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1.
Parasit Vectors ; 12(1): 456, 2019 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-31533795

RESUMO

BACKGROUND: As mosquitoes are one of the most harmful creatures in the world, recent high-frequency interceptions of invasive mosquito species have emphasized the need to enhance the biological security of the Zhejiang Province in China. As such, an integrated management system should be implemented to monitor the vectors of mosquito-borne diseases during data digitization and the processing of permanent E-forms and provide an online one-stop identification service. METHODS: This system is a semi-open network built on the latest Microsoft.NET Framework, Active Server Page.NET (ASP.NET) and Internet Information Services (IIS) for the Windows 2000 service as a basic infrastructure platform. This creates a physical separation between the data input as the back-page intranet and the online automated Lucid identification as the front-page internet through the digital interchange platform and security firewall. RESULTS: This system mainly comprises three core modules: automated statistical analysis of operational data, online vector identification and digital specimen storage management, in addition to accessory modules. The joint analysis of invasive and native data collected between 2011 and 2017 at 14 surveillance points in the Zhejiang Province, excluding Ningbo Port, provided insights into the geographical differences in species abundance and the dynamic nature of seasonal interception within the statistical analysis module. Most importantly, multi-access keys to mosquitoes based on Lucid software were loaded in the module for vector identification. Subscribers can utilize this procedure for the online identification of 2 subfamilies, 10 genera and 33 mosquitoes by selecting any typical morphological feature in the classification system that matches the current images at hand. CONCLUSIONS: Our report suggests that this system can enhance the ability to master the basic information on invasive mosquitoes and satisfy the increasing requirements for public health safety in the integrated management of vector-borne diseases.


Assuntos
Serviços de Informação/organização & administração , Controle de Mosquitos/métodos , Controle de Mosquitos/organização & administração , Mosquitos Vetores/crescimento & desenvolvimento , Animais , China , Processamento Eletrônico de Dados/métodos , Processamento Eletrônico de Dados/organização & administração
2.
Surg Infect (Larchmt) ; 20(7): 566-570, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31429637

RESUMO

Background: The implementation of health information technology interventions is at the forefront of most hospital institutional policy agendas. Despite the availability of numerous apps and mobile platforms focusing on specific areas in healthcare the widespread integration into clinical practice can be a complex process. Here we present guidelines and methodology that we have learned in the implementation process of new technology and an overview of some of the current barriers and enablers specific to implementation of post-surgical site surveillance technology. Methods: Analysis of the experience of successful information technology (IT) implementation in different healthcare systems reveals that, despite differences among patient groups, care providers, and hospitals, there are common barriers and enablers to implementation of health IT. Results: The process of implementation in organizations and among individuals can be most successful by identifying barriers and enablers within three key stakeholder groups: (1) patients; (2) care providers/clinicians; and (3) manager/administration within healthcare systems. This can be achieved by specific engagement and co-design processes establishing clear benefits, sufficient incentives, and adequate support for clinicians as well as payer-provider relationships, marketplace competition and privacy legislation. Conclusions: The successful implementation of such programs requires appropriate strategic planning to address the needs of three specific components: patients, care provider, and policymakers/healthcare management understanding and acceptance.


Assuntos
Processamento Eletrônico de Dados/métodos , Informática Médica/métodos , Dados de Saúde Gerados pelo Paciente , Telemedicina/métodos , Processamento Eletrônico de Dados/organização & administração , Guias como Assunto , Humanos , Informática Médica/organização & administração
3.
BMC Med ; 17(1): 68, 2019 03 27.
Artigo em Inglês | MEDLINE | ID: mdl-30914045

RESUMO

Blockchain is a shared distributed digital ledger technology that can better facilitate data management, provenance and security, and has the potential to transform healthcare. Importantly, blockchain represents a data architecture, whose application goes far beyond Bitcoin - the cryptocurrency that relies on blockchain and has popularized the technology. In the health sector, blockchain is being aggressively explored by various stakeholders to optimize business processes, lower costs, improve patient outcomes, enhance compliance, and enable better use of healthcare-related data. However, critical in assessing whether blockchain can fulfill the hype of a technology characterized as 'revolutionary' and 'disruptive', is the need to ensure that blockchain design elements consider actual healthcare needs from the diverse perspectives of consumers, patients, providers, and regulators. In addition, answering the real needs of healthcare stakeholders, blockchain approaches must also be responsive to the unique challenges faced in healthcare compared to other sectors of the economy. In this sense, ensuring that a health blockchain is 'fit-for-purpose' is pivotal. This concept forms the basis for this article, where we share views from a multidisciplinary group of practitioners at the forefront of blockchain conceptualization, development, and deployment.


