scholarly journals Knowledge Management in the Healthcare System

2021 ◽  
Author(s):  
Marija Lugonjić ◽  
Tatjana Jovanović ◽  
Vera Krmpot
Keyword(s):  
Health Care ◽  
Knowledge Management ◽  
Information Science ◽  
Health Knowledge ◽  
Record Management ◽  
Information Systems Management ◽  
Knowledge Processes ◽  
Policy Information ◽  
Health Organization ◽  
Access To Data

Knowledge management refers to all management activities necessary for the effective creation, capture, exchange and management of knowledge. Knowledge management has always been the most important issue in human societies. Knowledge management became a discipline during the 80s, and the growing role of information technology has enabled the development of efficient KM tools using databases and common software. The current concept of knowledge management emerged, however, in the early 1990s and covered various fields such as business administration, public policy, information systems management, libraries, and information science. In health care, KM is developed mainly in the field of electronic health record management and management of the health organization. In this context, previous research in the business domain has been adapted and applied to health knowledge management. But health care poses different challenges and questions to KM because of its own nature). For the WHO, the main purpose of knowledge management is to bridge knowledge gaps between and within countries. Knowledge management deals with the development of systems and processes used to promote originality, creativity, intelligence and learning. The discipline of knowledge management has three main components (WHO): • People: who create, share and use knowledge and who collectively form an organizational culture that nurtures and encourages the exchange of knowledge; • Processes: methods for acquiring, creating, organizing, exchanging and transferring knowledge; • Technology: mechanisms that store and enable access to data, information and knowledge created by people in various locations.

scholarly journals Literature review on Health Knowledge Management in the last 10 years (2009-2019)

2021 ◽  
Vol 18 (3) ◽  
pp. pp338-355
Author(s):  
Albérico Manuel Fernandes Travassos Rosário ◽  
Filipa Isabel de Almeida Fernandes Vilaça ◽  
Ricardo Raimundo ◽  
Rui Manuel Nunes Cruz
Keyword(s):  
Health Care ◽  
Knowledge Management ◽  
Occupational Safety ◽  
Health Knowledge ◽  
Hospital Management ◽  
Research Area ◽  
Management Decision ◽  
Information Culture ◽  
Health Care Institutions ◽  
Scopus Database

Health care institutions (HCI in further text) are in constant interplay with their context, generating ensuing opportunities and threats. Knowledge management has been paramount when it comes to integrating state-of-art technologies in order to improve system efficiency and decision processes in hospital management outputs. Thus, it is pivotal to explain the role of knowledge management in hospital management. Research of peer-reviewed articles published from 2009 to 2019, and obtained via the Scopus database, was carried out based on two key subjects, ‘knowledge management’ and ‘health care institutions’. The research was performed through a descriptive, quantitative and qualitative analysis of the most cited 47 scientific articles found in the SCOPUS database. We conclude that 'knowledge management' (KM in further text) has become an important research area in terms of HCI management. The article identifies the central themes in KM research in HCI. However, the area on KM literature is highly fragmented, requiring development. Based on an analysis of the collected literature, we identified the key research themes and resulting development patterns, namely, the integration and interoperability of knowledge from different sources into a single platform, occupational safety, the need to ascertain quality and pertinent information among general web information, culture and social behaviour and data security. We posit that KM effectively facilitates the utilization of healthcare information resources and management decision making in hospitals.

Information and knowledge processes as a knowledge management framework in health care

2017 ◽  
Vol 73 (4) ◽  
pp. 748-766 ◽  
Author(s):  
Helena Känsäkoski
Keyword(s):  
Health Care ◽  
Knowledge Management ◽  
Lifestyle Changes ◽  
University Hospital ◽  
Health Care Information ◽  
Content Type ◽  
New Model ◽  
Knowledge Processes ◽  
Modern Health Care ◽  
Integrated Care Pathways

