During the last three years Computer Systems have been installed in hospitals across the West Mid... more During the last three years Computer Systems have been installed in hospitals across the West Midlands region of the United Kingdom. In seven of these hospitals, computer video terminals (VT’s) have been put onto wards and nurses have been trained to use them. This paper describes the methods the authors adopted to train the nursing staff so as to disrupt the day-to-day working of the hospital as little as possible, and in a way which would fit in with their existing professional duties and working hours.
ABSTRACT: This paper describes he design, development and implementation of a computer informatio... more ABSTRACT: This paper describes he design, development and implementation of a computer information system for a large District General Hospital site of 60 wards which has 1300 potential nursing and ancillary users. The hospital complex is situated in North Staffordshire serving the city of Stoke-on-Trent and surrounding are; a Health District of some 467,200 people, being the sixth largest in terms of population in the U.K. Installation of the new system involved the transition from a datapen and teleprinter network which dealt only with routine administrative functions to a comprehensive information system for nursing use.
This paper examines the origin and introduction of large scale computer systems into NHS hospital... more This paper examines the origin and introduction of large scale computer systems into NHS hospitals. It focuses on the confidentiality issues relevant to their design and the influences that lead to changes in the recording and dissemination of patient data. Finally it asserts that decisions made to abandon development by NHS employed staff created a significant space between those that used these systems day-today and those that specified and approved their design and content.
This MRes dissertation will examine the origin and introduction of large-scale computer systems i... more This MRes dissertation will examine the origin and introduction of large-scale computer systems into NHS hospitals. It will focus on the concepts and philosophy behind their design, the rationale behind their development and the influences that led to their change in function. It will also describe their mode of implementation and the effect they had on medical administration and hospital management. Finally, it will show that decisions made to transfer development to Regional Health Authorities, and eventually to abandon development by NHS employed staff, created a significant space between those who used these systems day-to-day and those who specified and approved their design and content. It will argue that this separation has resulted in systems that are often not particularly suited to the hospital environment or the needs of the staff that use them but have become designed to assist management and administration.
During the last three years Computer Systems have been installed in hospitals across the West Mid... more During the last three years Computer Systems have been installed in hospitals across the West Midlands region of the United Kingdom. In seven of these hospitals, computer video terminals (VT’s) have been put onto wards and nurses have been trained to use them. This paper describes the methods the authors adopted to train the nursing staff so as to disrupt the day-to-day working of the hospital as little as possible, and in a way which would fit in with their existing professional duties and working hours.
ABSTRACT: This paper describes he design, development and implementation of a computer informatio... more ABSTRACT: This paper describes he design, development and implementation of a computer information system for a large District General Hospital site of 60 wards which has 1300 potential nursing and ancillary users. The hospital complex is situated in North Staffordshire serving the city of Stoke-on-Trent and surrounding are; a Health District of some 467,200 people, being the sixth largest in terms of population in the U.K. Installation of the new system involved the transition from a datapen and teleprinter network which dealt only with routine administrative functions to a comprehensive information system for nursing use.
This paper examines the origin and introduction of large scale computer systems into NHS hospital... more This paper examines the origin and introduction of large scale computer systems into NHS hospitals. It focuses on the confidentiality issues relevant to their design and the influences that lead to changes in the recording and dissemination of patient data. Finally it asserts that decisions made to abandon development by NHS employed staff created a significant space between those that used these systems day-today and those that specified and approved their design and content.
This MRes dissertation will examine the origin and introduction of large-scale computer systems i... more This MRes dissertation will examine the origin and introduction of large-scale computer systems into NHS hospitals. It will focus on the concepts and philosophy behind their design, the rationale behind their development and the influences that led to their change in function. It will also describe their mode of implementation and the effect they had on medical administration and hospital management. Finally, it will show that decisions made to transfer development to Regional Health Authorities, and eventually to abandon development by NHS employed staff, created a significant space between those who used these systems day-to-day and those who specified and approved their design and content. It will argue that this separation has resulted in systems that are often not particularly suited to the hospital environment or the needs of the staff that use them but have become designed to assist management and administration.
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Papers by Jack Barber