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1.
Rita Noumeir 《Journal of digital imaging》2006,19(4):295-306
Recently, the digital imaging and communications in medicine (DICOM) standard introduced rules for the encoding, transmission,
and storage of the imaging diagnostic report. This medical document can be stored and communicated with the images in picture
archiving and communication system (PACS). It is a structured document that contains text with links to other data such as
images, waveforms, and spatial or temporal coordinates. Its structure, along with its wide use of coded information, enables
the semantic understanding of the data that is essential for the Electronic Healthcare Record deployment. In this article,
we present DICOM Structured Report (SR) and discuss its benefits. We show how SR enables efficient radiology workflow, improves
patient care, optimizes reimbursement, and enhances the radiology ergonomic working conditions. As structured input significantly
alters the interpretation process, understanding all its benefits is necessary to support the change.
Biography Rita Noumeir is a professor at the Department of Electrical Engineering of the University of Quebec, école de Technologie Superieure in
Montreal. A founding member of the Imaging, Vision, and Artificial Intelligence Laboratory (LIVIA), her main research interest
is the Healthcare Information Technology, specifically, Interoperability, Electronic Patient Record, Security, Information
Confidentiality, and Image Processing.
As a member of both Technical and Planning International IHE Radiology Committees, Dr. Noumeir took part over the last 5 years
in developing many Integrating the Healthcare Enterprise (IHE) Integration Profiles in Radiology and in organizing several
Integration Demonstrations. She is a cofounder of IHE Canada.
Dr. Noumeir contributed to many research and development projects in collaboration with several Canadian and international
companies in medical imaging and healthcare information. Currently, she collaborates with the Diagnostic Imaging Team of Canada
Health Infoway to define the principles and architecture for sharing imaging information between multiple healthcare institutions.
She plays a leading role in the development of this solution that is published as an IHE Integration Profile for which she
is the editor.
Rita Noumeir holds a Ph.D. and a Masters degree in Biomedical Engineering from école Polytechnique of Montreal specializing
in Medical Imaging. She is a professional engineer, and a member of the Ordre des ingénieurs du Québec. 相似文献
2.
作者自行设计一种问卷对某企业职工进行社会心理调查。问卷由 A、B两表构成。A 表列出42个问题,包含可能影响该企业职工社会心理的三大类11项因素,要求从该企业中随机抽取的被调查者针对问题回答“是”或“否”。其后附开放式问题一个,被调查者可自由作答,以补封闭式提问的不足。B 表按心理投射机制设计,以解除被调查者的疑虑。测试结果表明,此问卷的信度和效度令人满意。 相似文献
3.
Rita Noumeir 《Journal of digital imaging》2005,18(4):260-269
A few years ago, the Digital Imaging and Communications in Medicine standard introduced a network transaction that is initiated
by modality equipment, mainly at the beginning and at the end of the acquisition. This transaction, the Modality Performed
Procedure Step (MPPS), is sent to the Picture Archiving and Communication System and/or to the Radiology Information System.
It carries information about what really has been performed by the modality equipment during acquisition. In this paper, we
present MPPS and discuss its benefits. We show how MPPS enables efficient radiology workflow and how it ensures accuracy and
completeness of imaging information. We think our paper helps bridge the gap between MPPS implementation and deployment. By
understanding all the MPPS benefits, the end user becomes aware of the great enhancement in patient care that this transaction
provides. 相似文献
4.
This article deals with the question of whether and how much workplace health promotion measures have infiltrated the working world and which factors determined the results of health promotion programs for the enterprises. To answer this question we conducted a longitudinal study (measuring times: 1997 and 2003) in 150 enterprises in Hessen and Thueringen of the service sector and metal branch. A standardized questionnaire was used to collect the data. One of the results was that the high level of occupational safety and health (OSH) obtained was greatly appreciated by the enterprises interviewed. Many of the enterprises (82.7%) were able to implement at least one workplace health promotion (WHP) measure, mostly assessments of occupational health risks and behavior-oriented offers. The portion of businesses with a very good to sufficient level of workplace health promotion increased clearly from 16.0% in 1997 to 27.4% in 2003. Half of the enterprises interviewed confirmed the need for information and consultation in questions about occupational safety and health issues and workplace health promotion. They expected support particularly from the institutions for statutory occupational accident insurance, health insurance companies, public institutions for labor protection and safety engineering, as well as from the advisory boards of the trade unions. These institutions definitely need to address the consultation requests from the enterprises, as the lack of information and contact persons was one of the reasons why workplace health promotion measures could not be implemented.This study was commissioned by the Hans Boeckler Foundation and the SMBG and translated by Evelyn Jäck 相似文献
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7.
