REENGINEERING OF THE PROCESSES OF CONTROL OF INDICATORS OF THE PATIENT'S CONDITION IN THE FRAMEWORK OF THE MEDICAL INFORMATION SYSTEM

2021 ◽  
pp. 130-134
Author(s):  
Сергей Сергеевич Долматов ◽  
Евгений Николаевич Коровин ◽  
Маргарита Анатольевна Сергеева
Keyword(s):  
Information System ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Development Strategy ◽  
Medical Information ◽  
Medical Personnel ◽  
Medical Information System ◽  
Diagnostic Process ◽  
Medical Diagnostic

В данной статье описываются пути повышения качества медико-диагностического процесса в результате внедрения медицинской информационной системы во врачебную практику. Также проводится анализ деятельности врача по контролю показателей состояния пациента как в стационарных условиях, так и с применением медицинских информационных систем. Применения реинжиниринга как совокупности средств, мер и методов, в том числе соответствующих информационных, позволят кардинально улучшить основные показатели деятельности медицинских организаций, в том числе медицинского персонала. С данной целью осуществляется анализ и последующее переосмысление существующих медико-диагностических процессов. Таким образом, сформированные методы реинжиниринга могут быть использованы в процессе разработки инновационной стратегии развития. Основным документом, отражающим состояние пациента, является медицинская карта, которая служит документальным доказательством проведенного лечебно-диагностического и реабилитационного процесса, отражает взаимодействие лечащего врача с другими специалистами и службами, отражает динамику и исход заболевания. Электронная медицинская карта может значительно повысить безопасность и качество медицинской помощи, увеличить оперативность представления медицинской информации, обеспечить комфортность в работе медицинского персонала. Использование соответствующего программного обеспечений и медицинской информационной системы контроля показателей состояния пациента в рамках электронной медицинской карты обеспечит постоянное взаимодействие врача и пациента и повысит оперативность лечебно-диагностического процесса This article describes ways to improve the quality of the medical diagnostic process as a result of the introduction of the medical information system into medical practice. An analysis of the doctor's activities is also carried out to monitor the indicators of the patient's condition both in stationary conditions and using medical information systems. The use of reengineering as a set of tools, measures and methods, including the relevant information, will radically improve the main performance indicators of medical organizations, including medical personnel. For this purpose, the analysis and subsequent rethinking of existing medical and diagnostic processes is carried out. Thus, the formed reengineering methods can be used in the process of developing an innovative development strategy. The main document reflecting the patient's condition is a medical record, which serves as documentary evidence of the medical, diagnostic and rehabilitation process, reflects the interaction of the attending physician with other specialists and services, reflects the dynamics and outcome of the disease. An electronic medical record can significantly improve the safety and quality of medical care, increase the efficiency of medical information submission, and ensure the comfort of medical personnel. The use of appropriate software and a medical information system for monitoring indicators of the patient's condition within the framework of an electronic medical record will ensure constant interaction between a doctor and a patient and increase the efficiency of the medical diagnostic process

PATIENTS’ SATISFACTION WITH THE QUALITY OF MEDICAL SERVICES AT DIFFERENT STAGES OF THE PROJECT “LEAN HOSPITAL” IN TOMSK REGION

2019 ◽  
Vol 33 (4) ◽  
pp. 154-157 ◽  
Author(s):  
A. A. Solovyev ◽  
N. V. Kopysova
Keyword(s):  
Call Center ◽  
Medical Information ◽  
Medical Personnel ◽  
Medical Information System ◽  
Medical Services ◽  
City Hospital ◽  
Medical Institutions ◽  
Tomsk Region ◽  
Insufficient Number

