The mutual benefit and varied roles of librarians in supporting health care document management.

Tracey Pratchett considers the emerging role for libraries in facilitating document management practices within NHS organisations and reflects on her experience of supporting this work at Lancashire Teaching Hospitals NHS Foundation Trust.

[Discussion on Information-based Management of Medical Device Standard].

The information-based management of medical device standards is of great significance for promoting the development of the medical device standardization. Here we analyzed the important role of the information-based management of medical device standards in the delicacy management of the whole process of establishing and modifying medical device standards, introduced its present situation and upgrade of information-based management system of medical device standards, and put forward work ideas and suggestions for it.

Produção e disseminação de informação em um centro de pesquisa de referência na América Latina / Producción y diseminación de información en un centro de investigación de referencia en América Latina / Production and dissemination of information in a reference research center in Latin America

Objetivo: aprofundar a compreensão sobre o processo de produção e disseminação de informação no âmbito organizacional, recorrendo à análise de uma organização intensiva em conhecimento. Métodos: a organização escolhida foi um Centro de Pesquisa e Desenvolvimento na área de Tecnologias da Informação e Comunicação. Tal organização é referência em seu segmento, por possuir um dos maiores programas de Pesquisa e Desenvolvimento da América Latina em sua área de atuação, sendo seus processos de produção e disseminação de informação passíveis de serem aplicados em outras organizações intensivas em conhecimento, como instituições de pesquisa no campo das ciências da saúde. Para tanto, foi realizada uma pesquisa qualitativa de campo, empregando a técnica de entrevistas. Foram entrevistados três profissionais de unidades organizacionais cujas atividades-fim relacionavam-se diretamente com a produção e a disseminação de informação organizacional. Resultados: apenas uma das unidades organizacionais possuía as atividades de produção e disseminação de informação descritas como um processo formal da organização. Conclusão: os resultados apontaram que as maiores dificuldades das unidades organizacionais foram a definição do público-alvo e, principalmente, a avaliação do uso da informação. Também indicaram a adoção de boas práticas na organização, como definição clara das necessidades informacionais e adequação do uso das Tecnologias da Informação e Comunicação no processo de produção e disseminação de informação(AU)

Objetivo: profundizar en la comprensión sobre el proceso de producción y diseminación de información en el ámbito organizacional, mediante el análisis de una organización intensiva en conocimiento. Métodos: la organización elegida fue un Centro de Investigación y Desarrollo en el área de las Tecnologías de la Información y la Comunicación. Tal organización es referencia en su segmento, por poseer uno de los mayores programas de Investigación y Desarrollo de América Latina en su área de actuación. Sus procesos de producción y diseminación de información pueden ser aplicados en otras organizaciones intensivas en conocimiento, como instituciones de investigación en el campo de las ciencias de la salud. Se realizó una investigación cualitativa de campo, empleando la técnica de entrevistas. Se entrevistaron a tres profesionales de unidades organizativas cuyas actividades se relacionaban directamente con la producción y la diseminación de información organizacional. Resultados: solo una de las unidades organizativas poseía las actividades de producción y diseminación de información descritas como un proceso formal de la organización. Conclusión: los resultados apuntaron que las mayores dificultades de las unidades organizacionales fueron la definición del público objetivo y, principalmente, la evaluación del uso de la información. También indicaron la adopción de buenas prácticas en la organización, como definición clara de las necesidades informacionales y adecuación del uso de las tecnologías de la información y la comunicación en el proceso de producción y diseminación de información(AU)

Objective: the purpose of the study was to broaden understanding of the process of production and dissemination of information in the organizational environment by means of the analysis of a knowledge intensive organization. Methods: the organization chosen was a Research and Development Center from the field of information and communication technologies. This center is a reference organization in its sector, for it has one of the largest research and development programs for this field in Latin America. Its processes for production and dissemination of information may be applied in other knowledge intensive organizations, as may be the case of health sciences research institutions. To achieve this aim, a qualitative field study was conducted which was based on interviews. The interviewees were three professionals from organizational units whose work was directly related to production and dissemination of organizational information. Results: in only one of the organizational units activities related to the production and dissemination of information were described as a formal process of the organization. Conclusion: the results pointed out that the main difficulties in organizational units have to do with the definition of the target audience, and mainly the evaluation of the use of information. They also point to the adoption of best practices in the organization, such as a clear definition of the information needs, and the adequacy of the use of information and communication technologies in the process of production and dissemination of information(AU)