Assuntos
Tecnologia Biomédica , Redes de Comunicação de Computadores , Assistência à Saúde/tendências , Sistemas de Informação Administrativa , Informática Médica , Tecnologia Biomédica/métodos , Tecnologia Biomédica/organização & administração , Tecnologia Biomédica/tendências , Redes de Comunicação de Computadores/organização & administração , Redes de Comunicação de Computadores/normas , Redes de Comunicação de Computadores/provisão & distribução , Redes de Comunicação de Computadores/tendências , Data Warehousing/métodos , Data Warehousing/tendências , Assistência à Saúde/métodos , Assistência à Saúde/organização & administração , Processamento Eletrônico de Dados/métodos , Processamento Eletrônico de Dados/organização & administração , Processamento Eletrônico de Dados/tendências , Utilização de Equipamentos e Suprimentos/organização & administração , Utilização de Equipamentos e Suprimentos/tendências , Ensaios de Triagem em Larga Escala/normas , Humanos , Sistemas de Informação Administrativa/normas , Sistemas de Informação Administrativa/tendências , Informática Médica/métodos , Informática Médica/organização & administração , Informática Médica/tendências , Registros Médicos/normas
5.
J Digit Imaging ; 31(4): 562-567, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29234948

RESUMO

To facilitate follow-up of critical test results across transitions in patient care settings, we implemented an electronic discharge module that enabled care providers to include follow-up recommendations in the discharge instructions. We assessed the impact of this module on documentation of follow-up recommendations for critical imaging findings in Emergency Department (ED) discharge instructions. We studied 240 patients with critical imaging findings discharged from the ED before (n = 80) and after (n = 160) implementation of the module. We manually reviewed hand-written forms and electronic discharge instructions to determine if follow-up recommendations were documented. Follow-up recommendations in ED discharge instructions increased from 60.0% (48/80) to 73.8% (118/160) post-module implementation (p = 0.03), a relative increase of 23%. There was no significant change in the rate of documented critical imaging findings in the discharge instructions (77.5% [62/80] before the intervention and 76.9% [123/160] after the intervention; p = 0.91). Implementation of a discharge module was associated with increased documentation of critical imaging finding follow-up recommendations in ED discharge instructions. However, one in four patients still did not receive adequate follow-up recommendations, suggesting further opportunities for performance improvement exist.


Assuntos
Diagnóstico por Imagem/métodos , Processamento Eletrônico de Dados/organização & administração , Registros Eletrônicos de Saúde/organização & administração , Alta do Paciente , Melhoria de Qualidade , Centros Médicos Acadêmicos , Adulto , Cuidados Críticos/métodos , Diagnóstico por Imagem/estatística & dados numéricos , Documentação , Serviço Hospitalar de Emergência , Feminino , Humanos , Imagem por Ressonância Magnética/métodos , Masculino , Avaliação de Programas e Projetos de Saúde , Radiografia Torácica/métodos , Sistemas de Informação em Radiologia , Tomografia Computadorizada por Raios X/métodos , Estados Unidos
6.
J Am Med Inform Assoc ; 25(2): 111-120, 2018 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-28472359

