Clinical Pharmacy Information Systems: Information systems, usually computer-assisted, designed to store, manipulate, and retrieve information for planning, organizing, directing, and controlling administrative activities associated with the provision and utilization of clinical pharmacy services.Pharmacy Service, Hospital: Hospital department responsible for the receiving, storing, and distribution of pharmaceutical supplies.Pharmacists: Those persons legally qualified by education and training to engage in the practice of pharmacy.Pharmaceutical Services: Total pharmaceutical services provided by qualified PHARMACISTS. In addition to the preparation and distribution of medical products, they may include consultative services provided to agencies and institutions which do not have a qualified pharmacist.Pharmacies: Facilities for the preparation and dispensing of drugs.Education, Pharmacy: Formal instruction, learning, or training in the preparation, dispensing, and proper utilization of drugs in the field of medicine.Schools, Pharmacy: Educational institutions for individuals specializing in the field of pharmacy.Information Systems: Integrated set of files, procedures, and equipment for the storage, manipulation, and retrieval of information.Pharmacy: The practice of compounding and dispensing medicinal preparations.Hospital Information Systems: Integrated, computer-assisted systems designed to store, manipulate, and retrieve information concerned with the administrative and clinical aspects of providing medical services within the hospital.Professional Role: The expected function of a member of a particular profession.Formularies as Topic: Works about lists of drugs or collections of recipes, formulas, and prescriptions for the compounding of medicinal preparations. Formularies differ from PHARMACOPOEIAS in that they are less complete, lacking full descriptions of the drugs, their formulations, analytic composition, chemical properties, etc. In hospitals, formularies list all drugs commonly stocked in the hospital pharmacy.Geographic Information Systems: Computer systems capable of assembling, storing, manipulating, and displaying geographically referenced information, i.e. data identified according to their locations.Licensure, Pharmacy: The granting of a license to practice pharmacy.Medication Reconciliation: The formal process of obtaining a complete and accurate list of each patient's current home medications including name, dosage, frequency, and route of administration, and comparing admission, transfer, and/or discharge medication orders to that list. The reconciliation is done to avoid medication errors.Medication Errors: Errors in prescribing, dispensing, or administering medication with the result that the patient fails to receive the correct drug or the indicated proper drug dosage.Primary Care Nursing: Techniques or methods of patient care used by nurses as primary careproviders.Pharmacy Residencies: Advanced programs of training to meet certain professional requirements in the practice of compounding and dispensing medicinal preparations.Internship, Nonmedical: Advanced programs of training to meet certain professional requirements in fields other than medicine or dentistry, e.g., pharmacology, nutrition, nursing, etc.Societies, Pharmaceutical: Societies whose membership is limited to pharmacists.Pharmacogenetics: A branch of genetics which deals with the genetic variability in individual responses to drugs and drug metabolism (BIOTRANSFORMATION).Education, Pharmacy, Graduate: Educational programs for pharmacists who have a bachelor's degree or a Doctor of Pharmacy degree entering a specific field of pharmacy. They may lead to an advanced degree.Electronic Mail: Messages between computer users via COMPUTER COMMUNICATION NETWORKS. This feature duplicates most of the features of paper mail, such as forwarding, multiple copies, and attachments of images and other file types, but with a speed advantage. The term also refers to an individual message sent in this way.Periodicals as Topic: A publication issued at stated, more or less regular, intervals.Expert Systems: Computer programs based on knowledge developed from consultation with experts on a problem, and the processing and/or formalizing of this knowledge using these programs in such a manner that the problems may be solved.Community Pharmacy Services: Total pharmaceutical services provided to the public through community pharmacies.Benchmarking: Method of measuring performance against established standards of best practice.Delivery of Health Care: The concept concerned with all aspects of providing and distributing health services to a patient population.Health Status: The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.Public Health: Branch of medicine concerned with the prevention and control of disease and disability, and the promotion of physical and mental health of the population on the international, national, state, or municipal level.American Hospital Association: A professional society in the United States whose membership is composed of hospitals.Health Care Reform: Innovation and improvement of the health care system by reappraisal, amendment of services, and removal of faults and abuses in providing and distributing health services to patients. It includes a re-alignment of health services and health insurance to maximum demographic elements (the unemployed, indigent, uninsured, elderly, inner cities, rural areas) with reference to coverage, hospitalization, pricing and cost containment, insurers' and employers' costs, pre-existing medical conditions, prescribed drugs, equipment, and services.Health Policy: Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system.OklahomaImmunization: Deliberate stimulation of the host's immune response. ACTIVE IMMUNIZATION involves administration of ANTIGENS or IMMUNOLOGIC ADJUVANTS. PASSIVE IMMUNIZATION involves administration of IMMUNE SERA or LYMPHOCYTES or their extracts (e.g., transfer factor, immune RNA) or transplantation of immunocompetent cell producing tissue (thymus or bone marrow).Sexual Partners: Married or single individuals who share sexual relations.Immunization Programs: Organized services to administer immunization procedures in the prevention of various diseases. The programs are made available over a wide range of sites: schools, hospitals, public health agencies, voluntary health agencies, etc. They are administered to an equally wide range of population groups or on various administrative levels: community, municipal, state, national, international.Immunization Schedule: Schedule giving optimum times usually for primary and/or secondary immunization.Immunization, Secondary: Any immunization following a primary immunization and involving exposure to the same or a closely related antigen.Vaccination: Administration of vaccines to stimulate the host's immune response. This includes any preparation intended for active immunological prophylaxis.Durable Medical Equipment: Devices which are very resistant to wear and may be used over a long period of time. They include items such as wheelchairs, hospital beds, artificial limbs, etc.Chiropractic: An occupational discipline founded by D.D. Palmer in the 1890's based on the relationship of the spine to health and disease.United States Public Health Service: A constituent organization of the DEPARTMENT OF HEALTH AND HUMAN SERVICES concerned with protecting and improving the health of the nation.Manipulation, Chiropractic: Procedures used by chiropractors to treat neuromusculoskeletal complaints.Surgicenters: Facilities designed to serve patients who require surgical treatment exceeding the capabilities of usual physician's office yet not of such proportion as to require hospitalization.Workers' Compensation: Insurance coverage providing compensation and medical benefits to individuals because of work-connected injuries or disease.Practice Guidelines as Topic: Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.Buddhism: The teaching ascribed to Gautama Buddha (ca. 483 B.C.) holding that suffering is inherent in life and that one can escape it into nirvana by mental and moral self-purification. (Webster, 3d ed)Sin Nombre virus: A species of HANTAVIRUS which emerged in the Four Corners area of the United States in 1993. It causes a serious, often fatal pulmonary illness (HANTAVIRUS PULMONARY SYNDROME) in humans. Transmission is by inhaling aerosolized rodent secretions that contain virus particles, carried especially by deer mice (PEROMYSCUS maniculatus) and pinyon mice (P. truei).Hantavirus Pulmonary Syndrome: Acute respiratory illness in humans caused by the Muerto Canyon virus whose primary rodent reservoir is the deer mouse Peromyscus maniculatus. First identified in the southwestern United States, this syndrome is characterized most commonly by fever, myalgias, headache, cough, and rapid respiratory failure.Peromyscus: A genus of the subfamily SIGMODONTINAE consisting of 49 species. Two of these are widely used in medical research. They are P. leucopus, or the white-footed mouse, and P. maniculatus, or the deer mouse.Hantavirus: A genus of the family BUNYAVIRIDAE causing HANTAVIRUS INFECTIONS, first identified during the Korean war. Infection is found primarily in rodents and humans. Transmission does not appear to involve arthropods. HANTAAN VIRUS is the type species.Theology: The study of religion and religious belief, or a particular system or school of religious beliefs and teachings (from online Cambridge Dictionary of American English, 2000 and WordNet: An Electronic Lexical Database, 1997)Penis: The external reproductive organ of males. It is composed of a mass of erectile tissue enclosed in three cylindrical fibrous compartments. Two of the three compartments, the corpus cavernosa, are placed side-by-side along the upper part of the organ. The third compartment below, the corpus spongiosum, houses the urethra.