Produção e disseminação de informação em um centro de pesquisa de referência na América Latina / Producción y diseminación de información en un centro de investigación de referencia en América Latina / Production and dissemination of information in a reference research center in Latin America

Objetivo: aprofundar a compreensão sobre o processo de produção e disseminação de informação no âmbito organizacional, recorrendo à análise de uma organização intensiva em conhecimento. Métodos: a organização escolhida foi um Centro de Pesquisa e Desenvolvimento na área de Tecnologias da Informação e Comunicação. Tal organização é referência em seu segmento, por possuir um dos maiores programas de Pesquisa e Desenvolvimento da América Latina em sua área de atuação, sendo seus processos de produção e disseminação de informação passíveis de serem aplicados em outras organizações intensivas em conhecimento, como instituições de pesquisa no campo das ciências da saúde. Para tanto, foi realizada uma pesquisa qualitativa de campo, empregando a técnica de entrevistas. Foram entrevistados três profissionais de unidades organizacionais cujas atividades-fim relacionavam-se diretamente com a produção e a disseminação de informação organizacional. Resultados: apenas uma das unidades organizacionais possuía as atividades de produção e disseminação de informação descritas como um processo formal da organização. Conclusão: os resultados apontaram que as maiores dificuldades das unidades organizacionais foram a definição do público-alvo e, principalmente, a avaliação do uso da informação. Também indicaram a adoção de boas práticas na organização, como definição clara das necessidades informacionais e adequação do uso das Tecnologias da Informação e Comunicação no processo de produção e disseminação de informação(AU)

Objetivo: profundizar en la comprensión sobre el proceso de producción y diseminación de información en el ámbito organizacional, mediante el análisis de una organización intensiva en conocimiento. Métodos: la organización elegida fue un Centro de Investigación y Desarrollo en el área de las Tecnologías de la Información y la Comunicación. Tal organización es referencia en su segmento, por poseer uno de los mayores programas de Investigación y Desarrollo de América Latina en su área de actuación. Sus procesos de producción y diseminación de información pueden ser aplicados en otras organizaciones intensivas en conocimiento, como instituciones de investigación en el campo de las ciencias de la salud. Se realizó una investigación cualitativa de campo, empleando la técnica de entrevistas. Se entrevistaron a tres profesionales de unidades organizativas cuyas actividades se relacionaban directamente con la producción y la diseminación de información organizacional. Resultados: solo una de las unidades organizativas poseía las actividades de producción y diseminación de información descritas como un proceso formal de la organización. Conclusión: los resultados apuntaron que las mayores dificultades de las unidades organizacionales fueron la definición del público objetivo y, principalmente, la evaluación del uso de la información. También indicaron la adopción de buenas prácticas en la organización, como definición clara de las necesidades informacionales y adecuación del uso de las tecnologías de la información y la comunicación en el proceso de producción y diseminación de información(AU)

Objective: the purpose of the study was to broaden understanding of the process of production and dissemination of information in the organizational environment by means of the analysis of a knowledge intensive organization. Methods: the organization chosen was a Research and Development Center from the field of information and communication technologies. This center is a reference organization in its sector, for it has one of the largest research and development programs for this field in Latin America. Its processes for production and dissemination of information may be applied in other knowledge intensive organizations, as may be the case of health sciences research institutions. To achieve this aim, a qualitative field study was conducted which was based on interviews. The interviewees were three professionals from organizational units whose work was directly related to production and dissemination of organizational information. Results: in only one of the organizational units activities related to the production and dissemination of information were described as a formal process of the organization. Conclusion: the results pointed out that the main difficulties in organizational units have to do with the definition of the target audience, and mainly the evaluation of the use of information. They also point to the adoption of best practices in the organization, such as a clear definition of the information needs, and the adequacy of the use of information and communication technologies in the process of production and dissemination of information(AU)

