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Christian AB, Grigorian A, Mo J, Yeates EO, Dolich M, Chin TL, Schubl SD, Kuza CM, Lekawa M, Nahmias J. Comparative Outcomes for Trauma Patients in Prison and the General Population. Am Surg 2022; 88:1954-1961. [PMID: 35282696 DOI: 10.1177/00031348221078984] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Prisoners are a vulnerable population, and there are few contemporary studies that consider trauma patient outcomes within the prisoner population. Therefore, we sought to provide a descriptive analysis of prisoners involved in trauma and evaluate whether a healthcare disparity exists. We hypothesized that prisoners and non-prisoners have a similar risk of mortality and in-hospital complications after trauma. METHODS The Trauma Quality Improvement Program (2015-2016) was queried for trauma patients based upon location inside or outside of prison at the time of injury. A multivariable logistic regression analysis was performed to compare these groups for risk of mortality-the primary outcome. RESULTS From 593,818 trauma patients, 1115 were located in prison. Compared to non-prisoners, prisoner trauma patients had no significant difference in mortality (5.1 vs 6.0%, P = .204). However, after adjusting for covariates, prisoners had a shorter length of stay (LOS) (mean days, 6.3 vs 7.8, P < .001), shorter intensive care unit (ICU) LOS (mean days, 5.44 vs 5.89, P = .004), and fewer complications, including lower rates of drug/alcohol withdrawal (.4% vs 1.1%, P = .030), pneumonia (.5 vs 1.6%, P = .004), and urinary tract infections (.0 vs 1.1%, P < .001). Upon performing a multivariable logistic regression model, prisoner trauma patients had a similar associated risk of mortality compared to non-prisoners (OR 1.61, CI .52-4.94, P = .409). DISCUSSION Our results suggest that prisoner trauma patients at least receive equivalent treatment in terms of mortality and may have better outcomes when considering some complications. Future prospective studies are needed to confirm these results and explore other factors, which impact prisoner patient outcomes.
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Affiliation(s)
- A B Christian
- Department of Surgery, 8788University of California Irvine, Orange, CA, USA
| | - A Grigorian
- Department of Surgery, 8788University of California Irvine, Orange, CA, USA
| | - J Mo
- Department of Surgery, 8788University of California Irvine, Orange, CA, USA
| | - E O Yeates
- Department of Surgery, 8788University of California Irvine, Orange, CA, USA
| | - M Dolich
- Department of Surgery, 8788University of California Irvine, Orange, CA, USA
| | - T L Chin
- Department of Surgery, 8788University of California Irvine, Orange, CA, USA
| | - S D Schubl
- Department of Surgery, 8788University of California Irvine, Orange, CA, USA
| | - C M Kuza
- Department of Anesthesia, 12223University of Southern California, Los Angeles, CA, USA
| | - M Lekawa
- Department of Surgery, 8788University of California Irvine, Orange, CA, USA
| | - J Nahmias
- Department of Surgery, 8788University of California Irvine, Orange, CA, USA
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Chin TL, Cash J, Blacker H, Thomas M, Bernal NP, Burton K, Joe VC. 456 Timely Debriefing Facilitates Real-Time Communication and Feedback, Improves Team Performance, and Provides Data Clarity for Quality Improvement. J Burn Care Res 2019. [DOI: 10.1093/jbcr/irz013.351] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- T L Chin
- University of California Irvine, Orange, CA
| | - J Cash
- University of California Irvine, Orange, CA
| | - H Blacker
- University of California Irvine, Orange, CA
| | - M Thomas
- University of California Irvine, Orange, CA
| | - N P Bernal
- University of California Irvine, Orange, CA
| | - K Burton
- University of California Irvine, Orange, CA
| | - V C Joe
- University of California Irvine, Orange, CA
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Harr JN, Moore EE, Chin TL, Chapman MP, Ghasabyan A, Stringham JR, Banerjee A, Silliman CC. Viscoelastic hemostatic fibrinogen assays detect fibrinolysis early. Eur J Trauma Emerg Surg 2014; 41:49-56. [PMID: 26038165 DOI: 10.1007/s00068-014-0400-0] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2014] [Accepted: 03/23/2014] [Indexed: 02/08/2023]