Use of an automated pharmacy system and patient registries to recruit HMO enrollees for an influenza campaign. (1/133)

OBJECTIVE: To develop methods to identify, recruit, and vaccinate HMO enrollees at increased risk for influenza-related complications as part of a comprehensive influenza campaign. SETTING: Group Health Cooperative (GHC) is a large, membership-governed, managed care organization that serves 395,000 members in the Puget Sound area. APPROACH: An automated pharmacy system and patient data registries were used to identify enrollees with chronic illness. Enrollees with chronic illness and all enrollees 65 years of age and older were considered "high-risk" enrollees to be recruited for vaccination. Postcard reminders coupled with a publicity and education campaign were used to recruit high-risk enrollees to special influenza clinics. RESULTS: Our approach identified 2.5% of children (persons < 18 years of age) and 10.5% of adults (persons 18 to 65 years of age) as chronically ill and thus at high risk for influenza-related complications. Most high-risk children were identified through prescriptions for steroids, autonomic inhalers, or both or because they were enrolled in the asthma registry. Most high-risk adults were identified because of prescriptions for steroids, insulin, or oral hypoglycemic agents; because they had received pneumococcal vaccine; or because they were enrolled in the diabetes registry. Influenza coverage rates for all seniors (persons > or = 65 years of age) increased from 34% in 1984 to more than 72% in the 1996-1997 campaign year. Coverage rates were much lower for high-risk children (36%) and adults (46%). CONCLUSIONS: Influenza coverage rates can still be substantially improved for adults younger than 65 years of age and children at high risk for influenza-related complications.  (+info)

The impact of computerized physician order entry on medication error prevention. (2/133)

BACKGROUND: Medication errors are common, and while most such errors have little potential for harm they cause substantial extra work in hospitals. A small proportion do have the potential to cause injury, and some cause preventable adverse drug events. OBJECTIVE: To evaluate the impact of computerized physician order entry (POE) with decision support in reducing the number of medication errors. DESIGN: Prospective time series analysis, with four periods. SETTING AND PARTICIPANTS: All patients admitted to three medical units were studied for seven to ten-week periods in four different years. The baseline period was before implementation of POE, and the remaining three were after. Sophistication of POE increased with each successive period. INTERVENTION: Physician order entry with decision support features such as drug allergy and drug-drug interaction warnings. MAIN OUTCOME MEASURE: Medication errors, excluding missed dose errors. RESULTS: During the study, the non-missed-dose medication error rate fell 81 percent, from 142 per 1,000 patient-days in the baseline period to 26.6 per 1,000 patient-days in the final period (P < 0.0001). Non-intercepted serious medication errors (those with the potential to cause injury) fell 86 percent from baseline to period 3, the final period (P = 0.0003). Large differences were seen for all main types of medication errors: dose errors, frequency errors, route errors, substitution errors, and allergies. For example, in the baseline period there were ten allergy errors, but only two in the following three periods combined (P < 0.0001). CONCLUSIONS: Computerized POE substantially decreased the rate of non-missed-dose medication errors. A major reduction in errors was achieved with the initial version of the system, and further reductions were found with addition of decision support features.  (+info)

Notification of real-time clinical alerts generated by pharmacy expert systems. (3/133)

We developed and implemented a strategy for notifying clinical pharmacists of alerts generated in real-time by two pharmacy expert systems: one for drug dosing and the other for adverse drug event prevention. Display pagers were selected as the preferred notification method and a concise, yet readable, format for displaying alert data was developed. This combination of real-time alert generation and notification via display pagers was shown to be efficient and effective in a 30-day trial.  (+info)

An information system to promote intravenous-to-oral medication conversion. (4/133)

Many inpatients remain on expensive intravenous medications, even after they become able to take bioequivalent oral alternatives. We developed a computer intervention to identify such patients and to deliver alerts suggesting a switch to the oral medication. In the first phase of the project, alerts were delivered to pharmacists. The Brigham Integrated Computer System (BICS) was used to produce a daily report of patients receiving any of six targeted intravenous medications, who also had orders for an oral diet or other scheduled oral medications. Staff pharmacists screened the report and suggested IV to PO conversion in appropriate cases to the patient's nurses and/or physicians. Feedback was documented in the BICS system. Analysis of the pilot study showed that in 31.7% of cases, physicians agreed to change (or had just changed) the patient's medication from IV to PO. Further analysis of pilot (Phase I) data was performed against a variety of parameters in order to increase the fraction of alerts deemed appropriate for conversion. These more specific alerts can be sent directly to physicians.  (+info)

Unsupervised knowledge discovery in medical databases using relevance networks. (5/133)

Increasing amounts of data exist in medical databases. When multiple variables are measured for each case in a data set, there exists an underlying relationship between all pairs of variables, some highly correlated and some not. This report describes a technique that creates networks of related variables, or relevance networks, by dropping links with either too weak correlation or too few data points to defend the relationship. The paper describes how applying this methodology to the domain of laboratory results allows the generation of meaningful relations between types of laboratory tests. These relations could be used as the basis of further exploratory research.  (+info)

Feasibility study of multicentre comparison of NHS hospital pharmacy computer data. (6/133)

AIMS: This study aims to determine the feasibility of collecting, collating and analysing drug expenditure data from a sample of acute hospitals in England. METHODS: The hospital pharmacy computer system was used to report on drug expenditure from 16 hospitals throughout England for a 2 year period. These data were analysed as a whole and hospital episode statistics were correlated to hospital drug costs. RESULTS: Hospital outpatient costs were found to be approximately one third of hospital inpatient costs. Cardiovascular drugs accounted for the greatest increase in expenditure for both inpatients and outpatients (25%). The most expensive therapeutic area of drug use across all sites was anti-infectives. The average daily number of occupied beds explained 55% of the variation in inpatient expenditure and the number of outpatient (including Accident and Emergency) attendances explained 60% of the outpatient drug expenditure. CONCLUSIONS: This project has confirmed the feasibility of collecting, collating and analysing hospital drug expenditure and identified some interesting patterns and trends in hospital drug use. Hospital activity is reflected in hospital drug costs.  (+info)

Detection and incidence of drug-induced liver injuries in hospital: a prospective analysis from laboratory signals. (7/133)

AIMS: Liver damage remains the most frequent type of adverse drug reaction (ADRs) that can lead to the withdrawal of a drug from the market. The abnormal laboratory data identified by computerized hospital information systems can be used in order to improve the detection of ADRs. Our objectives were to assess the detection and incidence of drug-induced liver abnormalities in a university hospital inpatient population and to evaluate the underreporting rate of drug-induced liver injury. METHODS: We conducted a prospective study performed 1 week per month from June to October 1997. We selected patients by a computerized process using biochemistry laboratory data, based on serum enzyme values, alanine aminotransferase (over 2 fold normal) and alkaline phosphatase (over 1.5 fold normal). RESULTS: Among 1976 ALT and 1814 AP assays performed during the period of the study, 156 (7.9%) and 159 (8.8%) tests, respectively, fell into the selected criteria. These concerned 147 patients. Among these patients, 13 (8.8%) cases of drug-induced liver injuries were suspected. Seven cases were asymptomatic. Six cases were classified as serious by these criteria: hospitalization to investigate the cause of health status impairment (4 patients), prolongation of hospitalization (1 patient) and life-threathening (1 patient). Using the hospitalization database, the incidence of drug-induced liver injuries was estimated as 6.6 per 1000 inpatients a week. Only 1 case was reported by physicians in the same period. CONCLUSIONS: Computerization of biochemical data would allow the development of systems to improve detection of drug-induced injury. Moreover, underreporting remains important for such potentially serious ADRs, even in a university hospital.  (+info)

Improving allergy alerting in a computerized physician order entry system. (8/133)

Computerized physician order entry has been shown to reduce the frequency of serious medication errors. Decision support tools such as alerting functions for patient medication allergy are a key part of these applications. However, optimal performance requires iterative refinement. As systems become increasingly complex, mechanisms to monitor their performance become increasingly critical. We analyzed trend data obtained over a five-year period that showed decreasing compliance to allergy alert functions within computerized order entry. Many medication-allergy pairs were being consistently overridden. Renewal policies affecting reordering narcotics also contributed heavily to this trend. Each factor revealed a system-wide trend that could result in suggestions for policy or software change. Monitoring trends such as these is very important to maintain software correctness and ensure user trust in alerting systems, so users remain responsive to computerized alerts.  (+info)