Purpose Effective knowledge management (KM) enables the health care organisations to reach their goals. In modern health care the empowered patients are active partners, whose preferences, needs and values should be taken into account. Shared decision making (SDM) aims at involving the patient and the health professionals as equal partners in care. The purpose of this paper is to present a new model of health care information and knowledge processes (IKPs) as a KM framework. The aim is to scrutinise what types of knowing can be identified the IKPs and how do the knowledge processes support SDM. The role of patients in the IKPs is discussed. Design/methodology/approach The qualitative case study was conducted in two Finnish university hospital districts in integrated care pathways of childhood obesity. In total, 30 professionals and three mothers and children were interviewed 2009-2011 and the findings were supported with a survey (n=13) and document material. Findings The findings indicate that the patients and families involvement in the IKPs is modest. This implies that SDM is not completely fulfilled which may affect the families commitment to positive lifestyle changes. Research limitations/implications The data of the patients and families were limited due to the challenges with recruitment. Practical implications The detailed IKP model enables the health organisations to scrutinise their own IKPs and to identify the shortages in order to change practices. Originality/value This paper presents a new model of health care KM which recognises the patients as active partners.

Health and Medical Informatics Education

1994 ◽  
Vol 33 (03) ◽  
pp. 246-249 ◽  
Author(s):  
R. Haux ◽  
F. J. Leven ◽  
J. R. Moehr ◽  
D. J. Protti
Keyword(s):  
Health Care ◽  
Health Information ◽  
Medical Informatics ◽  
Health Informatics ◽  
Information Science ◽  
Management Program ◽  
Science Program ◽  
Special Issue ◽  
Academic Degree ◽  
The University

Abstract:Health and medical informatics education has meanwhile gained considerable importance for medicine and for health care. Specialized programs in health/medical informatics have therefore been established within the last decades.This special issue of Methods of Information in Medicine contains papers on health and medical informatics education. It is mainly based on selected papers from the 5th Working Conference on Health/Medical Informatics Education of the International Medical Informatics Association (IMIA), which was held in September 1992 at the University of Heidelberg/Technical School Heilbronn, Germany, as part of the 20 years’ celebration of medical informatics education at Heidelberg/Heilbronn. Some papers were presented on the occasion of the 10th anniversary of the health information science program of the School of Health Information Science at the University of Victoria, British Columbia, Canada. Within this issue, programs in health/medical informatics are presented and analyzed: the medical informatics program at the University of Utah, the medical informatics program of the University of Heidelberg/School of Technology Heilbronn, the health information science program at the University of Victoria, the health informatics program at the University of Minnesota, the health informatics management program at the University of Manchester, and the health information management program at the University of Alabama. They all have in common that they are dedicated curricula in health/medical informatics which are university-based, leading to an academic degree in this field. In addition, views and recommendations for health/medical informatics education are presented. Finally, the question is discussed, whether health and medical informatics can be regarded as a separate discipline with the necessity for specialized curricula in this field.In accordance with the aims of IMIA, the intention of this special issue is to promote the further development of health and medical informatics education in order to contribute to high quality health care and medical research.

Preparing Hospitals in India for Covid-19 Pandemic

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 333-341
Author(s):  
Akanksha Nibudey ◽  
Vidya Baliga S
Keyword(s):  
Health Care ◽  
Emergency Preparedness ◽  
Healthcare Delivery ◽  
Direct Impact ◽  
Hospital Emergency ◽  
Current Outbreak ◽  
Operational Practices ◽  
Health Organization ◽  
Care Capacity ◽  
Hospital Emergency Preparedness

Hospitals have important part in the human health organization toprovide necessary treatmentfor public, mainly in a calamity. During the current outbreak of COVID-19, and is in giving important needs and supplies will possibly interrupt the providing critical treatment due to not organized health-care capacity. Along with, a greater amount of personnelabsence can be predictable. A lack of important kits and materials can lead to restricted supplies to desirable care and have a direct impact on healthcare delivery. Anxiety can lead to possibly hamper recognized operational practices. Also in hospitals dealing with COVID 19 pandemic can be a difficulty. In spite of the challenging difficulties and problems expected, the positive and organized execution of important basic and definite arrangements can aid successful hospital-based organization for the period of a speedily progressing epidemic. Hospital emergency preparedness is a constant progression that association to the complete preparedness platform. Several principles and suggestions drawn in this article are general and appropriate to other incidents. The article gives checklist which is proposed to manage current situationby hospital emergency preparation platforms.

