| Top Papers from HINZ 2005 |
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Health Informatics New Zealand is proud to announce |
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| Top paper | Title: Improving Post-operative Pain Management Using the CIS Model (1.1MB PDF*) Author: Annie Fogarty Summary: Currently it is difficult to quantify the direct benefits that Clinically Integrated Systems (CIS) have on patient care delivery. However, when new systems and processes are developed and underpinned by a computerised programme to support their implementation, the interrelationships and complexity of care delivery can be uncovered. The following case study outlines how a CIS can have a positive impact on patient and organisational outcomes. |
| Top paper | Title: A Proposed Model for an Internet-Based Computerised Anticoagulant Monitoring System(1.4MB PDF*) Author: Paul Harper Summary: Warfarin is an anticoagulant drug used to manage venous thrombosis, pulmonary embolus and several heart conditions. It has proved a valuable drug but requires close monitoring to prevent overdose and bleeding. In New Zealand anticoagulant monitoring is not managed consistently and the "safe use of medicines" group have recognized the potential dangers of poor control. There are several elements to safe anticoagulant monitoring with accurate dose adjustment and consistent follow-up as essential. However many other procedural factors need to be in place to ensure patients are tested on time and to identify poor compliance and patients who do not attend for regular testing. All of these processes can be managed with a computer system. Studies have shown that computer dosing is as good as management by a clinician. In fact in many countries patients are given the opportunity to manage their own warfarin and to test themselves using a home testing device. Self-testing is now available in New Zealand but these patients have little access to clinical support. In this paper we propose a model to manage anticoagulant therapy using a web-based anticoagulant programme which is accessible to both general practitioners and patients performing self-testing. |
| Top student paper | Title: Integrating RFID Technology into a Drug Administration System (1.4MB PDF*) Author: Bryan Houliston Summary: Errors in the administration of drugs to patients, along with other types of adverse drug events (ADEs), have proven to be very costly to the healthcare sector. One commonly proposed solution to the problem is the use of barcodes to uniquely identify both patients and drugs. The size of the ADE problem, and the success of a limited number of barcode-based systems, has prompted US healthcare regulators to endorse, or even mandate, their use. However, it has been suggested that limitations of barcodes adversely affect the usability of such systems, and that RFID technology offers a more suitable alternative. This paper documents the design and development of an extension to an existing barcode-based anaesthetic drug identification system, IDAS, which would allow it to functionally replace barcodes with RFID technology. The design is informed by a review of RFID application case studies, experiments with RFID hardware, and observation and interviews of anaesthetists. A demonstration of the prototype system suggests that RFID technology could functionally replace barcodes, but significant issues remain to be addressed. |
Winners of this year's top paper awards each received a copy of Microsoft Office.
Office was kindly donated by Microsoft New Zealand.
Office was kindly donated by Microsoft New Zealand.
*Presentation slides above are being made available in lieu of the full papers
which will be published in the next issue of
The official publication of HINZ.
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