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List all products by generic name using lower-case letters as the primary drug nomenclature (unless employing tall man letters as a safety strategy), ensuring that each matches FDA-approved nomenclature. As appropriate, list associated brand names in a requisite field using all upper case letters (e,g, LASIX) to differentiate them from generic names, ensuring that all product labels match the way the drug appears on the original order and medication administration record. Trademark symbols should not be used [e.g., TM or (r)]. For medications that contain multiple ingredients, use the brand name to provide clarification and reduce the risk of error ...
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Updated 13 December 2016. Out of the 94 incidents reported to the palliative team, we saw eight were in relation to low staffing levels. We noted some resulted in palliative patients not being attended to or observed as often as they required and "Care was compromised". Staff on surgical wards told us they would struggle to ensure end of life patients received the care that they needed. However, they told us that the palliative team were aware of their pressures and were very supportive.. The palliative team were not solely responsible for end of life patients but they supported the medical and nursing teams in providing specialist advice.. We reviewed 20 medication administration records across the wards and units inspected and found these were consistently well completed. Although improvement was needed to ensure that controlled medicines were safely and appropriately administered.. We reviewed medical and nursing paper care records and Do Not Attempt Cardio Pulmonary Resuscitation (DNACPR) ...
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A system for electronic medication administration records comprising a cart station located at a skilled nursing facility, administration web pages, and a healthcare server not located at the skilled nursing facility. The cart station utilizes a plan builder algorithm to build a plan for each patient based on data contained in the cart station database. The plan comprises a list of the patients procedures for a given day and information indicating whether such procedures have been completed. The cart station utilizes a plan runner algorithm to maintain and update the plan for each patient. The administration web pages allow an administrator to manage utilization of the system. The healthcare server and the cart station utilize a synchronization algorithm to maintain accurate and timely data for all of the skilled nursing facilities that use the system. A method of maintaining electronic medication administration records using the system described above.
44 Table 3 1. HIMSS EMR Adoption Model Stage Description Stage 0 The organization has not installed all of the key ancillary department systems (e.g. laboratory, pharmacy, radiology). Stage 1 Major ancillary clinical systems are installed (i.e., pharmacy, laborat ory, radiology). Stage 2 Major ancillary clinical systems feed data to a clinical data repository (CDR) that provides physician access for retrieving and reviewing results. The CDR contains a controlled medical vocabulary, and the clinical decision suppor t/ rules engine (CDS) for rudimentary conflict checking. Information from document imaging systems may be linked to the CDR at this stage. The hospital is health information exchange (HIE) capable at this stage and can share whatever information it has in the CDR with other patient care stakeholders. Stage 3 Nursing/clinical documentation (e.g. vital signs, flow sheets) is required; nursing notes, care plan charting, and/or the electronic medication administration record (eMAR) system ...
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Considering how biological macromolecules first evolved, probably within a marine environment, it seems likely the very earliest peptides were not encoded by nucleic acids, or at least not via the genetic code as we know it. An objective of the present work is to demonstrate that sequence-independent peptides, or peptides with variable and unreliable lengths and sequences, have the potential to perform a variety of chemically useful functions such as anion and cation binding and membrane and channel formation as well as simple types of catalysis. These functions tend to be performed with the assistance of the main chain CONH atoms rather than the more variable or limited side chain atoms of the peptides presumed to exist then.
Local wireless application developer, The Hyperfactory, will compete against major multi-nationals for top honours at the eighth annual GSM Association Awards in Cannes, France next month.
[email protected] (03) 9509 7033 / 0439 898 487. Ha joined Guests Accounting in 2002 and has earned her position to having been recently appointed a Partner in the firm. Since obtaining a Bachelor of Business (with Distinction) at RMIT, Ha has completed an MBA at Monash University and recently a Masters of Taxation at Melbourne Law School.. Having worked for a number of ASX Listed companies before joining Guests, Ha possesses both robust technical skills in management accounting and turn-around strategies, accounting technologies, together with in depth knowledge in public practice as a tax specialist and business advisor.. Has diversity and quality of clients have accorded her a never-ending opportunity to learn. This has fuelled her ongoing loyalty to the firm to meet and exceed our clients expectations. Maintaining a good rapport with clients and well known for her personal and caring approach, she believes embracing new technology will be instrumental in providing deeper insights to their ...
The MSL Liaison for the College of Nursing, Cathy Pepper, is happy to search for relevant journal articles for your assignments and/or research. Just shoot an email to Cathy: [email protected] Turn-around is generally 48 hours or less.. ...
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ISMP Medication Safety Self Assessment® for Community/Ambulatory Pharmacy. The ISMP Medication Safety Self Assessment® for Community/Ambulatory Pharmacy is designed to heighten awareness of distinctive characteristics of safe pharmacy systems. This comprehensive tool also will help you assess the safety of medication practices in your pharmacy and identify opportunities for improvement.. The self-assessment characteristics in the tool are based upon ISMPs expertise in analyzing medication errors reported to the ISMP National Medication Errors Reporting Program, evidence-based research on the most effective error-reduction strategies, professional practice standards, and system improvements that have been recommended during our on-site consultations with pharmacies.. The self assessment is divided into ten key elements that most significantly influence safe medication use. Each element is defined by one or more core characteristics of a safe pharmacy system that further define a safe ...
Results Analysis of variance identified that violation reports were highest for emergency situations, rather than for routine operations, highest by HOT unit nurses, followed by PICU nurses and then Med/Surg unit nurses, and highest during patient identification checking, followed by matching a medication to a medication administration record, and then documenting an administration. There was also a significant three-way interaction among violation situation, step in the process, and unit. ...
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ISA will conduct a Wireless Applications educational track at its upcoming 2013 ISA Automation Week Technology and Solutions Event, 5-7 November in Nashville, Tennessee, USA.
Introduction: Irelands Cystic Fibrosis (CF) newborn screening programme is due to commence later in 2011 using immune reactive trypsinogen & genetic analysis for the detection of cystic fibrosis transmembrane regulator protein (CFTR) mutations. The National Centre for Medical Genetics screens for 11 CFTR mutations & further analysis for rarer mutations is currently performed in Manchester (using gene sequencing & multiplex ligation-dependant probe amplification (MLPA) testing). Prior to 2008 this further analysis was performed in Exeter & subsequently in Brest.. Aim: To identify the turn-around time for genetic analysis results for children with suspected CF. Methods: A 16 year retrospective study of genetic analysis results for CFTR mutations was performed. The turn-around time was defined as the number of days from sending DNA until reports were received. Descriptive statistics were used.. Results: Overall, the median time to receive genetic analysis results was 23 days, range 1-2434 days ...
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By entering orders electronically, clinicians reduce the risk that a handwriting will be misinterpreted, a frequent cause for medical errors. In addition, use of systems like Carecast and LastWord, which integrate medication orders and pharmacy systems, can greatly reduce the amount of time from writing the order to administering the medication. Carecast and LastWord provide alerts that flag risk factors such as known drug allergies or potential interactions between different medications, as well as suggesting best practices for recommended courses of treatment.. Ordering, the process by which physicians and other clinicians communicate necessary clinical care actions, including use of medications, is an essential part of caring for each patient in a hospital environment. In order to help promote rapid and accurate communication among physicians, nurses, pharmacists, diagnostic technicians, and scores of other hospital team members, both the Institute of Medicine and the employer consortium The ...
The German Government is in the process of introducing far reaching electronic processes to the German health care system. An electronic health card (e-health card) will be replacing the current insurance card from 1 January 2006. The e-health card will store and process personal and medical data about the insured person. To enable this, the card will carry a micro processor which allows information to be encrypted and authenticated and facilitates functions for an electronic signature.. In the first phase, the e-health card will help with administrative functions and introduce the electronic prescription. Later, in a second phase, it will provide, for insured people, additional functions like electronic medical reports ("Arztbrief"), electronic patient files ("Patientenakte") or information on drug interactions. These functions however will only be implemented on the individual health card if the insured person applies for it.. The scope of the project is enormous. The e-health card will be ...
Measure antibiotic use as either days of therapy (DOT) or defined daily dose (DDD). DOT is an aggregate sum of days for which any amount of a specific antimicrobial agent is administered or dispensed to a particular patient (numerator) divided by a standardized denominator (e.g., patient days, days present, or admissions).(44, 89) If a patient is receiving two antibiotics for 10 days, the DOT numerator would be 20. An alternative measure of antibiotic use is defined daily dose (DDD). This metric estimates antibiotic use in hospitals by aggregating the total number of grams of each antibiotic purchased, dispensed, or administered during a period of interest divided by the World Health Organization-assigned DDD.(90) DDDs are often available in facilities with pharmacy systems that cannot calculate DOTs. Compared to DOT, DDD estimates are not appropriate for children, are problematic for patients with reduced drug excretion such as renal impairment, and are less accurate for between-facility ...
