scholarly journals Towards a Distributed SMA-based Solution for the Interoperability of Hospital Information Systems for Better Routing of Emergency Ambulances

2021 ◽  
Vol 17 (12) ◽  
pp. 70-92
Author(s):  
Meryem Fakhouri Amr ◽  
Mouhcine Elgarej ◽  
Nezha Benmoussa ◽  
Khalifa Mansouri ◽  
Mohammed Qbadou
Keyword(s):  
Information Systems ◽  
Response Time ◽  
Recommendation System ◽  
Traditional Approach ◽  
Hospital Information Systems ◽  
Optimization Techniques ◽  
The Road ◽  
Emergency Vehicles ◽  
Emergency Ambulance ◽  
Multi Agent

Multi-agent systems MASs have been widely used to interoperate hospital information systems (HISs). The use of MASs for HISs interoperability has become a central solution, especially in the field of emergency medicine. In emergencies, the notion of delay is relative, because responders only have a few minutes to react. This emergency response time has an important role in the event that an accident occurs on the road. Existing procedures for the emergency ambulance (EA) dispatch strategy are based on manual dispatch. In this work, we are introducing a distributed emergency ambulance (DEA) routing system to control emergency latency time, which includes driving route planning to guide emergency vehicles and the allocation of distributed emergency resources (emergency ambulances and hospitals) to reduce the EA response time caused by traffic or the wrong human decision to transport ambulance to the accident site. The allocation of resources (hospitals) is ensured through a recommendation system based on the interoperability of several interconnected HISs using a multi-agent system. The proposed solution takes into consideration dynamic traffic flow information during the day to build dynamic paths for EA. The improved method is based on a distributed architecture to calculate and find the optimal pathway for a set of emergency vehicles based on ACO ant colony optimization techniques. The results of the simulation show that the proposed method can decrease the total travel time of the ambulance to reach the accident position compared to conventional methods that use lights and sirens to warn other vehicles to free up the road for the ambulance or use a traditional approach based on the vision/reflection of the driver to choose in a random way the paths to take. Based on such a solution, ambulance staff will be able to save lives by optimizing the total journey with the minimum travel.

scholarly journals Implementation of Absolute Priority in a Predictive Traffic Actuation Schemes

2019 ◽  
Author(s):  
Souhir Boudhrioua ◽  
Mohamad Shatanawi
Keyword(s):  
The Netherlands ◽  
Response Time ◽  
Program Director ◽  
Signal Timing ◽  
Absolute Priority ◽  
The Road ◽  
Road Users ◽  
Emergency Vehicles

Nowadays, the improvement of the emergency vehicles' priority is required to improve their response time. Presently, the emergency vehicles alert the road users using the sirens and lights, which might cause disturbances in the traffic or lead to accidents due to the unpredictability of the road users' behaviors. This paper introduces the priority indicator, which calculates the priority of several emergency vehicles as they approach an intersection and sort them in a way that allows granting priority to each one without causing delays neither for the emergency nor for the normal vehicles. The priority indicator is then introduced in a predictive traffic actuation program (DIRECTOR) that adjusts the signal timing in a dynamic way. Thus, this research aims to create a generalized priority form that simplifies granting the priority for emergency vehicles in a harmonized way in all over the Netherlands, making sure that it takes into consideration the several conditions of the intersection.

Inhibitors of Physicians' Use of Mandatory Hospital Information Systems (HIS)

2020 ◽  
pp. 1720-1737
Author(s):  
Heiko Gewald ◽  
Corinna Gewald
Keyword(s):  
Information Systems ◽  
Organizational Context ◽  
Medical Personnel ◽  
Building Blocks ◽  
Hospital Information Systems ◽  
Exploratory Research ◽  
The Road ◽  
Information Systems Research ◽  
Comprehensive Framework ◽  
Effective Use

Physicians' use of information systems continues to be a highly relevant area of information systems research. Although numerous studies have investigated the relationship between hospital physicians and hospital information systems (HIS), a comprehensive framework for assessing the factors which inhibit the use of HIS has yet to be developed. To advance these efforts, this exploratory research takes a qualitative approach to investigate HIS use inhibitors based on interviews with 48 informants and observations from over 40 hours of workplace shadowing in two German hospitals. The findings show that focusing solely on the user does not lead to successful system deployment in hospitals. Rather, the road to success needs to take a combined approach focusing on the user, the process and the system. If these three building blocks are well aligned, correspond with the organizational context and are supported by strong leadership, medical personnel are much more satisfied with the HIS, which results in more effective use.

