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Au travers de mon expérience au sein d’un service de Santé au Travail interentreprises, l’objectif de ce mémoire sur l’informatisation médicale est quadruple
1.Il est destiné à montrer quelles peuvent être les inévitables difficultés rencontrées lors de cette mutation que constitue le passage du papier à l’informatique. Les problèmes sont principalement techniques et humains. Techniques car l’outil est complexe et notre activité diverse et variable. Humains car les médecins sont parfois inexpérimentés en informatique et éventuellement réticents à partager leurs informations
2.Il recense les points positifs retirés en terme de rapidité, de disponibilité, de précision du dossier médical et des actions en milieu de travail et plus généralement de la communication interne et externe.
3.Il décrit quelle a été ma participation en tant que médecin référent informatique, par la mise au point de procédures, par la réalisation de documents et d’ateliers de soutien et par la conception d’enquêtes de satisfaction et d’utilisation.
4.Il donne des conseils qui pourraient être utiles à d’autres qui voudraient se lancer dans cette aventure où un médecin du travail peut jouer un rôle majeur.
En effet l’informatisation de la santé au travail étant incontournable, les médecins ont intérêt à être acteurs de cette mutation pour une meilleure efficacité et pour leur plus grande satisfaction comme ce fus dans notre service

Medical Informatics Applications --- Occupational Health

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Successful healthcare problem solving often depends on immediate access to information. Unable to consult a library while in a clinical setting, healthcare practitioners and managers must learn to effectively manage knowledge and think on their toes. Knowledge Management (KM) is an ideal system to tap the tacit knowledge individuals hold and distribute this collective wisdom throughout a healthcare institution. Healthcare Knowledge Management: Issues, Advances, and Successes assembles a group of international contributors to explain KM and offer contemporary, clinically relevant lessons in organizational implementation. This book illustrates the effectiveness of KM by investigating real life healthcare-based systems that highlight the diversity of KM applications in the healthcare sector. Healthcare Knowledge Management is a uniquely integrative text—both a tutorial on concepts, theories, and research as well as a practical guide to managing and developing KM in the healthcare setting. Topics covered in this book include: -Clinical Knowledge Management – a model for primary care -The hidden power of social networks and knowledge sharing in health care -Constructing healthcare knowledge -Electronic patient records -Case studies from around the world Rajeev K. Bali, PhD, Senior Lecturer, Coventry University, UK; Leader, Knowledge Management for Healthcare Research subgroup of the Biomedical Computing Research Group (BIOCORE). Ashish N. Dwivedi, PhD, Lecturer, University of Hull, UK.

Medicine & Public Health. --- Health Informatics. --- Medicine. --- Medical records --- Médecine --- Dossiers médicaux --- Data processing. --- Informatique --- Knowledge management. --- Medical informatics. --- Medical informatics --- Knowledge management --- Information Management --- Information Storage and Retrieval --- Health Facility Administration --- Public Health Informatics --- Medical Informatics --- Information Science --- Informatics --- Health Facilities --- Medical Informatics Applications --- Organization and Administration --- Health Services Administration --- Health Care Facilities, Manpower, and Services --- Health Care --- Medical & Biomedical Informatics --- Medicine --- Health & Biological Sciences --- Management of knowledge assets --- Clinical informatics --- Health informatics --- Medical information science --- Health informatics. --- Management --- Information technology --- Intellectual capital --- Organizational learning --- Information science --- Data processing

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Diabetes is a disease that is now regarded an epidemic in the world and a sign- icant e?ort is directed towards ?nding better ways to manage diabetes. Keeping bloodglucoselevelsasclosetonormalaspossible,leadstoasubstantialdecrease in long term complications of diabetes and can bring signi?cant cost reductions associated with the disease. Traditionally, managing diabetes has been through intermittent monitoring of blood glucose and then administering an appropriate dose of insulin into the blood stream. This method of intermittent monitoring and administration of insulin cannot ensure blood glucose remains at near n- mal levels at all times and therefore, there is considerable interest in managing diabetes on a continuous basis. The development of arti?cial organs/apparatus that regulate human’s blood glucose level has been in progress since 1960. The aim was to measure blood glucose level ex vivo and then injecting an appropriate amount of insulin to the hyperglycaemic patient, thereby correcting the high glucose level. This aim of closing the “loop” is still being challenged by technological barriers even today, and progress are being made constantly both in overcoming the challenges and understanding more about the workings of glucose-regulatory system. The purpose of this book is to introduce the ?eld of closed-loop blood g- cose control, in a simple manner, to the reader. This includes the hardware and software components that make up the control system (see Chapter 2). The hardware components involved the di?erent types of glucose sensor (- vasive, minimally-invasive and non-invasive) and the di?erent types of insulin.