Summary of idea: Generate fuzzing testcases from the existing "make test", which is generally only as good as the package maintainer placed effort into this Extending the range of testcases in a generic way contributes to an enhanced scope of quality and security testing of software. Key implementation technique is providing mock "fuzzing" devices and transparent in-process instrumentation (fuzzing loops) the turn-around time and bug discovery rate will improve. Transparent integration in build tools (like rpm-build macros) lower the entry hurdle for developers and maintainers. Key components: -Fuzzing devices: By this we mean user space devices that manipulate given original data based on a given fuzzing strategy, the strategy chosen depends on the nature of the file type, implemented by plugins (for a start provide comprehensive plugin source for image types, gif png, multimedia, midi). -Package QA process: We think that a prototypical integration in rpm-build (macro, pre-waive certain results ...
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Revision: 2260 http://poe.svn.sourceforge.net/poe/?rev=2260&view=rev Author: rcaputo Date: 2007-12-09 00:45:26 -0800 (Sun, 09 Dec 2007) Log Message: ----------- Finish the first redocumentation pass on POE::Session. Migrate some stuff to POE::Kernel. Align Philip Gwyns changes to POE::Kernel with standard style guidelines. Modified Paths: -------------- trunk/poe/lib/POE/Kernel.pm trunk/poe/lib/POE/Session.pm Modified: trunk/poe/lib/POE/Kernel.pm =================================================================== --- trunk/poe/lib/POE/Kernel.pm 2007-12-08 12:10:57 UTC (rev 2259) +++ trunk/poe/lib/POE/Kernel.pm 2007-12-09 08:45:26 UTC (rev 2260) @@ -234,8 +234,6 @@ my %poes_own_events = ( +EN_CHILD =, 1, +EN_GC =, 1, - +EN_CHILD =, 1, - +EN_GC =, 1, +EN_PARENT =, 1, +EN_SCPOLL =, 1, +EN_SIGNAL =, 1, @@ -688,7 +686,7 @@ } # Public interface for posting signal events. -# TODO - Like post(), signal() should return +# TODO - Like post(), signal() should return sub signal { my ($self, $dest_session, ...
Revision: 2403 http://poe.svn.sourceforge.net/poe/?rev=2403&view=rev Author: rcaputo Date: 2008-12-01 00:53:49 +0000 (Mon, 01 Dec 2008) Log Message: ----------- Add run_while(). Untested. Modified Paths: -------------- trunk/poe/lib/POE/Kernel.pm Modified: trunk/poe/lib/POE/Kernel.pm =================================================================== --- trunk/poe/lib/POE/Kernel.pm 2008-11-24 07:28:27 UTC (rev 2402) +++ trunk/poe/lib/POE/Kernel.pm 2008-12-01 00:53:49 UTC (rev 2403) @@ -1246,14 +1246,20 @@ $self-,_data_stat_finalize() if TRACE_PROFILE or TRACE_STATISTICS; } +sub run_while { + my ($self, $scalar_ref) = @_; + 1 while $$scalar_ref and $self-,run_one_timeslice(); +} + sub run_one_timeslice { my $self = shift; - return undef unless $self-,_data_ses_count(); - $self-,loop_do_timeslice(); unless ($self-,_data_ses_count()) { $self-,_finalize_kernel(); $kr_run_warning ,= KR_RUN_DONE; + return; } + $self-,loop_do_timeslice(); + return 1; } sub run { @@ -3009,6 +3015,23 @@ $done is never ...
At one job, I missed an important deadline and then turned in shoddy work, and my boss called me to his office for a Fix It Or Youre Gone meeting. Rather than fight what he was saying, I accepted responsibility: You are right, my performance was not acceptable and I will do everything in my power to make sure it does not happen again. I didnt do much more that day, because it was pretty humiliating, but once Id cooled off a bit I went back to my boss to outline strategies Id come up with for staying on top of future deadlines and to ask for his advice and guidance. And then I worked by butt off, turned in consistently good work and met deadlines for the rest of the time we worked together. There were other people at my job that kicked at least as much butt as me, but my boss saw me at a low and then was there as I worked hard to reach a new high, and that turn-around impressed him and led him to see me as a dedicated, hard-working person ...
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In her haste to give the already-late medications, she fails to notice the "Do not crush" warning on the electronic medication administration record. my review here Available from URL: http://www.nccmerp.org/pdf/taxo2001-07-31.pdf. Medication Errors Statistics 2015 Both are chemotherapy drugs used for different types of cancer and with different recommended doses. Medication Errors Articles Reporting medication errors is an ethical duty to maximize the benefits of patient care. If you are told to take a medicine three times a day, does that mean eight hours apart exactly or at mealtimes? More about the author National Library of Medicine 8600 Rockville Pike, Bethesda MD, 20894 USA Policies and Guidelines , Contact ERROR The requested URL could not be retrieved The following error was encountered while Of the latter group, examples included studies that focused on the causes of MEs made by a variety of healthcare professionals [53, 56, 57, 62], and investigations of nurse attitudes towards ...
Definition of medication administration in the Legal Dictionary - by Free online English dictionary and encyclopedia. What is medication administration? Meaning of medication administration as a legal term. What does medication administration mean in law?
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Pharmacy automation, an automated drug handling and distributing process, improves the workflow by preventing manual errors. Automated pharmacy systems perform tasks such as counting of medications, mixing and measuring liquids and powders for compounding, maintaining a database on patients, and managing inventory. With the help of centralized pharmacies, pharmaceutical wholesalers can provide products and services to hospitals and retail pharmacies. Centralize pharmacies help minimize human error, increase productivity, reduce medication inventory costs, and increase patient safety. In addition, they enhance the operational capacity without the need to hire and train new staff members ...
As the student nurse gains experience in medication administration, psychomotor skills ( the how to ) become more refined. Psychomotor skills, however represent only a small part of medication administration. Knowledge, physical and mental status as well as client attitudes and responses can make medication administration a complex experience
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Predicted ephemeral Points of Interest (PEPOI) are provided to wireless application users, as are likelihood maps. Wireless application users are provided with the ability to record locations and retrieve maps of past locations and predicted future locations of PEPOIs of specific interest. To predict a location for a PEPOI, data about previous reported locations are gathered, along with variable values associated with variations in location. The variables gathered may differ based on the type of PEPOI in question. For instance, a person has different variables associated with its locations than does a storm cloud. Once there is enough data recorded to provide predictable patterns, desirable methods of statistical analysis are chosen depending of the behavior model of PEPOI, which can be used to present a visual guide to finding the PEPOIs at a particular time in the future.
General economic factors include a feeder pig price of $40 per head, market hog price of $42 per hundredweight and an average feed price of $140 per ton. General management inputs include initial feeder pig weight of 60 pounds and desired average market weight of 260 pounds. Facility costs have been amortized over seven years at an interest rate of 8 percent, resulting in an annual facility cost of $30 per pig space for a totally slatted facility and $10 per pig space for a hoop facility.. The turn-around time required to complete marketing, clean the facility and restock is included because it determines the number of production cycles, or turns, per year for the facility. Labor and management requirements are combined and included as a cost per pig space per year. Bedding is a required input for some grow-finish facilities and is included as a cost per pig housed.. Performance of grow-finish facilities can be compared if the inputs for a given operation are known. Actual performance data ...
Rosetta Genomics, a leading developer and provider of microRNA-based and other molecular diagnostics, announces that the Company has entered into a services agreement with an unnamed global pharmaceutical company to provide Fluorescence in Situ Hybridization (FISH) testing services for a clinical study the pharmaceutical company is conducting in prostate cancer. The study will use FISH to determine the phosphatase and tensin homolog (PTEN) gene status of a number of prostate adenocarcinoma cases.. The concordance of the FISH results will be assessed for cases where PTEN status was previously established by immunohistochemistry (IHC). The primary goal of the study is to determine if PTEN by FISH detects cancers that IHC did not.. "We are very pleased to have our FISH testing selected by this global pharmaceutical for their clinical testing study. The quality, reliability and turn-around time of our best-in-class FISH testing enabled us to win this important business. It has also allowed us to ...
The biggest challenge that other Presidential candidates have is the fact that they are lack of substance on addressing many critical issues facing Indonesia. Challenging SBY with style, rhetoric and courage does not do any good to win the heart and mind of Indonesian voters. SBY has substance and style and secondly, it does not change the condition on the ground. To win the public debate against an incumbent, it has to be on real core issues facing the country and challenging the current administration record to address those critical issues. George H.W. Bush was a very popular President in the US after wining the 1st Gulf War in the 90s. He has a great resume from being a fighter pilot, US Ambassador in China, Director of CIA, former a Vice President under Reagans Administration and then become a President. Kicking Saddam Husseins arm forces out and liberated Kuwait from his aggression was a political victory that no significant Republican crowd in the US dared to challenge him at the ...
The Seafarers Home Kandla is currently running an initiative which offers free eye tests to seafarers calling at the port. Joseph Chacko, of the Kandla Seafarers Welfare Association, tells us more about the initiative.. What exactly does the initiative entail?. "The Free Eye and Ear Tests initiative is greatly needed, as the Seafarers work in a very rough/tough weather conditions at sea and in port and over time their eyes can become damaged due to the chemicals, hazardous cargos and dusts being transported. We felt that it is necessary for seafarers to regularly get their eyes checked up, so that if any deficiency it can be corrected or rectified at an early stage. Also free ear testing with an Audiometer will shortly be set up, which will be useful for seafarers working in engine rooms.". What inspired the initiative?. "Seafarers nowadays have far fewer opportunities to get shore passes to visit the nearest town; they also have less free time due to ships having faster turn-around times. ...
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Sublingual and buccal medication administration are ways to take certain oral drugs. Learn the differences, pros, cons, and considerations for each.
