Interoperability of EHR Systems Based on Semantic Representation and Transformation Models

2013 ◽  
pp. 59-81
Author(s):  
Catalina Martínez-Costa ◽  
Marcos Menárguez-Tortosa ◽  
Jesualdo Tomás Fernández-Breis
Keyword(s):  
Patient Safety ◽  
Semantic Representation ◽  
Quality Of Healthcare ◽  
Automatic Generation ◽  
Semantic Interoperability ◽  
Dual Model ◽  
Transformation Models ◽  
Electronic Healthcare Record ◽  
Semantic Models

The semantic interoperability of electronic healthcare record systems is a major issue given that it would increase the quality of healthcare and patient safety. In this chapter, different solutions based on the use of semantic models for representing clinical knowledge are presented. The aim of the research presented here is to contribute to the achievement of semantic interoperability by making explicit the meaning of the exchanged data and knowledge items. In particular, this work is focused on dual model-based electronic healthcare records standards and presents methods and tools for the representation and transformation of clinical archetypes and for the automatic generation of standardized applications.

scholarly journals Leveraging massive open online courses to expand quality of healthcare education to health practitioners in Rwanda

2019 ◽  
Vol 8 (4) ◽  
pp. e000532 ◽  
Author(s):  
Kirstin Woody Scott ◽  
Theophile Dushime ◽  
Vincent Rusanganwa ◽  
Liana Woskie ◽  
Clint Attebery ◽  
...  
Keyword(s):  
Patient Safety ◽  
Global Health ◽  
Healthcare Professionals ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Lessons Learned ◽  
Online Course ◽  
Massive Open Online ◽  
District Hospitals

Improving the quality of healthcare delivery is increasingly a global health priority. However, quality improvement training opportunities that provide theoretical foundations and basic skills for patient safety and other quality initiatives have been limited or historically out of reach, especially in low-and-middle income countries (LMICs). To address this gap, the Harvard Initiative on Global Health Quality (HIGHQ) created and launched a massive open online course (MOOC) in 2014 focused on patient safety and quality of care using the edX platform. More than 30 000 students from across 195 countries registered for the online course. This paper summarises an innovative educational partnership between the course team and one of these countries, Rwanda, to develop a blended-learning model to bolster participation in this new course among Rwandan healthcare professionals. Although a small country, Rwanda was among the top performing countries for attracting course registrants and was the leading country for the proportion of enrollees who ultimately completed the course. Further, half (21 of 42) of Rwanda’s district hospitals opted to appoint a PH555x course facilitator at their site to help lead regular meetings and discussions about the course content at their facility. The majority of Rwandan enrollees were health professionals (63%) and 81% reported that PH555x was their first experience taking an online course. Among those participating in the ‘flipped’ component at hospital sites, 94% reported that the course helped them to think of specific ways to improve healthcare quality at their facility. In this paper, we describe this innovative public–private educational model, challenges to implementation and lessons learned that may be helpful for future MOOC developers who wish to augment learning opportunities among healthcare professionals in LMICs.

scholarly journals Quality of healthcare services and its relationship with patient safety culture and nurse-physician professional communication

2017 ◽  
Vol 7 (3) ◽  
pp. 168-174 ◽  
Author(s):  
Akram Ghahramanian ◽  
Tayyebeh Rezaei ◽  
Farahnaz Abdullahzadeh ◽  
Zahra Sheikhalipour ◽  
Iman Dianat
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Professional Communication

Quality, Innovation, and Differentiation (QID) and Total Healthcare Relationship Model (THRM)

2017 ◽  
pp. 42-63
Keyword(s):  
Patient Safety ◽  
Life Quality ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Patient Treatment ◽  
Health Improvement ◽  
Healthcare Organisation ◽  
Relationship Model ◽  
Services Innovation

During the last two decades, the privatisation, deregulation, internationalisation and globalisation of healthcare sectors, healthcare organisations have found the need to innovate new devices and patient treatment tools to cure illnesses and improve life quality of people. These trends place quality of healthcare services, innovation and differentiation (QID) at the heart of the healthcare organisation´s sustainable patient safety strategies. It should be recognised that health improvement through Quality, Innovation and Differentiation is not a one-time event. Improved technological innovation and quality are complementary, thus we argue in this chapter that QID are the triple engines of achieving the ultimate goal of reducing medical errors and assuring patient safety. The purpose of this chapter is to advance the understanding of the triangle relationship between QID to improve strategies available to healthcare organisations. This chapter also highlights how these approaches, i.e. QID and THRM can integrate and add impetus to successful healthcare strategies.

