A client server model to facilitate creation of a medical image teaching library

Hornof, William J.; Ballance, Dennis W.; Brenston, Paul R.; Self, James A.

doi:10.1007/bf03168631

Cited by 7 publications

(2 citation statements)

References 4 publications

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“…Recently, reports of successful CBT in the field of radiology have been published ([13],[14],[15],[16]), but typically the radiological content of the systems is very limited (both in terms of cases and in terms of authors).…”

Section: Discussionmentioning

confidence: 99%

Case-oriented computer-based-training in radiology: concept, implementation and evaluation

Dugas¹,

Trumm²,

Stäbler³

et al. 2001

BMC Med Educ

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Section: Discussionmentioning

confidence: 99%

Case-oriented computer-based-training in radiology: concept, implementation and evaluation

Dugas¹,

Trumm²,

Stäbler³

et al. 2001

BMC Med Educ

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“…Now that images are being included, this system has proven particularly valuable for finding appropriate cases for case-based learning or examples of disease. 6 The EMR has evolved into a clinical teaching tool that provides a clear and easily audited path through the medical logic of case management decisions and a rich source of teaching materials.…”

Section: Teachingmentioning

confidence: 99%

Development of a complete electronic medical record in an academic institution

Hornof

Brentson²,

Self³

et al. 2001

javma

Self Cite

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I n veterinary medicine a complete electronic medical record (EMR) should contain all information (eg, demographic, financial, medical/surgical, diagnostic, and pharmaceutical) related to all visits of a patient as well as owner contact and billing information. It is clear that such a complete EMR and the ability to retrieve and use the information it contains in an integrated manner would provide operational economies, improve patient care, and enhance teaching. We embarked on a project to develop such a record in an academic institution. This article describes our approach and how the EMR is currently being used in academic medicine. Development of the Hospital Information SystemThe effort to develop a computerized patient record system for the veterinary medical teaching hospital (VMTH) began about 20 years ago but progressed with difficulty, largely because of a lack of human resources. The event that triggered the commitment of substantial resources toward development of the EMR was the need for the VMTH to become autonomous from the services of an outside accounting firm. The firm was unable to provide the level of detail and flexibility required for the fiscal management of the VMTH. The decision was made to hire programming staff to write a hospital information system (HIS) specifically designed to combine the objectives of clinical information management with those of hospital administration and patient billing in a single integrated system. The existing medical record system served as the foundation for this effort. The computing platform chosen was the Massachusetts General Hospital Utility Multiprogramming System (MUMPS), because it had a proven record of success in medical computing, provided a flexible programming environment and strong retrieval capabilities, and did not require a mainframe computer. 1,2 A decision was also made that the primary force guiding EMR development would be to meet the needs of the users it was designed to serve: the VMTH faculty, students, and staff.In the old accounting system all financial entries were made centrally in cashiering. At that time a copy of each completed procedure request was hand routed to cashiering, where it was manually posted. As an initial step toward facilitating diagnostic reporting, VMTH staff in the various services who already had responsibility for entering billing information onto the routing slips were assigned responsibility for entering that information directly into the HIS. This point-ofservice entry concept was adopted as an objective for development for all components of the EMR. Point-ofservice entry was defined as assigning responsibility for information entry to the individual closest to the source of the information. Software tools were designed that enabled these individuals to make the entries directly into the electronic record instead of the paper record. For example, admissions staff entered demographic information as they acquired information necessary to make an appointment, usually during a telephone conversation with t...

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“WWW.MDTF.ORG”: A world wide web forum for developing open-architecture, freely distributed, digital teaching file software by participant consensus

Katzman

Morris

Lauman

et al. 2001

Journal of Digital Imaging

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Purpose: To foster a community supported evaluation processes for open-source digital teaching file (DTF) development and maintenance. The mechanisms used to support this process will include standard web browsers, web servers, forum software, and custom additions to the forum software to potentially enable a mediated voting protocol. The web server will also serve as a focal point for beta and release software distribution, which is the desired end-goal of this process. Conclusions: We foresee that www.mdtf. org will provide for widespread distribution of open source DTF software that will include function and interface design decisions from community participation on the website forums. Copyright © 2001 by w'S. Saunders CompanyA FfER 2 YEARS of development, our digital f t teaching file (DTF) software, such as the Radiology Digital Teaching File, image manipulation, and storage tools, have been designed. We have come to the realization that if all of these tools work together in a highly integrated and customizable software environment, more people would be apt to use them and possibly even develop new complimentary tools themselves. We have undergone alpha testing and are ready for the next step, beta testing, which normally involves sending the product outside the developers inner circle for real-world trial and exposure.For this, we will take advantage of a method of beta testing called "usability testing," which has been summarized in a review by Bazman. t It is defined as "testing which attempts to find any human-factor problems." A better description is "testing the software from a users point of view." There have been three reports in the literature of medical projects that took advantage of public usability testing via the internet. Fong and Doyle/ used internet distribution to develop software for evaluating renal function. Rubenstein et al 3 provided for unrestricted public usability testing via an internet website during construction and refinement of their segmentation and three-dimensional radiological modeling software. Kovalerchuk et art developed radiologic consultation software to provide a second diagnostic opinion for questionable cases, and made available experimental prototypes via the internet for testing and evaluation of design. Our goal was to design a website that would provide an opportunity for scientists and physicians in the radiologic sciences to test and help develop our DTF software using the aforementioned usability testing model. We envision that such a site would provide for widespread distribution of our software around the world, ultimately producing a component suite of programs that have been designed by international consensus. With this innovative combination of creating open-architecture software, with development and modification based on international usability testing via internet distribution, we are confident that this product could become a cornerstone of medical information processing for years to come. MATERIALS AND METHODSThe technology used to implement the ...

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A client server model to facilitate creation of a medical image teaching library

Cited by 7 publications

References 4 publications

Case-oriented computer-based-training in radiology: concept, implementation and evaluation

Case-oriented computer-based-training in radiology: concept, implementation and evaluation

Development of a complete electronic medical record in an academic institution

“WWW.MDTF.ORG”: A world wide web forum for developing open-architecture, freely distributed, digital teaching file software by participant consensus

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