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1.
Rev Bras Epidemiol ; 24: e210011, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33825773

RESUMO

OBJECTIVE: To develop a linkage algorithm to match anonymous death records of cancer of the larynx (ICD-10 C32X), retrieved from the Mortality Information System (SIM) and the Hospital Information System of the Brazilian Unified National Health System (SIH-SUS) in Brazil. METHODOLOGY: Death records containing ICD-10 C32X codes were retrieved from SIM and SIH-SUS, limited to individuals aged 30 years and over, between 2002 and 2012, in the state of São Paulo. The databases were linked using a unique key identifier developed with sociodemographic data shared by both systems. Linkage performance was ascertained by applying the same procedure to similar non-anonymous databases. True pairs were those having the same identification variables. RESULTS: A total of 14,311 eligible death records were found. Most records, 10,674 (74.6%), were exclusive to SIM. Only 1,853 (12.9%) deaths were registered in both systems, representing true pairs. A total of 1,784 (12.5%) cases of laryngeal cancer in the SIH-SUS database were tracked in SIM with different causes of death. The linkage failed to match 167 (9.4%) records due to inconsistencies in the key identifier. CONCLUSION: The authors found that linking anonymous data from mortality and hospital records is a feasible measure to track missing records and may improve cancer statistics.


Assuntos
Armazenamento e Recuperação da Informação , Neoplasias Laríngeas , Adulto , Algoritmos , Brasil/epidemiologia , Bases de Dados Factuais , Atestado de Óbito , Estudos de Viabilidade , Sistemas de Informação Hospitalar , Humanos , Armazenamento e Recuperação da Informação/métodos , Sistemas de Informação , Neoplasias Laríngeas/mortalidade
2.
Rev. enferm. UFPE on line ; 15(1): [1-11], jan. 2021.
Artigo em Português | BDENF - Enfermagem | ID: biblio-1145780

RESUMO

Objetivo: compreender como as tecnologias da informação e comunicação influenciam o processo de tomada de decisão de enfermeiros gestores em um hospital universitário. Método: trata-se de um estudo qualitativo, descritivo, realizado com nove enfermeiros gestores das unidades assistenciais de um hospital de ensino, por meio de entrevista semiestruturada. Submeteram-se os dados à Análise de Conteúdo Temática. Resultados: informa-se que emergiram duas categorias, "Descrevendo o uso do AGHU" e "Sugestões de melhorias para o uso do AGHU", e os gestores demonstraram possuir pouca qualificação no uso de Sistemas de Informação, apresentaram dificuldades quanto à implantação do sistema utilizado e acesso à internet. Conclusão: conclui-se que o sistema AGHU, da forma como se encontra estruturado, não está sendo utilizado de maneira coesa, tendo repercussão negativa na qualidade dos serviços prestados à gestão de saúde.(AU)


Objective: to understand how information and communication technologies influence the decision making process of nurse managers in a university hospital. Method: this is a qualitative, descriptive study, carried out with nine nurses managing the assistance units of a teaching hospital, through a semi-structured interview. The data was submitted to the Thematic Content Analysis. Results: it is informed that two categories have emerged, "Describing the use of UHMA" and "Suggestions for improvements for the use of UHMA", and the managers demonstrated to have little qualification in the use of Information Systems, presented difficulties regarding the implementation of the system used and access to the internet. Conclusion: it is concluded that the UHMA system, as it is structured, is not being used in a cohesive manner, having a negative impact on the quality of the services provided to health management.


