scholarly journals Construction of Clinical Pathway Information Management System under the Guidance of Evidence-Based Medicine

2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Xinyu Wang ◽  
Jie Chen ◽  
Fang Peng ◽  
Jingtai Lu
Keyword(s):  
Adverse Events ◽  
Information Management ◽  
Clinical Pathway ◽  
Evidence Based Medicine ◽  
Medical Staff ◽  
Management System ◽  
Information Management System ◽  
Evidence Based ◽  
Work Efficiency ◽  
Based Medicine

This study focuses on clinical pathways guided by evidence-based medicine (EBM). With the clinical pathway as the center, the subjective and objective medical knowledge of medical staff are collected, and a clinical pathway management system guided by EBM is established through a unified process; user demand analysis; main considerations; implementation, evaluation, and monitoring of the clinical path; and dictionary maintenance, to help hospitals fully regulate medical behaviors. Next, the study displays the path access prompt box, area 1 management page, table management page, exit prompt box, mutation record page, doctor order interface, revocation of execution, and monitoring interface, and the system designed is compared with the Beijing Shankang Technology (ASK) clinical data management system in terms of user experience. The results showed that the reporting rate of medical adverse events in the system in this study was 0.21%, and the work efficiency was increased by 14%. In terms of users’ satisfaction, the hospital managers’ satisfaction was 84 ± 5.36%, and it was 95 ± 4.72% for medical staff and 88 ± 4.91% for system administrators, superior to the ASK system; the differences were statistically significant ( P < 0.05 ). In conclusion, the clinical pathway information management system is in line with the working environment of medical staff, and the synchronous monitoring and management of medical quality are achieved through digital means, which can reduce the occurrence of medical adverse events and improve the work efficiency of medical staff.

scholarly journals Design and Application of Information Management System Based on ASP.NET

2012 ◽  
Vol 6-7 ◽  
pp. 948-951 ◽  
Author(s):  
Guang Zhao ◽  
Hong Yuan Huang
Keyword(s):  
Information Management ◽  
Staff Training ◽  
Management System ◽  
Office Automation ◽  
Information Management System ◽  
New Method ◽  
Work Efficiency ◽  
Design Project ◽  
Design And Application

With ASP.NET and ADO.NET technologies the staff training information management system was developed, realize the network office automation, make the information management betimes, and improve the work efficiency. The function peculiarity and design project of the system were discussed deeply, and put forward a new method of ASP.NET application.

scholarly journals Clinical Pathway Based on Evidence-Based Medicine (EBM) for Chemotherapy for Lung Cancer

2004 ◽  
Vol 124 (12) ◽  
pp. 973-981 ◽  
Author(s):  
Mari KOGO ◽  
Yumi SAITO ◽  
Yuka KASHIWABARA ◽  
Kayoko KOICHI ◽  
Ikue ICHIKAWA ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Clinical Pathway ◽  
Evidence Based Medicine ◽  
Evidence Based ◽  
Based Medicine

Sense and non-sense of polypharmacy: increasing efficacy, decreasing compliance?

2003 ◽  
Vol 18 (S2) ◽  
pp. 54s-61s ◽  
Author(s):  
Patrice Boyer
Keyword(s):  
Side Effects ◽  
Adverse Events ◽  
Evidence Based Medicine ◽  
Symptom Control ◽  
Single Agent ◽  
Effective Control ◽  
Evidence Based ◽  
Drug Classes ◽  
Psychotropic Agents ◽  
Based Medicine

The objective in managing patients with schizophrenia is to provide effective control of symptoms and enable the patient to reintegrate into society. Pharmacotherapy should, therefore, aim to provide optimum symptom control with minimal side effects using a simple dosage regimen. Ideally, this would be achieved through the use of a single agent. Some patients are successfully managed with a single antipsychotic drug, but it is often necessary or thought to be necessary to use a combination of agents to provide effective treatment. One European survey reported that most patients receive two to three psychotropic agents on average, but at least 5-22% receive five or more agents [53]. Unfortunately, the addition of more agents increases the risk of drug interactions, adverse events and non-compliance. This is amplified by the paucity of evidence-based medicine currently available to guide physicians in the use of combinations of agents, and the tendency of polypharmaceutical practice to be mostly driven by personal preference, clinical experience and marketing. This article therefore briefly looks at the feasibility of using various drug classes as adjunctive therapy in patients with schizophrenia.