The three top layers in the OSI model, i.e. the application layer, the presentation layer and the session layer, are not distinguished separately in the TCP/IP model which only has an application layer above the transport layer. While some pure OSI protocol applications, such as X.400, also combined them, there is no requirement that a TCP/IP protocol stack must impose monolithic architecture above the transport layer. For example, the NFS application protocol runs over the eXternal Data Representation (XDR) presentation protocol, which, in turn, runs over a protocol called Remote Procedure Call (RPC). RPC provides reliable record transmission, so it can safely use the best-effort UDP transport.. Different authors have interpreted the TCP/IP model differently, and disagree whether the link layer, or the entire TCP/IP model, covers OSI layer 1 (physical layer) issues, or whether a hardware layer is assumed below the link layer.. Several authors have attempted to incorporate the OSI models layers ...
For all medications, you should only give the dosage described in the prescription label or other instructions. Dosage is carefully determined by your doctor and can be affected by your age, weight, kidney and liver health, and other health conditions.. For some medications, dosage must be determined by trial and error. For these drugs, your healthcare provider would need to monitor you when you first start treatment. For instance, if your doctor prescribes thyroid medications or blood thinners, you would likely need to have several blood tests over time to show if the dosage is too high or too low. The results from these tests would help your doctor adjust your dosage until they find the one thats right for you. To be effective, many medications need to reach a certain level in your bloodstream. They need to be given at specific times, such as every morning, to keep that amount of drug in your system. Taking a dose too soon could lead to drug levels that are too high, and missing a dose or ...
An e-mail went out today from the Pharmacy head stating that a (hospital) corporate wide change went into effect today. Until today, a medication could be given up to 1 hour before or as much as 1
The MSL Liaison for the College of Nursing, Cathy Pepper, is happy to search for relevant journal articles for your assignments and/or research. Just shoot an email to Cathy: [email protected] Turn-around is generally 48 hours or less. ...
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Journal of Clinical and Diagnostic Research aims to publish findings of doctors at grass root level and post graduate students, so that all unique medical experiences are recorded in literature.
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Medication Calculations General principles of medication administration including determination of dosage, preparation, safe administration.
Session presented on Sunday, July 24, 2016: Purpose: To assess senior baccalaureate nursing students self-rated competence of safe medication administration and their actual competence to do so by using simulation scenario. Methods: This is a cross-sectional, descriptive study. A self-rated questionnaire of safe medication administration was developed. Participants were asked to rate levels of their knowledge, confidence, competence, and experience in safe medication administration by 5-point Likert scale (0 is none, and 5 is always) before the simulation scenario. The higher points the participants give, the higher levels of confidence the participants think that they have. A simulation scenario was developed to assess participants competence in applying the six rights (right patient, right medication, right dose, right time, right route, and right reason) at the medication administration phase. Participants were expected to identify nine errors, including: 1). Use two-identifiers to identify ...
This prospective, direct-observation study examined medication administration accuracy of medications dispensed by nurses and caregivers in long-term care facilities. Investigators compared medication administration from original medication packaging to administration from multicompartment medication devices. The team observed nearly 2500 doses.
As a radiology resident, my ego isnt really hurt that much by Joe Six-Pack not knowing Im a physician or that Im the one who diagnosed his HCC (too many six packs, it seems) on that CT scan, not his primary physician. The issue we have is that the patient not knowing or caring who we are makes it easier for others in the healthcare industry to turn radiology into a commodity (something were partially to blame for by hermiting in the reading room for the last couple decades, not to be seen or heard from beyond a written report). If the patients dont know or care who interprets their CT scan, why not save 25% by going with this teleradiology group? The patients dont know the difference, and these easy to measure turn-around times are excellent for this cheaper group ...
As a radiology resident, my ego isnt really hurt that much by Joe Six-Pack not knowing Im a physician or that Im the one who diagnosed his HCC (too many six packs, it seems) on that CT scan, not his primary physician. The issue we have is that the patient not knowing or caring who we are makes it easier for others in the healthcare industry to turn radiology into a commodity (something were partially to blame for by hermiting in the reading room for the last couple decades, not to be seen or heard from beyond a written report). If the patients dont know or care who interprets their CT scan, why not save 25% by going with this teleradiology group? The patients dont know the difference, and these easy to measure turn-around times are excellent for this cheaper group ...
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The evolutionary design can produce fast and efficient implementations of digital circuits. It is shown in this paper how evolved circuits, optimized for the latency and area, can increase the throughput of a manually designed classifier of application protocols. The classifier is intended for high speed networks operating at 100 Gbps. Because a very low latency is the main design constraint, the classifier is constructed as a combinational circuit in a field programmable gate array (FPGA). The classification is performed using the first packet carrying the application payload. The improvements in latency (and area) obtained by Cartesian genetic programming are validated using a professional FPGA design tool. The quality of classification is evaluated by means of real network data. All results are compared with commonly used classifiers based on regular expressions describing application protocols ...
OBJECTIVE. Although initial research suggests that computerized physician order entry reduces pediatric medication errors, no comprehensive error surveillance studies have evaluated the effect of computerized physician order entry on children. Our objective was to evaluate comprehensively the effect of computerized physician order entry on the rate of inpatient pediatric medication errors. METHODS. Using interrupted time-series regression analysis, we reviewed all charts, orders, and incident reports for 40 admissions per month to the NICU, PICU, and inpatient pediatric wards for 7 months before and 9 months after implementation of commercial computerized physician order entry in a general hospital. Nurse data extractors, who were unaware of study objectives, used an established error surveillance method to detect possible errors. Two physicians who were unaware of when the possible error occurred rated each possible error. RESULTS. In 627 pediatric admissions, with 12 672 medication orders ...
articles, news, reports and publications on quality of healthcare, quality assurance, quality improvement, quality indicators, quality measures, health services research, patient safety, medical errors, hospital performance, health information technology and more from The New England Journal of Medicine, The Lancet, JAMA, BMJ, CMAJ, MJA, Medical Care, Health Affairs and other leading medical journals and from AHRQ, CMWF, CMS, RAND, NHS and other international health Agency. ...
March 19, 2008 - Cardinal Health recently released the Rxe-view solution that uses a hospitals existing fax machines on nursing units to transmit paper medication orders into a digitized format that is viewable in the hospital pharmacy through a Web-based document management system.. All orders are then queued in a central location and prioritized by urgency, which enables faster review of patients medication orders.. The Rxe-view solution helps hospitals focus on safety, clinical and operational improvements through detailed metrics such as order volume by line, order turnaround times, and number of unapproved abbreviations, duplicate orders, medication error rates, said the company. In addition to these productivity and quality metrics, the system also tracks clinical consultations and hospital interventions according to safety issues and physician practices. The Rxe-view solution also has the capability to send medication orders to a centralized, 24-hour pharmacy during off hours without ...
community pharmacy services - MedHelps community pharmacy services Center for Information, Symptoms, Resources, Treatments and Tools for community pharmacy services. Find community pharmacy services information, treatments for community pharmacy services and community pharmacy services symptoms.
BACKGROUND: Prior studies suggest that unintended medication discrepancies that represent errors are common at the time of hospital admission. These errors are particularly worthy of attention because they are not likely to be detected by computerized physician order entry systems. METHODS: We prospectively studied patients reporting the use of at least 4 regular prescription medications who were admitted to general internal medicine clinical teaching units. The primary outcome was unintended discrepancies (errors) between the physicians admission medication orders and a comprehensive medication history obtained through interview. We also evaluated the potential seriousness of these discrepancies. All discrepancies were reviewed with the medical team to determine if they were intentional or unintentional. All unintended discrepancies were rated for their potential to cause patient harm. RESULTS: After screening 523 admissions, 151 patients were enrolled based on the inclusion criteria. ...
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... and information and communication systems. It is applied to the areas of nursing, clinical medicine, dentistry, pharmacy, ... Health information management (HIM) Hospital information system Human resources for health (HRH) information system ... Troiano D (1999). "A primer on pharmacy information systems". Journal of Healthcare Information Management. 13 (3): 41-52. PMID ... and continuous improvement of clinical information systems. Clinicians collaborate with other health care and information ...
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... clinical laboratory information systems MeSH N04.452.515.360.250 --- clinical pharmacy information systems MeSH N04.452.515.360 ... clinical laboratory information systems MeSH N04.452.515.095 --- clinical pharmacy information systems MeSH N04.452.515.110 ... hospital information systems MeSH N04.452.442.452.200 --- clinical pharmacy information systems MeSH N04.452.442.452.500 --- ... hospital information systems MeSH N04.452.515.360.050 --- ambulatory care information systems MeSH N04.452.515.360.110 --- ...
... clinical pharmacy information systems MeSH N02.421.668.556 --- pharmacy service, hospital MeSH N02.421.726 --- preventive ... drug information services MeSH N02.421.668.320.120 --- adverse drug reaction reporting systems MeSH N02.421.668.320.200 --- ... medication systems, hospital MeSH N02.278.354.700 --- product line management MeSH N02.278.388 --- hospital units MeSH N02.278. ... pharmacy service, hospital MeSH N02.278.354.422.615 --- physical therapy department, hospital MeSH N02.278.354.422.641 --- ...
