scholarly journals About design medical databases and information systems for the organization and management of clinical processes

2020 ◽  
Vol 6 (2) ◽  
pp. 20-26
Author(s):  
Ahrorjon A. Abdumanonov ◽  
◽  
Ruslan E. Aliyev ◽  
Muhammajan K. Karabayev ◽  
Vokhidjon G. Hoshimov ◽  
...  

In article questions of development of automated, integrated information systems and databases (DB), created by the authors to ensure that the information and intellectual support of organizations and management of clinical processes in a general hospital. Analyze the schema information and intellectual support for the main stages of activity of the doctor in the organization of clinical processes and proved the effectiveness of the transition to electronic document management and management of patient records. The techniques and steps in the process of designing a database of such systems. Presented data models based on relational principles and taking into account the peculiarities of information provision of medical care in a clinical hospital emergency medicine. Sanctified issues for creating a database implemented taking into account the specifics of health care regulations, standards and related problems of formalization and standardization of information, the problem of choice of database management systems (DBMS), including for medical applications, the issues of intellectualization of the database and the formation of a knowledge base. Showing crucial modeling domain – automation object articles in this case – the diagnostic and treatment process. The main requirements to the database integrated health information systems. Questions of formalization entered into the database of medical and other information, the solution of which the authors carried out through the creation of special electronic templates for all aspects of medical practice hospital. Being developed by leading medical specialists clinic, they do not only facilitate the design, but also remind us that we should find out, to ask to examine and help select the best tactics. This kind of technology is human-computer interaction – an element of the programming actions of the doctor. This option is the task of formalizing entered into the database of medical information used to provide a single standard of medical information, standardize the order of the information entered into the database. The results of the analysis of the effectiveness of the developed information system and performance of its database in the course of their use in the clinical setting. In particular, we studied the performance, response time and server load when working with different categories of users – doctors, nurses, administrators, and etc., which have shown the applicability of the developed health information system and its database to optimize the organization of clinical processes in the conditions of the experiment.

Author(s):  
P. K. Paul ◽  
A. Bhuimali ◽  
M. Ghose ◽  
Poovammal. E.

<div><p><em>Health Information System or Medical Information Systems is an important and valuable concept which is mainly dedicated to the Health related issues and solutions. The Health Information System is combines with the management and also economical aspects for its real and healthy solutions. The Health Information System is the important name in most of the developed countries for their healthy and sophisticated healthcare systems. The Health Information System thus needs to be a valuable agenda in medical and clinical systems. The Health Information System is only possible with the initiation of the solid Health Informatics practice. The domain and knowledge field of Health Information System is deals with the fundamentals of Information Studies, Computing &amp; Information Technologies, Management Sciences with the Bio Sciences such as Physiology, Life Science, Clinical and Health Management, Human Body etc. The Health Information System has many problems in the spectrum of technologies as well as in the field of economies etc. This is a kind of conceptual paper and mainly illustrated the issues of Governance, Policies, Economics etc for solid and healthy Health Information System building. <strong></strong></em></p></div>


Author(s):  
L. Yu. Babintseva

It is the deepening of the previously formulated a proposal on the functioning of the author in a single medical information space of two information systems - the integrated health information system and management information system trafficking drugs on the principle of complementarity and congruence. The problems of integration of various information systems for health care are discussed. There is proposed a quantitative evaluation of the effectiveness of the joint use of information systems in the framework of the solution of a problem.


Author(s):  
Malgorzata Kisilowska

This chapter presents the model of a wide health information system, designed in accordance with information science theories and requirements. The model, based on modern ICT solutions, reflects the idea of information processes (collection, indexing, transfer) as seen in an information science perspective. It concentrates on optimal answering information needs of different categories of patrons, including adaptation of information-retrieval tools to their competencies. The author discusses different types of information indispensable in healthcare practice, analyzes methods of knowledge representation in health information system, proposes methodology of surveying information needs of health professionals, and describes challenges of linguistic tools used in information systems. The author hopes that such a model will emphasis the need of cooperation among ICT, health, and information professionals in designing information structures and processes.


