By John P. Enterline, Raymond E.Jr. Lenhard, Bruce I. Blum
A scientific details procedure for Oncology describes a scientific details process designed and applied in a melanoma middle yet with huge applicability to scientific perform past the melanoma middle surroundings in either inpatient and outpatient settings. considered as ahead taking a look in 1978, the procedure has the excellence of nonetheless being in creation. certainly, its performance has persisted to develop and its technical implementation to adapt with the altering know-how over the past decade. The authors element the capabilities supported by way of this certain approach, illustrate the way it assists within the care approach, assessment its improvement background, and evaluation its influence at the supply of care by way of expense, consumer delight, and efficacy. not like a lot details expertise, the procedure is an energetic player in scientific determination making: it comprises complete instruments for handling and exhibiting medical facts; immediately produces care plans from protocols; and contours designated instruments which aid the powerful use of blood items. pros in scientific informatics, health facility directors, and physicians will locate this booklet a beneficial addition to their expert library.
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Example text
The sorting and weighting of information are time-consuming manual tasks that are not easily done by the least senior member of the medical staff in an emergency situation. OCIS displays link medical treatment to specific indicators. In this way W, * TEMP-MAX T) T * * TEMPERATURE AND WBC PLOT * 100 --- ---------- - -- --- **W**W * *W* *W* *w* *w DATE 1987 -- --- - - - --- G C *W G C G C G C G C G C G G G CCCCCC ---- --- -- ---------------- G C w* *W* *W* *w* *w* *w* *W * -- ------- G C W**W w G G -- -- -------- - --- G AUG Figure 5.
Oncology Clinical Information System 19 tions is handled in a decentralized manner. For example, although the centralized collection and management of general clinical research data is the responsibility of the biostat istics component of the Oncology Center, close ties with the OCIS database are essential. The management of the Hospital's Tumor Registry is performed by a hospital-funded component of the Center which is supported by OIS computing resources and staff. Data processing in support of administration is performed by a separate group in OIS that has high-level access to the OCIS database.
If one of the computers and/or its associated peripherals fails, all critical functions can be moved to a backup processor until appropriate repair is made. Critical users are virtually remapped through the data switch to be connected with the operational computer should one of the systems fail. The Micro- ' VAX systems can also serve as backups for each other and the PDP systems. Several very critical applications are maintained concurrently in both the PDP and VAX environments to provide an extremely low probability of extended down time.