942 Outcome of Image Guided Intra-Articular Thumb Base Steroid Injections-Retrospective Study of Consecutive Patient Over 4 Years in A Plastic and Hand Surgery Unit in West Lothian, Scotland

Introduction Osteoarthritis of the thumb base is a common condition. Usually effects the elderly population causing significant disability. Modalities of treatment of osteoarthritis which includes conservative measures, non-operative interventions, and surgery. In this study we endeavored to assess how effective are image guided steroid injections for base of thumb Osteoarthritis as assessed by subjective pain relief perceived by patient and what percentage of these patients proceed to operative treatment. Method Retrospective data between January 2015 and December 2018 of the patients who underwent Steroid injections to the Base of thumb joints (CMCJ and/or STTJ) for Osteoarthritis under image intensifier guidance was collected from Hospital management system –TRAK and eHealth services. Follow up of the patients were done for Maximum 1 to 5 years. Results A total number of 692 patients with thumb base osteoarthritis were included in the study of which 546 patients underwent Image guided steroid injection to the thumb base. The mean Age of patients was 64.5 years and the Female: Male ratio was 401:145. Mean number of injections each patient received- 3.25 (1 – 7 times). Pain relief after first, second and third injections were 3.15 months, 2.63 and 1.75 months, respectively. 127 (23.2% of injections patients) underwent trapeziectomy. Mean time between first injection & Surgery was 1.3yrs (6 months -2 years) Conclusions This study demonstrates the effectiveness of image guided steroid injections for thumb base osteoarthritis. Though about a quarter of these patients proceed to operative management, steroid injections can delay the same considerably.

Hospital Management using OAM [Operation Administration & Maintenance] Tool

This paper proposes a software tool to monitor the system configuration for Hospital Management System. The OAM tool monitors the system configurations after the user installs it into the system. The aim of this software is to monitor the system about its configurations and install the required softwares to the respective system. There are four tools in this application, Fintal, Piston, Naavi and Mapel. To install these, a technique of single file installation using batch scripting is used. Batch scripting is used to execute the installation files of softwares and the softwares are installed. These installation files of softwares will be embedded as execution commands in a single file called “windows batch file”, which should be saved with the extension as “.bat”. The installation that starts will be displayed in the command prompt to know whether the softwares are getting installed correctly. After each installation, the configuration and initialization of installed softwares will be displayed. The required softwares are to be installed. Each of these performs particular tasks that are required for the management of Hospitals. Fintal is used for overall management of Hospital. This is the most user-friendly part of OAM Tool. This handles overall administrative part of Hospitals. Piston is used for storing patient’s details. This stores the patients’ reports in detailed manner of each test the patient has undergone. Naavi is used for storing Laboratory details. The tests of each patient are stored here. And the last one, i.e., Mapel which is used for storing pharmaceuticals details (Medicines). It stores the details of medicines such as from which pharmaceuticals the medicines are purchased. The license of the hospital is also stored in this part of OAM Tool. All these together form an OAM Tool. This tool also manages other required softwares like, MySQL, ODBC drivers, etc. The management of Hospitals is very important as there is a need to maintain the patient details. This technique of installation is proposed in this paper to make the installation from hardware to remote installation such as, giving the access to the system in which the tool needs to be installed and to save the time of installation process.

Self-Diagnosis with Advanced Hospital Management

In the case of an epidemic, it is impossible to consult a doctor about minor ailments. This program helps to get recommendations from doctors. So that people can be treated for minor ailments at home. The main purpose of self-examination in a high-quality hospital management system is to provide self-examination to patients, if hospitals are not available in nearby areas. This program will be developed using one of the heuristic search methods in artificial intelligence which means greedy local search. The program provides additional space, which means that the patient can communicate with the appropriate physician by chatting online. The patient can receive appropriate suggestions for his or her problem. In fact, in self-examination this app makes a report about the patient's health status. That report may include the patient's disease name, level of symptoms and strength and the recommendation provided by the program. This proposal can be in two ways. The first suggestion would be a suitable drug based on the level of Weight Loss; the second proposal would be a meeting of specialist doctors which means that his illness may be in serious condition. It offers suggestions on some of the preventable diseases that mean minor problems with some pills. This can be helpful for patients who are far away from the hospital and for doctors and for working with patients inside or outside the hospital. The administrator can update medications in the database regularly. We can create a suggestion box for patients to improve the app