Abstract
PURPOSE Viscoelastic hemostatic assays are emerging as the standard-of-care in the early detection of post-injury coagulopathy. TEG and ROTEM are most commonly used. Although similar in technique, each uses different reagents, which may affect their sensitivity to detect fibrinolysis. Therefore, the purpose of this study is to determine the ability of each device to detect fibrinolysis. METHODS TEG (Rapid, Kaolin, Functional Fibrinogen) and ROTEM (EXTEM, INTEM, FIBTEM) were run simultaneously on normal blood as well as blood containing tPA from healthy volunteers (n = 10). A two-tailed, paired t-test and ANOVA were used to determine the significance between parameters obtained from normal blood and blood with tPA, and individual TEG and ROTEM assays, respectively. RESULTS TEG detected significant changes in clot strength and 30-min lysis after the addition of tPA (p < 0.0001). All ROTEM assays detected changes in the 30-min lysis (p < 0.0001), but only INTEM detected changes in clot strength (p < 0.05). Kaolin and Rapid TEG assays detected greater changes in clot strength and lysis, but INTEM and EXTEM had decreased lysis onset times compared to TEG (p < 0.001). Functional Fibrinogen and FIBTEM assays detected lysis sooner than other TEG/ROTEM assays, and were comparable. CONCLUSIONS TEG assays detect greater changes in clot strength compared to ROTEM. Despite this, Functional Fibrinogen and FIBTEM assays detect fibrinolysis sooner than their corresponding intrinsic and extrinsic assays. Therefore, fibrinogen assays should be employed in actively bleeding trauma patients in order to provide timely antifibrinolytic therapy.
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Affiliation(s)
- J N Harr
- Department of Surgery, University of Colorado Denver, Aurora, CO, USA,
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Chin TL, MacGowan AP, Jacobson SK, Donati M. Viral infections in pregnancy: advice for healthcare workers. J Hosp Infect 2014; 87:11-24. [PMID: 24767811 DOI: 10.1016/j.jhin.2013.12.011] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2013] [Accepted: 12/02/2013] [Indexed: 02/07/2023]
Abstract
BACKGROUND Healthcare workers (HCWs) have the potential for increased exposure to infectious disease resulting from the provision of patient care. Pregnancy can confer specific problems in some infections for the mother and her unborn child. AIMS To discuss the viral infections encountered in the UK that constitute a particular risk to the pregnant HCW: human immunodeficiency virus, hepatitis B virus, hepatitis C virus, varicella-zoster virus, herpes simplex virus, human parvovirus B19, cytomegalovirus, rubella, measles, enteroviruses, mumps and influenza. Evidence for nosocomial transmission, clinical aspects specific to pregnancy, and recommendations to protect the pregnant HCW at work are included. METHODS Medline, EMBASE and Pubmed were searched using a list of keywords specific to each viral infection, including 'nosocomial', 'occupational' and 'healthcare workers'. References from the bibliographies of articles identified were reviewed for relevant material. FINDINGS The evidence for increased risk in the healthcare setting for many of these infections, outside of outbreaks, is weak, possibly because of the application of standard protective infection control measures or because risk of community exposure is greater. The pregnant HCW should be advised on protective behaviour in both settings. Potential interventions include vaccination and reducing the likelihood of exposure through universal precautions, infection control and redeployment. CONCLUSION Protection of the pregnant HCW is the responsibility of the individual, antenatal care provider and employer, and is made possible through awareness of the risks and potential interventions both before and after exposure. If exposure occurs or if the HCW develops an infective illness, urgent specialist advice is required.
