Links between systems in Accident & Emergency and primary care
The hospital emergency department and other elements of rapid access primary care constitute an emergency care network. Integration aims to maximise the network's strengths and overcome its weaknesses. Taking the patient as a starting point, it is possible to envisage an objective data model th...
Main Author: | |
---|---|
Format: | Article |
Language: | English |
Published: |
BCS, The Chartered Institute for IT
2005-11-01
|
Series: | Journal of Innovation in Health Informatics |
Subjects: | |
Online Access: | http://hijournal.bcs.org/index.php/jhi/article/view/600 |
id |
doaj-68c5649d54554dd4a3697827f37d7084 |
---|---|
record_format |
Article |
spelling |
doaj-68c5649d54554dd4a3697827f37d70842020-11-24T22:31:06ZengBCS, The Chartered Institute for ITJournal of Innovation in Health Informatics2058-45552058-45632005-11-0113322322610.14236/jhi.v13i3.600542Links between systems in Accident & Emergency and primary careNick HarropThe hospital emergency department and other elements of rapid access primary care constitute an emergency care network. Integration aims to maximise the network's strengths and overcome its weaknesses. Taking the patient as a starting point, it is possible to envisage an objective data model that can operate at multiple levels within the network to describe its process efficiency and clinical effectiveness. Other means of integration are also identified. These contain significant subjective elements. In particular, the decision support system of NHS Direct has operated successfully to legitimise national and local intervention based on skill-mix, whereas its technical operation has been susceptible to human deviation from prescribed routine. As we scrutinise a system, we discover that it contains people who are doing things. Logical elements in the system turn out to be givers or recipients of deliberate and thoughtful care. Information systems in Accident & Emergency (A&E) and primary care can help accountable planners to measure and control aspects of the network's operation. Clinicians also need their systems to enable, rather than constrain, effective interactions.http://hijournal.bcs.org/index.php/jhi/article/view/600emergency care networksinformation modelinformation systemsprimary care |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nick Harrop |
spellingShingle |
Nick Harrop Links between systems in Accident & Emergency and primary care Journal of Innovation in Health Informatics emergency care networks information model information systems primary care |
author_facet |
Nick Harrop |
author_sort |
Nick Harrop |
title |
Links between systems in Accident & Emergency and primary care |
title_short |
Links between systems in Accident & Emergency and primary care |
title_full |
Links between systems in Accident & Emergency and primary care |
title_fullStr |
Links between systems in Accident & Emergency and primary care |
title_full_unstemmed |
Links between systems in Accident & Emergency and primary care |
title_sort |
links between systems in accident & emergency and primary care |
publisher |
BCS, The Chartered Institute for IT |
series |
Journal of Innovation in Health Informatics |
issn |
2058-4555 2058-4563 |
publishDate |
2005-11-01 |
description |
The hospital emergency department and other elements of rapid access primary care constitute an emergency care network. Integration aims to maximise the network's strengths and overcome its weaknesses. Taking the patient as a starting point, it is possible to envisage an objective data model that can operate at multiple levels within the network to describe its process efficiency and clinical effectiveness. Other means of integration are also identified. These contain significant subjective elements. In particular, the decision support system of NHS Direct has operated successfully to legitimise national and local intervention based on skill-mix, whereas its technical operation has been susceptible to human deviation from prescribed routine. As we scrutinise a system, we discover that it contains people who are doing things. Logical elements in the system turn out to be givers or recipients of deliberate and thoughtful care. Information systems in Accident & Emergency (A&E) and primary care can help accountable planners to measure and control aspects of the network's operation. Clinicians also need their systems to enable, rather than constrain, effective interactions. |
topic |
emergency care networks information model information systems primary care |
url |
http://hijournal.bcs.org/index.php/jhi/article/view/600 |
work_keys_str_mv |
AT nickharrop linksbetweensystemsinaccidentemergencyandprimarycare |
_version_ |
1725738714568589312 |