Performance-based salary distribution ratio in clinical departments of public hospitals based on improved DEA method

Performance-based salary distribution is one of the important contents of modern hospital management system. In general, the distribution of performance salary in public hospitals of China can be divided into two stages: one is from hospitals to departments, the other is from departments to individuals. It is of great significance to improve the performance-based salary distribution system in clinical departments of public hospital, which is beneficial to ensure the public nature, motivate hospital staff to work hard, and raise public healthcare service quality. Therefore, this paper focuses on the issue of performance-based salary distribution in clinical departments of public hospital, adopts super-efficiency DEA model to evaluate the performance of each clinical department, introduces a new utility function for processing the original values of DEA efficient DMUs in order to encourage more clinical departments to pursue higher performance, and finally verifies the comprehensive model by empirical analysis. The result of empirical analysis shows that the performance of DMU7 is highest with an efficiency value of 1.53, followed by DMU3, DMU8, and DMU1. The efficiency value of DMU9 is lowest in all clinical departments.

Balanced Scorecard as a Method of Assessing the Performance of a Hospital Management System

A B S T R A C TThe Balanced Scorecard educates management and organizations to view thecompany as a whole from four perspectives: finance, customers, internal businessprocesses, and learning and growth. The balanced scorecard consists of twowords, namely the scorecard and balanced. The scorecard is a card used to recorda person's / personnel's performance score and plan the score that will beachieved in the future. The results of the comparison between the plansestablished and the actual results that were successfully achieved were used tocarry out the evaluation.The balanced scorecard in this third generation producesthe most powerful performance measurement model because it shows theintegration of organizational management processes starting from the planningstage, namely by establishing a vision and mission which contains the agreementof individuals in achieving organizational goals, then translated intoorganizational strategies implemented through Organizational programs /activities in four interrelated balanced scorecard perspectives, then feedback willbe taken on various information obtained from the evaluation of theimplementation of the organization's programs / activities.

Pelaksanaan Standar Pelayanan Kefarmasian Aspek Visite Di Rumah Sakit X Sesuai Peraturan Perundangan

One of the pharmacists practice in the implementation of pharmacy services for patients is through visite. This study is to determine the implementation of the visite of pharmaceutical services standards at X Hospital with applicable laws and regulations. This research is observational descriptive study. Accidental sampling technique and in-depth interview are used to obtain observation and interview data. The implementation of pharmacy service standards for visite aspects at X Hospital has been in accordance with the laws and regulations of visite. Evaluation results that show patient evaluation and assessment of patient drug regimens by pharmacists have been carried out well, while the current patient planning consultation and administration of drug consultations for returning patients are sufficient. Factors that become obstacles in the implementation of visite at X Hospital are the limited of pharmacists, overload tasks, limited time, lack of motivation, and the not effective of hospital management system. Pelaksanaan pelayanan kefarmasian pada pasien salah satunya berupa praktik apoteker ruang rawat melalui kegiatan visite. Penelitian ini bertujuan untuk mengetahui pelaksanaan standar pelayanan kefarmasian aspek visite di RS X sesuai peraturan perundangan yang berlaku. Penelitian ini bersifat deskriptif observasional. Teknik accidental sampling dengan indepth interview digunakan untuk memperoleh data observasi dan wawancara. Pelaksanaan standar pelayanan kefarmasian aspek visite di RS X telah sesuai dengan peraturan perundangan serta pedoman visite. Hasil evaluasi menunjukkan akurasi riwayat pengobatan pasien dan pengkajian rejimen obat pasien oleh apoteker telah dilakukan dengan baik, sedangkan penilaian perencanaan pengobatan pasien saat ini dan pemberian konsultasi obat kepada pasien pulang tergolong cukup. Faktor-faktor yang menjadi kendala dalam pelaksanaan visite di RS X adalah jumlah apoteker yang terbatas, banyaknya tugas apoteker, waktu pelaksanaan yang terbatas, motivasi apoteker rendah, serta sistem manajemen rumah sakit yang belum efektif.