Jennifer VanderWeele Teresa Pollack Diana Johnson Oakes Colleen Smyrniotis Vidhya Illuri Priyathama Vellanki Kevin OLeary Jane Holl Grazia Aleppo Mark E. Molitch Amisha Wallia 《Journal of diabetes and its complications》2018,32(7):650-654
Aims
This study validated enterprise data warehouse (EDW) data for a cohort of hospitalized patients with a primary diagnosis of diabetic ketoacidosis (DKA).Methods
247 patients with 319 admissions for DKA (ICD-9 code 250.12, 250.13, or 250.xx with biochemical criteria for DKA) were admitted to Northwestern Memorial Hospital from 1/1/2010 to 9/1/2013. Validation was performed by electronic medical record (EMR) review of 10% of admissions (N?=?32). Classification of diabetes type (Type 1 vs. Type 2) and DKA clinical status were compared between the EMR review and EDW data.Results
Key findings included incorrect classification of diabetes type in 5 of 32 (16%) admissions and indeterminable classification in 5 admissions. DKA was not present, based on the review, in 11 of 32 (34%) admissions. DKA was not present, based on biochemical criteria, in 15 of 32 (47%) admissions.Conclusions
This study found that EDW data have substantial errors. Some discrepancies can be addressed by refining the EDW query code, while others, related to diabetes classification and DKA diagnosis, cannot be corrected without improving clinical coding accuracy, consistency of medical record documentation, or EMR design. These results support the need for comprehensive validation of data for complex clinical populations obtained through data repositories such as the EDW. 相似文献8.
目的 探讨团体心理辅导对企业员工寻求专业性心理帮助态度及应对效能的影响.方法 采用寻求专业心理帮助态度问卷和应对效能量表对上海市松江区204名以制造、加工为主的民营企业的员工进行测查.将企业员工按工号的单双号随机分为对照组与研究组,对照组接受企业平时常规开展心理健康服务,研究组在此基础上开展每两周1次共4次的团体心理辅导.干预后1周对所有入组的企业员工再次进行寻求专业心理帮助态度和应对效能量表的测量.结果 两组员工在干预前的寻求专业性心理帮助态度与应对效能总分及各因子分差异无统计学意义(P>0.05).干预后研究组在寻求专业性心理帮助总分、自我认知、社会成见、信任性及应对效能总分、胜任力、认知水平、自信程度上显著高于对照组,同时高于组内干预前评分,差异均有统计学意义(P<0.05).对照组干预前后各项差异无统计学意义(P>0.05).结论 团体心理辅导能有效提高企业员工专业性心理帮助态度及应对效能. 相似文献
9.
随着集团医院逐步成为一种新型有效的医疗健康服务模式以及区域化信息服务需求的增长,Enterprise-PACS正在成为新一代医学信息网络发展和应用的一支生力军。在我国,E-PACS的应用处于起步阶段。2005年5月我院集团医院E-PACS项目开始启动。在经历一年国外文献复习、大量现场调研以及结合我院实情的需求分析后,项目规划、设计及实施方案初步形成。今年底之前,该E-PACS项目将投入实施。本文就E-PACS背景、构建策略以及挑战进行讨论。 相似文献
10.
目的比较广州市某区内规模不同的厂企中工人对职业病危害认知程度的差异并探讨其影响因素。方法采用分层随机抽样的方法对辖区规模不同的规模较大的厂中的3811名工人的职业病危害防护意识进行问卷调查,相关数据用χ2检验分析。结果大规模厂企的工人对职业病危害因素知晓率是81.8%,小规模厂企的工人对职业病危害因素知晓率是62.3%(P<0.01)。结论大规模厂企的工人对职业病危害认知程度比小规模厂企工人对职业病危害认知程度完善(P<0.01),大规模厂企的工人对职业病危害认知程度比小规模厂企工人对职业病危害认知程度高;做好企业职业病防护措施与提高工人职业病危害防护意识有直接相关;提示今后工作重点应是加强小规模厂企的职业病防护措施为主,更好地保护工人利益和健康。 相似文献