Tabla de Contenidos: “…Health Maintenance Organizations -- Computer-Stored Ambulatory Record Systems -- Single Hospitals or Medical Centers -- Theresa System -- Health Evaluation Through Logical Processing -- Beth Israel and Brigham and Women's Hospital System -- Lockheed's Early Clinical Information System -- Large Multihospital Systems -- Department of Veterans Affairs -- Department of Defense -- International Developments -- The Exmouth Project -- Selected Emerging Developments -- Chart Checker -- Problem-Knowledge Coupler -- Medical Logic Modules -- CLINICIAN INTERACTION AND RESISTANCE -- TECHNOLOGICAL BARRIERS -- The Human Interface and System Performance -- Text Processing -- Confidentiality and Security -- Health Data-Exchange Standards -- SUMMARY -- REFERENCES -- Appendix: the Computer-based Patient Record System Vendor Survey -- GENERAL OBSERVATIONS -- SURVEY FINDINGS -- 4 The Road to CPR Implementation -- DEVELOPMENT AND DIFFUSION FACTORS -- Barriers to Development -- Patient Record Definition -- Content and Format Standards -- Costs and Risks -- Barriers to Diffusion -- Environment of the Health Care System -- Leadership -- User Behavior, Education, and Training -- Costs -- Legal and Social Issues -- Network Needs -- ELEMENTS OF AN IMPLEMENTATION STRATEGY -- Change Agents and Stakeholders -- Health Care Professionals and Professional Associations -- Patients and Representatives of Patients -- Provider Institutions -- Third-party Payers -- Federal Government -- States -- Universities and Professional Schools -- Standard-setting Organizations -- Vendors -- Activities and Resources Critical to CPR Development -- Organizational Structure -- Federal Agency -- Private Sector Sponsorship -- Public-Private Commission or Consortium -- Preferred Approach -- Specific Steps for Change Agents -- SUMMARY -- REFERENCES…”

“…Support of families is reflected in our chapters on Breastfeeding, Developmental Care, Bereavement, and Decision Making and Ethical Dilemmas. The Children's Hospital Boston Neonatology Program at Harvard has grown to include 57 attending neonatologists and 18 fellows who care for more than 28,000 newborns delivered annually at the Beth Israel Deaconess Medical Center (BIDMC), the Brigham and Women's Hospital (BWH) (formerly the Boston Lying-In Hospital and the Boston Hospital for Women), Beverly Hospital, Saint Elizabeth's Medical Center, Holy Family Hospital, Good Samaritan Medical Center, South Shore Hospital, and Winchester Hospital"--Provided by publisher…”
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