Oral Health in Rheumatoid Arthritis: Listening to Patients

2021 ◽  
pp. 238008442110126
Author(s):  
J.L.P. Protudjer ◽  
C. Billedeau ◽  
K. Hurst ◽  
R. Schroth ◽  
C. Stavropoulou ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Health Care ◽  
Oral Health ◽  
Periodontal Disease ◽  
Health Knowledge ◽  
Care Delivery ◽  
Oral Care ◽  
Oral Health Care ◽  
Personal Hygiene ◽  
Health Maintenance

Introduction: Rates of periodontal disease and tooth loss are increased in individuals with rheumatoid arthritis (RA). Understanding factors that contribute to the increased burden of periodontal disease in RA is critical to improving oral health and arthritis outcomes. Objectives: To determine the perceptions held by people with RA relating to their oral health, to identify patient-centered priorities for oral health research, and to inform optimal strategies for delivering oral health knowledge. Methods: Semistructured interviews were conducted with patients with RA. Recorded interview transcripts were iteratively reviewed to reveal surface and latent meaning and to code for themes. Constructs were considered saturated when no new themes were identified in subsequent interviews. We report themes with representative quotes. Results: Interviews were conducted with 11 individuals with RA (10 women [91%]; mean age, 68 y), all of whom were taking RA medication. Interviews averaged 19 min (range, 8 to 31 min) and were mostly conducted face-to-face. Three overall themes were identified: 1) knowledge about arthritis and oral health links; 2) oral health care in RA is complicated, both in personal hygiene practices and in professional oral care; and 3) poor oral health is a source of shame. Participants preferred to receive oral health education from their rheumatologists or dentists. Conclusions: People with RA have unique oral health perceptions and experience significant challenges with oral health care due to their arthritis. Adapting oral hygiene recommendations and professional oral care delivery to the needs of those with arthritis are patient priorities and are required to improve satisfaction regarding their oral health. Knowledge Translation Statement: Patients living with long-standing rheumatoid arthritis described poor oral health–related quality of life and multiple challenges with maintaining optimal oral health. Study findings indicate a need for educational materials addressing oral health maintenance for patients with rheumatic diseases and their providers.

Pharmaceutical Data Integrity: issues, challenges and proposed solutions for manufacturers and inspectors

2020 ◽  
Vol 9 (4) ◽  
pp. 171-182
Author(s):  
Sia Chong Hock ◽  
Vernon Tay ◽  
Vimal Sachdeva ◽  
Chan Lai Wah
Keyword(s):  
Manufacturing Industry ◽  
Management Practices ◽  
Data Integrity ◽  
Database Management System ◽  
World Health ◽  
Record Management ◽  
Guidance Documents ◽  
Health Organization ◽  
Biopharmaceutical Manufacturing ◽  
The Uk

Data Integrity, which is data deemed Attributable, Legible, Contemporaneous, Original, Accurate, Complete, Consistent, Enduring, and Available (ALCOA-plus), has been the focus of the pharmaceutical industry in recent years. With the growing use of computerized systems and rising prevalence of outsourcing manufacturing processes, ensuring data integrity is becoming more challenging in an increasingly complex pharmaceutical manufacturing industry. To address this issue, multiple legislation and guidance documents such as ‘Data Integrity and Compliance with CGMP Guidance for Industry’ from the US Food and Drug Administration (FDA), ‘GxP’ Data Integrity Guidance and Definitions from the UK Medicines & Healthcare products Regulatory Agency (MHRA), and ‘Guidance on Good Data and Record Management Practices’ from the World Health Organization (WHO), have been published in recent years. However, with rising data integrity issues observed by FDA, WHO, MHRA and other pharmaceutical inspectors even after these guidance documents have been published, their overall effectiveness is yet to be determined. This paper compares and evaluates the legislation and guidance currently in existence; and discusses some of the potential challenges pharmaceutical manufacturers face in maintaining data integrity with such legislation and guidance in place. It appears that these legislation and guidance are insufficient in maintaining data integrity in the industry when used alone. Last, but not least, this paper also reviews other solutions, such as the need for a company culture of integrity, a good database management system, education and training, robust quality agreements between contract givers and acceptors, and performance of effective audits and inspections, to aid in maintaining data integrity in the manufacturing industry. These proposed solutions, if successfully implemented, can address the issues associated with data integrity, and raise the standard of pharmaceutical and biopharmaceutical manufacturing worldwide.

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