scholarly journals Implementation of an electronic hospital information system: first results of a longitudinal study

2012 ◽  
Vol 12 (4) ◽  
Author(s):  
Rob de Leeuw
Keyword(s):  
Information System ◽  
Longitudinal Study ◽  
Hospital Information System ◽  
First Results ◽  
Electronic Hospital

Efficacy of an Adverse Drug Reaction Electronic Reporting System Integrated into a Hospital Information System

2008 ◽  
Vol 42 (10) ◽  
pp. 1491-1496 ◽  
Author(s):  
Ana Ortega ◽  
Aránzazu Aguinagalde ◽  
Carlos Lacasa ◽  
Irene Aquerreta ◽  
Margarita Fernández-Benítez ◽  
...  
Keyword(s):  
Information System ◽  
Phase I ◽  
Phase Ii ◽  
Hospital Information System ◽  
Surveillance System ◽  
Drug Surveillance ◽  
Adr Reporting ◽  
National Drug ◽  
The Impact ◽  
Electronic Hospital

Background: Adverse drug reaction (ADR) spontaneous reporting is the primary method of postmarketing drug surveillance: although it is an important part of postmarketing drug surveillance, it is underused. Before 2004, almost no ADRs were reported in our 400-bed hospital. As an electronic hospital information system was available in our hospital, we developed a tool (ADR-RS-IHIS) for ADR reporting integrated into the hospital information system to facilitate reporting through easy use, automatic input of certain information, increased accessibility, real-time review, and intervention. Objective: To analyze the efficacy of the ADR-RS-IHIS in increasing ADR reporting to the national drug surveillance system, propose and implement improvements to increase ADR reporting, and evaluate the impact of these improvements, Methods: Every ADR reported through the ADR-RS-IHIS was evaluated retrospectively. Two study phases for evaluating ADR-RS-IHIS efficacy were identified. Phase I took place April 2004-August 2006; in April 2006, an interim analysis was performed to propose improvements. Phase II took place September 2006-April 2007 for evaluation of the impact made by the proposed improvements. Efficacy in the phase I and improvement impact on phase II were measured as the number of ADRs reported to the national drug surveillance system Results: The rate of ADRs reported per month to the national system increased from 0 before 2004 to 0.91 in phase I and 1.62 in phase II (2.25 if delayed reporting was considered). Improvement measures included: allowing nurses to report ADRs in the same way as physicians and pharmacists, automatic form filling of certain information from the electronic hospital information system, easier ADR report analysis, and automatic notification to the allergy department regarding suspected allergies. Conclusions: An ADR reporting system integrated into the electronic hospital information system is effective for increasing the number of ADRs reported to the national drug surveillance system. Allowing nurses to report ADRs in a manner similar to that of physicians and pharmacists, as well as automatic entry of certain data into the form, contributes to the improvement of the system.

scholarly journals Health Care Workers’ Use Of Electronic Hospital Information System And Their Computer Literacy At The Outpatient Department In District General Hospital Trincomalee In Sri Lanka

2016 ◽  
Vol 2 (1) ◽  
pp. 20-29
Author(s):  
Ayanthi Saranga Jayawardena ◽  
S.C. Wickramasinghe ◽  
S.R.U. Wimalaratne
Keyword(s):  
Health Care ◽  
Information System ◽  
Health Care Workers ◽  
Hospital Information System ◽  
Computer Literacy ◽  
District General Hospital ◽  
Staff Members ◽  
Care Workers ◽  
Icd 10 ◽  
Electronic Hospital

AbstractObjectives:To describe the use of Electronic Hospital Information System(EHIS) by the staff, to assess the competency of them to handle the EHIS and to assess the computer literacy among health care workers at the Out Patient’s Department(OPD) in District General Hospital(DGH) Trincomalee.Study design:A cross sectional descriptive study. A competency assessment test and a self administered questionnaire were used. Participants: All the staff members operating the EHIS at the OPD in DGH Trincomalee. Results: Regarding the general use of the EHIS medical officers (100%) used the EHIS to write prescriptions,(>70%)to get the patient’s socio-demographic details, enter patient’s history to retrieve previous medical records, to obtain what drugs available and what drugs out of stock at the outdoor pharmacy, for notification of diseases and used less frequently to get the laboratory reports (50-70%). The system was used for 17 tasks out of 20 tasks and most unused tasks were write the diagnosis according to the ICD-10. Nurses and attendents used the system less than half of the tasks for which the system was functional. The pharmacists use of the system was optimal. Overall respondents’ competency of using the system were high (>80%). Conclusions: Majority of staff members had low level of computer literacy. Majority of them used the system successfully. Recommendations: To strengthen the training program,combat several constraints and upgrade the system, provide digital X-ray imaging and download them to CDs and improved to write the diagnosis according to the ICD-10.Key words: Electronic Hospital Information System, Multi Disease Surveillance, Computer Literacy. 