Objetivo: comprender cómo las tecnologías de la información y la comunicación influyen en la toma de decisiones de los enfermeros gestores en un hospital universitario. Método: se trata de un estudio cualitativo, descriptivo, realizado con nueve enfermeros gestores de las unidades asistenciales de un hospital universitario, mediante entrevistas semiestructuradas. Los datos se enviaron a Análisis de Contenido Temático. Resultados: se informa que surgieron dos categorías, "Describiendo el uso de AGHU" y "Sugerencias de mejora en el uso de AGHU", y los gerentes demostraron tener poca calificación en el uso de Sistemas de Información, presentaron dificultades en la implementación del sistema usado y acceso a internet. Conclusión: se concluye que el sistema AGHU, tal como está estructurado, no se está utilizando de manera cohesionada, lo que repercute negativamente en la calidad de los servicios prestados a la gestión sanitaria.(AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Tomada de Decisões Gerenciais , Sistemas de Informação Hospitalar , Supervisão de Enfermagem , Tecnologia da Informação , Sistemas de Informação em Saúde , Tomada de Decisão Clínica , Administração Hospitalar , Hospitais Universitários , Epidemiologia Descritiva , Pesquisa Qualitativa
3.
Rev. enferm. UFPE on line ; 15(1): [1-10], jan. 2021. ilus, tab, graf
Artigo em Português | BDENF - Enfermagem | ID: biblio-1145782

RESUMO

Objetivo: descrever as características epidemiológicas das internações hospitalares por doenças diarreicas agudas em crianças menores de cinco anos de idade. Método: trata-se de um estudo quantitativo, descritivo, ecológico, de séries temporais, sobre internações hospitalares por doenças diarreicas agudas em crianças menores de cinco anos, entre 2010 e 2019. Coletaram-se os dados por meio do Sistema de Informações Hospitalares, analisando-os por meio da estatística descritiva. Resultados: observaram-se 21.805 internações hospitalares por doenças diarreicas em menores de cinco anos, entre os anos de 2010 a 2019. Prevaleceram-se as internações na faixa etária entre um e quatro anos (76,9%), no sexo masculino (52,3%) e na cor parda (52,5%). Nota-se que o mês de janeiro foi o que apresentou o maior número de casos (12%). Conclusão: conclui-se que o número de internações hospitalares diminuiu consideravelmente ao longo dos últimos dez anos, contudo, é necessária a adoção de cuidados redobrados, principalmente, no período chuvoso.(AU)


Objective: to describe the epidemiological characteristics of hospital admissions due to acute diarrheal diseases in children under five years of age. Method: this is a quantitative, descriptive, ecological, time series study on hospital admissions for acute diarrheal diseases in children under five years of age, between 2010 and 2019. Data was collected through the Hospital Information System, analyzing them through the descriptive statistics. Results: There were 21,805 hospitalizations for diarrheal diseases in children under five years of age, from 2010 to 2019. There were hospitalizations between one and four years of age (76.9%), in males (52.3%) and in brown (52.5%). It should be noted that January was the month that presented the highest number of cases (12%). Conclusion: it is concluded that the number of hospital admissions has decreased considerably over the last ten years; however, it is necessary to adopt more care, especially in the rainy season.(AU)


Objetivo: describir las características epidemiológicas de los ingresos hospitalarios por enfermedades diarreicas agudas en niños menores de cinco años. Método: se trata de un estudio cuantitativo, descriptivo, ecológico, de series de tiempo sobre ingresos hospitalarios por enfermedades diarreicas agudas en menores de cinco años, entre 2010 y 2019. Los datos se recolectaron a través del Sistema de Información Hospitalaria, analizándolos mediante estadística descriptiva. Resultados: se observaron 21,805 ingresos hospitalarios por enfermedades diarreicas en menores de cinco años, entre los años 2010 a 2019. Las hospitalizaciones entre uno y cuatro años (76,9%) fueron prevalentes en varones (52,3%) y marrón (52,5%). Se observa que el mes de enero fue el de mayor número de casos (12%). Conclusión: se concluye que el número de ingresos hospitalarios ha disminuido considerablemente en los últimos diez años, sin embargo, es necesario adoptar un cuidado especial, especialmente en la época de lluvias.(AU)


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Lactente , Pré-Escolar , Pré-Escolar , Saúde Pública , Diarreia , Diarreia Infantil , Disenteria , Hospitalização , Estudos de Séries Temporais , Epidemiologia Descritiva , Sistemas de Informação Hospitalar , Estudos Ecológicos
5.
Pediatrics ; 146(5)2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-33023992

