Workflow

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Compressing without compromise

Whether it’s functional imaging via MRI or CT, dynamic angiography examinations or volume tomography -- new examination procedures deliver more, but also require more. The annual data increase in hospitals is 20-30% and the resulting requirements for the necessary storage capacity, or for digital data transfer, present a serious challenge. Accordingly, there is considerable interest in…

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How hospitals profit from tiny transponders

An RFID transponder (also known as a tag) consists of a chip and tiny antenna. Thanks to their small size these transponders can be integrated into almost any object, including clothing, boxes or even sheets of paper. Thus the logistics industry numbers amongst the prolific areas of application for wireless frequency identification using RFID (radio frequency identification) technology.

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Radiology services: In or out?

How does a hospital decide what to do about in-house radiology if, for example, its consultant retires? Select a ‘new broom’ to brush out earlier practices, or make this an opportunity to redefine its radiology department’s services and objectives? In the latter case, outsourcing to receive diagnoses from an external radiologist might be potentially interesting. However, Dr Winfried…

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Successful operating theatre re-structuring

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.

Implementing shared decision making in the NHS

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…

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Predicting future admissions

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…

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The impact of diagnostic IT

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,…

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A journey towards full automation

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…

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Diabetes management in the hospital

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…

EPRs dramatically speed up Chlamydia treatment cycle

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.

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Pharmacy storage and retrieval systems save costs

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…

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The Surgical Planning Unit

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.

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Process Management and Radiology

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.

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