RESUMO

Objective: The US Food and Drug Administration (FDA) has recognized the need to improve the tracking of medical device safety and performance, with implementation of Unique Device Identifiers (UDIs) in electronic health information as a key strategy. The FDA funded a demonstration by Mercy Health wherein prototype UDIs were incorporated into its electronic information systems. This report describes the demonstration's informatics architecture. Methods: Prototype UDIs for coronary stents were created and implemented across a series of information systems, resulting in UDI-associated data flow from manufacture through point of use to long-term follow-up, with barcode scanning linking clinical data with UDI-associated device attributes. A reference database containing device attributes and the UDI Research and Surveillance Database (UDIR) containing the linked clinical and device information were created, enabling longitudinal assessment of device performance. The demonstration included many stakeholders: multiple Mercy departments, manufacturers, health system partners, the FDA, professional societies, the National Cardiovascular Data Registry, and information system vendors. Results: The resulting system of systems is described in detail, including entities, functions, linkage between the UDIR and proprietary systems using UDIs as the index key, data flow, roles and responsibilities of actors, and the UDIR data model. Conclusion: The demonstration provided proof of concept that UDIs can be incorporated into provider and enterprise electronic information systems and used as the index key to combine device and clinical data in a database useful for device evaluation. Keys to success and challenges to achieving this goal were identified. Fundamental informatics principles were central to accomplishing the system of systems model.


Assuntos
Processamento Eletrônico de Dados/organização & administração , Segurança de Equipamentos , Sistemas de Informação , Rotulagem de Produtos , Vigilância de Produtos Comercializados , Stents , Registros Eletrônicos de Saúde , Humanos , Sistemas de Informação/organização & administração , Tecnologia da Informação , Vigilância de Produtos Comercializados/métodos , Estados Unidos , United States Food and Drug Administration
7.
Comput Biol Med ; 89: 190-196, 2017 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-28822900

RESUMO

BACKGROUND: Electronic health record (EHR) is a data management system used in healthcare services. The stored medical information in EHR can be accessed and utilized by authorized users, which helps clinicians in making clinical decisions. Therefore, this study aims at comparing the embedded clinical guidelines or the supportive pathway functions as well as their compliance level in the two EMR systems, i.e. QuadraMed (QCPR) and BestCare. METHODS: A test vignette was used to evaluate the features, functions, performance, and output to assess the EHR clinical path way functionality of the QCPR and BestCare. The study was based on interview and discussion, followed by actual system testing. RESULTS: The results of the evaluation showed that the overall total score of QuadraMed and BESTCare systems supportive care pathway functions were 44.4% and 68.9%, respectively. BestCare is set to replace QCPR in all King Abdulaziz Medical City (KAMCS) hospitals. CONCLUSIONS: Embedding clinical decision support system into EMRs improved clinician performance and facilitated quality of care. However, further investigation of the BESTCare is highly recommended to utilize and fulfill the basic demands of the supportive care pathway functions in King Abdulaziz Medical City (KAMC) hospitals.


Assuntos
Processamento Eletrônico de Dados/métodos , Processamento Eletrônico de Dados/organização & administração , Registros Eletrônicos de Saúde/organização & administração , Sistemas de Informação Hospitalar/organização & administração , Processamento Eletrônico de Dados/normas , Registros Eletrônicos de Saúde/normas , Feminino , Sistemas de Informação Hospitalar/normas , Humanos , Masculino , Arábia Saudita
8.
Chirurg ; 87(12): 1033-1038, 2016 Dec.
Artigo em Alemão | MEDLINE | ID: mdl-27778059

RESUMO

Modern operating room (OR) suites are mostly digitally connected but until now the primary focus was on the presentation, transfer and distribution of images. Device information and processes within the operating theaters are barely considered. Cognitive assistance systems have triggered a fundamental rethinking in the automotive industry as well as in logistics. In principle, tasks in the OR, some of which are highly repetitive, also have great potential to be supported by automated cognitive assistance via a self-thinking system. This includes the coordination of the entire workflow in the perioperative process in both the operating theater and the whole hospital. With corresponding data from hospital information systems, medical devices and appropriate models of the surgical process, intelligent systems could optimize the workflow in the operating theater in the near future and support the surgeon. Preliminary results on the use of device information and automatically controlled OR suites are already available. Such systems include, for example the guidance of laparoscopic camera systems. Nevertheless, cognitive assistance systems that make use of knowledge about patients, processes and other pieces of information to improve surgical treatment are not yet available in the clinical routine but are urgently needed in order to automatically assist the surgeon in situation-related activities and thus substantially improve patient care.