RESUMO

BACKGROUND AND OBJECTIVES: Length of stay (LOS) is a common benchmarking measure for hospital resource use and quality. Observation status (OBS) is considered an outpatient service despite the use of the same facilities as inpatient status (IP) in most children's hospitals, and LOS calculations often exclude OBS stays. Variability in the use of OBS by hospitals may significantly impact calculated LOS. We sought to determine the impact of including OBS in calculating LOS across children's hospitals. METHODS: Retrospective cohort study of hospitalized children (age <19 years) in 2017 from the Pediatric Health Information System (Children's Hospital Association, Lenexa, KS). Normal newborns, transfers, deaths, and hospitals not reporting LOS in hours were excluded. Risk-adjusted geometric mean length of stay (RA-LOS) for IP-only and IP plus OBS was calculated and each hospital was ranked by quintile. RESULTS: In 2017, 45 hospitals and 625 032 hospitalizations met inclusion criteria (IP = 410 731 [65.7%], OBS = 214 301 [34.3%]). Across hospitals, OBS represented 0.0% to 60.3% of total discharges. The RA-LOS (SD) in hours for IP and IP plus OBS was 75.2 (2.6) and 54.3 (2.7), respectively (P < .001). For hospitals reporting OBS, the addition of OBS to IP RA-LOS calculations resulted in a decrease in RA-LOS compared with IP encounters alone. Three-fourths of hospitals changed ≥1 quintile in LOS ranking with the inclusion of OBS. CONCLUSIONS: Children's hospitals exhibit significant variability in the assignment of OBS to hospitalized patients and inclusion of OBS significantly impacts RA-LOS calculations. Careful consideration should be given to the inclusion of OBS when determining RA-LOS for benchmarking, quality and resource use measurements.


Assuntos
Benchmarking , Unidades de Observação Clínica/estatística & dados numéricos , Hospitais Pediátricos/estatística & dados numéricos , Tempo de Internação/estatística & dados numéricos , Adolescente , Criança , Pré-Escolar , Sistemas de Informação Hospitalar/estatística & dados numéricos , Humanos , Lactente , Recém-Nascido , Alta do Paciente/estatística & dados numéricos , Qualidade da Assistência à Saúde , Alocação de Recursos , Estudos Retrospectivos , Estados Unidos , Adulto Jovem
6.
Pediatrics ; 146(5)2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-33067343

RESUMO

BACKGROUND: In several states, payers penalize hospitals when an inpatient readmission follows an inpatient stay. Observation stays are typically excluded from readmission calculations. Previous studies suggest inconsistent use of observation designations across hospitals. We sought to describe variation in observation stays and examine the impact of inclusion of observation stays on readmission metrics. METHODS: We conducted a retrospective cohort study of hospitalizations at 50 hospitals contributing to the Pediatric Health Information System database from January 1, 2018, to December 31, 2018. We examined prevalence of observation use across hospitals and described changes to inpatient readmission rates with higher observation use. We described 30-day inpatient-only readmission rates and ranked hospitals against peer institutions. Finally, we included observation encounters into the calculation of readmission rates and evaluated hospitals' change in readmission ranking. RESULTS: Most hospitals (n = 44; 88%) used observation status, with high variation in use across hospitals (0%-53%). Readmission rate after index inpatient stay (6.8%) was higher than readmission after an index observation stay (4.4%), and higher observation use by hospital was associated with higher inpatient-only readmission rates. When compared with peers, hospital readmission rank changed with observation inclusion (60% moving at least 1 quintile). CONCLUSIONS: The use of observation status is variable among children's hospitals. Hospitals that more liberally apply observation status perform worse on the current inpatient-to-inpatient readmission metric, and inclusion of observation stays in the calculation of readmission rates significantly affected hospital performance compared with peer institutions. Consideration should be given to include all admission types for readmission rate calculation.


