Browsing by Author "McDonald, C J"
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- ItemA comparison of a printed patient summary document with its electronic equivalent: early results.(2002-02-04) Thomas, S M; Overhage, J M; Warvel, J; McDonald, C JClinicians are always searching for efficient access to clinical data The Regenstrief Medical Record System has a printed report that fills this niche Pocket Rounds Handheld computers may offer an alternative but it is unclear how effectively a handheld computer can display such data We surveyed residents and students on the general medicine services for their opinions regarding Pocket Rounds Those with handheld computers were given access to an electronic version of Pocket Rounds e Rounds We surveyed the subjects who used e Rounds for their opinions on the electronic format and how it compared to paper Users overall satisfaction with Pocket Rounds was 5 8 on a seven point scale User s overall satisfaction for e Rounds was 5 6 on a seven point scale The most useful function was retrieval of lab data for both modalities The results suggest that the electronic format is a viable alternative to paper Further evaluation is needed and we plan a prospective controlled trial to study this further
- ItemMedical information systems of the future.(1989-07-27) McDonald, C JThe coming years promise great advances in the storing recording and communication of medical data Handheld computers may make bedside terminals obsolete CD ROM s storage capacity will eliminate data retention problems as well as provide for storage images Doctors should be able to access computers merely by talking Home monitoring equipment that the physician can access by telephone should reduce hospital stays Computerized decision support neurocomputing cost cutting through automation all these concepts are at the cutting edge of medical information technology
- ItemSecure Internet video conferencing for assessing acute medical problems in a nursing facility.(2002-02-04) Weiner, M; Schadow, G; Lindbergh, D; Warvel, J; Abernathy, G; Dexter, P; McDonald, C JAlthough video based teleconferencing is becoming more widespread in the medical profession especially for scheduled consultations applications for rapid assessment of acute medical problems are rare Use of such a video system in a nursing facility may be especially beneficial because physicians are often not immediately available to evaluate patients We have assembled and tested a portable wireless conferencing system to prepare for a randomized trial of the system s influence on resource utilization and satisfaction The system includes a rolling cart with video conferencing hardware and software a remotely controllable digital camera light wireless network and battery A semi automated paging system informs physicians of patient s study status and indications for conferencing Data transmission occurs wirelessly in the nursing home and then through Internet cables to the physician s home This provides sufficient bandwidth to support quality motion images IPsec secures communications Despite human and technical challenges this system is affordable and functional