The Karolinska Hospital Information System

1974 ◽  
Vol 13 (03) ◽  
pp. 125-140 ◽  
Author(s):  
Ch. Mellner ◽  
H. Selajstder ◽  
J. Wolodakski
Keyword(s):  
Information System ◽  
Data Processing ◽  
Data Base ◽  
Hospital Information System ◽  
Care Delivery ◽  
Traditional Approach ◽  
Processing System ◽  
Systems Design ◽  
Data Processing System ◽  
Karolinska Hospital

The paper gives a report on the Karolinska Hospital Information System in three parts.In part I, the information problems in health care delivery are discussed and the approach to systems design at the Karolinska Hospital is reported, contrasted, with the traditional approach.In part II, the data base and the data processing system, named T1—J 5, are described.In part III, the applications of the data base and the data processing system are illustrated by a broad description of the contents and rise of the patient data base at the Karolinska Hospital.

A Computer-based Clinical Information System

1987 ◽  
Vol 26 (04) ◽  
pp. 189-194
Author(s):  
S. S. El-Gamal
Keyword(s):  
Information System ◽  
Hospital Information System ◽  
Clinical Information System ◽  
Research Work ◽  
Clinical Information ◽  
Hospital Staff ◽  
Vital Role ◽  
Daily Routine ◽  
Specialized Hospital ◽  
Computer Based

SummaryModern information technology offers new opportunities for the storage and manipulation of hospital information. A computer-based hospital information system, dedicated to urology and nephrology, was designed and developed in our center. It involves in principle the employment of a program that allows the analysis of non-restricted, non-codified texts for the retrieval and processing of clinical data and its operation by non-computer-specialized hospital staff.This Hospital Information System now plays a vital role in the efficient provision of a good quality service and is used in daily routine and research work in this hospital. This paper describes this specialized Hospital Information System.

scholarly journals Variable clinical characteristics and laboratory results in five patients with Chinese Good's syndrome (thymoma and hypogammaglobulinemia): an 8-year retrospective analysis in a university hospital in China

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Jinyao Ni ◽  
Junwu Zhang ◽  
Yanxia Chen ◽  
Weizhong Wang ◽  
Jinlin Liu
Keyword(s):  
Information System ◽  
Lichen Planus ◽  
Hospital Information System ◽  
Clinical Characteristics ◽  
Opportunistic Infections ◽  
Clinical Symptoms ◽  
University Hospital ◽  
Ivig Treatment ◽  
Good’S Syndrome ◽  
Laboratory Results

Abstract Background Good's syndrome (GS) is a rare secondary immunodeficiency disease presenting as thymoma and hypogammaglobulinemia. Due to its rarity, the diagnosis of GS is often missed. Methods We used the hospital information system to retrospectively screen thymoma and hypogammaglobulinemia patients at the First Affiliated Hospital of Wenzhou Medical University from Apr 2012 to Apr 2020. The clinical, laboratory, treatment, and outcome data for these patients were collected and analyzed. Results Among the 181 screened thymoma patients, 5 thymoma patients with hypogammaglobulinemia were identified; 3 patients had confirmed diagnoses of GS, and the other 2 did not have a diagnosis of GS recorded in the hospital information system. A retrospective review of the clinical characteristics, laboratory results, and follow-up data for these 2 undiagnosed patients confirmed the diagnosis of GS. All 5 GS patients presented with pneumonia, 2 patients presented with recurrent skin abscesses, 2 patients presented with recurrent cough and expectoration, 1 patient presented with recurrent oral lichen planus and diarrhea, and 1 patient presented with tuberculosis and granulomatous epididymitis. In the years after the diagnosis of hypogammaglobulinemia with mild symptoms, all 5 patients had received irregular intravenous immunoglobulin (IVIG) treatment. As the course of the disease progressed, the clinical symptoms of all patients worsened, but the symptoms were partly resolved with IVIG in these patients. However, 4 patients died due to comorbidities. Conclusion GS should be investigated as a possible diagnosis in thymoma patients who present with hypogammaglobulinemia, especially those with recurrent opportunistic infections, recurrent skin abscesses, chronic diarrhea, or recurrent lichen planus.

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