Assuntos
Unidades de Observação Clínica/estatística & dados numéricos , Hospitais Pediátricos/estatística & dados numéricos , Tempo de Internação/estatística & dados numéricos , Readmissão do Paciente/estatística & dados numéricos , Adolescente , Criança , Pré-Escolar , Feminino , Sistemas de Informação Hospitalar/estatística & dados numéricos , Hospitalização/estatística & dados numéricos , Humanos , Lactente , Recém-Nascido , Pacientes Internados/estatística & dados numéricos , Masculino , Qualidade da Assistência à Saúde , Estudos Retrospectivos , Índice de Gravidade de Doença , Centros de Atenção Terciária/estatística & dados numéricos , Estados Unidos
7.
Biochem Med (Zagreb) ; 30(3): 030403, 2020 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-33071554

RESUMO

To fight the virus SARS-CoV-2 spread to Europe from China and to give support to the collapsed public health system, the Spanish Health Authorities developed a field hospital located in the facilities of Madrid exhibition centre (IFEMA) to admit and treat patients diagnosed with SARS-CoV-2 infectious disease (COVID-19). The Department of Laboratory Medicine of La Paz University Hospital in Madrid (LMD-HULP) was designated to provide laboratory services. Due to the emergency, the IFEMA field hospital had to be prepared for patient admission in less than 1 week and the laboratory professionals had to collaborate in a multidisciplinary group to assure that resources were available to start on time. The LMD-HULP participated together with the managers in the design of the tests portfolio and the integration of the healthcare information systems (IS) (hospital IS, laboratory IS and POCT management system). Laboratorians developed a strategy to quickly train clinicians and nurses on test requests, sample collection procedures and management/handling of the POCT blood gas analyser both by written materials and training videos. The IFEMA´s preanalytical unit managed 3782 requests, and more than 11,000 samples from March 27th to April 30th. Furthermore, 1151 samples were measured by blood gas analysers. In conclusion, laboratory professionals must be resilient and have to respond timely in emergencies as this pandemic. The lab's personnel selection, design and monitoring indicators to maintain and further improve the quality and value of laboratory services is crucial to support medical decision making and provide better patient care.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Unidades Móveis de Saúde/organização & administração , Pandemias , Pneumonia Viral , Cidades , Sistemas de Informação em Laboratório Clínico/organização & administração , Infecções por Coronavirus/epidemiologia , Assistência à Saúde , Necessidades e Demandas de Serviços de Saúde , Número de Leitos em Hospital , Sistemas de Informação Hospitalar/organização & administração , Hospitais Universitários/organização & administração , Humanos , Laboratórios Hospitalares/organização & administração , Recursos Humanos em Hospital/educação , Pneumonia Viral/epidemiologia , Testes Imediatos/organização & administração , Garantia da Qualidade dos Cuidados de Saúde/organização & administração , Espanha , Manejo de Espécimes
8.
Artigo em Inglês | MEDLINE | ID: mdl-32872350

RESUMO

Emergency room processes are often exposed to the risk of unexpected factors, and process management based on performance measurements is required due to its connectivity to the quality of care. Regarding this, there have been several attempts to propose a method to analyze the emergency room processes. This paper proposes a framework for process performance indicators utilized in emergency rooms. Based on the devil's quadrangle, i.e., time, cost, quality, and flexibility, the paper suggests multiple process performance indicators that can be analyzed using clinical event logs and verify them with a thorough discussion with clinical experts in the emergency department. A case study is conducted with the real-life clinical data collected from a tertiary hospital in Korea tovalidate the proposed method. The case study demonstrated that the proposed indicators are well applied using the clinical data, and the framework is capable of understanding emergency room processes' performance.


Assuntos
Mineração de Dados/métodos , Serviço Hospitalar de Emergência , Avaliação de Processos em Cuidados de Saúde/métodos , Indicadores de Qualidade em Assistência à Saúde , Qualidade da Assistência à Saúde , Sistemas de Informação Hospitalar , Humanos , Modelos Organizacionais , República da Coreia , Fluxo de Trabalho
9.
Am Heart J ; 229: 121-126, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32957030

