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There are many tasks we do effortlessly that we don't explicitly understand, yet those "rules" are exactly what is necessary for them to be computerised, notes Autor.
With the exception of some particularly sensitive patient information – including records of abortions, sexuality, or criminal records – all of the computerised notes that a GP takes down in a consultation will be held, in identifiable form, in a central database at the Health and Social Care Information Centre HSCICC).
Data on demographic and bio-data variables, visit details, disposition and admission outcomes were collected from the ED computerised notes (EMERGE).
More unsuccessful plans than successful plans were recorded in the computerised notes, 79% vs 67%.
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In general, Hospital Information Systems (HIS) automate the patient administrative functions (such as patient profile information, scheduling of appointments, billing) and the clinical care functions (e.g. clinical notes, computerised prescriptions, online laboratory results, digital radiological imaging) and ultimately has the capability of eliminating paper processes within the clinical setting.
A single-centre audit and retrospective analysis of patients took place using case notes and computerised records.
Using the medical notes and computerised records we examined the demographic and clinical details of these admissions.
"We fully expected back then we would have computerised doctors and computerised teachers," he added.
Some areas, including parts of HMRC, will be computerised to cut the wage bill.
Participating GPs agreed to note the following items in their computerised medical files: relevant anamnestic findings, treatment details, a preliminary prognosis, and a diagnostic code from the International Classification of Primary Care (ICPC) [ 4], chosen from a list provided by the researchers.
It was also noted that this pilot study indicates that computerised decision-making seems reliable in a small population and requires validation in a larger sample of patients.
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