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Medical Informatics

Medical Informatics. Patient Administration System. Belfast City Hospital. Overview. 800 Beds 4,500 Staff Attendance 52, 200 A&E attendances 26,554 Inpatient admissions 208, 285 Outpatients. Computer Systems. Patient Administration System Northern Ireland Radiology System

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Medical Informatics

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  1. Medical Informatics Patient Administration System

  2. Belfast City Hospital Overview • 800 Beds • 4,500 Staff • Attendance • 52, 200 A&E attendances • 26,554 Inpatient admissions • 208, 285 Outpatients

  3. Computer Systems • Patient Administration System • Northern Ireland Radiology System • Northern Ireland A&E System • Belfast Link Laboratories • Clinical Oncology Information System • Genetics • Patient Discharge System • Decision Support System • E-mail • Internet/Intranet

  4. Patient Administration System • Issues for staff: • Order entry • Inpatient, outpatient, emergency & waiting list management • Benefits & Limitations • Health promotion • Security & confidentiality issues • Future developments

  5. Order Entry • Record administrative details of all patients: • Name/address, next of kin, GP details etc. • Further details: • Ethnic origin, place of birth, school • Case notes: • All case notes past & present • Episodes: • All inpatient & outpatient episodes • Coded details: • location, investigations, procedures, status

  6. Inpatient Management • Patient data inputted by administrative & nursing staff directly for: • admissions, discharges, & transfers • Tracked throughout hospital stay: • Incorporates enquiry function • Easy location of patients for relatives, GP, other professions • Bed management

  7. Outpatient Management • Outpatient appointments: • Bookings • Cancellations • Transfers • Changes • Safe guards to prevent double booking appointments • Monitor patient movement from department to department

  8. Emergency Management • Data inputted efficiently and timely • At-a-glance patient summary details Waiting List Management Prioritisation Monitored Updated Audited

  9. Health Promotion • Organise a range of health promotion activities • Features: • Maintenance of list of patients • Scheduling appointments • Screening

  10. Summary of Benefits • More time with patients • Easy access to patient information • Up-to-date information • Decrease in daily manual records • Increased computer awareness • Facilitate viewing laboratory & radiology reports at ward level

  11. Drawbacks • Human error • Medical records not clear • Administrative staff not medically qualified • Misunderstand medical information

  12. Security & Confidentiality • All systems registered to comply with Data Protection Act 1998 • Equipment situated in safe & secure areas • Password made up of 3 components: • username, password, user identification • Processed for limited purposes • Coded data entry

  13. Future developments • Future new systems: • Order communications system • Nursing system • Statistical data: • central authorities • management information systems • clinical databases

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