scholarly journals Development and Evaluation of a Web-Based Paediatric Drug Information System for Germany

Pharmacy ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 8
Author(s):  
Julia Zahn ◽  
Stefan Wimmer ◽  
Wolfgang Rödle ◽  
Irmgard Toni ◽  
Brita Sedlmayr ◽  
...  
Keyword(s):  
Information System ◽  
Health Care Professionals ◽  
Drug Information ◽  
Evidence Based ◽  
Web Based ◽  
Paediatric Drug ◽  
Quality Of Prescribing ◽  
Available Information ◽  
Further Development

Background: Off-label use is frequent in paediatrics but that does not necessarily mean that the risk-benefit ratio is negative. Nevertheless, evidence-based data is essential for safe drug therapy. In Germany, there is no publicly available compendium providing transparent, evidence-based information for paediatric pharmacotherapy to date. This work describes the development of a web-based paediatric drug information system (PDIS) for Germany and its evaluation by health care professionals (HCP). Methods: Since 2012, a PDIS is being developed by the authors and is supported by the Federal Ministry of Health since 2016. Dosing recommendations were established based on systematic literature reviews and subsequent evaluation by clinical experts. The prototype was evaluated by HCP. Based on the results, the further development was concluded. Results: 92% of HCP believed that the PDIS could improve the quality of prescribing, as currently available information is deficient. Besides the license and formulations, dosing recommendations were the most relevant modules. A dosage calculator was the most wanted improvement. To facilitate sustainability of future development, a collaboration with the Dutch Kinderformularium was established. As of 2021, the database will be available to German HCP. Conclusion: The fundamentals for a German PDIS were established, and vital steps were taken towards successful continuation.

Quality Assessment of HTA reports: a Critical Appraisal Toolkit within an institutional HTA program

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Bossi ◽  
M Tringali ◽  
P Colombo ◽  
C Mazzali ◽  
G Puleo ◽  
...  
Keyword(s):  
Health Care Professionals ◽  
Critical Appraisal ◽  
Population Aging ◽  
Clinical Effectiveness ◽  
Evidence Based ◽  
Lombardy Region ◽  
Double Blinded ◽  
Sustainable Health ◽  
Local Healthcare

Abstract Issue With population aging, increased demand for healthcare and limited availability of economic and human resources, well-functioning and sustainable health systems have to rely on rigorous and evidence-based assessments of complex technologies' clinical effectiveness and safety. The Lombardy Region in Northern Italy has a well-established HTA program that offers technical support to its hospitals' network to produce and to review Health Technology Assessment (HTA) reports. Description of the Problem To better coordinate the HTA network and to reduce self-referencing of University and Community hospitals, Lombardy Region carried out an intense field training and distance learning from year 2017, with a project aimed at involving health care professionals in an accurate evaluation of technologies in 18 HTA reports. The regional HTA Supporting Centre developed a Toolkit for the critical appraisal of reports and supporting literature to improve the quality of hospital-based reports. Results In compliance with the regional Law DGR XI/1046 17.12.2018 and the framework proposed, during year 2019 hospitals used the Toolkit to help writing complete and good quality HTA reports on 37 different technologies. With a Public Health resident internship, the Toolkit was revised, extended and then used in 2020 by the hospital's HTA network during the double blinded peer review, mandated by the regional Law DGR XI/2672 16.12.2019, of the year 2019 HTA reports. Detailed results will be presented at the conference. Lessons We observed an increase in number of HTA reports from 2018 to 2019, a greater language's and format's homogeneity and an improvement in the quality of some reports, which will be submitted to the Regional HTA Committee for appraisal and reimbursement. Key messages The development and use of a Critical Appraisal Toolkit in an Regional HTA program can help hospitals write complete and good quality HTA reports. A centrally supported quality improvement of distributed assessment activities in a network of hospitals can enhance the production of HTA reports, relevant to the needs of a local healthcare system.

scholarly journals Rancang Bangun Sistem Informasi Penjualan Obat Berbasis Website dengan Menggunakan Metode Waterfall

2020 ◽  
Vol 6 (1) ◽  
pp. 71-82
Author(s):  
Ahmad Fauzi ◽  
Dewi Wulandari
Keyword(s):  
Information System ◽  
Data Processing ◽  
Quality Of Data ◽  
Microsoft Excel ◽  
Web Based ◽  
Drug Sales ◽  
Uml Modeling ◽  
Computer Based ◽  
A Company

