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in the Hospital das Clínicas da Universidade de São Paulo. Ameline Mae Duhaylungsod. cardiology diagnostics. with the installation of the first mainframes in public university hospitals. Minicomputers. such as the hospital census in the School of Medicine of Ribeirão Preto and patient master files. and in 1986 the . In the early 1980s. several Digital Corporation and Hewlett Packard minicomputers were acquired for public and Armed Forces hospitals. Sayaka BSN31 Mar. and the use of programmable calculators in scientific research applications. patient monitoring and other applications. 07. Jade Gonzales. 2013 Nursing Informatics in South America Nursing Informatics Development (JOY) The first applications of computers to medicine and healthcare in Brazil started around 1968. a great upsurge of computer applications in health ensued. In the 1970s. respectively at the cities of Ribeirão Preto and São Paulo campi of the University of São Paulo. and the first applications were developed for them. Monnalisa Joy Yoshida. such as the IBM 1130 were installed in several universities. Zhariena Ging De Guzman. with the arrival of cheaper microcomputers. and more intensively used for intensive-care unit. April Joy Sealza.By: Balen.
responsible for data input. Interact with all scientists. (MAE) Technology is transforming not only nursing practice but also nursing training and education models. Technology plays an important role in facilitating access to the information because for the information to be useful and meaningful. To promote. recognized academic stimulating the creation of new instances that have the same goal and be inspired by the same purpose. In result.Brazilian Society of Health Informatics was founded. 1996). organize.in nursing education are also changing nursing education from a passive teaching to an active learning process. and the first Brazilian Journal of Health Informatics was published. Support. Computer applications . Technology can present a unique instrument to help nurses to face challenges and discover how to use its resources to involve and maybe to design their way taking care of the people (Marin. nursing schools and hospitals initiated programs to prepare nurses to use computers. promote and disseminate content related activities with the management of health information and tools they used to do under the name of Biomedical informatics. With the introduction of computers in the healthcare area. sponsor and participate in events and activities for training in computer and information and disseminating developments in this area that might be useful for team members and health related activities. it has to be timely. scientific research. national and international level. nurses became primary users. Promote cooperation and exchange of actions generated in the field of biomedical informatics. represents the interests of a broad range of clinical and non-clinical professionals working within the Health Informatics sphere. There is a clear trend in the direction of the computerization of health records: People are able to connect to the internet that is a telecommunication resource with no parallel to fast exchange data information. . both in the public and private. the Buenos Aires Biomedical Informatics Group. To meet educational and training needs. we can expect to see better-informed health-providers and consumers. Since 1997. a nonprofit group. Its purposes are: • • • • • Promote the implementation of the computer tool in the healthcare activity. health administration and in all areas related to health sciences and biomedical research. the first Brazilian Congress of Health Informatics was held.
is evolving rapidly. Chile. Latin America and the Caribbean region rank third in information technology expenditure. A study performed by the Pan America Health Organization/World Health Organization (1998) showed that the Information Society Index. and because of that the informatics developments show a heterogeneous stage. two universities are pioneers in teaching and research in Medical Informatics. In Brazil. Some of SBIS areas of interest are: * Health information systems * Health information management * Electronic patient record * Telemedicine and telehealth . Usually. taking advantage of resources. the programs are very interactive and easy to use and offer immediate feedback about students’ performance. The initial motivation to develop computer systems in the healthcare area was driven by financial and administrative concerns. and social infrastructure. or the Hospital Italiano de Buenos Aires that also has a residence program for health informatics.Computers . Argentina. Colombia. computer. and Paraguay have clinical information systems in hospitals or health institutes. such as the German Hospital of Buenos Aires. Use of Information Technology in Clinical Practice (AYA) The Argentinian health system is heterogeneous in its function. Countries like Brazil. The main goal was to characterize how nursing informatics and the use of standards can improve nursing practice and management.allow students to work at the time that best meets their specific needs. based on the use of information. both the University of Sao Paulo and the Federal University of Sao Paulo offer undergraduate programs highly qualified in the area as well as extensive graduate programs (MSc and PhD) SBIS is a nonprofit membership organization of individuals and institutions interested in developing and using information technologies to improve health care in Brazil. Mexico. Many private Health Care center have developed systems.
