MEDICAL INFORMATICS ASSIGNMENT II by: ELEANOR CAMPBELL JANNATUL MADIHAH ABU BAKAR
AUTOMATED DISCHARGE NOTE SYSTEM LEVEL 7 BELFAST CITY HOSPITAL
LINKS ROYAL VICTORIA HOSPITAL BELFAST CITY HOSPITAL
NURSING TERMINALS & MEDICAL RECORD TERMINALS • In front of the ward. • Right after the nurses’ room. • Used by all medical staff. • Uses old laboratory system. • For radiology, X-ray and haematology results.
NURSING TERMINALS & MEDICAL RECORD TERMINALS • Results are highlighted. • Doctors transcribe results manually into patient’s record.
NURSING TERMINALS & MEDICAL RECORD TERMINALS • No printouts as written results will be obtained from the respective labs. • Access to patients test results simply by keying in specimen number (if available) or patient’s ID.
NURSING TERMINALS & MEDICAL RECORD TERMINALS EXAMPLE A: X-ray RESULT Patient’s name: Mr. ZM Date:13/05/99 ID number: 99-12345-00 X-ray number: ZM0096 Description: Normal chest expansion. Lung expansion within range.
JHO VIEWS • Did not use discharge system - at all • Written discharge notes much faster and easier • Self taught, no time for formal training • When competent in system didn’t see the point of training
JHO ON OTHER APPLICATIONS • Used other systems, but also self taught & used someone else’s password • Found radiology and lab results very useful • Uses these results as a good guide to treatment • Written report arrives in a few days but treat before this arrives
Checks the running of the system very enthusiastic about the system This system developed April 1996 has 3000 codes for diseases SYSTEM ADMINISTRATOR
SYSTEM ADMINISTRATOR • old system ICD9 not very efficient • Had 1000 outstanding coding episodes before which is equal to £300,000-£500,000 • Professor Spence now settles his debt every day due to this new system!
SECURITY • Every member of staff has their own personal username & password • After two minutes automatically logs out of the system • All the patients have their own patient number which has to be entered rather than their name
BACKUP • Any data entered onto the system is stored on a file server • Data backed up nightly onto disk • Printout every morning to say how backup proceeded • Backup disks stored in fireproof safe in hospital • At end of week backups taken away and stored off site