The purpose of the study was to analyze the state of satisfaction of the population in the provision of medical services and to observe the changes taking place in this area in connection with the start of the national project “Lean Polyclinic”. The studies were conducted in the form of a questionnaire survey of patients of two medical institutions, namely: the Regional Public Health Institutions “Children’s City Hospital No. 2” and “B. I. Alperovich City Clinical Hospital No. 3”.The material of the study was the responses on paper of the interviewed patients. The average indicators of patient satisfaction with the received medical services were determined by means of statistical calculations. The survey was conducted at the start of the project in May‑July of 2017 and again in October‑December of 2017.Results. The initial survey revealed the presence of such problems as insufficient number of automated workplaces; heavy workload of the doctor when working in the Medical Information System of the Tomsk Region; imperfection of the card filing cabinet; insufficient number of racks for storing outpatient cards, front-office and back-office were located in the same room and did not have a partition, which created noise and interfered with the work of call-center operators; the need to contact the registry to get the outpatient card when the visit was previously assigned; difficult orientation of patients in the clinic; long-term preventive examination of children aged 1 year; mixed flows of healthy and sick patients; and lack of personnel. The repeated survey reflected the changes that occurred in connection with the start of the “Lean Polyclinic” project: the number of detected violations tended to decrease, which indicated the improvement in the quality of services and the improvement in the organization of medical personnel work.Conclusion. Thus, the present study established that the use of lean production technologies contributed to the quality of medical services and it had a beneficial effect on the processes of organizing the work of medical institutions. 

scholarly journals Security Privacy and Policy for Cryptographic Based Electronic Medical Information System

Sensors ◽  
2021 ◽  
Vol 21 (3) ◽  
pp. 713
Author(s):  
Hsuan-Yu Chen ◽  
Zhen-Yu Wu ◽  
Tzer-Long Chen ◽  
Yao-Min Huang ◽  
Chia-Hui Liu
Keyword(s):  
Information System ◽  
Medical Records ◽  
Security Policy ◽  
Medical Information ◽  
Group Signature ◽  
Medical Information System ◽  
Internet Applications ◽  
Quality Of Medical Care ◽  
Integrated Medical Information System

With the development of the internet, applications have become complicated, and the relevant technology has diversified. Compared with medical applications, the significance of information technology has been expanding to include clinical auxiliary functions of medical information. This includes electronic medical records, electronic prescriptions, medical information systems, etc. Although research on the data processing structure and format of various related systems is becoming mature, the integration is insufficient. An integrated medical information system with security policy and privacy protection, which combines e-patient records, e-prescriptions, modified smart cards, and fingerprint identification systems, and applies proxy signature and group signature, is proposed in this study. This system effectively applies and saves medical resources—satisfying the mobility of medical records, presenting the function, and security of medicine collection, and avoiding medical conflicts and profiteering to further acquire the maximum effectiveness with the least resources. In this way, this medical information system may be developed into a comprehensive function that eliminates the transmission of manual documents and maintains the safety of patient medical information. It can improve the quality of medical care and indispensable infrastructure for medical management.

scholarly journals Estimation Of Quality Of Medical Care

2020 ◽  
Vol 1 (1) ◽  
pp. 93-105
Author(s):  
Liubov Syhyda ◽  
Paulína Srovnalíková ◽  
Alla Onda
Keyword(s):  
Information System ◽  
Medical Care ◽  
Medical Information ◽  
Medical Information System ◽  
Systematic Analysis ◽  
Family Doctors ◽  
Scientific Discussion ◽  
Number Of Patients ◽  
Quality Of Medical Care

