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...

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Main Author: Nick Harrop
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
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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
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