Abstract: In this era of globalization, information technology is speeding up. In managing the information required good technology because the information has a greatvalue for a company. And computer technology today with its increasingly sophisticated processing speed has enabled the development of computer-based information systems. Problems that exist in Kauman Apothecary is about the data processing that is still done manually, ranging from the admission process of incoming drugs, drugs out, often the absence of matching stock between the data with the original drug, as well as in making reports that still use microsoft excel. The design of the system is described by UML modeling, drug sales information system on web-based pharmacy kauman intranet this is the best solution, can improve the quality of data processing drugs in pharmacies kauman. And with the creation of this information system, can help simplify data processing moreleverage, while keeping data safe and minimize the data kerangkapan. The design of web-based drug sales information system is made using PHP and MySQL.Keywords: Information System, Sales, Kauman PharmacyAbstrak: Dalam era globalisasi sekarang ini, teknologi informasi melaju dengan cepatnya.Dalam mengelola informasi dibutuhkan teknologi yang baik karena informasi mempunyai nilai yang besar bagi suatu perusahaan. Dan teknologi komputer sekarang ini dengan kecepatan prosesnya yang semakin canggih telah memungkinkan pengembangan sistem informasi berbasis komputer. Masalah yang ada pada Apotek Kauman yaitu mengenai pengolahan data-datanya yang masih dilakukan secara manual, mulai dari proses penerimaan obat masuk, obat keluar, sering tidak adanya kecocokan stok antara data dengan obat aslinya, serta dalam membuat laporan yang masih menggunakan microsoft excel. Perancangan sistem digambarkan dengan pemodelan UML, sistem informasi penjualan obat pada apotek kauman berbasis web intranet ini merupakan solusi yang terbaik, dapat meningkatkan kualitas pengolahan data obat di apotek kauman. Dan dengan dibuatnya sistem informasi ini, dapat membantu mempermudah pengolahan data lebih maksimal, sekaligus menjaga data tetap aman dan meminimalisir adanya kerangkapan data. Perancangan sistem informasi penjualan obat berbasis web ini dibuat menggunakan PHP dan MySQLKata Kunci: Sistem Informasi, Penjualan, Apotek Kauman.

scholarly journals E-Government of Village Empowerment

2019 ◽  
Vol 8 (6S2) ◽  
pp. 933-937
Keyword(s):  
Information Technology ◽  
Information System ◽  
System Analysis ◽  
Planning System ◽  
Access Management ◽  
Literature Study ◽  
Web Based ◽  
Analysis System ◽  
The Village

South Pringsewu is the name of a village located in Pringsewu district. This village has the main potential, namely agriculture and industry. To develop its potential it needs to be updated from the system that has been used in empowering the potential of the village manually and not yet using the information system even in the form of a website. The purpose of this research was to select South Pringsewu Village that has the potential of villages that need to be empowered using information technology. Information Technology is needed to facilitate the access, management and empowerment of village potentials, so that it is expected to be able to improve the progress and quality of South Pringsewu Village. The author conducted the research by observation, interview, and literature study methods and built web-based applications through the stages of planning, system analysis, system design and design, and system implementation using the PHP programming language

Caring for Older Adults During and After Critical Illness

2021 ◽  
pp. 216-234
Author(s):  
Maria C. Duggan ◽  
Julie Van ◽  
E. Wesley Ely
Keyword(s):  
Older Adults ◽  
Critical Illness ◽  
Health Care Professionals ◽  
Interdisciplinary Approach ◽  
Adverse Outcomes ◽  
Evidence Based ◽  
Complex Population ◽  
Multiple Domains ◽  
Over Time

Over half of people with critical illness are older adults, and the number of older adults admitted to intensive care units has been increasing over time. Older adults have increased vulnerability to disease, disability, and adverse outcomes across many domains. To address this most effectively, a unique, interdisciplinary approach is necessary to optimize not only survival but also functional status and quality of life. A shortage of health care professionals equipped to care for the aging population makes it imperative that all professionals become aware of basic principles of caring for older adults. To equip them to care for this complex population, this chapter provides an overview of how aging impacts multiple domains of an older person with critical illness and describes evidence-based approaches to caring for older adults with critical illness.