This paper summarizes the arguments and counterarguments within the scientific discussion on the issue of quality of medical care. The main purpose of the research is to analyze the quality of medical care in dispensary №1 of municipal non-profit enterprise «Shostka city center of primary health care» and determine recommendations for its improvement in the context of «MEDSTAR» medical information system implementation. The research methods authors used in the article were systematic analysis, comparative research, and patients’ survey. As the information sources, the authors used internal documentation of the dispensary № 1 (data for September 2018) and its electronic documentation from the MEDSTAR medical information system (data for September 2020). First, the authors analyzed and compared the number of patients who visited the dispensary №1, and the number of patients visited by doctors at home in September 2020 and September 2018. Second, the authors determined the number of referrals for examination issued to patients in September 2020 and September 2018. Third, the authors surveyed the patients on their satisfaction with the quality of medical care. The results of the research showed that the total number of patients’ visits at the dispensary №1 decreased by 32.4%, and the rate of home visits decreased by 5.12% in September 2020 compared to September 2018. The same situation is with the number of referrals for examination. In September 2018 763 patients got referrals for further examinations, and in September 2020 the number of referrals was 169. The survey showed that patients are dissatisfied with some aspects of the quality of medical care, particularly, with the automation of medicine, focus of medicine, as well as with the conditions of appointment and accessibility of conventional medical services. In total, the results of the research helped to highlight problems in the work of family doctors caused by healthcare reform and medical information systems implementation which reduce the quality of medical care. The recommendations for problems solving were suggested. The authors’ research will be useful for further research in the quality of medical care.

scholarly journals THE EXPERIENCE OF THE INTRODUCTION OF «DOCTOR ELEKS»

2015 ◽  
Author(s):  
N. I. Ventskivska ◽  
N. V. Korobchinska ◽  
S. V. Tumanina
Keyword(s):  
Information System ◽  
Urban Health ◽  
Medical Information ◽  
Information Space ◽  
Medical Information System ◽  
Medical Services ◽  
Medical Institutions ◽  
Long Time

<p>The need for a single medical information space in Vinnitsa there was a long time, however, the actual implementation of the automated medical information system was made possible with<br />the debugging of the program «Doctor Eleks.» The «Doctor Eleks» provides automation and linking all the main processes of the medical institutions. The goal of creating a unified information space of urban health by implementing the program «Doctor Eleks» improve the quality of medical services in Vinnitsya.</p>

scholarly journals The decision support system in the treatment of arterial hypertension — control of the data entry into the electronic chart

2019 ◽  
Vol 24 (6) ◽  
pp. 704-709
Author(s):  
N. G. Avdonina ◽  
E. V. Bolgova, ◽  
M. V. Ionov ◽  
N. E. Zvartau ◽  
A. O. Konradi
Keyword(s):  
Information System ◽  
Decision Support ◽  
Physical Examination ◽  
Arterial Hypertension ◽  
Medical Information ◽  
Data Entry ◽  
Medical Information System ◽  
Research Centre ◽  
Control Group

Background.One of the key problems of keeping records in medical information systems is the correctness of the data entry. Even the simplest decision support systems (DSS) can be highly useful regarding the reduction in the number of errors in entering data and recommendations.Thepurposeof this study was to assess the effectiveness of the implementation of the simplest DSS, designed to minimize the number of input errors of the patient’s key characteristics and to implement a basic control for the recommendation section.Design and methods.DSS was developed as a data analysis system of a medical information system that can perform functions directly integrating into a working medical information system. The study involved 7 cardiologists of the counseling and diagnostic center of the Almazov National Medical Research Centre (St Petersburg, Russia), who tested the established DSS for 10 weeks as part of their daily work on counseling patients with arterial hypertension. Altogether 1280 records were analyzed in the main group and 1060 in the control group. Results.In the group with notifications enabled, the total number of errors in the same section comprised 49,1 %, while 84,7 % of them were recorded during the first week of using the system, and by the time of the visit only 8,7 % of the errors were registered. In the control group, the total number of errors was 63,7 %, while 42,2 % remained uncorrected. In the recommendation section, the number of errors was almost identical in both groups, 24 % in the group that worked in the “fixation” mode, and 25,5 % in the group with error notifications enabled. At the same time, in the latter one, at the end of the visit, 7 % errors remained uncorrected. In a detailed analysis of the data in the “physical examination” section, the largest number of missing data related to the anthropometric indicators, especially the waist circumference. When assessing the quality of input data, we found that the group with enabled notifications showed a progressive decrease in the number of errors and unfilled fields in the “physical examination” section.Conclusion.The use of the simplest DSS in the outpatient admission of patients with arterial hypertension can significantly improve the quality of the input of structured data necessary for patient risk stratification. It also contributes to the patient’s safety in terms of the correctness of the medical prescriptions.