scholarly journals Incidents reporting: barriers and strategies to promote safety culture

2018 ◽  
Vol 52 (0) ◽  
Author(s):  
Fabiana Rossi Varallo ◽  
Aline Cristina Passos ◽  
Tales Rubens de Nadai ◽  
Patricia de Carvalho Mastroianni
Keyword(s):  
Patient Safety ◽  
Educational Intervention ◽  
Safety Culture ◽  
Health Professionals ◽  
Multidisciplinary Team ◽  
Quality Of Healthcare ◽  
Hospital Staff ◽  
Reporting Method ◽  
Method Group

ABSTRACT Objective The purpose was to identify the barriers of underreporting, the factors that promote motivation of health professionals to report, and strategies to enhance incidents reporting. Method Group conversations were carried out within a hospital multidisciplinary team. A mediator stimulated reflection among the subjects about the theme. Sixty-five health professionals were enrolled. Results Complacency and ambition were barriers exceeded. Lack of responsibility about culture of reporting was the new barrier observed. There is a belief only nurses should report incidents. The strategies related to motivation reported were: feedback; educational intervention with hospital staff; and simplified tools for reporting (electronic or manual), which allow filling critical information and traceability of management risk team to improve the quality of report. Conclusion Ordinary and practical strategies should be developed to optimize incidents reporting, to make people aware about their responsibilities about the culture of reporting and to improve the risk communication and the quality of healthcare and patient safety.

scholarly journals The perception of healthcare employees and the impact of healthcare accreditation on the quality of healthcare in Korea

2017 ◽  
Vol 6 (6) ◽  
pp. 20 ◽  
Author(s):  
Il-Tae Park ◽  
Yoen-Yi Jung ◽  
Seung-Han Suk
Keyword(s):  
Organizational Culture ◽  
Patient Safety ◽  
Positive Impact ◽  
Empirical Studies ◽  
Healthcare Quality ◽  
Quality Of Healthcare ◽  
Hospital Accreditation ◽  
The Impact ◽  
Healthcare Employees

Objective: In order to encourage more hospitals to participate in the accreditation, there needs to be “substantial evidence of the effectiveness of accreditation”. The aim of this study was to identify and analyze healthcare employees’ perceptions of hospital accreditation and the impact of hospital accreditation on the quality of healthcare in Korea.Methods: Eight electronic databases were searched between June and July 2016. Of the initially identified 392 abstracts, 14 empirical studies on healthcare accreditation in Korea were selected based on the inclusion criteria. These were retrieved and analyzed.Results: The 14 studies assessed healthcare employees’ perception of hospital accreditation as well as the impact of hospital accreditation on the quality of healthcare. The results were classified into four categories according to perception (Need, Purpose, Intent, and Relevance of standards), and into five categories according to the impact of accreditation (Patient safety and healthcare quality, Satisfaction with hospital employees, Leadership, Organizational culture, and Managerial performance). Findings showed that healthcare employees’ had good understanding of the purpose, need, and intention of the healthcare accreditation system, but indicated that limitations exist with the accreditation standards. Moreover, evidence showed that healthcare accreditation in Korea has made a positive impact on “patient safety and healthcare quality”, “leadership” and “organizational culture”.Conclusions: Healthcare accreditation has had a positive overall impact on hospitals and has improved the quality of healthcare as well as patient safety. However, more rigorous research and more diverse research methods are required to determine its long-term effect.

scholarly journals Policies for control and prevention of infections related to healthcare assistance in Brazil: a conceptual analysis

2016 ◽  
Vol 50 (3) ◽  
pp. 505-511 ◽  
Author(s):  
Hadelândia Milon de Oliveira ◽  
Cristiane Pavanello Rodrigues Silva ◽  
Rúbia Aparecida Lacerda
Keyword(s):  
Patient Safety ◽  
Conceptual Analysis ◽  
Quality Of Healthcare ◽  
Healthcare Associated Infection ◽  
Structural Support ◽  
Control And Prevention ◽  
Prevention Of Infections ◽  
Healthcare Associated ◽  
And Control

Abstract This article is a theoretical-reflexive study that aims to discuss the development and changes in the quality of healthcare assistance to the patient over the years in Brazil, in light of the policies of control and prevention of Healthcare-associated Infection (HAI). Aspects of HAI and the process of change in health policy in Brazil, as well as the quality of assistance associated with its control, are approached in relation to policies of patient safety. There are various new theoretical and practical proposals created in Brazil. In spite of the difficulty of measuring patient safety, directed to the prevention and control of HAI, we emphasize that to only create policies and establish norms, guidelines, and indicators is not sufficient. If no structural support or conditions exist for interventions in the practices of healthcare professionals, aiming at results in acceptable levels, the control of HAI will not be achieved.

