scholarly journals A New Paradigm for Ensuring Digital Drug Care Quality Monitoring Based on Ontology Tools

2021 ◽  
Author(s):  
Tatiana Lugovkina ◽  
Sergey Gorshkov ◽  
Evgeniy Svalov

Systematizing and conceptualizing of the components of the patient’s diagnosis at definite Clinical Situations are the important steps in constructing the medical electronic platforms to monitor the drug treatment quality and to realize the process of risk-management of drug care. The risk-management is a hard and expensive process for the non-profit hospitals. The Information technologies have a high potential for solving these problems. The conceptual schemes to construct the multimodal medical electronic platform were discussed. The Information Space of Clinical Practice, Information Field for formulating the detailed patient’s diagnosis at the definite Clinical Situations, Information Environment for the components of the detailed patient’s diagnosis were described.

2003 ◽  
Vol 9 (5) ◽  
pp. 319-326 ◽  
Author(s):  
Fiona Subotsky

Risk management is a requirement of clinical governance and a new paradigm for child and adolescent mental health services. Issues are different from those of adult services and a wide range need to be considered, which include not only the risk of harm to self, to others and from others but also from the system (by omission or commission) and to the staff. Systematic policy development, using information from audits, complaints, incidents and inquiries, will be helpful and interagency agreements necessary to promote coordination. The complex regulatory framework is discussed.


2021 ◽  
pp. 045
Author(s):  
Jimmy Leyes ◽  
Laure Roussel

La surveillance réglementaire de la qualité de l'air en France est confiée aux associations régionales agréées de surveillance de la qualité de l'air (Aasqa) telles qu'Atmo Hauts-de-France. Elles s'appuient sur une palette d'outils et leur expertise pour mesurer les polluants dans l'air de leur territoire, alerter les populations en cas d'épisode de pollution, répondre aux exigences réglementaires de surveillance définies au niveau européen, tout en prenant en compte les spécificités régionales. Cet article présente les différents outils utilisés par les Aasqa, et plus particulièrement Atmo Hauts-de-France, pour surveiller et estimer la qualité de l'air. L'association régionale opère ainsi un ensemble de stations de mesures fixes et mobiles pour suivre en continu les concentrations de polluants réglementés ou non sur son territoire, et dispose d'outils de modélisation pour évaluer et prévoir la qualité de l'air en tous points de la région. Cet article présente également certains des paramètres météorologiques qui influencent la qualité de l'air de la région Hauts-de-France, particulièrement concernée par les épisodes de pollution aux particules. Regulatory air quality monitoring in France is performed by government-approved non-profit organisations called AASQAs, one of which is Atmo Hauts-de-France. These organisations rely on decades of accumulated air quality expertise and use several techniques to measure air pollutant concentrations, inform the public when pollutant levels are unhealthy, and comply with E.U. air quality monitoring regulations. This paper gives an overview of the tools used by AASQAs, and more particularly by Atmo Hauts-de-France, to monitor and forecast air quality. The year-round continuous monitoring of air pollutant levels at fixed sites is supplemented by short-term measurements made with fully-equipped vehicles or trailers and by modelling tools that forecast air quality and estimate pollutant levels where there are no measurements. AASQAs study pollutants which ambient concentrations are regulated by European air quality standards as well as other pollutants which are not regulated in this way. This work also discusses some of the meteorological factors, that affect air quality in the region Hauts-de-France, which is heavily impacted by particulate matter pollution.


2021 ◽  
Vol 26 (3S) ◽  
pp. 4558 ◽  
Author(s):  
S. V. Villevalde ◽  
A. E. Soloveva ◽  
N. E. Zvartau ◽  
N. G. Avdonina ◽  
A. N. Yakovlev ◽  
...  

The extent of the problem of heart failure determines the priority of the intention of developing and implementing an optimal model of medical care for this group of patients. The article describes the key components of the heart failure medical care (continuity, patient routing, educational activities) and provides examples of documents, protocols, checklists that can be used in real clinical practice by specialists in medical organizations in the regions of the Russian Federation.


2021 ◽  
Vol 27 (1-2) ◽  
pp. 83-100
Author(s):  
A.B. Zimenkovsky ◽  
◽  
T.G. Gutor ◽  
O.M. Lesniak ◽  
◽  
...  

