A Preliminary Study on the Abnormal Deaths and Work Burden of Chinese Physicians: A Mixed Method Analysis and Implications for Smart Hospital Management

Background: The population of Chinese physicians is frequently threatened by abnormal death, including death by overwork or homicide. This is not only a health problem, but also a social problem that has attracted the attention of both hospitals and the government.Objective: This study aims to analyze the characteristics of abnormal death in physicians in Chinese hospitals from 2007 to 2020 and to investigate the relationship between abnormal death and physician workload, in order to provide information for policy makers and request improvement technologies.Methods: A mixed research method was used. In order to ensure accuracy and completeness, a relatively comprehensive search was conducted using multiple heterogeneous data sources on the abnormal death of physicians in Chinese hospitals from 2007 to 2020. The collected cases were then descriptively analyzed using the work-related overwork death risk concept framework and the deductive grounded theory approach. In addition, the workload of physicians was calculated between 2007 and 2019 based on three important workload indicators.Results: Between 2007 and 2020, 207 abnormal death events of physicians on the Chinese mainland were publicly reported. Among the 207 victims, the majority (~79%) died from overwork or sudden death. The number of victims who were men was 5.5 times higher than that of women, and victims were between the ages of 31–50 years. These physicians mainly belonged to the departments of surgery, anesthesiology, internal medicine, and orthopedics. Further analysis of the direct causes of death in cases of overwork death showed that 51 physicians (31.1%) died from cardiogenic diseases. Additionally, the per capita workload of physicians in China increased drastically by about 42% from 2007 to 2019, far exceeding physician workloads in Europe, Asia, and Australia (number of inpatients per physician in 2017: 72 vs. 55, 50, 45). The analysis revealed that there was a strong correlation between the number of abnormal deaths of physicians in China and the number of inpatients per physician (r = 0.683, P = 0.01).Conclusion: High-intensity working conditions may be positively correlated with the number of abnormal deaths among physicians. Smart hospital technologies have the potential to alleviate this situation.

Smart Hospital Logistics: Digitale Transformation der Prozessnetzwerke im Krankenhaus

Aktuell weisen Krankenhäuser bezüglich ihrer realen und digitalen Aktivitäten und Prozesse eine ausgeprägte Komplexität und Intransparenz auf, die einen suboptimalen Ressourceneinsatz begünstigen. Basis für eine zukünftige Weiterentwicklung der hybriden Leistungserstellung und einer verbesserten Ressourceneffizienz ist eine digitale Transformation der Prozessnetzwerke im Krankenhaus.

Implementation of User Authentication System in Smart Hospitals Useful in the Age of the Covid-19 Pandemic

The security system for authentication and user records in a smart hospital is part of an integrated security system consisting of various authentication devices. The security system should be adapted to different characteristics of users, their user processes, but also to periods when the possibility of infection is increased due to a virus pandemic and contamination during multiple touches of different persons on authentication devices. The use of gloves and a medical face mask during a pandemic limits biometric scanning of fingerprints and facial images. During a virus pandemic, some authentication devices have limitations that need to be considered when creating an integrated security system that will have the purpose of securing doctors, staff, patients, information, and things in a smart hospital. In this paper, the parameters on the basis of which it is possible to design an optimally integrated security system are recommended.

Building the hospital Intelligent Twins for all-scenario intelligence health care (Preprint)

UNSTRUCTURED The COVID-19 pandemic has accelerated the trend of smart hospital construction that has been cooking for years. However, there is no consistent conceptualization of what a smart hospital truly entails. A few hospitals have truly reached the status of being ‘smart’ so far, primarily failing to bring systems together and consider implications from all perspectives. Hospital Intelligent Twins, a new technology integration was first introduced by Huawei at HUAWEI CONNECT 2020, that powered by IoT, AI and cloud computing, as well as 5G application to create all-scenario intelligence for health care and hospital management.This article presents a smart hospital for all-scenario intelligence by creating the hospital Intelligent Twins.