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1.
J Med Syst ; 36(4): 2297-307, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21491126

RESUMO

The Department of Health of Executive Yuan in Taiwan (R.O.C.) is implementing a five-stage project entitled Electronic Medical Record (EMR) converting all health records from written to electronic form. Traditionally, physicians record patients' symptoms, related examinations, and suggested treatments on paper medical records. Currently when implementing the EMR, all text files and image files in the Hospital Information System (HIS) and Picture Archiving and Communication Systems (PACS) are kept separate. The current medical system environment is unable to combine text files, hand-drafted files, and photographs in the same system, so it is difficult to support physicians with the recording of medical data. Furthermore, in surgical and other related departments, physicians need immediate access to medical records in order to understand the details of a patient's condition. In order to address these problems, the Department of Health has implemented an EMR project, with the primary goal of building an electronic hand-drafting and picture management system (HDP system) that can be used by medical personnel to record medical information in a convenient way. This system can simultaneously edit text files, hand-drafted files, and image files and then integrate these data into Portable Document Format (PDF) files. In addition, the output is designed to fit a variety of formats in order to meet various laws and regulations. By combining the HDP system with HIS and PACS, the applicability can be enhanced to fit various scenarios and can assist the medical industry in moving into the final phase of EMR.


Assuntos
Sistemas de Informação em Radiologia/organização & administração , Interface Usuário-Computador , Técnica Delphi , Registros Eletrônicos de Saúde , Humanos , Entrevistas como Assunto , Integração de Sistemas , Taiwan
2.
J Med Syst ; 33(6): 467-74, 2009 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-20052898

RESUMO

In order to provide enhanced medication safety for inpatients, the medical mechanism which adopts the modified grouping proof protocol is proposed in this paper. By using the grouping proof protocol, the medical staffs could confirm the authentication and integrity of a group of Radio-Frequency Identification (RFID) tags which are embedded on inpatient bracelets and the containers of drugs. This mechanism is designed to be compatible with EPCglobal Class-1 Generation-2 standard which is the most popular specification of RFID tags. Due to the light-weight computational capacity of passive tags, only the pseudo-random number generator (PRNG) and cyclic redundancy code (CRC) are allowed to be used in the communication protocol. Furthermore, a practical scenario of using this proposed mechanism in hospital to examine the medication safety is also presented.


Assuntos
Erros de Medicação/prevenção & controle , Sistemas de Medicação no Hospital , Dispositivo de Identificação por Radiofrequência/métodos , Humanos , Sistemas de Identificação de Pacientes
3.
Int J Electron Healthc ; 4(1): 1-23, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18583293

RESUMO

With the international reform in medical management systems gaining ground worldwide, hospital management has gradually begun to shift its focus from providing expensive medical treatment to improving medical service quality and patient safety. In this study, we discuss the application of Radio Frequency Identification (RFID) and data integrating technology with the medical service, and examine whether or not this technology can enhance medical safety. We also discuss the possible benefits following the application of the RFID system. The findings show that the application of RFID to hospitals can actually generate benefits, which can be further divided into operational structure benefits, users' structure benefits, and organisational and environmental benefits. However, not all these benefits can achieve medical safety. Among them, only the operator and environmental benefits can play such roles. Nevertheless, the application of RFID can bring hospitals towards the integration of technology benefits and improved medical safety.


Assuntos
Eficiência Organizacional/normas , Hospitais/normas , Erros Médicos/prevenção & controle , Assistência ao Paciente/normas , Qualidade da Assistência à Saúde/normas , Ondas de Rádio , Segurança/normas , Estudos de Avaliação como Assunto , Humanos , Projetos Piloto , Análise de Regressão , Reprodutibilidade dos Testes , Inquéritos e Questionários , Taiwan
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