Primeros pasos del área de rehabilitación de la Cochrane / First steps of the Cochrane rehabilitation field

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The Quality and Veracity of Digital Data on Health: from Electronic Health Records to Big Data / La calidad y veracidad de los datos digitales en salud: de la historia clínica a los datos masivos / La qualitat i veracitat de les dades digitals en salut: de la història clínica a les dades massives

The quality of health information online depends on our ability to assess whether it is accurate, whether we are making this assessment as citizens/patients or whether we are using predictive software tools. There is a vast literature on the quality of health data online, and it suggests that the various tools for ensuring such quality are not fully adequate. I propose to address this problem by getting technological, organizational, and legal tools to work synergistically together. Integral to this vision -across all three elements- is the training needed for professionals delivering healthcare services as well as for patients using and generating health information online

La calidad de la información de salud que podemos encontrar en línea depende de nuestra capacidad para evaluar si ésta es precisa o no, de si estamos haciendo esta evaluación como ciudadanos/pacientes o de si estamos usando herramientas de software de predicción. Existe una amplia gama de literatura sobre la calidad de los datos de salud que podemos encontrar por internet, y ésta sugiere que las diversas herramientas para garantizar una alta calidad de la información no son totalmente adecuadas. Propongo abordar este problema obteniendo herramientas tecnológicas, organizativas y legales para trabajar juntos y generar sinergias. Integrada a esta visión, a través de los tres elementos, es necesaria la formación de los profesionales que prestan servicios de atención médica, así como de los pacientes que usan y generan información de salud en línea

La qualitat de la informació de salut que podem trobar en línia depèn de la nostra capacitat per avaluar si aquesta és precisa o no, de si estem fent aquesta avaluació com a ciutadans/pacients o de si estem fent servir eines de software de predicció. Existeix una àmplia gama de literatura sobre la qualitat de les dades de salut que podem trobar per internet, i aquesta suggereix que les diverses eines per garantir una alta qualitat de la informació no són totalment adequades. Proposo abordar aquest problema obtenint eines tecnològiques, organitzatives i legals per treballar junts i generar sinèrgies. Integrada a esta visió, a través dels tres elements, és necessària la formació dels professionals que presten serveis d'atenció mèdica, així com dels pacients que fan servir i generen informació de salut en línia

The Operating Room of the Future Versus the Future of the Operating Room.

Technological advancement in the operating room is evolving into a dynamic system mirroring that of the aeronautics industry. Through data visualization, information is continuously being captured, collected, and stored on a scalable informatics platform for rapid, intuitive, iterative learning. The authors believe this philosophy (paradigm) will feed into an intelligent informatics domain fully accessible to all and geared toward precision, cell-based therapy in which tissue can be targeted and interrogated in situ. In the future, the operating room will be a venue that facilitates this real-time tissue interrogation, which will guide in situ therapeutics to restore the state of health.

El acceso a la literatura de revistas españolas de Ciencias de la Salud a través de IBECS y ScIELO / Access to literature on Healthcare Sciences from spanish journals through IBECS and ScIELO

Este octavo artículo de la serie «Puesta al día en la búsqueda de información científica» está dedicado a presentar dos bases de datos que recogen literatura científica en Ciencias de la Salud de revistas españolas. La primera es la base de datos IBECS, el Índice Bibliográfico Español en Ciencias de la Salud, desarrollado por el Instituto de Salud Carlos III y la Biblioteca Regional de Medicina de la OPS, y que incluye publicaciones españolas seleccionadas sobre Medicina y disciplinas afines. La segunda es SciELO (Scientific Electronic Library Online) que incluye revistas de Ciencias de la Salud a texto completo y de acceso libre. Estos recursos son sin duda de gran utilidad para el profesional sanitario, ya que facilitan el acceso y la difusión de literatura científica nacional que puede no estar representada en las principales bases de datos bibliográficas internacionales