QUALITY MANAGEMENT PRINCIPLES OF CLINICAL AND LABORATORY ACTIVITIES

2018 ◽  
Vol 28 (2) ◽  
pp. 689-693
Author(s):  
Nikola Sabev
Keyword(s):  
Evaluation System ◽  
Quality Of Healthcare ◽  
Laboratory Analysis ◽  
Medical Services ◽  
Administrative Authority ◽  
Specific Level ◽  
Goods And Services ◽  
Laboratory Activities ◽  
Analytical Accuracy

Providing a specific level of healthcare quality is an important and a complex issue, determined by the extent of influence of number of interrelated and predetermined factors that act at different stages throughout the continuum of healthcare activities. A final healthcare product is a complex conglomerate of goods and services being heterogeneous with a time-varying result and a pronounced individuality. Thus, healthcare managers are required to put its supporting and continuous upgrading at the core of their efforts, which in turn will result in cost reduction, good collaboration between individual professionals, improved financial performance and, ultimately, patients will be optimally serviced and their needs and expectations will be satisfied.Indicators to measure quality of medical services give an idea of their characteristics, conditions and requirements for implementation. In this respect, quality assurance in clinical laboratories is an important process involving a complex system of planned actions at all stages of laboratory analysis in order to achieve the most accurate results with the aim of achieving the most accurate result, of monitoring the effect of the treatment and prognosis of the disease in question. The high quality of laboratory medical services helps modern clinicians in their practical activities and is a guarantor of achieving an adequate healthcare outcome. The ‘Quality in Laboratory Medicine’ concept evolves over time, focusing not only on analytical accuracy but also on a broader and more comprehensive basis that takes into account all the steps of clinical and laboratory analysis, providing valuable information in the process of making clinical decisions that are subordinated entirely to the cares of the patient.All healthcare professionals under the administrative authority of the medical institution, that should guarantee the necessary resources for this process, should participate in providing and improving the quality of services. It is necessary to cover the entire organizational structure, by paying attention to the optimization of the relations between staff and patients. Healthcare managers should provide permanent monitoring and a process evaluation system at each stage, allowing options for choosing alternatives for a solution and precise selectivity, aimed at improving the quality of healthcare, in particular, clinical and laboratory activities and services.

scholarly journals Systematic Analysis of Literature on the Marketing of Healthcare Systems. Challenges for Russian and Romanian Healthcare Systems

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 656
Author(s):  
Vladimir Bulatnikov ◽  
Cristinel Petrişor Constantin
Keyword(s):  
Quality Of Healthcare ◽  
Healthcare Systems ◽  
Business Environment ◽  
Competitive Advantages ◽  
Systematic Analysis ◽  
Scientific Databases ◽  
Advantages And Disadvantages ◽  
Funds Allocation ◽  
New Perspective

This paper aims at finding the most dominant ideas about the marketing of healthcare systems highlighted in the mainstream literature, with a focus on Russia and Romania. To reach this goal, a systematic analysis of literature was conducted and various competitive advantages and disadvantages of the medical models that require special attention from the governments are considered. In this respect we examined 106 papers published during 2006 to 2020 found on four scientific databases. They were selected using inclusion and exclusion criteria according to PRISMA methodology. The main findings of the research consist of the opportunity to use marketing tools in order to improve the quality of healthcare systems in the named countries. Thus, using market orientation, the managers of healthcare systems could stimulate the innovation, the efficiency of funds allocation and the quality of medical services. The results will lead to a better quality of population life and to an increasing of life expectancy. As this paper reviews some articles from Russian literature, it can add a new perspective to the topic. These outcomes have implications for government, business environment, and academia, which should cooperate in order to develop the healthcare system using marketing strategies.

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