Health care information management

By 2010, computer-based medical and health-care information management may well rise to 60%. In late 2003 we estimated that the Earth will have some 30 to 800 petabytes (1 petabyte is 1015, i.e., 1,000,000,000,000,000 bytes) of medical information on computers. Today, this may be an underestimate as more than 400 petabytes of medical images (X rays, magnetic resonance images, etc.) could be generated annually (see chapter notes and bibliography at the end of this book). 

In addition to a person s personal health records, HealthVault provides Internet search capabilities. The data are stored in an encrypted database. Each person will select which of their personal health care information is put into the Web database. Most persons will give permission to their doctors, dinics and hospitals to send directiy to HealthVault, information concerning medicines, test results and other data. At New York Presbyterian Hospital, Aurelia G. Boyer, the chief information officer, states their commitment to helping patients manage their own health care. 

Monitoring and Managing Adverse Reactions Managing adverse reactions in patients taking antitubercular drug s is an important responsibility of die nurse The nurse must continuously observe for signs of adverse reactions and immediately report them to tlie primary health care provider. Some information specific to die different antitubercular drug s is provided below. 

The primary health care provider prescribes hrazepam for short-term management of anxiety. What information would be included in a teaching plan for this patient ... 

Expert opinion is a source, frequently elicited by survey, that is used to obtain information where no or few data are available. For example, in our experience with a multicountry evaluation of health care resource utilization in atrial fibrillation, very few country-specific published data were available on this subject. Thus the decision-analytic model was supplemented with data from a physician expert panel survey to determine initial management approach (rate control vs. cardioversion) first-, second-, and third-line agents doses and durations of therapy type and frequency of studies that would be performed to initiate and monitor therapy type and frequency of adverse events, by body system and the resources used to manage them place of treatment and adverse consequences of lack of atrial fibrillation control and cost of these consequences, for example, stroke, congestive heart failure. This method may also be used in testing the robustness of the analysis [30]. 

Health-care decision models and uncontrolled mirror-image studies provide little in the way of meaningful results to inform clinicians and healthcare managers. This chapter focuses instead on the results of the more robust controlled mirror-image studies and prospective randomized, controlled trials. 

The team also assisted the infants caretakers with obtaining appropriate medical care and treatment. The primary health care of 58 percent of the infants was received from physicians who lived within the foster family s community 42 percent of infants returned to the UCLA Pediatric Clinic for routine pediatric follow-up. In order to promote optimal medical care for all infants, team members provided the primary physician with summaries of the child s birth history, developmental progress, and information regarding the medical treatment and management of the PCP-exposed infant. 

Only physicians experienced in immunosuppressive therapy and management of organ transplant patients should prescribe daclizumab. The physician responsible for daclizumab administration should have complete information requisite for the follow-up of the patient. Daclizumab should only be administered by health care personnel trained in the administration of the drug who have available adequate laboratory and supportive medical resources. 

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