This eighth article in the series «An update in the search for scientific information» presents two databases that collect scientific literature on Healthcare Sciences from Spanish journals. The first one is the IBECS database, the Spanish Bibliographic Index on Healthcare Sciences, developed by the Institute of Health Carlos III and the Regional Medicine Library from the PAHO, which includes selected Spanish publications on Medicine and related disciplines. The second one is SciELO (Scientific Electronic Library Online), which includes Healthcare Sciences journals at full text and with free access. These resources are undoubtedly very useful for healthcare professionals, because they facilitate the access and distribution of national scientific literature that might not be represented in the main international bibliographic databases

Improving transparency of scientific reporting to increase value and reduce waste in mental health research / Mejorar la transparencia de la información científica para incrementar el valor y reducir el despilfarro en la investigación en salud mental

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Ripping up the Rules on Records.

Estonia's health record system is a fast-paced success story that began in part when a reorganization left GPs without access to patient information, as Claire Read explains.

How to Go Digital and Influence People.

Leaders at some of the NHS global digital exemplar trusts tell Claire Read how stability of leadership and consistency of direction have been key factors in their success.

Is the NHS Winning the Great Paper Chase?

A paper-free health service is a worthy ambition but achieving it has proved easier said than done - so what might a more realistic plan look like, asks Matthew Shelley.

Influencing Anesthesia Provider Behavior Using Anesthesia Information Management System Data for Near Real-Time Alerts and Post Hoc Reports.

In this review article, we address issues related to using data from anesthesia information management systems (AIMS) to deliver near real-time alerts via AIMS workstation popups and/or alphanumeric pagers and post hoc reports via e-mail. We focus on reports and alerts for influencing the behavior of anesthesia providers (i.e., anesthesiologists, anesthesia residents, and nurse anesthetists). Multiple studies have shown that anesthesia clinical decision support (CDS) improves adherence to protocols and increases financial performance through facilitation of billing, regulatory, and compliance documentation; however, improved clinical outcomes have not been demonstrated. We inform developers and users of feedback systems about the multitude of concerns to consider during development and implementation of CDS to increase its effectiveness and to mitigate its potentially disruptive aspects. We discuss the timing and modalities used to deliver messages, implications of outlier-only versus individualized feedback, the need to consider possible unintended consequences of such feedback, regulations, sustainability, and portability among systems. We discuss statistical issues related to the appropriate evaluation of CDS efficacy. We provide a systematic review of the published literature (indexed in PubMed) of anesthesia CDS and offer 2 case studies of CDS interventions using AIMS data from our own institution illustrating the salient points. Because of the considerable expense and complexity of maintaining near real-time CDS systems, as compared with providing individual reports via e-mail after the fact, we suggest that if the same goal can be accomplished via delayed reporting versus immediate feedback, the former approach is preferable. Nevertheless, some processes require near real-time alerts to produce the desired improvement. Post hoc e-mail reporting from enterprise-wide electronic health record systems is straightforward and can be accomplished using system-independent pathways (e.g., via built-in e-mail support provided by the relational database management system). However, for some of these enterprise-wide systems, near real-time data access, necessary for CDS that generates concurrent alerts, has been challenging to implement.

A Narrative Review of Meaningful Use and Anesthesia Information Management Systems.

The US federal government has enacted legislation for a federal incentive program for health care providers and hospitals to implement electronic health records. The primary goal of the Meaningful Use (MU) program is to drive adoption of electronic health records nationwide and set the stage to monitor and guide efforts to improve population health and outcomes. The MU program provides incentives for the adoption and use of electronic health record technology and, in some cases, penalties for hospitals or providers not using the technology. The MU program is administrated by the Department of Health and Human Services and is divided into 3 stages that include specific reporting and compliance metrics. The rationale is that increased use of electronic health records will improve the process of delivering care at the individual level by improving the communication and allow for tracking population health and quality improvement metrics at a national level in the long run. The goal of this narrative review is to describe the MU program as it applies to anesthesiologists in the United States. This narrative review will discuss how anesthesiologists can meet the eligible provider reporting criteria of MU by applying anesthesia information management systems (AIMS) in various contexts in the United States. Subsequently, AIMS will be described in the context of MU criteria. This narrative literature review also will evaluate the evidence supporting the electronic health record technology in the operating room, including AIMS, independent of certification requirements for the electronic health record technology under MU in the United States.