scholarly journals Does the Implementation of Clinical Pathways Affect Hierarchical Structures Within a Surgical Department? A Qualitative Study

2019 ◽  
Vol 103 (1-2) ◽  
pp. 48-55
Author(s):  
Ulrich Ronellenfitsch ◽  
Adrian Loerbroks ◽  
Matthias Schwarzbach
Keyword(s):  
Clinical Pathway ◽  
Evidence Based Medicine ◽  
Clinical Pathways ◽  
Hierarchical Structures ◽  
Clinical Approach ◽  
Evidence Based ◽  
Surgical Department ◽  
Care Plans ◽  
Junior Staff ◽  
Based Medicine

Objective: To explore effects of the implementation of clinical pathways (CPs) on hierarchical structures within a surgical department. Summary of background data: CPs are care plans stipulating diagnostic and therapeutic measures along a time axis for a given condition or procedure. They are widely used in surgery. There is limited evidence to what extent CP implementation has an effect on hierarchical structures within surgical departments. Methods: Semistructured individual interviews were conducted with key members of a CP project team in a large academic surgery department. Interviews were carried out by an external researcher to increase the likelihood of obtaining unbiased opinions. Using an interview guide, it was ensured that respondents provided opinions on various issues related to CP implementation, including hierarchical relationships within the department, but also between caregivers and patients. The transcribed text was independently content analyzed by 2 researchers who converged their findings. Results: Clinical pathway implementation changed perceived surgical hierarchy from a top-down to a participatory approach. However, it was acknowledged that some form of hierarchy is required to ensure successful clinical pathway implementation. Respondents felt that clinical pathways changed surgical culture from a largely eminence-based to more evidence-based medicine. Conclusions: The implementation of CPs potentially affects several dimensions of surgical hierarchy. It changes “traditional” surgical hierarchy and is associated with perception of increased autonomy and competency in junior staff. The clinical approach appears to shift from eminence- to evidence-based medicine. The knowledge about these changes is important for carrying out CP projects in surgery.

scholarly journals Capturing implementation knowledge: applying focused ethnography to study how implementers generate and manage knowledge in the scale-up of obesity prevention programs

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Kathleen P. Conte ◽  
Abeera Shahid ◽  
Sisse Grøn ◽  
Victoria Loblay ◽  
Amanda Green ◽  
...  
Keyword(s):  
Information Management ◽  
Population Health ◽  
Obesity Prevention ◽  
Management System ◽  
Large Scale ◽  
Prevention Programs ◽  
Information Management System ◽  
Evidence Based ◽  
Electronic Information ◽  
Obesity Prevention Programs

Abstract Background Bespoke electronic information management systems are being used for large-scale implementation delivery of population health programs. They record sites reached, coordinate activity, and track target achievement. However, many systems have been abandoned or failed to integrate into practice. We investigated the unusual endurance of an electronic information management system that has supported the successful statewide implementation of two evidence-based childhood obesity prevention programs for over 5 years. Upwards of 80% of implementation targets are being achieved. Methods We undertook co-designed partnership research with policymakers, practitioners, and IT designers. Our working hypothesis was that the science of getting evidence-based programs into practice rests on an in-depth understanding of the role programs play in the ongoing system of local relationships and multiple accountabilities. We conducted a 12-month multisite ethnography of 14 implementation teams, including their use of an electronic information management system, the Population Health Information Management System (PHIMS). Results All teams used PHIMS, but also drew on additional informal tools and technologies to manage, curate, and store critical information for implementation. We identified six functions these tools performed: (1) relationship management, (2) monitoring progress towards target achievement, (3) guiding and troubleshooting PHIMS use, (4) supporting teamwork, (5) evaluation, and (6) recording extra work at sites not related to program implementation. Informal tools enabled practitioners to create locally derived implementation knowledge and provided a conduit between knowledge generation and entry into PHIMS. Conclusions Implementation involves knowing and formalizing what to do, as well as how to do it. Our ethnography revealed the importance of hitherto uncharted knowledge about how practitioners develop implementation knowledge about how to do implementation locally, within the context of scaling up. Harnessing this knowledge for local use required adaptive and flexible systems which were enabled by informal tools and technologies. The use of informal tools also complemented and supported PHIMS use suggesting that both informal and standardized systems are required to support coordinated, large-scale implementation. While the content of the supplementary knowledge required to deliver the program was specific to context, functions like managing relationships with sites and helping others in the team may be applicable elsewhere.

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