RESUMO

Myocarditis Disease Unit (MDU) is a functional multidisciplinary network designed to offer multidisciplinary assistance to patients with myocarditis. More than 300 patients coming from the whole Country are currently followed up at a specialized multidisciplinary outpatient clinic. Following the pandemic outbreak of the SARS-CoV-2 infection in Italy, we present how the MDU rapidly evolved to a "tele-MDU", via a dedicated multitasking digital health platform.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Unidades Hospitalares/organização & administração , Comunicação Interdisciplinar , Miocardite/terapia , Equipe de Assistência ao Paciente/organização & administração , Pneumonia Viral/epidemiologia , Telemedicina/organização & administração , Adulto , Assistência Ambulatorial/organização & administração , Arritmias Cardíacas/terapia , Feminino , Sistemas de Informação Hospitalar , Humanos , Pacientes Internados , Itália/epidemiologia , Masculino , Pessoa de Meia-Idade , Pandemias , Centros de Atenção Terciária/organização & administração , Navegador
10.
Stud Health Technol Inform ; 274: 159-173, 2020 Sep 25.
Artigo em Inglês | MEDLINE | ID: mdl-32990672

RESUMO

Hospital information systems (HIS) have to be considered as socio-technical systems, which consist of technical components as well as of the human aspect like hospital staff and patients. HIS strive for the optimization of information logistics, to support tasks like patient care and administration of a hospital. To systematically manage such complex systems, HIS can be analyzed on three layers: First, tasks and entity types should be considered. Entity types represent information which is used and updated by tasks like 'Patient Admission' or 'Decision Making'. Second, application components of a HIS should be analyzed, they can be either computer-based or paper-based; both of them support tasks from the first layer. Therefore, they store and exchange information. The third layer analyzes physical data processing components of a HIS, like servers, workstations or networks. The three-layered view can be used for the systematic information management of HIS on three perspectives: strategic information management plans the development of the whole HIS for the next 5 years and longer. Measures from strategic information management are implemented as projects, coordinated by the tactical information management. The operational information management ensures a continuous and reliable operation of the HIS.


Assuntos
Sistemas de Informação Hospitalar , Sistemas de Informação Administrativa , Computadores , Hospitais , Humanos , Gestão da Informação
11.
Cochrane Database Syst Rev ; 8: CD012012, 2020 08 13.
Artigo em Inglês | MEDLINE | ID: mdl-32803893

RESUMO

BACKGROUND: A well-functioning routine health information system (RHIS) can provide the information needed for health system management, for governance, accountability, planning, policy making, surveillance and quality improvement, but poor information support has been identified as a major obstacle for improving health system management. OBJECTIVES: To assess the effects of interventions to improve routine health information systems in terms of RHIS performance, and also, in terms of improved health system management performance, and improved patient and population health outcomes. SEARCH METHODS: We searched the Cochrane Central Register of Controlled Trials (CENTRAL) in the Cochrane Library, MEDLINE Ovid and Embase Ovid in May 2019. We searched Global Health, Ovid and PsycInfo in April 2016. In January 2020 we searched for grey literature in the Grey Literature Report and in OpenGrey, and for ongoing trials using the International Clinical Trials Registry Platform (ICTRP) and ClinicalTrials.gov. In October 2019 we also did a cited reference search using Web of Science, and a 'similar articles' search in PubMed. SELECTION CRITERIA: Randomised and non-randomised trials, controlled before-after studies and time-series studies comparing routine health information system interventions, with controls, in primary, hospital or community health care settings. Participants included clinical staff and management, district management and community health workers using routine information systems. DATA COLLECTION AND ANALYSIS: Two authors independently reviewed records to identify studies for inclusion, extracted data from the included studies and assessed the risk of bias. Interventions and outcomes were too varied across studies to allow for pooled risk analysis. We present a 'Summary of findings' table for each intervention comparisons broadly categorised into Technical and Organisational (or a combination), and report outcomes on data quality and service quality. We used the GRADE approach to assess the certainty of the evidence. MAIN RESULTS: We included six studies: four cluster randomised trials and two controlled before-after studies, from Africa and South America. Three studies evaluated technical interventions, one study evaluated an organisational intervention, and two studies evaluated a combination of technical and organisational interventions. Four studies reported on data quality and six studies reported on service quality. In terms of data quality, a web-based electronic TB laboratory information system probably reduces the length of time to reporting of TB test results, and probably reduces the overall rate of recording errors of TB test results, compared to a paper-based system (moderate certainty evidence). We are uncertain about the effect of the electronic laboratory information system on the recording rate of serious (misidentification) errors for TB test results compared to a paper-based system (very low certainty evidence). Misidentification errors are inaccuracies in transferring test results between an electronic register and patients' clinical charts. We are also uncertain about the effect of the intervention on service quality (timeliness of starting or changing a patient's TB treatment) (very low certainty evidence). A hand-held electronic device probably improves the length of time to report TB test results, and probably reduces the total frequency of recording errors in TB test results between the laboratory notebook and the electronic information record system, compared to a paper-based system (moderate-certainty evidence). We are, however, uncertain about the effect of the intervention on the frequency of serious (misidentification) errors in recording between the laboratory notebook and the electronic information record, compared to a paper-based system (very low certainty evidence). We are uncertain about the effect of a hospital electronic health information system on service quality (length of time outpatients spend at hospital, length of hospital stay, and hospital revenue collection), compared to a paper-based system (very low certainty evidence). High-intensity brief text messaging (SMS) may make little or no difference to data quality (in terms of completeness of documentation of pregnancy outcomes), compared to low-intensity brief text messaging (low-certainty evidence). We are uncertain about the effect of electronic drug stock notification (with either data management support or product transfer support) on service quality (in terms of transporting stock and stock levels), compared to paper-based stock notification (very low certainty evidence). We are uncertain about the effect of health information strengthening (where it is part of comprehensive service quality improvement intervention) on service quality (health worker motivation, receipt of training by health workers, health information index scores, quality of clinical observation of children and adults) (very low certainty evidence). AUTHORS' CONCLUSIONS: The review indicates mixed effects of mainly technical interventions to improve data quality, with gaps in evidence on interventions aimed at enhancing data-informed health system management. There is a gap in interventions studying information support beyond clinical management, such as for human resources, finances, drug supply and governance. We need to have a better understanding of the causal mechanisms by which information support may affect change in management decision-making, to inform robust intervention design and evaluation methods.