Ascribe is a supplier of clinical record systems for hospital pharmacy, A&E, mental health and patient administration (PAS)/ ... EMIS Health, formerly known as Egton Medical Information Systems, supplies electronic patient record systems and software used ... This enables the majority of patients to be sent home with written information on self care or referred to a pharmacy. EMIS IQ ... RX Systems is a supplier of software to pharmacists. The ProScript software is a community pharmacy dispensary management ...
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... is defined as the use of computers, clinical guidelines, communication and information systems, which ... clinical and environmental laboratories, doctors' practices, pharmacies) to local health agencies, then to state health ... to Geographical Information Systems (GIS) to expose the geographical dimension of public health trends.Such analyses usually ... the LOINC system for encoding laboratory test and result information; and the Systematized Nomenclature of Medicine (SNOMED) ...
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... s pharmacy and boxes and also at the clinical research centers which provide oncology treatments or clinical trials.[citation ... The development of that system was made possible due to the experience of its founders in the realm of the Information and ... and more specifically in the pharmacy, clinical trials and oncology departments.. LUG's project (honoring the Lugh Celtic God) ... "Medication errors and drug-dispensing systems in a hospital pharmacy". Clinics. 60 (4): 325-32. doi:10.1590/S1807- ...
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"American Journal of Health-System Pharmacy". NLM Catalog. National Center for Biotechnology Information. Retrieved 2016-04-18 ... The journal is abstracted and indexed in: Chemical Abstracts Service CINAHL Current Contents/Clinical Medicine Current Contents ... The American Journal of Health-System Pharmacy is a biweekly peer-reviewed medical journal covering all aspects of drug therapy ... "American Journal of Health-System Pharmacy". 2014 Journal Citation Reports. Web of Science (Science ed.). Thomson Reuters. 2015 ...
HL7 was founded in 1987 to produce a standard for the exchange of data with hospital information systems. Donald W. Simborg, ... The 2.x versions of the standards, which support clinical practice and the management, delivery, and evaluation of health ... for a particular healthcare domain such as pharmacy, medical devices, imaging or insurance (claims processing) transactions. ... HL7 collaborates with healthcare information technology users to ensure that HL7 standards meet real-world requirements, and ...
A clinical decision support system (CDSS) is a health information technology system that is designed to provide physicians and ... There are commonly used pharmacy and prescription ordering systems that now perform batch-based checking of orders for negative ... A clinical decision support system has been defined as an "active knowledge systems, which use two or more items of patient ... Clinical decision support systems face steep technical challenges in a number of areas. Biological systems are profoundly ...
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Information Technology Centre was established in July 1999. BS and MSc. Telecommunication System was started in January 2004. B ... including pharmacy, medical, engineering, humanities, business administration, law, art, music, IT, agriculture and languages. ... s coment Department of Pathobiology Department of Biosciences Department of Clinical Sciences Department of Livestock and ... According to newly published 2016-2017,Times Higher Education (THE) Ranking System, Bahauddin Zakariya University is ranked ...
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Journal of Clinical Pharmacy and Therapeutics. 32 (5): 457-9. doi:10.1111/j.1365-2710.2007.00844.x. PMID 17875111. "Cilostazol ... Supplementary information provided by Drug Digest (Link not working 2/8/12) U.S. National Library of Medicine: Drug Information ... Cilostazol is metabolized by CYP3A4 and CYP2C19, two isoenzymes of the cytochrome P450 system. Drugs that inhibit CYP3A4, such ... "Cilostazol: Official FDA information, side effects and uses". Drugs.com. February 2008. Retrieved 2008-09-22. Taniguchi, K; ...
... Information from the US Food and Drug Administration. *U.S. National Library of Medicine: Drug Information Portal - ... Based on its safety and effectiveness in clinical trials,[42] rituximab was approved by the U.S. Food and Drug Administration ... Rituximab is a chimeric monoclonal antibody against the protein CD20, which is primarily found on the surface of immune system ... "Genentech: Products - Product Information - Immunology - Rituxan RA Full Prescribing Information". Archived from the original ...
... and internet-based information systems to support clinical decisions. However, many system implementations have experienced ... and information and communication systems. Medical informatics, nursing informatics, public health informatics, pharmacy ... It supports health information management across computerized systems and the secure exchange of health information between ... Healthcare information in EMRs are important sources for clinical, research, and policy questions. Health information privacy ( ...
The Integrated Risk Information System (IRIS) is a program within the US Environmental Pro... ... Professor, Department of Clinical Pharmacy. University of California, San Francisco. 8:25. Systematic Review of Animal Studies ... Review of EPAs Integrated Risk Information System (IRIS) Process provides an overview of some general issues associated with ... Overall, Review of EPAs Integrated Risk Information System Process finds that substantial improvements in the IRIS process ...
16 Pharmaceutical Services/ or Drug Information Services/ or Clinical Pharmacy Information Systems/ (8273) ... Implementation of an electronic system for medication reconciliation. American Journal of Health-System Pharmacy 2007;64(4):404 ... 10 Pharmacy service, hospital/ [ML] (9482). 11 ((PHARMACEUTICAL CARE or PHARMACY or PHARMACIES or PHARMACIST? or PRESCRIBING) ... American Journal of Health-System Pharmacy 2007;64(14 Suppl 9):S3-9. *CrossRef , ...
clinical decision support - pharmacy information systems - alert fatigue - CPOE Background and Significance. The Medicare and ... Ability of pharmacy clinical decision-support software to alert users about clinically important drug-drug interactions. J Am ... Ability of pharmacy clinical decision-support software to alert users about clinically important drug-drug interactions. J Am ... This research was supported by Harnett Health System and Campbell University College of Pharmacy & Health Sciences. We thank ...
Clinical Pharmacy Information Systems* / statistics & numerical data. Drug Administration Schedule. Drug Prescriptions / ... Department of Pharmacy and Health Services, University of Washington, Seattle 98195-7630, USA.. ... 9048695 - The assessment of refill compliance using pharmacy records: methods, validity, and appl.... 15334775 - The rational ... pharmacy records and verbal advice given to the patient. Because patients may obtain refills before depleting their supply, ...
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... and provides a comprehensive health service delivery system for American Indians and Alaska Natives. The IHS Mission is to ... The IHS CEP interfaces with all clinical programs (e.g., medical, pharmacy, dental, radiology/imaging, lab, etc.); information ... Integration of biomedical equipment with clinical or health information systems for improved patient and population health ... Biomedical Systems Management Activities. Clinical Engineering Program staff members provide supporting operations and ...
... including linking pharmacy and laboratory data through health information technology. ... Quality and safety implications of emergency department information systems. Get Citation Farley HL, Baumlin KM, Hamedani AG, ... This article evaluates the benefits and potential threats to patient safety of various emergency department information systems ... This commentary explores health information exchange systems, which provide clinicians with access to patient health ...
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HRSA announces 340B information system outage beginning August 15 More For CY 2018, Meaningful Use reporting period is once ... Congress enacts all payor kickback law for recovery homes, clinical treatment facilities and clinical laboratories, despite ... New guidance and information from OCR and ONC on patient access to medical information More ... Ohio Board of Pharmacy releases proposed rules on pain management and office-based opioid treatment clinics More ...
Ancillaries - Laboratory, Pharmacy, and Radiology/Cardiology information systems; PACS; Digital non-DICOM image management * ... All three major ancillary clinical systems are installed (i.e., pharmacy, laboratory, and radiology). ... Ancillaries - Laboratory, Pharmacy, and Radiology/Cardiology information systems; PACS; Digital non-DICOM image management ... Major ancillary clinical systems are enabled with internal interoperability feeding data to a single clinical data repository ( ...
Implementation of information systems at pharmacies - a case study from the re-regulated pharmacy market in Sweden. Research in ... views on clinical relevance. International Journal of Clinical Pharmacy. 37. 941-948. ... International Journal of Clinical Pharmacy. 36. 943-952. *Hovstadius, B., Petersson, G., Hellström, L., Ericson, L. (2014). ... Journal of Clinical Pharmacy and Therapeutics. 37. 686-692. *Johansson, P., Petersson, G., Saveman, B., Nilsson, G. (2012). ...
Open Source Integrated Hospital Information Management System. OpenClinic GA is an open source integrated hospital information ... management system covering management of administrative, financial, clinical, lab, x-ray, pharmacy, meals distribution and ... System (6) * Networking (1) * Firewalls (1) * Search (1) * Storage (2) * Archiving (2) * Systems Administration (3) * ... X Window System (4) * Grouping and Descriptive Categories (4) * Project is a templating system (1) * Project is a user ...
Author Information. *Cyrine E. Haidar, Pharm.D., BCPS, BCOP⇑. *. Pharmaceutical Sciences Department, St. Jude Childrens ... Development of a postgraduate year 2 pharmacy residency in clinical pharmacogenetics. Cyrine E. Haidar, James M. Hoffman, ... Development of a postgraduate year 2 pharmacy residency in clinical pharmacogenetics. Cyrine E. Haidar, James M. Hoffman, ... Development of a postgraduate year 2 pharmacy residency in clinical pharmacogenetics Message Subject (Your Name) has sent you a ...
Author Information. Contributors First Name and Middle Initial *. First or given name, e.g. Peter. ... Development of a postgraduate year 2 pharmacy residency in clinical pharmacogenetics. Cyrine E. Haidar, James M. Hoffman, ... Development of a postgraduate year 2 pharmacy residency in clinical pharmacogenetics. Cyrine E. Haidar, James M. Hoffman, ... Development of a postgraduate year 2 pharmacy residency in clinical pharmacogenetics Message Subject (Your Name) has sent you a ...
Speed Saves LivesLeveraging a Massively Parallel Expert System for Patient Surveillance … ... Speed is everything-this is what information system users value most.2. Anticipate needs and deliver in real time-deliver ... systems •IDNs, Sites, and departmentsUnderstanding the clinical meaning of a message •Patient admission & discharge •Active/ ... Pharmacy OneSource_Drools in Healthcare Bootcamp Oct 2011 * 1. Speed Saves LivesLeveraging a Massively Parallel Expert System ...