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Affiliation(s)
- T L Chin
- Southmead Hospital, North Bristol NHS Trust, Bristol, UK.
| | - A P MacGowan
- Southmead Hospital, North Bristol NHS Trust, Bristol, UK
| | - S K Jacobson
- Southmead Hospital, North Bristol NHS Trust, Bristol, UK
| | - M Donati
- Public Health England, Bristol Public Health Laboratory, Department of Virology, Bristol, UK
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Chin TL. Connecting the financial dots. Health Data Manag 1999; 7:40, 42, 44. [PMID: 10662284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
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Chin TL. Like physicians, nurses need to sit at the I.T. table. Health Data Manag 1999; 7:100. [PMID: 10622919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
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Chin TL. CIOs offer tips for hiring and retaining staff. Health Data Manag 1999; 7:84-7. [PMID: 10622927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
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Chin TL. Management engineering helps CIOs face change. Health Data Manag 1999; 7:96. [PMID: 10622930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
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Chin TL. Home care I.T. strategies. Health Data Manag 1999; 7:56-8, 60, 62 passim. [PMID: 10621041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
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Chin TL. Identifying new uses for bar coding technology. Health Data Manag 1999; 7:66-8, 70-1. [PMID: 10557703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
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Chin TL. As Y2K work ends, CIOs set sights on electronic records. Health Data Manag 1999; 7:64, 66, 68-9. [PMID: 10539178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
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Chin TL. Private data on a public network. Health Data Manag 1999; 7:36, 38-9. [PMID: 10539175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
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Chin TL. New software contracts share the risks, rewards. Health Data Manag 1999; 7:86-8, 90, 92. [PMID: 10538217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
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Chin TL. The Internet offers entrepreneurial opportunities. Health Data Manag 1999; 7:76-8, 80, 82 passim. [PMID: 10538216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
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Chin TL. Why opt for thin clients? A nursing home selects the technology to control its long-term maintenance costs. Health Data Manag 1999; 7:50, 52. [PMID: 10387704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Chin TL. Winning support for physician order entry. Health Data Manag 1999; 7:54-6, 60, 62-3. [PMID: 10387705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Chin TL. Building a consumer brand. Health Data Manag 1999; 7:69-70, 72, 74. [PMID: 10351307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
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Chin TL. Putting an end to the paper chase. Health Data Manag 1999; 7:46-50, 54, 56-8. [PMID: 10350820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Chin TL, Goedert J. Will Congress pass privacy legislation? Health Data Manag 1999; 7:48-50. [PMID: 10346136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Chin TL. Choosing the right hardware. Health Data Manag 1999; 7:122-4, 126. [PMID: 10346127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Chin TL. New HL7 standard strives to achieve plug-and-play. Health Data Manag 1999; 7:136-8, 140, 142-4. [PMID: 10346129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Chin TL. Assembling the records puzzle. Health Data Manag 1999; 7:36, 38-40. [PMID: 10345794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Chin TL. Leading an expedition. Health Data Manag 1999; 7:30-4. [PMID: 10345793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Chin TL. Luring new recruits. Health Data Manag 1999; 7:76-82. [PMID: 10345796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Chin TL. MedPartners' extranet survives. Health Data Manag 1998; 6:61-2, 64. [PMID: 10187491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Chin TL. Gathering clinical data. A clinical data repository provides the foundation for computer-based patient records. Health Data Manag 1998; 6:44-7, 50, 52-7. [PMID: 10185894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Chin TL. Windows NT continues its battle for market share. Health Data Manag 1998; 6:80-2, 84, 86. [PMID: 10185887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
A growing number of health care organizations are implementing applications that run on the Microsoft Windows NT network operating system. But most of the early adopters are applying NT at the department level rather than using it for enterprisewide tasks. And the many flavors of Unix continue to dominate the market for network operating systems in health care.
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Chin TL. Reaching out to physicians. Health Data Manag 1998; 6:36, 38, 40. [PMID: 10185226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
One of the nation's largest physician practice management companies is rolling out to virtual private network to collect, analyze and disseminate outcomes data to physicians via the Internet.
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Chin TL. The new health information networks: CHINtranets. Health Data Manag 1998; 6:94, 96-8, 100. [PMID: 10185233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
Organizers of the surviving community health information networks are gravitating to Internet technologies as a way to hold down costs and make the networks easier to use. This story analyzes the strategies of these survivors.