Assuntos
Assistência à Saúde/organização & administração , Sistemas de Informação em Saúde/normas , Política Organizacional , Melhoria de Qualidade , Viés , Sistemas de Informação em Laboratório Clínico/organização & administração , Sistemas de Informação em Laboratório Clínico/normas , Computadores de Mão , Coleta de Dados/normas , Tomada de Decisões , Assistência à Saúde/normas , Serviços de Informação sobre Medicamentos/normas , Sistemas de Informação Hospitalar/normas , Testes de Sensibilidade Microbiana , Inovação Organizacional , Preparações Farmacêuticas/provisão & distribução , Ensaios Clínicos Controlados Aleatórios como Assunto , Envio de Mensagens de Texto/normas , Tuberculose/diagnóstico , Tuberculose/tratamento farmacológico
12.
Zhongguo Zhong Yao Za Zhi ; 45(14): 3299-3306, 2020 Jul.
Artigo em Chinês | MEDLINE | ID: mdl-32726043

RESUMO

Kidney malignant tumor is a type of primary renal cell carcinoma, and mainly refers to renal cancer. The incidence of kidney cancer and the number of hospital cases in China have been increasing. Based on the clinical medicine information of patients in the hospital information system(HIS) database of 37 hospitals in China, the combined medication of patients with kidney malignant tumor were analyzed by Tabu search algorithm, so as to analyze the combined medication of patients with kidney malignant tumor in real world. A total of 7 095 patients with kidney malignant tumor were included, the ratio of males to females was 2.11∶1, and the ratio of male patients increased gradually with age. About 3 933 patients(55.43%) showed a superior effect among those patients. The common therapies of patients with kidney malignant tumor were anti-tumor therapies and symptomatic therapies, including anti-infection, regulation of electrolyte balance, sedation and analgesia, analgesic, regulation of gastrointestinal function. The whole population of patients with kidney malignant tumor were mostly treated with anti-tumor drugs combined with more symptomatic therapies, while the anti-tumor therapies of the superiority population of patients were less combined with other drugs, with less combined medication. The result may be related to the stage of tumor or individual response to the therapeutic regimen. No matter for the whole population or for the superiority population of patients with kidney malignant tumor, the therapies was mainly Western medicines. Based on the pathogenesis of deficiency in origin and excess in superficiality with kidney malignant tumor, Chinese subgroups with formula for clearing heat and removing toxicity, formula for vigorate Qi and replenish the blood, formula for regulate Qi and invigorate the blood, laxative and hemostatic were more commonly used. In the future, further studies shall be conducted for combined therapies for patients of different stages, so as to play the advantages of multi-target, overall regulation, toxicity reduction and efficacy enhancement of traditional Chinese medicine, improve the life quality of patients with kidney malignant tumor, prolong their life time, and improve the survival rate of patients.