This position is responsible for providing quality drug distribution and clinical pharmaceutical care for patients and hous... ... provision of drug information and general drug therapy monitoring within the Renown Health System. The major challenge is to ... Completion of a Pharmacy Clinical Practice Residency or equivalent training program in clinical pharmacy is preferred. ... serving as a liaison between nursing and pharmacy, and providing information to improve and enhance services. The incumbent ...
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UC Davis Health System has been designated one of Health Cares Most Wired institutions for 2011 according to the results of ... Today, its electronic information system includes digital clinical results and images, computerized physician order entry, ... sophisticated pharmacy systems and online documentation and care plans. The health systems complex array of electronic content ... chief information officer for the health system. "We have made significant investments in modern information technology because ...
Copyright © 2018 Mediware Information Systems. All Rights Reserved. Terms of Use , Privacy Policy ... Mediware pharmacy solutions solve the unique problems you face in correctional health, where you must deal with unusually high ... Rob has held this position since 2017, and he previously also managed many of Mediwares other clinical applications, including ... In his role as chief technology officer, Joel Dolisy manages both product development and information technology for Mediware. ...
... is a Health Information Technology company that provides connectivity across state and local Immunization Information Systems ( ... In a time when clinical offerings are becoming a larger piece of the pharmacy market, its important that we can offer our ... Working with pharmacies, pharmacy software providers and other pharmacy service providers, SMP is a leader in providing turnkey ... Computer-Rx provides pharmacies with proven Pharmacy Management Software and Services which promote pharmacy growth and ...
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  • Using a systems biology/pharmacology approach, Rada and her interdisciplinary team will create computer models that integrate molecular-level analyses of disease progression and persistence, immune response, pharmacokinetics (absorption, distribution, metabolism, excretion), and associated antibacterial actions (pharmacodynamics). (ucsf.edu)
  • Kathy Giacomini, PhD , and Rada Savic, PhD , both in the Department of Bioengineering and Therapeutic Sciences, are co-authors of a June paper in Clinical Pharmacology & Therapeutics that evaluates why certain patients with type 2 diabetes do not respond to metformin, the first-line therapy for this disease. (ucsf.edu)
  • With over 2,500 employees able to service 46 states, BioScrip has externally-qualified Centers of Excellence built around specific clinical conditions and therapies, as well as Ambulatory Infusion Centers around the country. (americasjobexchange.com)
  • Today, the medical center is part of a comprehensive health care system that includes North Hills Surgery Center, Dialysis Centers of NWA and a network of clinics and services in Northwest Arkansas. (wregional.com)
  • Excelera Corp., a network of specialty pharmacies based at health systems and academic medical centers, was formed in May 2012 to enable member organizations to gain access to limited-distribution drugs and provide continuity of care for patients with complex conditions who require specialty drugs. (catholichealthinitiatives.org)
  • The availability of a system to document health care provided in austere environments and connect these data with care provided in tertiary military medical care centers using records available throughout the Veterans Health Administration (VHA) will enhance the care provided. (thefreelibrary.com)
  • Combining our clinical expertise and research know-how with their nationwide resources - including pharmacies, clinics, worksite health centers, information systems and 70,000 healthcare service providers - will generate new approaches to improve population health," added Fred Brancati, professor of medicine and director of the Division of General Internal Medicine at Johns Hopkins University School of Medicine. (drugstorenews.com)
  • UC Davis' digital environment also encompasses MyChart, an advanced tethered personal health record (PHR) for patients that allows individuals to review a wide range of information about their health-care status, including test results, clinical appointments and medications, and to exchange secure messages with their physicians and care teams. (ucdavis.edu)
  • For referring physicians, an online program called Physician Connect provides doctors practicing outside of UC Davis with real-time, view-only access to information about their patients' care at UC Davis. (ucdavis.edu)
  • A network of institutional and community physicians jointly conducting clinical research in adult and pediatric gastroenterology and hepatology. (medexplorer.com)
  • With the consent of patients and physicians, we used observational ethnography and video ethnography to study the information-seeking habits of physicians. (nap.edu)
  • 1994). Although physicians often spent additional time trying to track down the missing information, including asking patients what they might have heard, they often ended up making decisions without the information, even though they had the paper-based medical record 95 percent of the time. (nap.edu)
  • As a clinical expert, educates patients, physicians, case managers and all customers regarding diseases states, infusion therapy, Transitional Care Management and available BioScrip services. (americasjobexchange.com)
  • There was coordination with other departmental staff (physical and occupational therapy, pharmacy, physicians, information systems, low bed equipment vendor, and clinical operations) to achieve multidisciplinary input. (ovid.com)
  • The roadmap includes building interfaces between OpenVista and other legacy applications, including Midland's surgery department management system from Per-Se Technologies and a perinatal monitoring system from GE Healthcare, as well as providing a means of remotely accessing the OpenVista database by physicians and other authorized providers who may not be on-site at the hospital. (sys-con.com)
  • With the introduction of a worldwide health record relying on a single central data repository, the Military Health System has enabled the ability to digitize health records and tie disparate episodes of care together (Bouhaddou et al. (thefreelibrary.com)
  • The Department of Defense (DoD) Pharmacy Operations Division (POD) is a customer-oriented Center of Excellence implementing recognized state-of-the-art pharmacoeconomic analysis for the purpose of improving readiness by increasing value, quality, and access to medical care and pharmacotherapy within the available resources of the Military Health System (MHS). (health.mil)
  • The Center provides information regarding pharmacotherapy and other issues that relate to the use of medications in order to assist health care providers in treating and educating patients. (mountsinai.org)
  • In a time when clinical offerings are becoming a larger piece of the pharmacy market, it's important that we can offer our pharmacies solutions like SMP's to help streamline their processes. (prweb.com)
  • Assessing compliance to antihypertensive medications using computer-based pharmacy records. (biomedsearch.com)
  • Provide administrative and technical support for the DoD Pharmacy & Therapeutics Committee , which manages the DoD Basic Core Formulary The Basic Core Formulary (BCF) is a list of medications required to be on formulary at all full-service military treatment facilities (MTFs). (health.mil)
  • They cover a variety of subjects, such as arithmetic used in pharmacies, recordkeeping, ways of dispensing medications, and pharmacy law and medical ethics. (pharmacytechprogram.org)
  • By talking and listening to radiologists, Agfa has learned that they need pharmacy data (such as medications and allergies), results (such as urinalysis for infection and liver function), lab data (such as creatinine, white blood cell count, and pregnancy test results), as well as surgical and cytology pathology reports. (webwire.com)
  • Specifically, the pharmacy system (1) provides the ability to order medications electronically, (2) enables prescription checks for drug-to-drug and drug-allergy interactions, and (3) tracks the dispensing of controlled prescription drugs. (gao.gov)
  • Drug purchasing contracts between your pharmacy and manufacturers are becoming as complex and varied as prescription medications themselves. (mckesson.com)
  • NCRA is a full service contract research organization providing clinical research, technical writing, training courses and expert medical advice to the pharmaceutical, medical device, nutraceutical and related industries. (medexplorer.com)
  • It is applied to the areas of nursing, clinical care, dentistry, pharmacy, public health and (bio)medical research. (nonclinicaljobs.com)
  • Solves problems in health care delivery, pharmaceutical, biomedical and health sciences research, health education and clinical/medical decision making. (nonclinicaljobs.com)
  • The study employed participatory research methods to define the current system and understand how stakeholders and veterans envision the future of VA HIT and interface design (eg, look, feel, and function). (jmir.org)
  • UK Clinical Research Network (UKCRN) study 12494 ( http://public.ukcrn.org.uk/Search/StudyDetail.aspx?StudyID=12494 ). (bmj.com)
  • The investigational drug coordinators support the medical school and the hospital in the vast field of clinical research. (mountsinai.org)
  • Extract data for advanced research studies on topics like clinical trends, cost analysis and quality measurements. (imd-soft.com)
  • RESEARCH DESIGN AND METHODS -The study setting was a large, integrated delivery and financial system serving the residents of southeastern Michigan. (diabetesjournals.org)
  • Rutgers Biomedical and Health Sciences (RBHS) takes an integrated approach to educating students, providing clinical care and conducting research, all with the goal of improving human health. (eurekalert.org)
  • RBHS offers an outstanding education in medicine, dentistry, pharmacy, public health, nursing, biomedical research and the full spectrum of allied health careers. (eurekalert.org)
  • Most clinical research studies pose the risk of physical discomfort, although some participants experience complications that require medical attention. (westernpiedmontcommunitycollege.org)
  • Also, a member of the medical research team must explain the major risks of participating in a pharmacy study. (westernpiedmontcommunitycollege.org)
  • Through these experiences as well as research, publication, presentation, advanced cardiovascular life support (ACLS), and precepting opportunities, the resident will develop the skills necessary to become a successful and comprehensive Critical Care clinical pharmacy specialist. (mdanderson.org)
  • The JAPhA study was published as CVS Caremark is sponsoring a forum on adherence at the National Press Club in Washington, D.C., to discuss the research findings of its collaboration and to outline future research and program initiatives the company is pursuing to address the problem that is estimated to cost the U.S. healthcare system almost $300 billion annually. (drugstorenews.com)
  • For the JAPhA study, the research team conducted an online survey of 2,000 retail pharmacy customers of which 38%, or 762 respondents, described themselves as caregivers. (drugstorenews.com)
  • Today, its electronic information system includes digital clinical results and images, computerized physician order entry, sophisticated pharmacy systems and online documentation and care plans. (ucdavis.edu)