Aim. The medical care quality remains one of the most pressing issues of the health care system, especially at the stage of reforming of the medical sector. Medical-statistical information comprising reporting forms is the basis for analyzing the status of medical care quality and incorporating management decisions to improve it. Material and Methods. The study was performed by the means of analysis of the annual reports of the Urology Department of Municipal Non-profit Enterprise "Lviv Clinical Emergency Hospital" over a ten-year period: from 2010 to 2019. Statistical analysis included the analysis of average and relative values, as well as the calculation of indicators of the dynamic range: growth rate and absolute increase. Results and Discussion. Analysis of the use of bed stock of the Urology Department of MNELCEH during 2010-2019 showed that the average quantity of inpatient days is 251.12-340.18 days per year. Inpatient turnover was in the range of 30.28-36.55 patients per year. The indicator of surgical activity increased by 5.4 percentage points (from 33.0% in 2010 to 38.4% in 2019). There was also a positive tendency of decrease of the duration of post-surgery stay of patients at the inpatient department of the Urology Department (from 9.25 in 2010 to 8.55 in 2019). During the study period of 2010-2019, the ratio of post-surgical complications remained relatively stable and did not exceed 5.1% (the indicator is in the range of 4.38% -5.09%). The analysis of the total mortality among all treated patients was in the range of 0.06%-0.65%. Conclusion. The indicators analyzed in the annual reports make it possible to identify the main problematic issues in the work of the department. In order to provide professional specialized care, quality and rational use of property and human resources, algorithms should be developed to increase treatment of patients with malignant tumors and urolithiasis at the department, as in recent years we could observe an outflow of patients with these diagnoses to other healthcare establishments. There is a need for individual analysis of the causes of post-surgical complications and mortality. These issues can be resolved by introducing clinical audit into the work of the department


2021 ◽  
Vol 334 ◽  
pp. 02015
Author(s):  
Petr Kurenkov ◽  
Olga Efimova ◽  
Nadezhda Kapustina ◽  
Diana Kakhrimanova ◽  
Anastasia Safronova

The increased competition between modes of transport, the growing uncertainty of the business environment, the diversity of goals of the business units of the holding “Russian Railways” and the participants of the transport market inevitably increase the level of risks that can threaten the efficient development of the company. The development of information technologies is the base of risk management and higher competitiveness. The growth in uncertainty and speed of changes in the business environment leads to the necessity of implementation of digital technologies for risk management, influencing the add value of transportation-logistic services.


2020 ◽  
Vol 10 (3) ◽  
Author(s):  
Aviani Widyastuti ◽  
Mudrifah Mudrifah

This study aims to develop employee organizations' role in implementing risk management in public sector organizations. This study's character uses several indicators, including values, attitudes, interests, and religion. The research was conducted at public sector organizations in the non-profit category, Infaq Amal Zakat and Shodaqoh Muhammadiyah (LAZISMU) in Malang City. The research method used is grounded theory research with a qualitative approach, in which data research uses structured and open interview techniques. The collected data will be analyzed using grounded theory analysis techniques. The study results found several factors, as seen from their abilities, values, attitudes, interests, and religiosity, in supporting the implementation of risk management in Malang. These characteristics include working with time, the right placement of human resources, mastery of job descriptions, information, ability, and transfer of knowledge, in terms of values, including cooperation, responsibility, democracy, solidarity, humanity, honesty, order, and discipline. In terms of attitude, including being wise, with integrity, cooperative, open, and selective. In terms of interest, it is shown by being participatory, actualizing, and proactive.Meanwhile, in terms of religiosity, it includes the mandate to carry out duties, desire in preaching, and personal needs to fill charity activities with full volunteerism. 


Sarcoma ◽  
2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
S. J. Neuhaus ◽  
D. Thomas ◽  
J. Desai ◽  
C. Vuletich ◽  
J. von Dincklage ◽  
...  

In 2013 Australia introduced Wiki-based Clinical Practice Guidelines for the Management of Adult Onset Sarcoma. These guidelines utilized a customized MediaWiki software application for guideline development and are the first evidence-based guidelines for clinical management of sarcoma. This paper presents our experience with developing and implementing web-based interactive guidelines and reviews some of the challenges and lessons from adopting an evidence-based (rather than consensus-based) approach to clinical sarcoma guidelines. Digital guidelines can be easily updated with new evidence, continuously reviewed and widely disseminated. They provide an accessible method of enabling clinicians and consumers to access evidence-based clinical practice recommendations and, as evidenced by over 2000 views in the first four months after release, with 49% of those visits being from countries outside of Australia. The lessons learned have relevance to other rare cancers in addition to the international sarcoma community.


2011 ◽  
Vol 49 (1) ◽  
pp. 150-150

Jules H. van Binsbergen of Northwestern University, Stanford University, and NBER reviews “Anticipating Correlations: A New Paradigm for Risk Management” by Robert Engle. The EconLit Abstract of the reviewed work begins, “Presents a collection of new methods for estimating and forecasting correlations for large systems of assets. Discusses correlation economics; correlations in theory; models for correlation; dynamic conditional correlation; dynamic conditional correlation performance; the MacGyver method; generalize….”


2021 ◽  
Author(s):  
OV Zhukova ◽  
AL Khokholov

The features of evaluating data from real clinical practice are discussed. Approaches to material processing for decision support in medicine and health care are also given. The development of standardized methods of analysis with the possibility of obtaining a unified indicator for assessing data from routine clinical practice, combined with the development of information technology is the direction of development of the concept of result-oriented health care. The classification of information technologies used in medicine and public health is presented. The main characteristics and functioning features of the developed software modules for automated data evaluation of real clinical practice are presented: a program for the distribution of drugs on the levels of clinical efficacy, a program to assess the effectiveness of therapy for the specified period; a program to determine the interval of clinical efficacy of drugs.


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