Inhibitors of Physicians' Use of Mandatory Hospital Information Systems (HIS)

2018 ◽  
Vol 13 (1) ◽  
pp. 29-44 ◽  
Author(s):  
Heiko Gewald ◽  
Corinna Gewald
Keyword(s):  
Information Systems ◽  
Organizational Context ◽  
Medical Personnel ◽  
Building Blocks ◽  
Hospital Information Systems ◽  
Exploratory Research ◽  
The Road ◽  
Systems Research ◽  
Information Systems Research ◽  
Comprehensive Framework

Physicians' use of information systems continues to be a highly relevant area of information systems research. Although numerous studies have investigated the relationship between hospital physicians and hospital information systems (HIS), a comprehensive framework for assessing the factors which inhibit the use of HIS has yet to be developed. To advance these efforts, this exploratory research takes a qualitative approach to investigate HIS use inhibitors based on interviews with 48 informants and observations from over 40 hours of workplace shadowing in two German hospitals. The findings show that focusing solely on the user does not lead to successful system deployment in hospitals. Rather, the road to success needs to take a combined approach focusing on the user, the process and the system. If these three building blocks are well aligned, correspond with the organizational context and are supported by strong leadership, medical personnel are much more satisfied with the HIS, which results in more effective use.

Status and Perspective of Hospital Information Systems in Japan

1999 ◽  
Vol 38 (03) ◽  
pp. 200-206 ◽  
Author(s):  
Y. Ogushi ◽  
Y. Okada ◽  
M. Kimura ◽  
I Kumamoto ◽  
Y. Sekita ◽  
...  
Keyword(s):  
Information Systems ◽  
Hospital Information Systems ◽  
Office Work ◽  
Patient Registration ◽  
Hospital Managers ◽  
Obvious Benefit ◽  
History Of ◽  
Questionnaire Surveys ◽  
Future Hospital ◽  
Order Entry Systems

AbstractQuestionnaire surveys were sent to hospital managers, designed to shape the policy for future hospital information systems in Japan. The answers show that many hospitals use dedicated management systems, especially for patient registration and accounting, and personnel, food control, pharmacy and financial departments. In many hospitals, order-entry systems for laboratory tests and prescriptions are well developed. Half of the hospitals have patient databases used for inquiries of basic patient information, history of outpatient care and hospital care. The most obvious benefit is the reduction of office work, due to effective hospital information system. Many hospital managers want to use the following sub systems in the future for automatic payment, waiting time display, patient records search, automatic prescription verification, drug side-effect monitoring, and graphical display of patient record data.

An Integrated Approach for a Knowledge-based Clinical Workstation: Architecture and Experience

1998 ◽  
Vol 37 (01) ◽  
pp. 16-25 ◽  
Author(s):  
P. Ringleb ◽  
T. Steiner ◽  
P. Knaup ◽  
W. Hacke ◽  
R. Haux ◽  
...  
Keyword(s):  
Decision Support ◽  
Information Systems ◽  
Patient Care ◽  
Hospital Information Systems ◽  
Medical Decision ◽  
Daily Routine ◽  
Functional Requirements ◽  
Support Functions ◽  
Knowledge Based ◽  
Clinical Workstation

Abstract:Today, the demand for medical decision support to improve the quality of patient care and to reduce costs in health services is generally recognized. Nevertheless, decision support is not yet established in daily routine within hospital information systems which often show a heterogeneous architecture but offer possibilities of interoperability. Currently, the integration of decision support functions into clinical workstations is the most promising way. Therefore, we first discuss aspects of integrating decision support into clinical workstations including clinical needs, integration of database and knowledge base, knowledge sharing and reuse and the role of standardized terminology. In addition, we draw up functional requirements to support the physician dealing with patient care, medical research and administrative tasks. As a consequence, we propose a general architecture of an integrated knowledge-based clinical workstation. Based on an example application we discuss our experiences concerning clinical applicability and relevance. We show that, although our approach promotes the integration of decision support into hospital information systems, the success of decision support depends above all on an adequate transformation of clinical needs.

