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Bedside database can increase speed of change. Peter Krcho MD,PhD Leslie Rock MS .. Jana Masrnova MS NICU Košice Slovakia. Successful collaboration. We need sustainability. Because there are still some unanswered questions… We must know what we are doing wrong…
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Bedside database can increase speed of change... Peter Krcho MD,PhD Leslie Rock MS .. Jana Masrnova MS NICU Košice Slovakia
We need sustainability... • Because there are still some unanswered questions… • We must know what we are doing wrong… • We need more time for bedside work… • Better storage and possible queries… • More discussion among nurses, physicians, and parents about our work… • We have no funds to create a big network...
Lab, X ray, USG images + scientific trial Based on Cochrane Library...
Show unusual cases... slide presented in 1999 in DC 740g…830g 540 g
Live video file about the psychomotoric condition of the ULBWN in age of 17 month aproxim 45..60 seconds
Structure of our small unit network • 3 computers – in one network – 3 places for data input ... Physicians, Nurses, Administration • Based on Access 97 • Paper paradox – the most serious problem • CD data storage – weekly? daily ?
Obstacles • Always new paper sheets neccessary • Who will care about the data? • How could we teach the staff? • Digital data not accepted for storage • Paper paradox • Different views of the generations
Who and how will help us • Nurses and younger staff = more flexible generation • Economic situation • We are starting with partial activity • We must show the advantages ... the staff has no idea what “database“ means • Economic support from foundations and international collaboration
Sustainability – Dissemination – Learning ! • E mail consultations • MICHIGAN, NEW YORK, PROVIDENCE • X rays, ultrasounds, CT, live video files • Digital pictures • Always detailed information about the outcome