Assuntos
Medicamentos de Ervas Chinesas , Sistemas de Informação Hospitalar , Neoplasias Renais , Grupo com Ancestrais do Continente Asiático , China , Feminino , Humanos , Masculino , Medicina Tradicional Chinesa
13.
Stud Health Technol Inform ; 272: 159-162, 2020 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-32604625

RESUMO

The successful introduction of ICTs into medical practice is a key factor in improving the performance of any health system for both patients and healthcare professionals. In Burkina Faso, many hospital information systems (HIS) have been developed and are already widely used in large health centers with proven efficiency. To improve the quality of patient care, these hospital information systems should exchange information. Interoperability is one of the privileged ways to improve the integration of different systems because nowadays a HIS is no longer just a single monolithic software system, which is run on a single machine. This paper presents a semantic interoperability architecture, which is based on a mediation approach. The mediator implements local domain ontologies for each HIS, a knowledge base, and a referential ontology which is used as a semantic repository and web services.


Assuntos
Sistemas de Informação Hospitalar , Burkina Faso , Humanos , Bases de Conhecimento , Semântica , Software
14.
Emerg Med Clin North Am ; 38(3): 681-691, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32616287

RESUMO

Information management in the emergency department (ED) is a challenge for all providers. The volume of information required to care for each patient and to keep the ED functioning is immense. It must be managed through varying means of communication and in connection with ED information systems. Management of information in the ED is imperfect; different modes and methods of identification, interpretation, action, and communication can be beneficial or harmful to providers, patients, and departmental flow. This article reviews the state of information management in the ED and proposes recommendations to improve the management of information in the future.


Assuntos
Serviço Hospitalar de Emergência/organização & administração , Gestão da Informação em Saúde/organização & administração , Alarmes Clínicos , Comunicação , Sistemas de Informação Hospitalar , Humanos , Sistemas de Registro de Ordens Médicas , Sistemas de Identificação de Pacientes/organização & administração , Triagem/organização & administração
15.
Rev. méd. Chile ; 148(7): 915-920, jul. 2020. tab, graf
Artigo em Espanhol | LILACS | ID: biblio-1139392

RESUMO

Background: Stevens-Johnson Syndrome (SSJ) and Toxic Epidermal Necrolysis (NET) are infrequent and life-threatening mucocutaneous diseases, which occur predominantly as adverse drug reactions. Aim: To describe the frequency of SSJ and NET diagnoses at a national level, estimate their incidence and describe their distribution among the different regions of the country. Material and Methods: Analysis of hospital discharge databases available at the website of the Chilean Ministry of Health searching for the tenth version of the International Classification of Diseases (ICD 10) codes for SSJ or NET, between 2001 and 2015. Results: We analyzed 24,521,796 hospital discharges nationwide. SSJ caused 855 discharges, with a lethality of 2%. NET caused 128 discharges with a lethality of 16%. The global cumulative incidence was 3.87 cases per million inhabitants per year nationwide, with a trend line to increase incidence towards the regions of higher latitude. Conclusions: SSJ and NET are dermatological emergencies with high mortality. The increase in incidence towards regions at higher latitudes may suggest an association between these conditions and lower levels of vitamin D, correlated with latitude and exposure to UV radiation.


