scholarly journals Stay at Home Reservation: The Mitigation Step in Covid-19 Pandemic

2021 ◽  
Vol 8 (1) ◽  
pp. 35-41
Author(s):  
Faridiah Aghadiati Fajri ◽  
Muhammad Fakhrurrifqi ◽  
Dian Budi Santoso ◽  
Radhian Krisnaputra
Keyword(s):  
Real Time ◽  
Medical Personnel ◽  
Physical Distance ◽  
Health Facilities ◽  
System Support ◽  
Waiting Room ◽  
Registration System ◽  
Time Queues ◽  
Queue Monitoring ◽  
Online Reservation

The Covid-19 pandemic condition that has hit the world has had a significant impact on various sectors. Health facilities need information system support in their services. Breaking the distribution chain can be done by maintaining a physical distance. However, in reality, people are still indifferent. There is a possibility that the patient is infected but shows no symptoms or is lying to the point of endangering medical personnel. In addition, there is a stigma in the community so that they are afraid to go to health facilities. Even though it cannot be denied that in certain conditions patients should still have their conditions checked by a doctor. The development of this online registration system aims to reduce the risk of contact between patients and medical personnel. The real-time queue monitoring feature helps patients to wait in line anywhere, so they are not in the patient's waiting room. This system is able to provide real-time queues for examinations in all polyclinics. This can reduce public anxiety about coming to health facilities.   Index Terms— Covid-19; Health Facilities; Online Reservation; Pandemic; Realtime Queues

scholarly journals Operational Research to Assess the Real-Time Impact of COVID-19 on TB and HIV Services: The Experience and Response from Health Facilities in Harare, Zimbabwe

2021 ◽  
Vol 6 (2) ◽  
pp. 94
Author(s):  
Pruthu Thekkur ◽  
Kudakwashe C. Takarinda ◽  
Collins Timire ◽  
Charles Sandy ◽  
Tsitsi Apollo ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Treatment Outcomes ◽  
Real Time ◽  
Treatment Success ◽  
Health Facilities ◽  
Case Detection ◽  
Monthly Data ◽  
Hiv Services ◽  
Tb Treatment ◽  
Set Up

When COVID-19 was declared a pandemic, there was concern that TB and HIV services in Zimbabwe would be severely affected. We set up real-time monthly surveillance of TB and HIV activities in 10 health facilities in Harare to capture trends in TB case detection, TB treatment outcomes and HIV testing and use these data to facilitate corrective action. Aggregate data were collected monthly during the COVID-19 period (March 2020–February 2021) using EpiCollect5 and compared with monthly data extracted for the pre-COVID-19 period (March 2019–February 2020). Monthly reports were sent to program directors. During the COVID-19 period, there was a decrease in persons with presumptive pulmonary TB (40.6%), in patients registered for TB treatment (33.7%) and in individuals tested for HIV (62.8%). The HIV testing decline improved in the second 6 months of the COVID-19 period. However, TB case finding deteriorated further, associated with expiry of diagnostic reagents. During the COVID-19 period, TB treatment success decreased from 80.9 to 69.3%, and referral of HIV-positive persons to antiretroviral therapy decreased from 95.7 to 91.7%. Declining trends in TB and HIV case detection and TB treatment outcomes were not fully redressed despite real-time monthly surveillance. More support is needed to transform this useful information into action.

Wearable sensors bring new benefits to continuous medical monitoring, real time physical activity assessment, baby monitoring and industrial applications

Sensor Review ◽  
2015 ◽  
Vol 35 (2) ◽  
pp. 141-145 ◽  
Author(s):  
Richard Bloss
Keyword(s):  
Real Time ◽  
Continuous Monitoring ◽  
Medical Condition ◽  
Wearable Sensors ◽  
Medical Personnel ◽  
Industrial Applications ◽  
Medical Monitoring ◽  
Content Type ◽  
Doctor's Office ◽  
Monitoring Technologies

Purpose – The purpose of this paper is to review the recent advancements in the development of wearable sensors which can continuously monitor critical medical, assess athletic activity, watch babies and serve industrial applications. Design/methodology/approach – The paper presents an in-depth review of a number of developments in wearable sensing and monitoring technologies for medical, athletic and industrial applications. Researchers and companies around the world were contacted to discuss their direction and progress in this field of medical condition and industrial monitoring, as well as discussions with medical personnel on the perceived benefits of such technology. Findings – Dramatic progress is being made in continuous monitoring of many important body functions that indicate critical medical conditions that can be life-threatening, contribute to blindness or access activity. In the industrial arena, wearable devices bring remote monitoring to a new level. Practical implications – Doctors will be able to replace one-off tests with continuous monitoring that provides a much better continuous real-time “view” into the patient’s conditions. Wearable monitors will help provide much better medical care in the future. Industrial managers and others will be able to monitor and supervise remotely. Originality/value – An expert insight into advancements in medical condition monitoring that replaces the one-time “finger prick” type testing only performed in the doctor’s office. It is also a look at how wearable monitoring is greatly improved and serving athletics, the industry and parents.

scholarly journals Dokter Tunggu, A Hospital Application for Patient of Healthcare and Social Security Agency

2021 ◽  
Vol 8 (8) ◽  
pp. 450-458
Author(s):  
Muhammad Riyadi ◽  
Rhian Indradewa ◽  
Tantri Yanuar Rahmat Syah
Keyword(s):  
Social Security ◽  
Real Time ◽  
Health Facilities ◽  
Referral Hospital ◽  
Capital City ◽  
Business Planning ◽  
Level I ◽  
A Company ◽  
Social Security Agency

PT. Zaps Technology is a company engaged in technology and information by producing application products with the name Dokter Tunggu (Doku). The application was created to eliminate queues that often occur in Healthcare and Social Security Agency patient services at level I Hospitals and Health Facilities. Place of company at Bekasi Jawa Barat, The location is said to be chosen because Bekasi is one of the supporting areas for the capital city and has a variety of complete business facilities. This company's strategy is to create innovations in Healthcare and Social Security Agency patient services where the application made has various features that are able to eliminate queues. The application has an online referral menu on the application so that Hospitals, Level I Facilities and Healthcare and Social Security Agency patients are easier to take advantage of BPJS services. The waiting doctor application will display real time conditions at the referral hospital so that BPJS users can monitor the condition of BPJS services at the destination Hospital. Keywords: Dokter Tunggu, Hospital, Online Sevice, Business Planning.