scholarly journals MODERNIZATION OF INFORMATION AND COMMUNICATION SUPPORT OF MEDICAL INSTITUTIONS

2020 ◽  
pp. 97-102
Author(s):  
Oleksandr Matsyk
Keyword(s):  
Information System ◽  
Medical Information ◽  
Medical Information System ◽  
Medical Information Systems ◽  
Communication Support ◽  
Medical Institutions ◽  
Information And Communication ◽  
Quality Of Medical Care ◽  
Domestic Medical

Purpose. The purpose of the article is to substantiate the need to modernize the information and communication support of medical institutions of Ukraine to improve the quality of medical care and medical services. Methodology of research. The theoretical and methodological basis of the study are the fundamental provisions of modern economic theory, scientific works of leading foreign and domestic scientists, international and domestic regulations on health care. General scientific and special research methods are used to achieve this goal, in particular: the method of system analysis – to study the information and communication support of medical institutions as a system; the method of structural analysis – to study the structure of the software of the medical information system “Doctor Eleks”; the method of comparison – to compare different methods of information processing in the studied medical information system. Findings. The need for modernization of information and communication support of medical institutions is determined. Prospects for the introduction of medical information systems in health care facilities, such as the “Doctor Elex” information system, are substantiated. Examples of introduction of the medical information system "Doctor Eleks" in foreign and domestic medical institutions are considered. The advantages of the researched medical information system “Doctor Eleks” for: management staff, medical staff and registry staff are formed. The software of the medical information system “Doctor Eleks” is analysed in detail in the context of the main modules: “registry”, “doctor”, “laboratory”, “administration”, “templates”. It is proved that the introduction of the medical information system “Doctor Eleks” in the activities of medical institutions will significantly increase the level of coordination of its staff and will positively affect the quality of medical care and medical services. Originality. The mechanism of introduction of modern information technologies in activity of medical institutions as the factor of increase of quality of medical service on the basis of use of the information system “Doctor Eleks”, which is developed for automation of work of medical institutions is offered. Practical value. The detailed analysis of the advantages of the medical information system “Doctor Eleks” can be useful for directors of domestic medical institutions in choosing the priorities of modernization of their information and communication support. Key words: medical institutions, information and communication support, e-medicine, medical information systems, innovative technologies.

Current Status of a Medical Information System

1970 ◽  
Vol 09 (03) ◽  
pp. 149-160 ◽  
Author(s):  
E. Van Brunt ◽  
L. S. Davis ◽  
J. F. Terdiman ◽  
S. Singer ◽  
E. Besag ◽  
...  
Keyword(s):  
Information System ◽  
Medical Records ◽  
Medical Information ◽  
Clinical Laboratory ◽  
Development Program ◽  
Medical Data ◽  
Direct Access ◽  
Medical Information System ◽  
Current Status ◽  
Central System

A pilot medical information system is being implemented and currently is providing services for limited categories of patient data. In one year, physicians’ diagnoses for 500,000 office visits, 300,000 drug prescriptions for outpatients, one million clinical laboratory tests, and 60,000 multiphasic screening examinations are being stored in and retrieved from integrated, direct access, patient computer medical records.This medical information system is a part of a long-term research and development program. Its major objective is the development of a multifacility computer-based system which will support eventually the medical data requirements of a population of one million persons and one thousand physicians. The strategy employed provides for modular development. The central system, the computer-stored medical records which are therein maintained, and a satellite pilot medical data system in one medical facility are described.

Sign in / Sign up

Export Citation Format

Share Document