A Psychiatric Assessment-Treatment-Outcome Information System: Evaluation With Computer Simulation

Angle, Hugh V.; Ellinwood, Everett H.

doi:10.1109/scamc.1978.679912

Cited by 2 publications

(4 citation statements)

References 37 publications

(18 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus an ISCS usually has the general functional requirements to: (1) Identify and register the patient, identify the reason for the visit and for any specialized procedure requested. (2) Record the date and time, and the location of every patient care transaction. (3) Collect and store all data collected from the patient and from all procedures performed.…”

Section: Functional and Technical Requirementsmentioning

confidence: 99%

“…When linked to, or functioning within a MIS, an ISCS needed to: (1) interface to an order entry (OE) module that communicated all requisitions for procedures that the patient was to receive, provided any special instructions to the patient and to relevant personnel that included the time the procedure was to be done, and noted any restrictions as to the patient's physical activity and food intake prior to the procedure; (2) interface to a results reporting (RR) module and be able to communicate to one or more desired locations the time of completing the procedure, and the results of the procedure including any interpretive comments; (3) be able to transmit the data into a computer-based patient record; (4) support the decision-making processes involved in the patient care; (5) provide reliable and rapid turn-around services for urgent and emergency medical conditions; (6) include specifi c functional and technical requirements to support any unique procedures that the subsystem provides; (7) and provide the fl exibility needed to meet future service requirements, adapt to changes in medical technology and knowledge, and accommodate an increasing volume and variety of procedures. from which the patient came, and also provide links to any needed external databases; (7) provide a reliable computer system with an uninterruptible power supply; (8) have a fl exible information system design that could meet changing and expanding requirements for technical and medical innovations; and (9) employ a vocabulary of standard terms to facilitate exchange of information with other information systems.…”

Section: Functional and Technical Requirementsmentioning

confidence: 99%

“…Angle and Ellinwood [ 2 ] at Duke University Medical Center reported that their computer interview system routinely gathered extensive patient pretreatment or baseline problem data in a number of psychology treatment programs, and also patient progress information and outcome results. In the 1970s reports of activity in developing computer-based information systems for hospital psychiatry patients were published by professionals at the University of California in San Francisco [ 115 ], Forest Hospital in Des Plaines, Illinois [ 127 ], Duke University Medical Center [ 2 ], West Virginia University Medical Center [ 161 ], and the University of Michigan [ 101 ].…”

Section: Mental and Behavioral Healthmentioning

confidence: 99%

“…In the 1970s reports of activity in developing computer-based information systems for hospital psychiatry patients were published by professionals at the University of California in San Francisco [ 115 ], Forest Hospital in Des Plaines, Illinois [ 127 ], Duke University Medical Center [ 2 ], West Virginia University Medical Center [ 161 ], and the University of Michigan [ 101 ]. Black and Saveanu [ 15 ] published a comprehensive analysis for the entire decade of the 1970s of the admissions into the Ohio State Mental Health hospitals, using his group's computer-based patient data systems.…”

Section: Mental and Behavioral Healthmentioning

confidence: 99%

See 3 more Smart Citations

Information Systems for Clinical Subspecialties

Collen¹,

Lorenzi

2015

Health Informatics

View full text Add to dashboard Cite

Some of the earliest applications of computers in clinical medicine were in the clinical subspecialties, including cardiology, pulmonary, nephrology, gastroenterology, pediatrics, and the surgical sciences. But health professionals found these prototypes diffi cult to use; data entry devices were awkward and ineffi cient, and order entry functions were often not integrated. Each information system for a clinical subspecialty (ISCS) evolved differently, with its own specialized functional and technical requirements. In the 1960s mainframe computers were limited in their ability to meet all the processing requirements of all the ICSCs in a large hospital. By the 1970s each ISCS could have its own minicomputer-based system linked directly to the central mainframe. Health care professionals used terminals connected to the central computer to enter orders and to receive test results; the central computer transferred the orders to the appropriate ISCS subsystems and integrated the data coming back from the ISCSs into the patients' records stored in the mainframe computer. In the 1980s local area networks linked multiple lower-cost minicomputers; with distributed minicomputers and interactive visual display terminals, clinicians could begin to benefi t from the ISCSs in direct patient care and each ISCS could develop its own system to meet its own requirements. In the 1990s distributed information systems allowed physicians to enter orders and retrieve test results using clinical workstations connected to client-server minicomputers in the local area network that linked the entire hospital, and patient data from all of the distributed ISCS databases were integrated in a computer-based patient record.

show abstract

Section: Functional and Technical Requirementsmentioning

confidence: 99%

Section: Functional and Technical Requirementsmentioning

confidence: 99%

Section: Mental and Behavioral Healthmentioning

confidence: 99%

Section: Mental and Behavioral Healthmentioning

confidence: 99%

See 2 more Smart Citations

Information Systems for Clinical Subspecialties

Collen¹,

Lorenzi

2015

Health Informatics

View full text Add to dashboard Cite

show abstract

Epidemilogical and clincial use of GMHAT-PC ( Global Mental Health assessment tool- primary care )in cardiac patients

Krishna

Lepping

Sharma

et al. 2009

Clinical Practice and Epidemiology in Mental Health

View full text Add to dashboard Cite

BackgroundA computer assisted interview, the GMHAT/PC has been developed to assist General Practitioners and other Health Professionals to make a quick, convenient and comprehensive standardised mental health assessment. It has proved to be a reliable and valid tool in our previous studies involving General Practitioners and Nurses. Little is known about its use in cardiac rehabilitation settings.AimThe study aims to assess the feasibility of using a computer assisted diagnostic interview by nurses for patients attending Cardiac Rehabilitation Clinics and to examine the level of agreement between the GMHAT/PC diagnosis and a Psychiatrist clinical diagnosis. Prevalence of mental illness was also measured.DesignCross sectional validation and feasibility study.MethodsNurses using GMHAT/PC examined consecutive patients presenting to a cardiac rehabilitation centre. A total of 118 patients were assessed by nurses and consultant psychiatrist in cardiac rehabilitation centres. The kappa coefficient (κ), sensitivity, and specificity of the GMHAT/PC diagnosis were analysed as measures of validity. The time taken for the interview as well as feedback from patients and interviewers were indicators of feasibility. Data on prevalence of mental disorders in an outpatient cardiac rehabilitation setting was collected.ResultsThe mean duration of the interview was 14 minutes. Feedback from patients and interviewers indicated good practical feasibility. The agreement between GMHAT/PC interview-based diagnoses and consultant psychiatrists' ICD-10 criteria-based clinical diagnosis was good or excellent (κ = 0.76, sensitivity = 0.73, specificity = 0.90). The prevalence of mental disorders in this group was 22%, predominantly depression. Very few cases were on treatment.ConclusionGMHAT/PC can assist nurses in making accurate mental health assessments and diagnoses in a cardiac rehabilitation setting and is acceptable to cardiac patients. It can successfully be used to gather epidemiological data and help in managing mental health problems in this group of patients.

show abstract

A Psychiatric Assessment-Treatment-Outcome Information System: Evaluation With Computer Simulation

Abstract: The prediction of treatment

Cited by 2 publications

References 37 publications

Information Systems for Clinical Subspecialties

Information Systems for Clinical Subspecialties

Epidemilogical and clincial use of GMHAT-PC ( Global Mental Health assessment tool- primary care )in cardiac patients

Contact Info

Product

Resources

About