scholarly journals QUALITY EVALUATION AND SURVEY OF THE ESSENTIAL NEED FOR DRUG INFORMATION CENTERS

2016 ◽  
Vol 8 (11) ◽  
pp. 137
Author(s):  
Ming Ming Wen ◽  
Heba Aref ◽  
Ahmad Abozaid ◽  
Nahla Hesham Kandil ◽  
Yasmin Hussein Elsobky
Keyword(s):  
Health Care Professionals ◽  
Treatment Guidelines ◽  
Drug Information ◽  
Adverse Drug Reaction Reporting ◽  
Community Pharmacists ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Process Stage ◽  
The Impact

Objective: The first objective of this work was to examine the services provided by six drug information centers (DICs) in Alexandria, Egypt. The second objective was to evaluate the quality of the replies to the drug information query. The third objective was to assess the conceptual need of DICs from community pharmacists, other health care professionals and the general public.Methods: This study was conducted through three stages. Stage I was a field survey to assess predefined parameters in the current DICs in Alexandria. Stage II was a retrospective cross-sectional study to assess the quality of the drug information replies through an external expert review process. Stage III was a population survey and thematic analysis using questionnaires and interview recording.Results: Activities of DICs include: DIR answering service (100%), adverse drug reaction reporting (100%), issuing bulletins (83.3%), education (83.3%), drug use evaluation (50%) and participation in P and T committees (33.3%). The most frequent question categories asked were dosing, side effects, treatment guidelines and drug interactions. Half of the DICs were affiliated with hospitals; however, a general lacking confidence level of these DICs on the professionalism and the impact on patient care for the DIC services provided was identified. There was an obvious problem in formatting the ultimate question in a question format rather than a sentence format in all DICs. The most accurately answered request was adverse drug reactions. All surveyed groups considered that it is very important to have a DIC accessible to the community free of charge.Conclusion: It is necessary to establish an university-based DIC to incorporate training, education and research into the existing services. A DIC network with definitive standards of services in the future should provide safe and effective quality-assured pharmaceutical care to meet the needs and expectations of the community and improve its delivery to the public. The results and recommendations of this study can be inspired and generalized to other developing countries that have similar health systems as in Egypt. 

scholarly journals Young GI Societies in Europe: 2019 update

2020 ◽  
Vol 8 (2) ◽  
pp. 227-232 ◽  
Author(s):  
Henriette Heinrich ◽  
Iago Rodríguez-Lago ◽  
Radislav Nakov ◽  
Vita Skuja ◽  
Pilar Acedo ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Health Inequalities ◽  
The State ◽  
Future Research ◽  
Web Based ◽  
Research Education ◽  
Excellent Quality ◽  
Further Development ◽  
The Way

Background One of the aims of the Young Talent Group (YTG) is to make United European Gastroenterology (UEG) more attractive to young fellows interested in gastroenterology (GI), and to actively involve them in UEG activities and the activities of their respective national societies. In 2017, we conducted a survey among the Friends of the UEG YTG with the aim of identifying the state of organization and needs of Young GI Sections (YGISs) throughout Europe, highlighting areas for further development and improvement. Aims The aim of the current web-based survey was to assess the progress of YGISs over 1 year, and persisting hurdles in forming and running a YGIS. Results Overall, 38 of 42 Friends answered the survey (91%). The number of YGISs has increased significantly from 12 in 2017 to 25 in 2019. Young gastroenterologists remained supported, but not influenced, by national societies. Results of the survey suggest that a lack of dedicated and motivated fellows has replaced a lack of funding as the most prevalent hurdle in forming these types of sections. Conclusion Our survey shows that the development of YGISs has improved markedly within the last 2 years. However, several limitations, like underrepresentation in subcommittees of national societies, remain and need to be addressed in order to involve young gastroenterologists in their respective national societies and within UEG, to pave the way for future research, education and excellent quality of care, and reduce health inequalities across Europe.