A Groundwork Based Novel Routing Protocol for Vehicular Ad hoc Networks

2017 ◽  
Vol 7 (11) ◽  
pp. 121
Author(s):  
Amolkirat Singh ◽  
Guneet Saini
Keyword(s):  
Routing Protocol ◽  
Packet Loss ◽  
Secure Communication ◽  
Vehicular Ad Hoc Networks ◽  
Ad Hoc ◽  
Road Traffic ◽  
Traditional Approach ◽  
Unexpected Events ◽  
The Road ◽  
On The Road

Many people lose their life and/or are injured due to accidents or unexpected events taking place on road networks. Besides traffic jams, these accidents generate a tremendous waste of time and fuel. Undoubtedly, if the vehicles are provided with timely and dynamic information related to road traffic conditions, any unexpected events or accidents, the safety and efficiency of the transportation system with respect to time, distance, fuel consumption and environmentally destructive emissions can be improved. In the field of computer and information science, Vehicular Ad hoc Network (VANET) have recently emerged as an effective tool for improving road safety through propagation of warning messages among the vehicles in the network about potential obstacles on the road ahead. VANET is a research area which is in more demand among the researchers, the automobile industries and scientists to discover about the loopholes and advantages of the vehicular networks so that efficient routing algorithms can be developed which can provide reliable and secure communication among the mobile nodes.In this paper, we propose a Groundwork Based Ad hoc On Demand Distance Vector Routing Protocol (GAODV) focus on how the Road Side Units (RSU’s) utilized in the architecture plays an important role for making the communication reliable. In the interval of finding the suitable path from source to destination the packet loss may occur and the delay also is counted if the required packet does not reach the specified destination on time. So to overcome delay, packet loss and to increase throughput GAODV approach is followed. The performance parameters in the GAODV comes out to be much better than computed in the traditional approach.

Terminal hardware and methodology in hospital information systems

1974 ◽  
Author(s):  
Stanley E. Jacobs ◽  
Lou Phillips ◽  
Marion J. Ball ◽  
John W. Anderson
Keyword(s):  
Information Systems ◽  
Hospital Information Systems

Healthcare practitioner behaviours that influence unsafe use of hospital information systems

2019 ◽  
Vol 26 (1) ◽  
pp. 420-434 ◽  
Author(s):  
Lizawati Salahuddin ◽  
Zuraini Ismail ◽  
Ummi Rabaah Hashim ◽  
Nor Haslinda Ismail ◽  
Raja Rina Raja Ikram ◽  
...  
Keyword(s):  
Information Systems ◽  
Improve Patient Safety ◽  
Structured Interview ◽  
Hospital Information Systems ◽  
Healthcare Practitioner ◽  
Resultant Data ◽  
Quality Of Patient Care ◽  
Copy And Paste ◽  
Improve Patient

This study aims to investigate healthcare practitioner behaviour in adopting Health Information Systems which could affect patients’ safety and quality of health. A qualitative study was conducted based on a semi-structured interview protocol on 31 medical doctors in three Malaysian government hospitals implementing the Total Hospital Information Systems. The period of study was between March and May 2015. A thematic qualitative analysis was performed on the resultant data to categorize them into relevant themes. Four themes emerged as healthcare practitioners’ behaviours that influence the unsafe use of Hospital Information Systems. The themes include (1) carelessness, (2) workarounds, (3) noncompliance to procedure, and (4) copy and paste habit. By addressing these behaviours, the hospital management could further improve patient safety and the quality of patient care.

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