Assuntos
Humanos , Alta do Paciente/estatística & dados numéricos , Síndrome de Stevens-Johnson/epidemiologia , Chile/epidemiologia , Bases de Dados Factuais , Sistemas de Informação Hospitalar
16.
Stud Health Technol Inform ; 271: 145-152, 2020 Jun 23.
Artigo em Inglês | MEDLINE | ID: mdl-32578557

RESUMO

In this qualitative study, we explored the nurses' experience in using hospital information systems (HIS) to identify barriers and facilitators of using this system. We interviewed twenty one purposefully-selected nurses who have experience in using HIS and analyzed the data using conventional content analysis. We identified 17 facilitators and 12 barriers classified into main themes. Lack of support for nurses, their resistance, any force for using HIS, perceived difficulty of using HIS, inadequate system quality, data loss, discontinuity of information in different systems are the main barriers. However, considering nurses' perspectives, pilot implementation of HIS, training, planned implementation, appropriate financial and non-financial incentives, adding new and appropriate functionalities, increased ease of use and usability, easy access to information, improved data quality in HIS, and saving nurses' working time through using HIS result in increased adoption the system to use.


Assuntos
Sistemas de Informação Hospitalar , Humanos , Enfermeiras e Enfermeiros , Pesquisa Qualitativa
17.
Stud Health Technol Inform ; 271: 161-167, 2020 Jun 23.
Artigo em Inglês | MEDLINE | ID: mdl-32578559

RESUMO

We investigated the use of hospital information systems (HIS) among nurses and its effect on their individual performance. We combined UTAUT and Delone & McLean models and developed a questionaire and collected 173 questionaires from nurses. We found that effort expectancy, information quality, performance expectancy and system quality positively influence nurses' intention to use HIS. In addition, nurses' intention to use and facilitators conditions positively direct their actual use. Information quality, service quality and system quality significantly increase nurses' satisfaction with HIS. Lastly, nurses' satisfaction with HIS and their actual use positively improves their individual performance in working with HIS.


Assuntos
Sistemas de Informação Hospitalar , Recursos Humanos de Enfermagem no Hospital , Atitude do Pessoal de Saúde , Estudos Transversais , Humanos , Intenção , Satisfação no Emprego , Inquéritos e Questionários
18.
Stud Health Technol Inform ; 270: 522-526, 2020 Jun 16.
Artigo em Inglês | MEDLINE | ID: mdl-32570438

RESUMO

This article proposes the analysis of the admissions to hospital-at-home service within the framework of process mining. In addition to conventional modeling in standard languages, relying on interviews and continuous improvement, we propose the adoption of an automatic process discovery technique based on data collected by the hospital information system. We focus on the patient admission process, in which staff discriminate cases of interest for the service. Our methodological framework starts with the extraction of process information from the existing dataset. Once obtained meaningful data for an event log analysis, we propose the adoption of a process discovery algorithm by using a specific tool for process mining. In the context of Business Process Management, we suggest a practical application to be explored in order to improve standard modeling, opening the way to perform business process simulation with scenario analysis.


Assuntos
Sistemas de Informação Hospitalar , Hospitalização
19.
Stud Health Technol Inform ; 270: 557-561, 2020 Jun 16.
Artigo em Inglês | MEDLINE | ID: mdl-32570445

RESUMO

Hospital Information Systems (HIS) are used in every hospital in our country and these systems have been developed by different vendors. If there is a change in the HIS software used in a hospital for various reasons, all data must be transferred from the current HIS to the new HIS. Accurate, complete, consistent, reliable and rapid transfer of this transfer is important in order not to interrupt the health care provided by the hospital. The aim of this study is to introduce a data transfer model standart (VEM) between independent HISs and to explain the validations that are applied to enforce the model work correctly. In addition, we share the opinions from HIS vendors who develop VEM compatible systems. In the development process of the model, studies with data transfer experts from the HIS vendors in Turkey were performed. A validation software has been developed to check the compatibility of VEM with HIS software. In addition, a questionnaire was sent to HIS developers via e-mail and their opinions on VEM were received. Fourty six HIS developers voluntarily participated in the study, and 70% said they thought VEM helped with solving data transmission problems. As a result, it can be said that VEM has been successful in solving many problems encountered for data exchange in HIS changes in hospitals.


Assuntos
Sistemas de Informação Hospitalar , Assistência à Saúde , Software , Inquéritos e Questionários , Turquia
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