World Workshop on Oral Medicine VI: Utilization of Oral Medicine-specific software for support of clinical care, research, and education: current status and strategy for broader implementation.

OBJECTIVES: To assess the current scope and status of Oral Medicine-specific software (OMSS) utilized to support clinical care, research, and education in Oral Medicine and to propose a strategy for broader implementation of OMSS within the global Oral Medicine community. STUDY DESIGN: An invitation letter explaining the objectives was sent to the global Oral Medicine community. Respondents were interviewed to obtain information about different aspects of OMSS functionality. RESULTS: Ten OMSS tools were identified. Four were being used for clinical care, one was being used for research, two were being used for education, and three were multipurpose. Clinical software was being utilized as databases developed to integrate of different type of clinical information. Research software was designed to facilitate multicenter research. Educational software represented interactive, case-orientated technology designed for clinical training in Oral Medicine. Easy access to patient data was the most commonly reported advantage. Difficulty of use and poor integration with other software was the most commonly reported disadvantage. CONCLUSIONS: The OMSS presented in this paper demonstrate how information technology (IT) can have an impact on the quality of patient care, research, and education in the field of Oral Medicine. A strategy for broader implementation of OMSS is proposed.

La importancia de criticar con sistemática / The importance of being systematic when criticizing

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Integration or transformation? Looking in the future of Information and Communication Technology in education in Vietnam.

Over the last two decades, crucial factors for Information and Communication Technology (ICT) in education have improved significantly in Vietnam. Nevertheless, it is clear that, as in other countries, no educational revolution is taking place. We argue that there is a need for a broad dialogue on the future of ICT in education in Vietnam as discussion of ideas about future possibilities can be instrumental in rationalizing and generating educational change. We explore how a group of key players representing the public and private sector as well as development partners in the field look at the future of ICT in education in the country. Following the Delphi method, these key players assessed in different survey rounds the current situation of ICT in education, identified a series of targets and were asked to assess these targets in respect of their importance. The key players reached a consensus that the purpose of technology integration is to achieve learning goals and enhance learning. However, there is more controversy on targets that could potentially transform education practice in Vietnam. We discuss the value of the Delphi technique and argue for increased participation of all involved stakeholders in policy development on ICT in education.

Developing mobile BIM/2D barcode-based automated facility management system.

Facility management (FM) has become an important topic in research on the operation and maintenance phase. Managing the work of FM effectively is extremely difficult owing to the variety of environments. One of the difficulties is the performance of two-dimensional (2D) graphics when depicting facilities. Building information modeling (BIM) uses precise geometry and relevant data to support the facilities depicted in three-dimensional (3D) object-oriented computer-aided design (CAD). This paper proposes a new and practical methodology with application to FM that uses an integrated 2D barcode and the BIM approach. Using 2D barcode and BIM technologies, this study proposes a mobile automated BIM-based facility management (BIMFM) system for FM staff in the operation and maintenance phase. The mobile automated BIMFM system is then applied in a selected case study of a commercial building project in Taiwan to verify the proposed methodology and demonstrate its effectiveness in FM practice. The combined results demonstrate that a BIMFM-like system can be an effective mobile automated FM tool. The advantage of the mobile automated BIMFM system lies not only in improving FM work efficiency for the FM staff but also in facilitating FM updates and transfers in the BIM environment.

Optimal data systems: the future of clinical predictions and decision support.

PURPOSE OF REVIEW: The purpose of the review is to describe the evolving concept and role of data as it relates to clinical predictions and decision-making. RECENT FINDINGS: Critical care medicine is, as an especially data-rich specialty, becoming acutely cognizant not only of its historic deficits in data utilization but also of its enormous potential for capturing, mining, and leveraging such data into well-designed decision support modalities as well as the formulation of robust best practices. SUMMARY: Modern electronic medical records create an opportunity to design complete and functional data systems that can support clinical care to a degree never seen before. Such systems are often referred to as 'data-driven,' but a better term is 'optimal data systems' (ODS). Here we discuss basic features of an ODS and its benefits, including the potential to transform clinical prediction and decision support.