  • Should you require information in regards to a specific medical condition, please contact your family physician or other appropriate physician. (medexplorer.com)
  • E-prescribing allows a physician, pharmacist, nurse practitioner, or physician assistant to electronically transmit a new prescription or renewal authorization to a community or mail-order pharmacy. (wikipedia.org)
  • Having this information available in real time, from multiple systems with a single log-on, saves the physician time and could potentially result in improved decisions. (webwire.com)
  • This added functions such as nursing documentation, physician documentation, clinical alerts and reminders, physician order entry, and scanning of clinical-related paper documents received from outside healthcare providers. (sys-con.com)
  • We calculated monthly percentages of filled prescriptions for an opioid or a benzodiazepine that were deemed inappropriate (those issued by a different physician and dispensed at a different pharmacy within 7 days after a filled prescription of at least 30 tablets of the same drug). (cmaj.ca)
  • Once the veteran transitions out of active duty, the ability to transfer and combine all these records into the Veterans Health Administration (VHA) system is complicated. (thefreelibrary.com)
  • Our solution integrates the clinical information from these legacy systems into the daily workflow of both protocoling and interpretation. (webwire.com)
  • Integration of clinical evidence to aid the radiologists with the protocoling and interpretation process is delivered through a zero click context sensitive integration to any clinical system in real-time, a true innovation in radiology workflow. (webwire.com)
  • The challenge has been to retrieve that data from multiple clinical systems in real time without separate logins and incorporate that data into the protocoling and interpretation workflow. (webwire.com)
  • SMP offers what no other vendor has been able to provide our pharmacies-a reliable reporting solution," said Computer-Rx President Lauren Warkentine. (prweb.com)
  • This partnership allows SMP to provide a much-needed solution to a very large number of community and chain pharmacies. (prweb.com)
  • Each market is comprehensively analyzed by country (U.S. and Canada) to provide in-depth information on the North American scenario. (marketsandmarkets.com)
  • The HIT Systems Matrix was developed with input from 47 veterans, an informal caregiver, and an expert panel to provide a descriptive inventory of existing and emerging VA HIT in four worksheets: (1) access and function, (2) benefits and barriers, (3) system preferences, and (4) tasks. (jmir.org)
  • Providers are deluged with information overload, yet still they need precise, timely and accurate information to provide care. (healthdatamanagement.com)
  • Clinical laboratory systems that flag abnormal values or that provide lists of possible explanations for those abnormalities. (slideserve.com)
  • Medi-Span's suite of application programming interfaces (API) provide tools that adapt to virtually any platform or application environment to provide developers with access to the clinical information they need. (ophthalmologymanagement.com)
  • Please provide the following information and a representative of Wolters Kluwer Health will contact you to assist with any questions you might have. (ophthalmologymanagement.com)
  • Register your specific details and specific drugs of interest and we will match the information you provide to articles from our extensive database and email PDF copies to you promptly. (dovepress.com)
  • Saint Vincent will utilize TheraDocs patented solutions to provide real-time electronic surveillance and expert clinical decision support to augment Saint Vincents well-established infection monitoring and control programs. (infectioncontroltoday.com)
  • Health-care teams at UC Davis perform a broad range of clinical-care functions online. (ucdavis.edu)
  • This Website deals directly with immune system care and strenthening. (medexplorer.com)
  • Find information on our mission, values, role in the health care system and accomplishments. (medexplorer.com)
  • citation needed] The prescriber, generally a clinician or health care staff, are defined as the electronic prescribing system user and sign into the system through a verification process to authenticate their identity. (wikipedia.org)
  • and (3) how engineering can help build an information infrastructure for health care. (nap.edu)
  • Ethnography, the social science method of studying human cultures in the field, is a useful technique for understanding information needs in the health care environment. (nap.edu)
  • Another challenge facing the health care system is the lack of an effective mechanism for knowledge diffusion. (nap.edu)
  • The data presented in the HIT Systems Matrix are relevant for VA administrators and developers as well as other large health care organizations seeking to document and organize their consumer-facing HIT resources. (jmir.org)
  • This site is for the person who is not getting better in the current system of health care. (medexplorer.com)
  • Sign up for Insight Alerts highlighting editor-chosen studies with the greatest impact on clinical care. (aappublications.org)
  • and (2) construct achievable benchmarks of care (ABCs) for the clinical quality indicators. (aappublications.org)
  • Pharmacy educators are thinking hard about how to prepare their students for an expanded role in primary care. (gettingsmart.com)
  • Harris County Hospital District, Houston, TX, is a publicly funded hospital system that provides care to residents of Harris County with a need-based payment system. (ahdbonline.com)
  • The clinical decision support system market is also segmented into application such as drug databases, care plans, diagnostic decision support, disease reference and others. (bccresearch.com)
  • The ability of military health systems applications to coordinate combat casualty care. (thefreelibrary.com)
  • These individuals are routinely transferred every few years, which challenges the health care recordkeeping system. (thefreelibrary.com)
  • 2008). The VHA now has the ability to document health care available throughout this system at the time of completion (Brown, Lincoln, Green, & Kolodner, 2003). (thefreelibrary.com)
  • A complete source of current information about the US health care system. (pharmaceutical-journal.com)
  • The national objectives serve as a 'menu' for identifying priorities and selecting objectives that are most relevant to states, territories, tribes, communities, settings (schools, worksites, etc.), and health care delivery systems. (nih.gov)
  • Without assessing the impact that pharmacy system interoperability is having on veterans, VA lacks assurance regarding the effectiveness of the system to adequately support its mission of providing health care to veterans. (gao.gov)
  • Now - with the Baby Boom Generation aging into the health care system in such tremendous numbers - we are witnessing a shift in public health toward a far greater emphasis on the long-term pharmacological treatment of chronic illnesses. (hrsa.gov)
  • But for now, let me just say that this steepening curve towards a chronic care model underscores why it's so important that we get systems in place now. (hrsa.gov)
  • We have the most expensive health care system in the world, and this is one of the contributing reasons. (hrsa.gov)
  • As demand for higher quality care continues, so too grows the demand for healthcare IT tools and systems. (healthcare-informatics.com)
  • The Medicare and Medicaid Electronic Health Record (EHR) Incentive Program has established "meaningful use" requirements for clinical decision support (CDS) with the intent of providing evidence-based interventions to reduce adverse drug events. (thieme-connect.com)
  • 9 ] [ 10 ] [ 12 ] In May 2016, the U.S. Food and Drug Administration (FDA) advised restricting FQ for acute sinusitis, acute bronchitis, and uncomplicated urinary tract infection (UTI) due to disabling and potentially permanent side effects involving the tendons, muscles, joints, nerves, and central nervous system. (thieme-connect.com)
  • Represent IHS biomedical systems interests with the United States Food and Drug Administration and other Federal agencies through engaging interagency committees and standards bodies. (ihs.gov)
  • 3M Pharmaceuticals - prescription treatments and drug delivery systems in the areas of women's health, immune system modifiers, asthma, and cardiovascular ailments. (medexplorer.com)
  • From drug ingredients to procedure-specific layouts - system configuration is fast and easy. (imd-soft.com)
  • The GDC system is approved by the US Food and Drug Administration for treatment of aneurysms that have the potential for high surgical morbidity and mortality. (medscape.com)
  • Medi-Span's clinical decision support databases help detect life-threatening drug/drug, drug/food and drug/allergy interactions. (ophthalmologymanagement.com)
  • Early on, for example, the exchange of information between the laboratory and pharmacy applications began proving useful for monitoring the effectiveness of drug administration. (sys-con.com)
  • Clomid is a prescribed drug meant for women having actually A Href Buy Prometrium infertility issues triggered by the unusual Buy Brand Clomid Online ovulation cycle Buy brand & generic drugs online how to get clomid over the counter, where to buy clomid and nolva, clomid for women price, order clomid online with no prescription, buy clomid next day delivery, otc version of clomid, best online pharmacy clomid, cheap clomid free shipping. (liberalconspiracy.org)
  • For example, VA's pharmacy system has the ability to check prescription drug information from DOD. (gao.gov)
  • Drive more value from drug purchasing decisions with tools and solutions that offer your pharmacy competitive prices for high-quality pharmaceutical products and supplies. (mckesson.com)
  • Drug Spend Analysis gives you deep insight into your drug spend trends-helping you make more informed business and clinical decisions. (mckesson.com)
  • Our generic drug purchasing program offers reliable product access, competitive prices and business information. (mckesson.com)
  • Activation of the hospital's clinical units began in March 2006 with the same-day surgery unit, followed by other units every one to two weeks. (sys-con.com)
  • Clinical information can be readily shared via standardized electronic transactions (i.e. (himssanalytics.org)
  • SMP's electronic automated reporting solutions gather pharmacy immunization data through the Computer-Rx and Rx30 pharmacy software platforms and reports the information directly to its appropriate IIS registry, without any extra effort or hardware requirement from the pharmacy. (prweb.com)
  • The HIT Systems Matrix provides a consumer preference blueprint to inform the current VA HIT system and the vision for future development to integrate electronic resources within VA and beyond with non-VA resources. (jmir.org)
  • Burke CIO Ken Kupetsky needed a flexible, automated and scalable storage system to support the massive growth of electronic records, clinical documents and images and replace the aging HP storage infrastructure that could not keep up. (marketwired.com)
  • These state mandates also require electronic surveillance systems to be compatible with NHSN, a compliance that TheraDoc meets by incorporating NHSN infection definitions into its system for reporting and identification of infections. (infectioncontroltoday.com)
  • He is recognized as a Fellow of the American Epilepsy Society, American Academy of Neurology, American Clinical Neurophysiology Society and American Neurological Association. (mayoclinic.org)