Operational improvements to clinic flow.

2014 ◽  
Vol 32 (30_suppl) ◽  
pp. 253-253
Author(s):  
Katherine Gross ◽  
Kelli Jacobs ◽  
Michael Romano
Keyword(s):  
Real Time ◽  
Growth Potential ◽  
Administrative Leadership ◽  
Full Time ◽  
Waiting Room ◽  
Patient Dissatisfaction ◽  
Productivity Data ◽  
Patient Satisfaction Scores ◽  
Appointment Time ◽  
Future Growth

253 Background: With expanding clinic volume and future growth potential, we face an issue of limited physical clinic capacity. This has resulted in extended patient wait times, physician idle time, and longer clinics days. Each of these issues adds to both provider and patient dissatisfaction and operational inefficiencies. Methods: Key operational metrics and through put data was analyzed with the oncology team. Agreements and goals for the process improvement were: no provider would be told they could not see a sick patient, patient’s time would be respected and maximize provider productivity. Data demonstrated that the current state would not accommodate future growth. Several operational changes were agreed upon by physician and administrative leadership: level load the days of the week, require several providers to move their clinic days; place structure and real-time discussion into how we manage same day and future “add-on” patients though setting clear expectations around clinician template times; assign a full time staff member to function as a “clinic flow coordinator" to triage same day add-ons, and facilitate provider room assignments, communicate with providers, and identify system or people barriers to clinic flow; provide each of the patients a “restaurant style” pager that will light up when they are ready to be taken to a room, allowing them the freedom to leave the waiting room without fear of missing their appointment time; implement a room-utilization manager software program allowing staff to see and collectively manage real time clinic flow and room utilization. Results: Provider feedback was very positive related to the flow and utilization of clinic rooms. The check-in staff described a less full waiting room even though volumes remained constant. We will monitor patient perception by patient satisfaction scores. Conclusions: To date, much of the results have been anecdotal. In order for these changes to become practice there is a clear need to tie in satisfaction and operational efficiency metrics. There will be ongoing coaching and feedback with providers and staff related to adherence to the new processes. As new providers are added to the practice, we will be very purposeful when adding their creating their templates and adding their clinic days.

scholarly journals Challenges to Airway Management in Space

2021 ◽  
Author(s):  
Preethi Reddy
Keyword(s):  
Airway Management ◽  
Real Time ◽  
Space Exploration ◽  
Medical Personnel ◽  
Tourism Industry ◽  
Space Travel ◽  
Human Interest ◽  
Space Flights ◽  
Space Tourism ◽  
Hazardous Environments

Human interest in space exploration is boundless. We are driven to investigate the unknown and push the limits of our understanding of our universe. Given that space flights are for extended periods of time —in the hazardous environments of space and the growth of the space tourism industry is credibly anticipated; the incidence of medical and surgical events is bound to increase during space travel. Airway management becomes an essential skill in such situations. Microgravity, shortage of medical personnel, inability of the crew to return to earth expeditiously or access real time assistance from earth are some of the reasons that warrant training and preparation of the crew, towards this end. The purpose of this chapter would be to explore the challenges and the various recourses available for airway management during space travel.

scholarly journals Assessing the Real-Time Impact of COVID-19 on TB and HIV Services: The Experience and Response from Selected Health Facilities in Nairobi, Kenya

2021 ◽  
Vol 6 (2) ◽  
pp. 74
Author(s):  
Irene Mbithi ◽  
Pruthu Thekkur ◽  
Jeremiah Muhwa Chakaya ◽  
Elizabeth Onyango ◽  
Philip Owiti ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
Real Time ◽  
Treatment Success ◽  
Health Facilities ◽  
Hiv Positive ◽  
Case Detection ◽  
Monthly Data ◽  
Pulmonary Tb ◽  
Tb Treatment ◽  
Set Up

There was concern that the COVID-19 pandemic would adversely affect TB and HIV programme services in Kenya. We set up real-time monthly surveillance of TB and HIV activities in 18 health facilities in Nairobi so that interventions could be implemented to counteract anticipated declining trends. Aggregate data were collected and reported monthly to programme heads during the COVID-19 period (March 2020–February 2021) using EpiCollect5 and compared with monthly data collected during the pre-COVID period (March 2019–February 2020). During the COVID-19 period, there was an overall decrease in people with presumptive pulmonary TB (31.2%), diagnosed and registered with TB (28.0%) and in those tested for HIV (50.5%). Interventions to improve TB case detection and HIV testing were implemented from August 2020 and were associated with improvements in all parameters during the second six months of the COVID-19 period. During the COVID-19 period, there were small increases in TB treatment success (65.0% to 67.0%) and referral of HIV-positive persons to antiretroviral therapy (91.2% to 92.9%): this was more apparent in the second six months after interventions were implemented. Programmatic interventions were associated with improved case detection and treatment outcomes during the COVID-19 period, suggesting that monthly real-time surveillance is useful during unprecedented events.

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