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B Rasmussen - One of the best experts on this subject based on the ideXlab platform.

  • SU-E-T-228: The Beauty and the Beast: Transition from Film/Paper Charts to Paperless Environment with a New TrueBeam/ARIA System in a Small Community Hospital on a Tight Budget.
    Medical physics, 2012
    Co-Authors: K Chu, B Rasmussen
    Abstract:

    To review the issues a physicist may encounter in a community hospital during the transition from film/Paper charts to a Paperless Environment with ARIA and a TrueBeam LINAC. With a lean budget, it was necessary for the physics group to take on the project management responsibilities in order save costs. This work highlights the lessons learned during the planning and execution of our project. Like many hospitals around the county, our hospital was caught in the economic downturn and was unable to provide all of the capital necessary to upgrade to the radiation oncology department. However, with the support of the hospital foundation, a total of $6M was secured for new LINAC, ARIA and CT simulator. To save costs on facilities and computers, it was necessary for the physics group to be involved in creating architectural drawings for shielding calculations, finding a vendor to remove the old linac, assisting the foundation to raise money, submission of the 'Certificate of Need' approval with the state, negotiation with vendors, IT infrastructure, reviews with the general contractor and vendor's project team, and ultimately writing the commissioning reports for the new systems as well as developing new policies and procedures. During a period of 4 months, the old LINAC was removed, facility renovations made, the TrueBeam linac was installed, accepted, and commissioned and first patients were treated. In addition, we transitioned from a film/Paper Environment to a Paperless Environment. However, this was very stressful for staff and it may be advisable to stage such a project over a longer period of time. There was also significant lost revenue (∼$2M) during downtime of construction, installation, and commissioning. The radiation oncology department was upgraded (The Beauty) on a tight budget but at the cost of added stress (The Beast) to the staff. © 2012 American Association of Physicists in Medicine.

  • SU‐E‐T‐228: The Beauty and the Beast: Transition from Film/Paper Charts to Paperless Environment with a New TrueBeam/ARIA System in a Small Community Hospital on a Tight Budget
    Medical Physics, 2012
    Co-Authors: K Chu, B Rasmussen
    Abstract:

    Purpose: To review the issues a physicist may encounter in a community hospital during the transition from film/Paper charts to a Paperless Environment with ARIA and a TrueBeam LINAC. With a lean budget, it was necessary for the physics group to take on the project management responsibilities in order save costs. This work highlights the lessons learned during the planning and execution of our project. Methods: Like many hospitals around the county, our hospital was caught in the economic downturn and was unable to provide all of the capital necessary to upgrade to the radiation oncology department. However, with the support of the hospital foundation, a total of $6M was secured for new LINAC, ARIA and CT simulator. To save costs on facilities and computers, it was necessary for the physics group to be involved in creating architectural drawings for shielding calculations, finding a vendor to remove the old linac, assisting the foundation to raise money, submission of the ‘Certificate of Need’ approval with the state, negotiation with vendors, IT infrastructure, reviews with the general contractor and vendor's project team, and ultimately writing the commissioning reports for the new systems as well as developing new policies and procedures. Results: During a period of 4 months, the old LINAC was removed, facility renovations made, the TrueBeam linac was installed, accepted, and commissioned and first patients were treated. In addition, we transitioned from a film/Paper Environment to a Paperless Environment. However, this was very stressful for staff and it may be advisable to stage such a project over a longer period of time. There was also significant lost revenue (∼$2M) during downtime of construction, installation, and commissioning. Conclusions: The radiation oncology department was upgraded (The Beauty) on a tight budget but at the cost of added stress (The Beast) to the staff.

K Chu - One of the best experts on this subject based on the ideXlab platform.

  • SU-E-T-228: The Beauty and the Beast: Transition from Film/Paper Charts to Paperless Environment with a New TrueBeam/ARIA System in a Small Community Hospital on a Tight Budget.
    Medical physics, 2012
    Co-Authors: K Chu, B Rasmussen
    Abstract:

    To review the issues a physicist may encounter in a community hospital during the transition from film/Paper charts to a Paperless Environment with ARIA and a TrueBeam LINAC. With a lean budget, it was necessary for the physics group to take on the project management responsibilities in order save costs. This work highlights the lessons learned during the planning and execution of our project. Like many hospitals around the county, our hospital was caught in the economic downturn and was unable to provide all of the capital necessary to upgrade to the radiation oncology department. However, with the support of the hospital foundation, a total of $6M was secured for new LINAC, ARIA and CT simulator. To save costs on facilities and computers, it was necessary for the physics group to be involved in creating architectural drawings for shielding calculations, finding a vendor to remove the old linac, assisting the foundation to raise money, submission of the 'Certificate of Need' approval with the state, negotiation with vendors, IT infrastructure, reviews with the general contractor and vendor's project team, and ultimately writing the commissioning reports for the new systems as well as developing new policies and procedures. During a period of 4 months, the old LINAC was removed, facility renovations made, the TrueBeam linac was installed, accepted, and commissioned and first patients were treated. In addition, we transitioned from a film/Paper Environment to a Paperless Environment. However, this was very stressful for staff and it may be advisable to stage such a project over a longer period of time. There was also significant lost revenue (∼$2M) during downtime of construction, installation, and commissioning. The radiation oncology department was upgraded (The Beauty) on a tight budget but at the cost of added stress (The Beast) to the staff. © 2012 American Association of Physicists in Medicine.

  • SU‐E‐T‐228: The Beauty and the Beast: Transition from Film/Paper Charts to Paperless Environment with a New TrueBeam/ARIA System in a Small Community Hospital on a Tight Budget
    Medical Physics, 2012
    Co-Authors: K Chu, B Rasmussen
    Abstract:

    Purpose: To review the issues a physicist may encounter in a community hospital during the transition from film/Paper charts to a Paperless Environment with ARIA and a TrueBeam LINAC. With a lean budget, it was necessary for the physics group to take on the project management responsibilities in order save costs. This work highlights the lessons learned during the planning and execution of our project. Methods: Like many hospitals around the county, our hospital was caught in the economic downturn and was unable to provide all of the capital necessary to upgrade to the radiation oncology department. However, with the support of the hospital foundation, a total of $6M was secured for new LINAC, ARIA and CT simulator. To save costs on facilities and computers, it was necessary for the physics group to be involved in creating architectural drawings for shielding calculations, finding a vendor to remove the old linac, assisting the foundation to raise money, submission of the ‘Certificate of Need’ approval with the state, negotiation with vendors, IT infrastructure, reviews with the general contractor and vendor's project team, and ultimately writing the commissioning reports for the new systems as well as developing new policies and procedures. Results: During a period of 4 months, the old LINAC was removed, facility renovations made, the TrueBeam linac was installed, accepted, and commissioned and first patients were treated. In addition, we transitioned from a film/Paper Environment to a Paperless Environment. However, this was very stressful for staff and it may be advisable to stage such a project over a longer period of time. There was also significant lost revenue (∼$2M) during downtime of construction, installation, and commissioning. Conclusions: The radiation oncology department was upgraded (The Beauty) on a tight budget but at the cost of added stress (The Beast) to the staff.

Elizabeth M. Borycki - One of the best experts on this subject based on the ideXlab platform.

  • Evaluating the impact of hybrid electronic-Paper Environments upon novice nurse information seeking.
    Methods of information in medicine, 2009
    Co-Authors: Elizabeth M. Borycki, Louise Lemieux-charles, Lynn M. Nagle, Gunther Eysenbach
    Abstract:

    The purpose of this study was to investigate the effects of hybrid Environments (i.e. where part of the patient record is Paper-based and part of it is electronic) upon aspects of novice nurse information seeking (i.e. amount of information accessed, choice of key information sources, type of information and use of information seeking tactics). A within group, laboratory, experimental study was conducted using two simulated Environments (i.e. a Paper Environment and a hybrid Environment). Thirty-five novice nurses participated in the study. Findings revealed significant differences between the Paper and hybrid Environments in terms of their effects upon aspects of novice nurse information seeking. Subjects accessed: 1) less information in the hybrid Environment than the Paper Environment, 2) more non-electronic sources of information were accessed by novice nurses in the hybrid Environment, and 3) novice nurses used more passive information seeking tactics in the hybrid Environment than the Paper Environment. Qualitative findings from the cued recall data revealed subjects experienced increased cognitive load in the hybrid Environment. Hybrid Environments may affect aspects of novice nurse information seeking. Future research should explore the effects of hybrid Environments upon the information seeking of other types of health professionals (e.g. physicians, physiotherapists) with differing levels of expertise (i.e. novice, intermediate and expert).

  • MIE - Does a hybrid electronic-Paper Environment impact on health professional information seeking?
    Studies in health technology and informatics, 2008
    Co-Authors: Elizabeth M. Borycki, Louise Lemieux-charles
    Abstract:

    UNLABELLED The purpose of this study was to investigate the effects of a hybrid electronic-Paper patient record Environment upon health professional information seeking (i.e. amount of information accessed, choice of key sources of information, type of information and use of information seeking tactics). A within group, laboratory, experimental study was conducted using two simulation Environments (i.e. a Paper patient record and a hybrid or electronic-Paper Environment). Thirty-five novice nurses participated in this within group, laboratory based study. Findings revealed significant differences between the Paper and hybrid Environments in terms of their effects upon information seeking. SUBJECTS (1) accessed less data in the hybrid than the Paper Environment, (2) accessed more non-electronic sources than electronic sources of information in the hybrid Environment, and (3) used more passive information seeking tactics in the hybrid than the Paper Environment. Findings from the cued recall data revealed subjects experienced increased cognitive load in the hybrid Environment. Implications for the design of hybrid Environments are discussed.