Assuntos
Salas Cirúrgicas/métodos , Salas Cirúrgicas/organização & administração , Processamento Eletrônico de Dados/métodos , Processamento Eletrônico de Dados/organização & administração , Humanos , Laparoscopia/instrumentação , Laparoscopia/métodos , Monitorização Intraoperatória/instrumentação , Monitorização Intraoperatória/métodos , Sistemas de Informação em Salas Cirúrgicas/organização & administração , Software , Cirurgia Assistida por Computador/instrumentação , Cirurgia Assistida por Computador/métodos , Equipamentos Cirúrgicos/normas , Fluxo de Trabalho
9.
Fed Regist ; 81(106): 35449-82, 2016 Jun 02.
Artigo em Inglês | MEDLINE | ID: mdl-27295732

RESUMO

This final rule replaces the Statewide and Tribal Automated Child Welfare Information Systems (S/TACWIS) rule with the Comprehensive Child Welfare Information System (CCWIS) rule. The rule also makes conforming amendments in rules in related requirements. This rule will assist title IV-E agencies in developing information management systems that leverage new innovations and technology in order to better serve children and families. More specifically, this final rule supports the use of cost-effective, innovative technologies to automate the collection of high-quality case management data and to promote its analysis, distribution, and use by workers, supervisors, administrators, researchers, and policy makers.


Assuntos
Administração de Caso/organização & administração , Serviços de Proteção Infantil/organização & administração , Bem-Estar da Criança/legislação & jurisprudência , Processamento Eletrônico de Dados/organização & administração , Gestão da Informação/organização & administração , Sistemas de Informação/organização & administração , Administração de Caso/legislação & jurisprudência , Criança , Processamento Eletrônico de Dados/legislação & jurisprudência , Humanos , Sistemas de Informação/legislação & jurisprudência , Estados Unidos
11.
Transplant Proc ; 48(2): 564-7, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27110003

RESUMO

In Mexico and globally, organs and/or tissues donated from deceased people are insufficient to cover the demand for transplants. In 2014, a rate of 3.6 organ donors per million in habitants was recorded; this is reflected in the transplants performed, including heart transplantation, with a rate of 0.4 per million population. According to the legal framework of Mexico, the National Transplant Center is responsible for coordinating National Subsystem of donation and transplantation, and one of its functions is to integrate and backup information regarding donation and transplantation through the National Transplant Registry System. In July 2015, 45 people were registered in the database of patients waiting for a heart transplant, of which 34.61% were female recipients and 65.39% male. Distribution and allocation processes are a key element to provide a fair distribution for those patients waiting for that organ; thus the creation of an electronic tool is proposed, one that aims to support the decision of the donation and/or transplants coordination committee by providing the necessary elements to make this process more efficient.


Assuntos
Processamento Eletrônico de Dados/organização & administração , Transplante de Coração/estatística & dados numéricos , Sistema de Registros , Doadores de Tecidos/provisão & distribução , Obtenção de Tecidos e Órgãos/organização & administração , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Bases de Dados Factuais , Feminino , Humanos , Lactente , Masculino , México , Pessoa de Meia-Idade , Adulto Jovem
13.
Transfus Med ; 25(3): 129-37, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26178303

RESUMO

'Big data' refers to the huge quantities of digital information now available that describe much of human activity. The science of data management and analysis is rapidly developing to enable organisations to convert data into useful information and knowledge. Electronic health records and new developments in Pathology Informatics now support the collection of 'big laboratory and clinical data', and these digital innovations are now being applied to transfusion medicine. To use big data effectively, we must address concerns about confidentiality and the need for a change in culture and practice, remove barriers to adopting common operating systems and data standards and ensure the safe and secure storage of sensitive personal information. In the UK, the aim is to formulate a single set of data and standards for communicating test results and so enable pathology data to contribute to national datasets. In transfusion, big data has been used for benchmarking, detection of transfusion-related complications, determining patterns of blood use and definition of blood order schedules for surgery. More generally, rapidly available information can monitor compliance with key performance indicators for patient blood management and inventory management leading to better patient care and reduced use of blood. The challenges of enabling reliable systems and analysis of big data and securing funding in the restrictive financial climate are formidable, but not insurmountable. The promise is that digital information will soon improve the implementation of best practice in transfusion medicine and patient blood management globally.


