Dean T. Williams, David Hoare, Guy Shingler, Charlie Fairweather and Christopher Whitaker
Clinical data capture and transfer are becoming more important as hospital practices change. Medical record pro‐formas are widely used but their efficacy in acute settings is…
Abstract
Purpose
Clinical data capture and transfer are becoming more important as hospital practices change. Medical record pro‐formas are widely used but their efficacy in acute settings is unclear. This paper aims to assess whether pro‐forma and aide‐memoire recording aids influence data collection in acute medical and surgical admission records completed by junior doctors.
Design/methodology/approach
During October 2007 to January 2008, 150 medical and 150 surgical admission records were randomly selected. Each was analysed using Royal College of Physicians guidelines. Surgical record deficiencies were highlighted in an aide‐memoire printed on all A4 admission sheets. One year later, the exercise was repeated for 199 admissions.
Findings
Initial assessment demonstrated similar data capture rates, 77.4 per cent and 75.9 per cent for medicine and surgery respectively (Z=‐0.74, p=0.458). Following the aide‐memoire's introduction, surgical information recording improved relatively, 70.5 per cent and 73.9 per cent respectively (Z=2.01, p=0.045). One from 11 aide‐memoire categories was associated with improvement following clinical training. There was an overall fall in admission record quality during 2008‐9 vs 2007‐8.
Research limitations/implications
The study compared performance among two groups of doctors working simultaneously in separate wards, representing four months' activity.
Practical implications
Hospital managers and clinicians should be mindful that innovations successful in elective clinical practice might not be transferable to an acute setting.
Originality/value
This audit shows that in an acute setting, over one‐quarter of clinical admission data were not captured and devices aimed at improving data capture had no demonstrable effect. The authors suggest that in current hospital practice, focussed clinical training is more likely to improve patient admission records than employing recording aids.
Details
Keywords
The purpose of this paper is to deepen the understanding of tensions between old and new in the emerging global society driven by information and communication technology (ICT);…
Abstract
Purpose
The purpose of this paper is to deepen the understanding of tensions between old and new in the emerging global society driven by information and communication technology (ICT); and to argue that creation of a theory of this society would contribute in the easing of these tensions.
Design/methodology/approach
The methods used in this paper are mostly analytical, descriptive, and qualitative. An analysis of the creation and development of ICT from a mathematical discipline of computer science to a universal tool and a driving force of the emerging global society, a development which is paralleled by the commercialization of ICT, is followed by two case studies illustrating the tensions between old and new and the role ICT plays in them. One case is centered on the challenges of traditional models of education by new, ICT‐friendly approaches, like the Multiple Intelligences Theory; the other addresses tensions between old and new that in many societies presently take the form of tensions between local/national and global.
Findings
A claim is formed that the existing tensions between old and new are closely linked to the tensions between the two most common forms of society, inclusive (egalitarian) and exclusive (elitist).
Originality/value
The paper will help understand some of the reactions to the process of globalization. It can serve as a tool for assessment and prediction regarding this process. Lastly, the paper contains a justification of merit in the creation of a “grass root” theory of an ICT‐driven global society built on a universally accepted ethical foundation.
Details
Keywords
An overview of the various selection tools currently available for building a better jazz recording collection on compact disc. Evaluative guides, select discographies, general…
Abstract
An overview of the various selection tools currently available for building a better jazz recording collection on compact disc. Evaluative guides, select discographies, general reference works, reviews in periodicals, and World Wide Web sites are suggested to aid in this process. Together, these resources can aid librarians and media selectors in building well‐rounded collections that cover different styles and movements of jazz over the last century, from the latest reissues of albums of historical importance to the best in contemporary recordings. The author concludes with a list of 30 (or so) sound recordings that should be found in any core jazz collection.