2011 ◽  
pp. 1103-1111
Author(s):  
Kristiina Häyrinen

A Standish Group (1994) study showed that only 16% of all information technology projects come in on time and within budget. The situation is not better concerning health information systems. Many health information system implementations are less than completely successful (Berg, 2001; Giuse & Kuhn, 2003; Lorenzi & Riley, 2003). In this article, the health information system means “a system, whether automated or manual, that comprises people, machines and /or methods organized to collect, process, transmit, and disseminate” data that represent user information in healthcare (Kuhn & Giuse, 2001, pp. 275). What is successful implementation and whose success is measured? Successes can be measured in many ways. Delone and McLean have been finding out the success factors of management information system which are also applicable to health information system. The success factors are: system qualities, e.g., the ease of use or time savings, information quality, e.g., completeness or data accuracy, usage, e.g., the frequency of use or the number of entries, user satisfaction, e.g., user-friendliness or overall satisfaction, individual impact, e.g., changed work practices or direct benefits and organizational impact, e.g., communication and collaboration or impact on patient care. Furthermore, user involvement during system development, implementation and organizational culture have been identified as possible factors measuring the success. However, the need for further research to determine which attributes are the most useful ones in measuring success has also been revealed. (van der Meijden, Tange, Troost & Hashman, 2003). The different phases in implementation process are, in general, user needs and requirements analysis (specification), system design, initial system implementation and testing (Ahmad, Teater, Bentley, Kuehn, Kumar, Thomas & Me-khjian, 2002; Schuster, Hall, Couse, Swayngim & Kohatsu, 2003; Souther, 2001). The system requirements analysis includes workflow analysis, and the initial system implementation includes the technical installation of the information system, integration of the information system to other information systems and users’ training. Project management is an important factor in every phase of the implementation project. The purpose of this article is to highlight the health information system implementation process from end-user perspective. Which factors are crucial in the implementation process from the point of view of the end-users? How does project management contribute to the implementation process, what is the role of the end-user in system designing and how does training effect the information system implementation?


2020 ◽  
Vol 15 (8) ◽  
pp. 136-145
Author(s):  
L. V. Andreeva

Currently, in the context of information technologies development and the transition to the digital technologies application in the economy and public administration, the importance of information systems, including state information systems, is increasing. In the field of state and municipal procurement, an information infrastructure has been created, the main component of which is the state unified information system (UIS), which has significant features compared to other state information systems, the effective functioning of which is of great importance to ensure the entire procurement process. The purpose of the paper is to determine the legal nature and functions of the UIS, to study the features of interaction with other information systems and the prospects for its development in the context of the digital technologies application. This goal assumes the solution of the following tasks: analysis of regulatory legal acts that establish the rules for the functioning of the UIS; determination of common features of the UIS with other state information systems and its distinctive features; study of forms of interaction of information systems with the UIS; analysis of the effectiveness of the organization of electronic document management by means of UIS; development of proposals for improving the rules for the UIS functioning.As a result of the study, it was concluded that the implementation of civil rights and obligations in the field of state and municipal procurement is carried out through the EIS; the features of the EIS as a multifunctional state information system are determined and a conclusion is made about its uniqueness; suggestions were made on the application of measures to improve the functioning of the ENI, and the use of digital technologies in the field of procurement.


2021 ◽  
Vol 7 (1) ◽  
pp. 1-4
Author(s):  
Teungku Nih Farisni ◽  

Health Information System is an integrated system that used to manage data and public information. Babahrot Health Center, has problems in the field of health information system and the health center of integrated recording and reporting system especially the system toddler health information


Respati ◽  
2017 ◽  
Vol 9 (27) ◽  
Author(s):  
Mostafa Abobaker ◽  
Selo Sulistyo ◽  
Adhistya Erna Permanasari

The health care system in Libya in recent years does not change significantly, less developed and modernized. This problem is further exacerbated by the revolution that occurred in Libya. The revolution that occurred in 2011 has caused the health care system into collapse. In this study conducted a review for the development of health information systems in Libya by using OpenMRS Framework.At the stage of gathering information using questionnaires concluded that the majority of respondents (about 95.35%) wanted the development of a new system that can resolve the main problems that occurred in Libya, the health information system ineffective and inefficient in which this system has led to wastage of time and increased operating costs. Based on analysis of system vulnerabilities using PIECES method could also be concluded that the current system is not used effectively and efficiently. In this study is also presented on how to implement OpenMRS.Based on the results of the discussion it can be concluded that OpenMRS is a solution that can be taken for the development of a health information system that is fast, low cost, and is an open source application that only requires a little setting in the system of patient management and care. OpenMRS can be implemented to support the health services of a small clinic to the health services with enterprise scale. Therefore, OpenMRS could be the answer to the development of health information systems in various countries around the world, including Libya.


