Practical Guide to Clinical Computing Systems

2nd Edition

Design, Operations, and Infrastructure

Editors: Thomas Payne
Hardcover ISBN: 9780124202177
eBook ISBN: 9780127999197
Imprint: Academic Press
Published Date: 7th November 2014
Page Count: 242
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Although informatics trainees and practitioners who assume operational computing roles in their organization may have reasonably advanced understanding of theoretical informatics, many are unfamiliar with the practical topics - such as downtime procedures, interface engines, user support, JCAHO compliance, and budgets - which will become the mainstay of their working lives.

Practical Guide to Clinical Computing Systems 2nd edition helps prepare these individuals for the electronic age of health care delivery. It is also designed for those who migrate into clinical computing operations roles from within their health care organization. A new group of people interested in this book are those preparing for Clinical Informatics board certification in the US.

The work provides particular differentiation from the popular first edition in four areas:

  • 40% more content detailing the many practical aspects of clinical informatics.
  • Addresses the specific needs of the Clinical Informatics board certification course – for which it is presently recommended by the ABPM
  • Focus on new tech paradigms including cloud computing and concurrency – for this rapidly changing field.

Key Features

  • Focuses on the practical aspects of operating clinical computing systems in medical centers rather than abstruse theory.
  • Provides deepened and broadened authorship with a global panel of contributors providing new wisdom and new perspectives - reflecting inclusion of the first edition on the clinical informatics study guide materials.
  • Presents a practical treatment of workday but often unfamiliar issues – downtime procedures, interface engines, user support, JCAHO compliance, and budgets.


An essential tool for practitioners applying current informatics methodologies in clinical settings, those preparing for clinical informatics board certification, those migrating to healthcare computing within their organization, and other interested professionals.

Table of Contents

  • Dedication
  • Preface to the Second Edition
  • Preface to the First Edition
  • Chapter 1: Introduction and Overview of Clinical Computing Systems within a Medical Center

    • Abstract
    • 1 The healthcare setting
    • 2 Rising dependence on clinical computing systems
    • 3 The importance of computing operations and support
    • 4 Importance of monitoring performance
    • 5 Real-world problems and their implications
    • 6 Introducing clinical computing systems can introduce errors
    • 7 We need greater emphasis on safe operations of clinical computing systems
  • Chapter 2: Architecture of Clinical Computing Systems

    • Abstract
    • 1 What is architecture, and why is it important?
    • 2 Architectural models
    • 3 Architecture of computing systems in healthcare organizations
    • 4 End-user applications: strengths/weaknesses of web and other development choices
    • 5 Examples of clinical computing architectures
  • Chapter 3: Creating and Supporting Interfaces

    • Abstract
    • 1 Integrating and interfacing applications
    • 2 HL7 in the real-world
    • 3 What is needed to succeed with interface development
    • 4 Other standards
    • 5 Data exchange and meaningful use
    • 6 Final thoughts regarding interfaces
  • Chapter 4: Infrastructure

    • Abstract
    • 1 Introduction
    • 2 Data centers
    • 3 Servers, operating systems, and databases
    • 4 Managing the desktop and other clients
    • 5 Backup, redundancy, disaster planning, and recovery
    • 6 Operations
    • 7 Cloud computing and outsourcing
    • 8 Summary
  • Chapter 5: Security

    • Abstract
    • 1 Introduction
    • 2 Security
    • 3 Summary
  • Chapter 6: From Project to Operations: Planning to Avoid Problems

    • Abstract
    • 1 Introduction
    • 2 Syste


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About the Editor

Thomas Payne

Affiliations and Expertise

University of Washington, Seattle, USA