic Judith V. Douglas, M.A., M.H.S., formerly Associate, First Consulting Group Curtis P. Langlotz, M.D., Ph.D., Assistant Professor of Radiology, Epidemiology, and Computer and Information Science, University of Pennsylvannia Joyce. C. Niland, Ph.D., Chair, Division of Information Sciences, Director, Department of Biostatistics, City of Hope National Medical Center William L. Scherlis, Ph.D., Principal Research Scientist, School of Computer Science, Carnegie Mellon University

This book focuses on todays attempts to reshape the federal healthcare system. The major strength of the text lies in its use of examples that show how process redesign and the integration of enabling technologies lead to performance improvement and cost reduction. The contributors draw upon their knowledge and experience of the federal healthcare industry. Rather than intending to provide readers with the correct answers the authors map out the various new approaches.

During the course of this year, 1990, dentistry will celebrate its sesquicentennial as a profession. In February 1840, the Baltimore College of Dental Surgery, the Dental School of the University of Maryland, was chartered by the Maryland General Assembly as the world's first dental school. In the same year the American Society of Dental Surgeons, the antecedent of the present day American Dental Association, was founded, also in Baltimore. In the previous year, 1839, the American Journal of Dental Science was initiated as the first periodic scientific and professional publication in dentistry, later evolving to the Journal of the American Dental Association. With the congruence of three fundamental elements which are essential to any profession--a unique program of education, a formal means to communicate and freely share new information, and an organization devoted to maintenance of professional ethics and standards through self-regulation--dentistry began evolving to its current status as a valued and respected health profession. From its birth and through the intervening century and a half, dentistry has been a profession heavily reliant on technology as well as science. Dentists variously are credited with the discovery and development of general anesthesia and the precision casting technique; and they make significant use of rotary cutting instruments, ultrasonics, laser technology, unique biomaterials, and intraosseous implants, to mention only a few techniques.

Despite paying more for healthcare than any other country in the world, the US ranks below more than 40 other countries in life expectancy - down significantly from two decades earlier. As the Institute of Medicine concluded, "The current care systems cannot do the job. Trying harder will not work. Changing systems will." Creating a new system that is "safe, effective, patient-centered, timely, efficient, and equitable" demands transformative change and the health information technology (IT) to support it. For the more than 2.6 million nurses who make up more than half of the national healthcare workforce, IT will be more than an enabler. This fourth edition of Nursing Informatics serves as a definitive guide to the transformation now underway, drawing insight and energy from the initiative known as Technology Informatics Guiding Education Reform (TIGER). Launched by a small group of nurse advocates, TIGER is a guiding force for integration of technology and informatics into education and practice nationally and provides leadership across health professions and delivery settings. Subsequently, it has developed nine collaborative sections that address critical areas for change: education and faculty development, staff development, informatics competencies, standards and interoperability, usability and clinical application design, leadership development, national health information technology agenda, virtual demonstration center, and consumer and personal health record. This new edition reflects the core tenets set forth in the recommendations made by the TIGER initiative, focusing on a range of issues: Transformation, culture change, and diffusion Competencies, education, staff development, and leadership Infrastructure, adoption, and implementation Comparative effectiveness research and personalized medicine Global initiatives The editors for this new edition include key nurse advocates and informaticians active in the TIGER initiat

This is a meticulously detailed chronological record of significant events in the history of medical informatics and their impact on direct patient care and clinical research, offering a representative sampling of published contributions to the field. The History of Medical Informatics in the United States has been restructured within this new edition, reflecting the transformation medical informatics has undergone in the years since 1990. The systems that were once exclusively institutionally driven - hospital, multihospital, and outpatient information systems - are today joined by systems that are driven by clinical subspecialties, nursing, pathology, clinical laboratory, pharmacy, imaging, and more. At the core is the person - not the clinician, not the institution - whose health all these systems are designed to serve. A group of world-renowned authors have joined forces with Dr Marion Ball to bring Dr Collen's incredible work to press. These recognized leaders in medical informatics, many of whom are recipients of the Morris F. Collen Award in Medical Informatics and were friends of or mentored by Dr Collen, carefully reviewed, editing and updating his draft chapters. This has resulted in the most thorough history of the subject imaginable, and also provides readers with a roadmap for the subject well into later in the century.

Like the three editions that preceded it, this new edition targets markets in health care practice and educational settings. It addresses practicing nurses and nursing students, together with nursing leadership and nursing faculty. It speaks to nursing informatics specialists and-in a departure from earlier editions of this title-to all nurses, regardless of their specialty, extending its usefulness as a text as noted below. In recognition of the evolving electronic health information environment and of interdisciplinary health care teams, the book is designed to be of interest to members of other health care professions (quality officers, administrators, etc.) as well as health information technology professionals (in health care facilities and in industry). The book will include numerous relevant case studies to illustrate the theories and principles discussed, making it an ideal candidate for use within nursing curricula (both undergraduate and graduate), as well as continuing education and staff development programs. This book honors the format established by the first three editions by including a content array and questions to guide the reader. This 4th edition also includes numerous brief case studies that help to illustrate the theories and practices described within the various chapters. Most of these "mini-cases" are provided by members of professional nursing organizations that comprise the TIGER Initiative. These mini-cases are listed in the front matter and highlighted via formatting throughout the text.