TrakCare creates a complete view of each patient's history. The journal was an official publication of the Center for Biomedical Informatics of the State University of Campinas. polyclinics. They provide a broader range of solutions with systems that address patient care documentation.* Medical image processing * Internet applications in health * Distance education in health The Federation of Medical Informatics for Latin America and the Caribbean. Most of the computer systems implemented are intended to control administrative data. is modernizing the delivery and administration of healthcare for its population of more than 2. when it folded due to loss of advertisement revenues. also the Center's director. IMIA-LAC. The most frequently implemented and used applications still are the nursing orders. integrates easily .E. Nurses are becoming even more involved with the design. The GDF healthcare delivery network includes 17 hospitals with 4. The journal's creator and editor-in-chief was Dr. The government of the federal district (GDF) of Brasilia.5 million citizens by deploying InterSystems TrakCare™. the capital of Brazil. Sabbatini. telemedicine and related subjects. Vendors and developers recognize that the success of a computer system requires nursing input and collaboration. InterSystems TrakCare® is a unified healthcare information system based on the most advanced technologies. implementation. Renato M. provides secure access to records at every point of care and on any Internet-connected device.400 beds. plus 61 health centers. and evaluation of clinical information systems. located in Campinas. Revista Brasileira de Informática em Saúde ) was the first trade journal on health informatics. Policies and Trend the Brazilian Journal of Health Informatics (in Portuguese language. to be published in Brazil. assist in the biomedical informatics in the region. (AEJAY) National and international software industry became more represented in the South America healthcare market. The first issue was published on November 1986 and it was printed regularly every two months for approximately one year and half. São Paulo state. and pharmacies. PhD. diagnostic laboratories.
and thus making it possible to document. integrate and review all the information relating to patient care and hospital operations with real time clinical information input. “The use of TrakCare and the smart card already is increasing our worker productivity.” notes Cláudio Freitas. ancillary staff.with other applications. and community care capabilities. unified by a single data repository.5 million citizens a smart card that holds a unique healthcare system ID plus demographic. and delivers real-time active analytics that drive informed actions. laboratory. MD. nurses. ALERT® PFH is a comprehensive solution to computerize hospitals. Advantages: • Improve patient and professional satisfaction • Provide hospital administration with reliable information for better management • Control costs • Increase professional performance • Improve patient outcome and reduce medical errors ALERT® EDIS is the complete solution for Emergency Departments. administrative clerks. Advantages: • Document. and reducing wait times. Associate Professor of the College of Medicine of the University of Brasília. registration. GDF also is distributing to all of its 2. laboratory and imaging technicians. It includes specialized applications per clinical environment and uses a multidisciplinary approach of clinical processes. administrative. and clinical EPR data. lowering operating costs. This breakthrough system includes clinical. Each patient's consolidated history can be shared securely across all care settings. review and integrate all the clinical information from Emergency Department episodes • Staff in Emergency Departments can access different levels of information according to their professional responsibilities (physicians. .
• • • case managers.S. A program was designed to enhance training in Brazil by augmenting the teaching resources of local faculty. Educational and Distance Learning Efforts (GING) To meet educational and training needs. such as a specific nursing informatics specialization and master or doctoral course is also being provided. In Brazil. Formal education programs in nursing informatics. and to facilitate the process in South American countries. Since 1989. In addition to teaching how to use computer applications. promoted the establishment of a bilateral consortium of health informatics faculty. It is developing several educational programs. information desk clerks) by means of user profiles and biometric identification All the information can be documented immediately and is shared by other users Easier access to the patient’s history Innovative graphic interface designed specifically for the needs and responsibilities of both professionals and patients in an Emergency Department (ED) setting Considering trends and tendency in healthcare informatics. U.S.A). the Brazilian Council of Telemedicine was established in 2002. course instructors also considered the use of computers to teach nursing content. The Nucleo de Informatica em Enfermagem at the Universidade Federal de Sao Paulo (NIEn/ UNIFESP) was the first center to offer the specialization degree in South America. (JADE) A 4-year grant from the Fogarty International Center of the National Institutes of Health (U.A which involved faculty from Harvard University and its affiliated . nursing schools and hospitals initiated programs to prepare nurses to use computers. This training program was based on the experience of the Brazilian faculty and some lessons learned from an existing training program in Boston. it also provided the nursing informatics discipline in its graduate and undergraduate nursing programs. The council includes the telenursing group. the Pan American Health Organization (PAHO) has published guidelines and protocols to orient the development and deployment of information and communication technology in Latin America and the Caribbean.
hospitals: Massachusetts Institute of Technology (MIT). and Tufts University. shortterm courses. . and workshops. with activities targeted at faculty from leading universities in southern Brazil. It has sponsored 10 onsite courses in Brazil. Computer technology is providing students living in distant regions and having difficulties in accessing the main educational centers the opportunity to improve their personal knowledge base. A contributing factor to the development and success of these programs is the distance between countries and cities due to the geographic characteristics of South America. In years 3-4. The program started in October 1999. The program started in years 1-2. which are better equipped with staff and material resources than universities in other parts of the country. the training program was responsible for the organization of several scientific meetings in Brazil and continued to promote student and faculty participation in national and international conferences. Boston University.
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