The new surgical wing at Knappschafts Hospital in Bottrop, Germany, has exceeded all expectations. In four years the concept has increased available operation times by over 30%. We asked the project supervisor, Dr Peter Hügler, who heads the Anaesthesia, Intensive Care Medicine and Pain Therapy Clinic, how such a significant success was realised.
The British government’s plans to introduce wider choice and shared decision making within the NHS may be challenging to implement, says an expert on bmj.com. In its new plans for the NHS, the government wants to extend the offer of choice beyond what is currently available to include choice of specialist team, choice of general practice, and choice of treatment. But do patients want a choice…
The aim of the predictive modelling systems being trialled in the UK are to identify which people in a given population are the most likely to be admitted to hospital in the next 12 months and then focus preventive measures on them to try to avoid hospital admission. Primary Care Trusts (PCTs), which commission hospital services in the UK, are favouring the model as they try to cut costs during a…
The accuracy and reliability of medical laboratory examination results are vital part in healthcare delivery, and these plus the effective operation of laboratories are the main goals of laboratory managers. To ensure a high quality operation, medical laboratories have quality management systems and, through laboratory accreditation, show their competence.
At a meeting hosted by Siemens at AACC 2010, an expert panel shared perspectives on IT in the clinical lab. Representatives from Henry Ford Hospital (Detroit, MI), Alegent Health (Omaha, NE) and Johns Hopkins Bayview Medical Centre (Baltimore, MD) spoke about the increasing importance of IT in helping today’s lab to meet the challenges of cost containment, quality of care, increasing workload,…
St Jude Medical Center, in Fullerton, California, has always taken pride in its reputation as one of Southern California’s most respected and technologically advanced hospitals. With 384 licensed beds and over 700 physicians the centre offers a comprehensive array of services and programmes, including cardiac, stroke care, a breast and cancer centres, full maternity services, orthopaedic…
Worthing Hospital, on the south coast of England, has installed a CARESTREAM DRX-Evolution dual detector room in its busy Accident & Emergency (A&E) department. The new modular system, with its cassette-sized wireless detector, floor rail and full auto positioning, replaces the existing analogue room.
Diabetes mellitus is a lingering disease – for a long time it causes subjectively few complaints or no complaints at all. Despite this, it is life-threatening – especially if undiagnosed, or diagnosed too late. However, although diabetes is the most widespread disease it is often only discovered by accident in a hospital, where many hospital doctors feel that diabetology is the responsibility…
Here’s a scenario: A bug has entered the system. Nobody knows how and what it is. What is clear is that, due to the problem with the imaging plate readout, the X-ray examination just carried out must be repeated. Who, in the hospital, is ultimately responsible for this situation?
Radio Frequency Identification (RFID), a wireless technology primarily known from the field of logistics, has become a focal point in hospitals and similar areas. RFID makes it possible to manage hospital beds from a central location or track the whereabouts of surgical instruments.
Given the task of archiving today’s huge data files, not to mention additional services demanded of hospital IT staff, cloud computing could reduce many headaches. Via a healthcare IT supplier that offers cloud computing, a hospital would be able to use, over the Web, virtual hardware that provides higher levels of storage capacity and computing resources.
The introduction of electronic patient records (EPRs) can ‘dramatically’ speed up the Chlamydia treatment cycle, more than doubling the number of people treated within two weeks of a test result, according to research led by Dr Gary Brook at the Patrick Clements Clinic, Central Middlesex Hospital, London, and published in the journal Sexually Transmitted Infections.
To optimise workflow and save costs in hospital pharmacies automating medication selection is increasingly popular. Since the 1980s, the firm Apostore, based in Gelsenkirchen, Germany, a subsidiary of KHT (Kommissionier- und Handhabungstechnik GmbH), has constantly extended its technological lead in this field of manufacturing, and the company reports that its Carryfix Pusher leads the market in…
The reduction in junior doctors’ hours to 48 hours a week with the introduction of the European Working Time Directive (EWTD) has increased the number of work shifts and continuity of care is suffering as patients are ‘handed over’ again and again to different doctors, according to the Royal College of Physicians (RCP).
Surgical planning is complex. Today’s surgeons can utilise information from various sources – including CT and MRI images, as well as f-MRI, PET or electro-physiological signals. For minimally invasive surgery (MIS) these additional imaging data are of particular importance, in that they enable precise navigation within the body.
Intra-operative MR imaging is still uncommon in Europe – particularly in neurosurgery. One of the first neurosurgery departments to work with a 3-T MR is in the Central Military Hospital in Prague. The experience and initial clinical findings from treating more than 300 patients, over a two-year period, was reported at this year’s ECR.
A key development at the Norfolk and Norwich University Hospital (NNUH), east of England, has seen a change in the role of radiology assistants: They now help to prepare patients for radiology scans and look after them -- work previously undertaken by radiographers. The change now allows radiographers more time to concentrate on scanning patients, resulting in faster scanning with quicker…
Increasingly, hospitals have to find ways to optimise the capacity, efficiency and utilization of their MRI services. David Wormald, Integrated Assistant Vice President for Diagnostic Services at Hamilton Health Sciences & St. Joseph's Healthcare, Hamilton, Canada, knows this problem in and out – and a few solutions on top of it.
"The problem between information technology and medical engineering may stem from sequential processing and intermeshing", Peter Gocke, MD, said. Sounds difficult? But the real difficulty in the “Cooperation between IT and Medical Engineering (ME)” is something seemingly mundane: “At the end of the day collaboration is the target achievable”, Gocke, who is IT director at the University…
How can speech recognition become a workflow improver instead of a road to frustration? Kaye Bonython, Programme Manager, Imaging Informatics & OSL, HCA’s Portland Hospital for Women and Children, really knows: She has driven a series of PACS-related enhancements in HCA organisation, including group-wide speech recognition reporting – that was in 2006. Now, 99.98 per cent of reports at HCA…
The key to implementing PACS installations networked to multiple hospitals is fully to establish in advance exactly what clinical scenario needs to be satisfied. In her lecture, Dr Nicola H Strickland BM BCh, at Imperial College Healthcare NHS Trust, London, UK, spoke about the several possibilities, as well as the requirement and challenges which have to be considered in each scenario.
Nuance Communications, Inc, provides a comprehensive family of speech-driven clinical documentation and communication solutions that enable healthcare-provider organisations to reduce operating costs, increase reimbursement, and enhance patient care and safety. Two of Nuance's healthcare customers presented the results of their speech recognition implementations at the ECR in Vienna.
Although small, Vscan is a prescription device for ultrasound imaging, measurement and analysis in the clinical applications of abdominal, cardiac (adult and paediatric), urological, foetal/OB, paediatric and thoracic/pleural motion and fluid detection, as well as for patient exams in primary care and special care areas.
Patients attending a radiology practice in Demmin, Germany, benefit from state-of-the-art ultrasound, mammography, X-ray, CT and MRI technology. Owned by Drs Uwe Kairies and Frank Rosenbaum, the practice has also introduced a RIS/PACS. Soon after the latter installation they switched from imaging plates, replacing their entire X-ray system with a new, direct digital radiology system with two…
The equation is simple: Hospital IT data is growing exponentially, hospital funds are not. Facing enormous data volumes and less chance of increasing equipment or staff, IT managers inevitably suffer headaches. ‘Cloud is really IT being delivered as a service over the Internet,’ Mark Clark explained.