Assuntos
Transfusão de Sangue , Bases de Dados Factuais , Processamento Eletrônico de Dados/métodos , Processamento Eletrônico de Dados/organização & administração , Registros Eletrônicos de Saúde/organização & administração , Humanos
14.
Rev. esp. nutr. comunitaria ; 21(supl.1): 168-175, 2015. tab, ilus
Artigo em Espanhol | IBECS | ID: ibc-150121

RESUMO

La conversión de consumo de alimentos a ingesta de nutrientes necesita una base de datos de composición de alimentos (FCDB) que recoge los valores nutricionales medios de una porción dada de alimento. Las limitaciones de las FCDBs son, en ocasiones, poco conocidas por los usuarios. Los estudios multicéntricos han planteados varios retos metodológicos que permitan estandarizar la composición de alimentos y la ingesta de nutrientes para la evaluación nutricional en diferentes poblaciones y áreas geográficas. Las diferencias entre FCDBs incluyen las atribuibles a aspectos técnicos, como la descripción de los alimentos, cálculo de energía y definición de los nutrientes, métodos analíticos y principios para el cálculo de recetas. Estas diferencias necesitan ser identificadas y eliminadas antes de comparar los datos obtenidos de diferentes estudios, especialmente cuando dichos datos dietéticos se relacionan con resultados de salud. Desde 1984 se han realizado diversas iniciativas para estandarizar los FCDBs en el mundo (INFOOD, EPIC, EUROFIR, etc.). Los datos de composición de alimentos pueden ser obtenidos de diferentes fuentes como análisis de empresas privadas, universidades, laboratorios gubernamentales e industria alimentaria. También pueden tomarse prestados de la literatura científica o incluso del etiquetado nutricional. Existen diferentes propuestas para evaluar la calidad de los datos de composición de alimentos. Para el desarrollo de una FCDB es fundamental documentar, lo más detallado posible, cada uno de los valores de los diferentes componentes y nutrientes de un alimento. El objetivo de la AECOSAN y la asociación BEDCA fue el desarrollo y mantenimiento en España de una FCDB de acuerdo con los estándares definidos para Europa. BEDCA es actualmente la única FCDB desarrollada en España con datos compilados y documentados siguiendo los estándares de EuroFIR (AU)


Food composition databases (FCDBs) provide detailed information about the nutritional composition of foods. The conversion of food consumption into nutrient intake need a Food composition database (FCDB) which lists the mean nutritional values for a given food portion. The limitations of FCDBs are sometimes little known by the users. Multicentre studies have raised several methodology challenges which allow to standardize nutritional assessments in different populations and geographical areas for food composition and nutrient intake. Differences between FCDBs include those attributed to technical matters, such as description of foods, calculation of energy and definition of nutrients, analytical methods, and principles for recipe calculation. Such differences need to be identified and eliminated before comparing data from different studies, especially when dietary data is related to a health outcome. There are ongoing efforts since 1984 to standardize FCDBs over the world (INFOODS, EPIC, EuroFIR, etc.). Food composition data can be gathered from different sources like private company analysis, universities, government laboratories and food industry. They can also be borrowed from scientific literature or even from the food labelling. There are different proposals to evaluate the quality of food composition data. For the development of a FCDB it is fundamental document in the most detailed way, each of the data values of the different components and nutrients of a food. The objective of AECOSAN (Agencia Española de Consumo Seguridad Alimentaria y Nutrición) and BEDCA (Base de Datos Española de Composición de Alimentos) association was the development and support of a reference FCDB in Spain according to the standards to be defined in Europe. BEDCA is currently the only FCDB developed in Spain with compiled and documented data following EuroFIR standards (AU)