1970 ◽  
Vol 4 (1) ◽  
Author(s):  
Etika Emaliyawati ◽  
Ayu Prawesti ◽  
Iyus Yosep ◽  
Kusman Ibrahim

Jawa Barat merupakan wilayah rentan kejadian bencana. Kabupaten Ciamis merupakan daerah yang mempunyai tingkat kerawanan cukup tinggi terhadap kejadian bencana alam tanah longsor dan banjir berdasarkan pemetaan secara global 2012-2029. Namun demikian, penanganan bencana belum tertangani secara optimal. Penanganan korban pada kondisi bencana belum tertangani dengan baik karena minimnya koordinasi, data layanan kesehatan yang tidak memadai sehingga menyebabkan tidak tertanganinya korban akibat bencana. Penggunaan sistem informasi dalam penanganan bencana sangat diperlukan khususnya untuk aspek layanan kesehatan. Tujuan penelitian ini terbentuknya sistem informasi kesehatan khususnya dalam penanganan bencana di Kabupaten Ciamis untuk memudahkan dalam koordinasi penanganan korban dimulai dari lokasi bencana, evakuasi dan transportasi korban ke tempat layanan kesehatan yang sangat tergantung dari kondisi korban, sarana dan prasarana fasilitas kesehatan, logistik yang dibutuhkan, jarak dan waktu tempuh ke tempat layanan kesehatan, serta sumber daya manusia di tempat layanan kesehatan. Penelitian menggunakan metode riset terapan, menggunakan sistem informasi geografis (SIG) dengan perangkat lunak arcgis. Hasil penelitian ini yaitu terbentuknya prototipe sistem informasi kesehatan di Kabupaten Ciamis yang diberi nama “Sistem Informasi Bencana Padjadjaran (SIMBARAN)” berisi elemen kesehatan yang diperlukan selama bencana meliputi layanan kesehatan terdekat di sekitar kejadian, sumber daya manusia yang tersedia, saranan prasarana, penanggung jawab program dan sistem rujukan sehingga memudahkan dalam koordinasi penanganan korban yang nantinya diharapkan dapat menurunkan angka kematian korban akibat bencana ataupun kejadian kecelakaan lainnya. Direkomendasikan agar setiap kabupaten di wilayah Jawa Barat memiliki model Sistem Informasi Bencana karena wilayah Jawa Barat yang rentan terhadap kejadian bencana.Kata kunci: Aspek kesehatan, mitigasi, sistem informasi, “simbaran”. Disaster Mitigation Management use Information Technology in CiamisAbstractWest Java is one of region with susceptible disaster. Ciamis is an area that has a fairly high level of vulnerability to natural disasters as landslides and floods based mapping globally from 2012 to 2029. However, disaster management has not handled optimally. Handling of victims in the disaster condition is not handled properly due to lack of coordination, health services data is inadequate, causing no casualties from the disaster Settlement. Using of information systems in disaster management is indispensable, especially for health services aspects. The study purpose is establishment of health information systems, especially in disaster management in Ciamis to facilitate the coordination of the handling of victims starting from the disaster site, evacuation and transportation of victims to the health service that is highly depend on the condition of the victim, facilities and infrastructure of health facilities, logistics required, distance and time to the health service, and human resources in the health service. The research method applied research, using a geographic information system (GIS) software ArcGIS. The results of this study is the formation of a prototype health information system in Ciamis, named “Information System Disaster Padjadjaran (SIMBARAN)” contains the elements necessary health during disasters include the nearest health service in the vicinity of the incident, the human resources available, the proposition infrastructure, responsible program and a referral system to facilitate the coordination of the handling of victims who might be expected to decrease the death toll from the disaster or other accident scene. This study being recommended for each district in West Java has a Disaster Information System model because West Java region that is susceptible to disaster events.Keywords: Information systems, health aspects, mitigation, “simbaran”.


2021 ◽  
Author(s):  
Beverly M. Ochieng ◽  
Dan C. Kaseje

Abstract Background A perennial problem in information systems is the unidirectional flow of information. Bidirectional information systems are mechanisms by which consumers and providers generate, discuss and use information at each level of data collection. This paper describes opportunities in the health service delivery system for bidirectional information flow that can be established as part of the health information system to inform decisions, planning, and action by both providers and consumers of care. Methods The study was quasi-experimental and involved pre and post-intervention, cross-sectional surveys at intervention and control sites. The intervention was a Community Based Health Information System. Quantitative and qualitative data were collected. The surveys covered five health facilities in the intervention sites and five in the control sites in each of the six study districts. Five clients were interviewed at each intervention and control health facility. Communities served by the selected health facilities were included in household cluster sample surveys. Thirty clusters of 10 households, each with under-five children, were included in each community served by the selected health facilities. Quantitative data were cross-tabulated to compare health outcomes at intervention and control sites. A content analysis was performed on the qualitative data; themes and sub-themes that identified opportunities for bidirectional information-sharing were identified. Results We identified five nodal points in the health system that provide opportunities for bidirectional information sharing at the household, community, and health facility levels. Immunization coverage, skilled delivery, water treatment, and latrine use improved more at the intervention than control sites. Where all of the mechanisms were implemented, there was better performance in outcomes. Conclusion A conscious engagement of service providers and consumers in dialogue, using available health system information to iteratively inform decisions and actions, improves health outcomes.


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