Gunther Eysenbach - One of the best experts on this subject based on the ideXlab platform.

  • Evaluating the impact of hybrid electronic-Paper Environments upon novice nurse information seeking.
    Methods of information in medicine, 2009
    Co-Authors: Elizabeth M. Borycki, Louise Lemieux-charles, Lynn M. Nagle, Gunther Eysenbach
    Abstract:

    The purpose of this study was to investigate the effects of hybrid Environments (i.e. where part of the patient record is Paper-based and part of it is electronic) upon aspects of novice nurse information seeking (i.e. amount of information accessed, choice of key information sources, type of information and use of information seeking tactics). A within group, laboratory, experimental study was conducted using two simulated Environments (i.e. a Paper Environment and a hybrid Environment). Thirty-five novice nurses participated in the study. Findings revealed significant differences between the Paper and hybrid Environments in terms of their effects upon aspects of novice nurse information seeking. Subjects accessed: 1) less information in the hybrid Environment than the Paper Environment, 2) more non-electronic sources of information were accessed by novice nurses in the hybrid Environment, and 3) novice nurses used more passive information seeking tactics in the hybrid Environment than the Paper Environment. Qualitative findings from the cued recall data revealed subjects experienced increased cognitive load in the hybrid Environment. Hybrid Environments may affect aspects of novice nurse information seeking. Future research should explore the effects of hybrid Environments upon the information seeking of other types of health professionals (e.g. physicians, physiotherapists) with differing levels of expertise (i.e. novice, intermediate and expert).

Louise Lemieux-charles - One of the best experts on this subject based on the ideXlab platform.

  • Evaluating the impact of hybrid electronic-Paper Environments upon novice nurse information seeking.
    Methods of information in medicine, 2009
    Co-Authors: Elizabeth M. Borycki, Louise Lemieux-charles, Lynn M. Nagle, Gunther Eysenbach
    Abstract:

    The purpose of this study was to investigate the effects of hybrid Environments (i.e. where part of the patient record is Paper-based and part of it is electronic) upon aspects of novice nurse information seeking (i.e. amount of information accessed, choice of key information sources, type of information and use of information seeking tactics). A within group, laboratory, experimental study was conducted using two simulated Environments (i.e. a Paper Environment and a hybrid Environment). Thirty-five novice nurses participated in the study. Findings revealed significant differences between the Paper and hybrid Environments in terms of their effects upon aspects of novice nurse information seeking. Subjects accessed: 1) less information in the hybrid Environment than the Paper Environment, 2) more non-electronic sources of information were accessed by novice nurses in the hybrid Environment, and 3) novice nurses used more passive information seeking tactics in the hybrid Environment than the Paper Environment. Qualitative findings from the cued recall data revealed subjects experienced increased cognitive load in the hybrid Environment. Hybrid Environments may affect aspects of novice nurse information seeking. Future research should explore the effects of hybrid Environments upon the information seeking of other types of health professionals (e.g. physicians, physiotherapists) with differing levels of expertise (i.e. novice, intermediate and expert).

  • MIE - Does a hybrid electronic-Paper Environment impact on health professional information seeking?
    Studies in health technology and informatics, 2008
    Co-Authors: Elizabeth M. Borycki, Louise Lemieux-charles
    Abstract:

    UNLABELLED The purpose of this study was to investigate the effects of a hybrid electronic-Paper patient record Environment upon health professional information seeking (i.e. amount of information accessed, choice of key sources of information, type of information and use of information seeking tactics). A within group, laboratory, experimental study was conducted using two simulation Environments (i.e. a Paper patient record and a hybrid or electronic-Paper Environment). Thirty-five novice nurses participated in this within group, laboratory based study. Findings revealed significant differences between the Paper and hybrid Environments in terms of their effects upon information seeking. SUBJECTS (1) accessed less data in the hybrid than the Paper Environment, (2) accessed more non-electronic sources than electronic sources of information in the hybrid Environment, and (3) used more passive information seeking tactics in the hybrid than the Paper Environment. Findings from the cued recall data revealed subjects experienced increased cognitive load in the hybrid Environment. Implications for the design of hybrid Environments are discussed.