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Related Experiment Videos

A problem orientated information system.

D W Young

    Medical Informatics = Medecine Et Informatique
    |June 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    A new information system improved consistency in medical care by standardizing investigations and reducing unnecessary tests for junior medical staff. This system enhances patient management and ensures routine tests are performed more regularly.

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    Area of Science:

    • Medical Informatics
    • Healthcare Management
    • Clinical Practice Improvement

    Background:

    • Inconsistent patient care, particularly in emergency settings, is often attributed to junior medical staff inexperience.
    • Significant variation exists in diagnostic investigations and the justification for tests performed on patients with similar clinical problems.

    Purpose of the Study:

    • To describe the House Officer Information and Scheduling System (HOISS), an information system designed to improve consistency in medical care.
    • To evaluate the impact of HOISS on the consistency of investigations and management for clinical problems.

    Main Methods:

    • Development of the HOISS system, featuring a database of 80 clinical problems and access programs.
    • Implementation of a scheduling program to generate daily worksheets for necessary tests.

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  • Review of care for 86 patients to assess variations in investigations and test utilization.

    • Main Results:

    • A review of 86 patients revealed considerable variation in investigations, missed routine tests, and unjustified diagnostic procedures.
    • After five months of using HOISS for one clinical problem, management became more consistent.
    • Routine tests were performed more regularly, and the number of spurious tests decreased.

    Conclusions:

    • The HOISS system demonstrates potential in standardizing medical care and improving the efficiency of diagnostic test utilization.
    • Implementing information systems can address inconsistencies in care provided by junior medical staff, leading to better patient management.