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Chin TL. E-mail helps practice improve its efficiency. Health Data Manag 1998; 6:30-1. [PMID: 10181945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Chin TL. Intranets emerging as new human resources platform. Health Data Manag 1998; 6:61-5. [PMID: 10181950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
Some pioneering health care organizations are taking the innovative step of capitalizing on their intranets, private networks that use Internet technologies and protocols, for human resources purposes. These providers and payers plan to use their intranets to enable employees to enroll a new family member in a benefit plan or check how many vacations days they have left.
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Chin TL. Shifting roles. Health care organizations are redefining the duties of Webmasters as the use of Internet technologies grows in importance. Health Data Manag 1998; 6:22-24, 26. [PMID: 10181256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Chin TL. Telemedicine. Secrets to success. Health Data Manag 1998; 6:76, 78-9. [PMID: 10181266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
In designing telemedicine programs, developers must carefully assess needs, select the right technology and figure out how to pay for their programs.
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Chin TL. Hot stocks. Stock market analysts explain which health care information technology stocks earn their highest ratings--and why. Health Data Manag 1998; 6:68-74, 76. [PMID: 10180313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
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Chin TL. Is wireless technology ready to roll? Health Data Manag 1998; 6:78-82, 84-6, 88-9. [PMID: 10179886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
For years, health care organizations have been slow to accept wireless technology. But as more organizations are finding that the technology can improve care and save money, they're jumping on the wireless bandwagon. Some pioneering providers are even deploying multiple wireless technology applications. Their success is providing a road map for others to follow and building confidence in the emerging technology.
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Chin TL. Straight from the heart. Health Data Manag 1998; 6:108-9. [PMID: 10179879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Chin TL. Provider automation. Where should we start? Health Data Manag 1998; 6:40-1. [PMID: 10179382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
For an integrated delivery system in Memphis, the starting point for its enterprisewide automation efforts was obvious. It had an immediate need to improve business operations.
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Chin TL. More CIOs calling the doctor for clinical systems matters. Health Data Manag 1998; 6:92-9. [PMID: 10179388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Chin TL. Bigger pipes. Health care organizations are building high-capacity communications networks to support strategic business goals. Health Data Manag 1998; 6:50-1, 54-6, 58-60. [PMID: 10177798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Chin TL. Telemedicine. The turning point. Health Data Manag 1998; 6:76, 78, 80. [PMID: 10177800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Chin TL. A new public health tool. More state agencies are disseminating and collecting data using Internet technologies. Health Data Manag 1998; 6:33-4, 36. [PMID: 10177787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Chin TL. Call centers improve service, carry out managed care goals. Health Data Manag 1998; 6:122-4, 127, 129 passim. [PMID: 10177784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Chin TL. Intranets case study. Improving care in rural areas. Health Data Manag 1997; 5:52-3. [PMID: 10175527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Chin TL. Managed care. Patient education at the crossroads. Health Data Manag 1997; 5:106, 108. [PMID: 10174560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
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Chin TL. Health insurers turn to software for fraud busting. Health Data Manag 1997; 5:88, 90, 92 passim. [PMID: 10174567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Chin TL. Tackling challenges following a merger. Health Data Manag 1997; 5:48-9. [PMID: 10175743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Chin TL. Is speech recognition ready to roll? Health Data Manag 1997; 5:86-8, 90-5. [PMID: 10175747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Chin TL. Breaking new ground. Health Data Manag 1997; 5:40-2. [PMID: 10169996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Chin TL. Outsourcing. Health care organizations are considering strategic goals in making outsourcing decisions. Health Data Manag 1997; 5:69-77. [PMID: 10170261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
More health care organizations are outsourcing the management of some or all of their information systems. Executives at many organizations that have tried outsourcing say it enables them to focus on core competencies, better allocate resources, get more information technology at less cost, share risks of implementing information technology with outsourcers and guarantee access to skilled labor. But the information technology outsourcing market remains relatively small in health care because many CIOs still are wary of turning over control of important functions to outsiders.
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Chin TL. Provider automation. Building rather than buying. Health Data Manag 1997; 5:83-5. [PMID: 10170263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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