RESUMO
INTRODUCTION: In Poland there is an average of 2.31 doctors per 1000 population (according to the Organization of Economic Cooperation and Development 2016), which is one of the lowest results in all of the European Union countries. With the persistent low number of specialists, the quantity of patients and their medical records keep increasing. In order to facilitate the work of doctors and to improve monitoring of the patients, most medical institutions decided to implement IT systems. At the Department of General and Transplant Surgery of Pomeranian Medical University in Szczecin, we have been using the Asseco Medical Management Solutions (AMMS) system for 5 years. The aim of this study was to evaluate the usefulness of the AMMS system in monitoring and early detection of disorders in renal transplant recipients. MATERIALS AND METHODS: The retrospective study included 100 patients who underwent surgical treatments between 2012 and 2017. By analyzing the results of laboratory tests (ie, complete blood count), the concentration of creatinine and urea, potassium, and the doses of immunosuppressive drugs, we evaluated the usefulness of the AMMS system. RESULTS: The clinical usefulness of the AMMS system related to the evaluation of predictors of early graft dysfunction has been confirmed. We have saved time in the analysis of medical records. CONCLUSIONS: The AMMS system improved the management of medical records of patients after surgeries and allowed for the retrospective evaluation of the treatment and its immediate modification. The unification of medical IT systems in Poland would increase the availability of patients' data and support information transfer among all medical institutions. It would enable multifacility scientific meta-analysis.