Insulin Infusion Systems --- Blood Glucose --- Diabetes Mellitus --- Drug Therapy, Computer-Assisted --- Monitoring, Physiologic --- Blood sugar monitoring --- Insulin pumps --- Glycémie --- analysis --- drug therapy --- methods --- Technological innovations --- Surveillance --- Innovations --- Drug Therapy --- Methods --- Glucose --- Therapy, Computer-Assisted --- Infusion Pumps --- Glucose Metabolism Disorders --- Drug Delivery Systems --- Diagnostic Techniques and Procedures --- Investigative Techniques --- Endocrine System Diseases --- Therapeutics --- Equipment and Supplies --- Diagnosis --- Metabolic Diseases --- Hexoses --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Diseases --- Artificial Organs --- Decision Making, Computer-Assisted --- Medical Informatics Applications --- Monosaccharides --- Nutritional and Metabolic Diseases --- Surgical Equipment --- Medical Informatics --- Carbohydrates --- Chemicals and Drugs --- Information Science --- Clinical Endocrinology --- Medicine --- Health & Biological Sciences --- Insulin pumps. --- Technological innovations. --- Blood glucose self-monitoring --- Infusion pumps, Insulin --- Insulin infusion pumps --- Pumps, Insulin --- Engineering. --- System theory. --- Control engineering. --- Robotics. --- Mechatronics. --- Biomedical engineering. --- Biomedical Engineering. --- Control, Robotics, Mechatronics. --- Systems Theory, Control. --- Blood sugar --- Patient monitoring --- Drug infusion pumps --- Analysis --- Systems theory. --- Biomedical Engineering and Bioengineering. --- Clinical engineering --- Medical engineering --- Bioengineering --- Biophysics --- Engineering --- Systems, Theory of --- Systems science --- Science --- Philosophy --- Mechanical engineering --- Microelectronics --- Microelectromechanical systems --- Automation --- Machine theory --- Control engineering --- Control equipment --- Control theory --- Engineering instruments --- Programmable controllers --- Insulin Infusion Systems. --- Monitoring, Blood glucose --- Blood glucose --- Blood glucose monitoring

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Investing in eHealth: What it Takes to Sustain Consumer Health Informatics examines the evolution of the IHCS and the significant changes in organizational culture and operational systems that may be required for successful and sustained implementation. This book culminates a set of general guidelines for any health care provider striving to successfully employ the model, and suggests directions for future research on the diffusion of IHCSs and related technologies. Investing in eHealth provides a principled approach to support health care managers, clinicians, and educators interested in complementing clinical services with interactive health communication systems (IHCSs). David H. Gustafson, PhD, is a professor of Industrial Engineering and Preventive Medicine at the University of Wisconsin-Madison. He is also Director of the University’s Center of Excellence in Cancer Communication Research and Director of the National Program Office for the National Improvement Network for Addiction Treatment. Patricia Flatley Brennan, RN, PhD, is a Moehlman Bascom Professor for the School of Nursing and College of Engineering at the University of Wisconsin-Madison. She has also served as director of HeartCare and president of the American Medical Informatics Association. Robert Hawkins, PhD, is a professor at the School of Journalism and Mass Communication at the University of Wisconsin-Madison.

Consumer education. --- Health education. --- Medical informatics. --- Medicine --- Health & Biological Sciences --- Medical & Biomedical Informatics --- Medical informatics --- Consumer education --- Health education --- Informatics --- Medical Records --- Information Science --- Health Education --- Medical Informatics Applications --- Preventive Health Services --- Education, Nonprofessional --- Records as Topic --- Data Collection --- Organization and Administration --- Health Services --- Education --- Community Health Services --- Health Care Facilities, Manpower, and Services --- Epidemiologic Methods --- Health Care Evaluation Mechanisms --- Anthropology, Education, Sociology and Social Phenomena --- Health Services Administration --- Investigative Techniques --- Health Care --- Quality of Health Care --- Public Health --- Health Care Quality, Access, and Evaluation --- Environment and Public Health --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Medical Informatics --- Information Systems --- Medical Records Systems, Computerized --- Consumer Health Information --- Health --- Hygiene --- Buyers' guides --- Shoppers' guides --- Clinical informatics --- Health informatics --- Medical information science --- Study and teaching --- Medicine. --- Health informatics. --- Medicine & Public Health. --- Health Informatics. --- Communication in medicine --- Health promotion --- Preventive health services --- Consumer affairs departments --- Consumers' leagues --- Home economics --- Shopping --- Information science --- Data processing --- Medical records --- Data processing. --- EHR systems --- EHR technology --- EHRs (Electronic health records) --- Electronic health records --- Electronic medical records --- EMR systems --- EMRs (Electronic medical records) --- Information storage and retrieval systems --- Medical care