Acute wards: problems and solutions

2003 ◽  
Vol 27 (3) ◽  
pp. 108-111 ◽  
Author(s):  
Susannah Rix ◽  
Geoff Shepherd
Keyword(s):  
Organisational Change ◽  
Quality Of Services ◽  
Service Development ◽  
Evidence Based ◽  
Key Factors ◽  
Problems And Solutions ◽  
South East England ◽  
Further Development ◽  
Made In

Aims and MethodTo develop an evidence-based approach that supports the improvement of front-line delivery of adult acute in-patient services. Key factors of effective organisational change were identified from the literature. These were adopted as part of an ‘evidence-based service development’ programme. This approach was used by the Health Advisory Service in a project with an NHS Trust in south east England.ResultsSignificant progress was made in improving the quality of local acute in-patient services.Clinical ImplicationsFurther development and evaluation of this approach should be undertaken, since it seems to offer significant opportunities to deliver real improvements in the quality of services.

scholarly journals PENILAIAN KINERJA TU (TATA USAHA) UNIVERSITAS ISLAM LAMONGAN

JOUTICA ◽  
2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Nur Nafiiyah
Keyword(s):  
Information System ◽  
Quality Improvement ◽  
Data Processing ◽  
Performance Assessment ◽  
Programming Language ◽  
Continuous Quality Improvement ◽  
Service Process ◽  
Web Based ◽  
Continuous Quality

The performance assessment of administration staff in the college did in order to improve the quality of the service process and internal continuous quality improvement. This study aims at the development of information systems web-based performance assessment. This system was built using the programming language PHP (Hypertext Processor) and MySql database, which is expected to provide a more efficient and effective in conducting this evaluation, all the colleges are trying to have an information system that not only presents a variety of important information, but also can perform the data processing. Assessmentof the performance is measurements made on various activities with the questioner. The results of the study give a rank of accumulation is obtained by calculating the second component of the assessment, the results of this can be seen anyone to find the highest rank to lowest. It is hoping that every values obtained can push Employees the administration in Lamongan Islamic university to improve its performance.

scholarly journals Acute wards: problems and solutions

2003 ◽  
Vol 27 (03) ◽  
pp. 108-111
Author(s):  
Susannah Rix ◽  
Geoff Shepherd
Keyword(s):  
Organisational Change ◽  
Quality Of Services ◽  
Service Development ◽  
Evidence Based ◽  
Key Factors ◽  
Problems And Solutions ◽  
South East England ◽  
Further Development ◽  
Made In

Aims and Method To develop an evidence-based approach that supports the improvement of front-line delivery of adult acute in-patient services. Key factors of effective organisational change were identified from the literature. These were adopted as part of an ‘evidence-based service development’ programme. This approach was used by the Health Advisory Service in a project with an NHS Trust in south east England. Results Significant progress was made in improving the quality of local acute in-patient services. Clinical Implications Further development and evaluation of this approach should be undertaken, since it seems to offer significant opportunities to deliver real improvements in the quality of services.

scholarly journals Sub-optimal prescribing in an adult community mental health service: prevalence and determinants

2003 ◽  
Vol 27 (07) ◽  
pp. 266-270 ◽  
Author(s):  
David Meagher ◽  
Maria Moran
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Quality Score ◽  
Evidence Based ◽  
Community Mental Health Service ◽  
Prescribing Practice ◽  
Quality Of Prescribing ◽  
Evidence Based Guidelines

Aims and Method To compare prescribing practice in a community mental health service with evidence-based guidelines and identify factors related to sub-optimal prescribing. All current patients (n=640) were assessed regarding six key aspects of prescribing (polypharmacy, high-dose treatment, use of thioridazine/maintenance benzodiazepine/maintenance hypnotic or routine anticholinergic treatment). The relationship of quality of prescribing practice to demographic, illness and service variables was examined by regression analysis. Results Five-hundred and five (79%) patients were receiving psychotropic medication. Of these, 232 (46%) had evidence of sub-optimal prescribing practice. Mean prescribing practice quality score was 0.75 ± 0.99. Maintenance benzodiazepine/ hypnotic (31%) and anticholinergic (30%) use were particularly common. Prescribing practice quality score was higher in those receiving depot antipsychotic treatment (P < 0.01) and in older patients (P < 0.01). Scores were significantly lower in patients whose principal medical contacts were with a consultant rather than a junior doctor (P < 0.001). Clinical Implications Prescribing practices in real-world settings frequently deviate from evidence-based guidelines. The quality of prescribing is related to patient, illness and service variables. In particular, greater contact with consultant staff is linked to better practices. Patients receiving depot antipsychotics are especially liable to less judicious prescribing practice.

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