Changes in health care are at a breakneck pace. Regardless of the many changes we have collectively experienced, delivering health care has been, is, and will continue to be an enormously information-intensive process. Whether caring for a patient or a population, whether managing a clinic or a continuum, we are in a knowledge exchange business. A major task for our industry, and the task for chief information officers (CIOs), is to find and apply improved strategies and technologies for managing healthcare information. In a fiercely competitive healthcare marketplace, the pressures to suc ceed in this undertaking-and the rewards associated with success-are enormous. While the task is still daunting, we can all be encouraged by progress being made in information management. There are documented successes throughout health care, and there is growing recognition by healthcare chief executive officers and boards that information strategies, and their deployment, are essential to organizational efficiency, quite pos sibly organizational survival.

Cancer Informatics chronicles the development of the National Cancer Institute's new Cancer Informatics Infrastructure (CII) - an information management system infrastructure designed to faciliate clinical trials, provide for reliable, secure information exchange, and improve patient care. The book details the challenges involved in creating and managing such a knowledge base, including technologies, standards, and current, state-of-the-art applications. The ultimate goal of CII is to function as an enabler of clinical trials, expediting the clinical trials lifecycle, faciliating faster and safer drug development and more appropriate treatment choices for cancer patients. Contributors address the role the CII must play in converting the growing knowledge of genes, proteins, and pathways into appropriate preventative, diagnostic, and therapeutic measures. Presented in four sections, the first provides an overview of the processes involved in moving the infrastructure for cancer from theory into practice. Sections two through four offer the latest work done in the areas of technology, cancer-specific and national standards, and applications to faciliate clinical trials.

Performance Improvement through Information Management highlights performance improvement and business strategies throughout various health care settings, focusing on business drivers and management mechanisms, explaining when, how, and why information technology solutions are of value. Structured on three levels: Market Environment, Transformational Processes, and Enabling Technologies, the text describes the current state of the art of health care and the shape of things to come, and provides practical solutions and strategies for implementing applications of technology within the current context of health care and its transformation. This text will be an invaluable reference to the chief executive officers, chief information officers, senior executives, and board members who are shaping health care today and into the 21st century. Likewise, it will appeal to healthcare administrators and managers, healthcare systems specialists, and students in advanced healthcare professional and academic programs.

As adoption of Electronic Health Record Systems (EHR-Ss) shifts from early adopters to mainstream, an increasingly large group of decision makers must assess what they want from EHR-Ss and how to go about making their choices. The purpose of this book is to inform that decision. This book explains typical needs of a variety of stakeholders, describes current and imminent technologies, and assesses the available evidence regarding issues in implementing and using EHR-Ss.

Divided into four important sections--Needs, Current State, Technology, and Going Forward--the book provides the background and general notions regarding the EHRS and lays out the framework; delves into the historical review; presents a high-level view of EHR systems, focused on the needs of different stakeholders in the health care and the health enterprise; offers practical views of existing systems and current (and short-term future) issues in specifying a EHR system and deciding how to approach the institution of such a system; deals with technology issues, from front- to back-end; and describes where we are and where we should be going with EHR systems.

Designed for use by chief information officers, chief medical informatics officers, medical liaisons to hospital systems, private practitioners, and business managers at academic and non-academic hospitals, care management organizations, and practices. The book could be used in any medical or health informatics course, at any level (undergrad, fellowship, MBA).

Die Informationsverarbeitung gewinnt im Gesundheitswesen und damit auch in der Pflege zunehmend an Bedeutung. Die Autorinnen des Werkes fuhren in das junge Fachgebiet der Pflegeinformatik ein und informieren uber internationale und Entwicklungen im deutschsprachigen Raum.
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Verzeichnisse von Datenbanken, ein Glossar wichtiger Fachbegriffe zum Nachschlagen sowie ein Adressenverzeichnis unterstreichen den Praxisbezug. Studierende und Praktiker in der Pflege und im Gesundheitswesen finden hier ein aktuelles Werk zum Thema."

This book highlights innovative healthcare information technologies as they perform information integration throughout various health care settings. Contributors, representative of these settings, provide case studies citing active examples of technology systems at work, addressing critical success factors, documenting success in terms of improved quality and/or reduced cost. Each example will address the full range of issues associated with technological innovation in health care, from policy and clinical considerations, to business and operational issues.

Performance Improvement through Information Management highlights performance improvement and business strategies throughout various health care settings, focusing on business drivers and management mechanisms, explaining when, how, and why information technology solutions are of value. Structured on three levels: Market Environment, Transformational Processes, and Enabling Technologies, the text describes the current state of the art of health care and the shape of things to come, and provides practical solutions and strategies for implementing applications of technology within the current context of health care and its transformation. This text will be an invaluable reference to the chief executive officers, chief information officers, senior executives, and board members who are shaping health care today and into the 21st century. Likewise, it will appeal to healthcare administrators and managers, healthcare systems specialists, and students in advanced healthcare professional and academic programs.