Assuntos
Humanos , Masculino , Feminino , Ingestão de Energia/fisiologia , Ingestão de Alimentos/fisiologia , Composição de Alimentos , Bases de Dados como Assunto/estatística & dados numéricos , Bases de Dados como Assunto/normas , Consumo de Alimentos , Nutrientes/estatística & dados numéricos , Bases de Dados como Assunto/classificação , Bases de Dados como Assunto/organização & administração , Navegador/estatística & dados numéricos , Serviços de Informação/estatística & dados numéricos , Serviços de Informação/normas , Processamento Eletrônico de Dados/organização & administração , Processamento Eletrônico de Dados/estatística & dados numéricos , Sistemas de Informação/estatística & dados numéricos , Sistemas de Informação/normas
15.
J Emerg Manag ; 12(5): 383-90, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25350358

RESUMO

OBJECTIVE: An effectual emergency response effort is contingent upon the quality and timeliness of information provided to both the decision making and coordinating functions; conditions that are hard to guarantee in the urgent climate of the response effort. The purpose of this paper is to present a validated Humanitarian Data Model (HDM) that can assist in the rapid assessment of disaster needs and subsequent decision making. Substandard, inconsistent information can lead to poorly informed decisions, and subsequently, inappropriate response activities. Here we present a novel, organized, and fluid information management workflow to be applied during the rapid assessment phase of an emergency response. A comprehensive, peer-reviewed geospatial data model not only directs the design of data collection tools but also allows for more systematic data collection and management, leading to improved analysis and response outcomes. DESIGN: This research involved the development of a comprehensive geospatial data model to guide the collection, management and analysis of geographically referenced assessment information, for implementation at the rapid response phase of a disaster using a mobile data collection app based on key outcome parameters. A systematic review of literature and best practices was used to identify and prioritize the minimum essential data variables. SUBJECTS: The data model was critiqued for variable content, structure, and usability by a group of subject matter experts in the fields of humanitarian information management and geographical information systems. CONCLUSIONS: Consensus found that the adoption of a standardized system of data collection, management, and processing, such as the data model presented here, could facilitate the collection and sharing of information between agencies with similar goals, facilitate the better coordination of efforts by unleashing the power of geographic information for humanitarian decision support.


Assuntos
Altruísmo , Defesa Civil/organização & administração , Coleta de Dados , Planejamento em Desastres/organização & administração , Socorristas , Sistemas de Informação Geográfica , Algoritmos , Processamento Eletrônico de Dados/organização & administração , Humanos , Cooperação Internacional , Determinação de Necessidades de Cuidados de Saúde/organização & administração , Estados Unidos
16.
J Nurs Adm ; 43(12): 623-6, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24232234

RESUMO

Hospital and healthcare's "most wired" organizations were surveyed to determine the evaluative criteria in the selection of bedside devices for clinical documentation. Ranked results of the characteristics are presented. Results can be used to inform nurse executives about selection criteria to consider.


Assuntos
Documentação/métodos , Processamento Eletrônico de Dados/organização & administração , Sistemas de Informação Hospitalar/organização & administração , Enfermeiras Administradoras/organização & administração , Diretores de Hospitais , Tomada de Decisões Gerenciais , Humanos , Integração de Sistemas , Estados Unidos
17.
J Nurs Adm ; 43(10): 530-5, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24061586

RESUMO

Safe medication administration is necessary to ensure quality healthcare. Barcode medication administration systems were developed to reduce drug administration errors and the related costs and improve patient safety. Work-arounds created by nurses in the execution of the required processes can lead to unintended consequences, including errors. This article provides a systematic review of the literature associated with barcoded medication administration and work-arounds and suggests interventions that should be adopted by nurse executives to ensure medication safety.


Assuntos
Processamento Eletrônico de Dados/organização & administração , Erros de Medicação/enfermagem , Erros de Medicação/prevenção & controle , Sistemas de Medicação no Hospital/organização & administração , Enfermeiras Administradoras/organização & administração , Recursos Humanos de Enfermagem no Hospital/organização & administração , Gestão da Segurança/métodos , Humanos , Segurança do Paciente
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