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1.
Stud Health Technol Inform ; 263: 134-145, 2019 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-31411159

RESUMO

This chapter presents an overview of Resilient Health Care (RHC), introducing two aspects of RHC that are important for designing sustainable digital health systems and for considering implementation outcomes: (1) understanding how normal variation in everyday work can affect implementation of digital health interventions, and (2) the role of information systems in coping with unexpected events. The importance of considering how variation in everyday work can lead to wanted and unwanted outcomes when designing information systems is illustrated through a case study of implementation of a telehealth intervention. We examine how normal variation in everyday work can lead to both safety and error, and discuss how consideration of system resilience when designing and implementing health informatics applications can contribute to improving safety for patients in the future. How health information systems can assist organisations in coping with the unexpected is illustrated through a second case study, of a thunderstorm asthma event in Melbourne, Australia. We briefly present the thunderstorm asthma case, and discuss the role of healthcare informatics in preparing for future unexpected events affecting population health.


Assuntos
Sistemas de Informação , Aplicações da Informática Médica , Asma/diagnóstico , Asma/terapia , Austrália , Programas Governamentais , Humanos , Reprodutibilidade dos Testes
2.
Stud Health Technol Inform ; 264: 113-117, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31437896

RESUMO

Compatible data models are key for data integration. Data transformation after data collection has many limitations. Therefore compatible data structures should be addressed already during the design of information systems. The portal of Medical Data Models (MDM), which contains 20.000+ models and 495.000+ data items, was enhanced with a web service to identify data elements, which are frequently collected together in real information systems. Using Apache Solr, a fast search functionality to identify those elements with semantic annotations was implemented. This service was integrated into the metadata registry (MDR) component of MDM to make it available to the scientific community. It can be used to build intelligent data model editors, which suggest and import frequent data element definitions according to the current medical context.


Assuntos
Metadados , Semântica , Sistemas de Informação , Sistema de Registros
3.
Stud Health Technol Inform ; 264: 606-610, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31437995

RESUMO

Lean management applied to healthcare aims at creating maximum value for patients by reducing waste and waits. It puts the patient's needs center stage, emphasizes employee involvement and continuous improvement. To realize this, visual tools such as the huddle board or the patient board are implemented in hospital wards. The boards are currently realized by whiteboards or flipcharts, which leads to duplicated data entries and loss of information. The objective of this work is to introduce a concept for digitalizing the patient board and integrate with a hospital information system (HIS) for improved data availability. Data on appointments, personnel planning and master patient data can be directly accessed from the HIS database. A digital patient board has several benefits: data can be collected from information systems, making it obsolete to record information several times. Even more functionalities, in particular, those supporting the communication between a patient and a healthcare team can be included by means of a digital board which improves patient involvement.


Assuntos
Sistemas de Informação Hospitalar , Comunicação , Hospitais , Sistemas de Informação , Equipe de Assistência ao Paciente
4.
Stud Health Technol Inform ; 264: 1528-1529, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438215

RESUMO

Secondary use of electronic health record (EHR) data requires a detailed description of metadata, especially when data collection and data re-use are organizationally and technically far apart. This paper describes the concept of the SMITH consortium that includes conventions, processes, and tools for describing and managing metadata using common standards for semantic interoperability. It deals in particular with the chain of processing steps of data from existing information systems and provides an overview of the planned use of metadata, medical terminologies, and semantic services in the consortium.


Assuntos
Registros Eletrônicos de Saúde , Metadados , Coleta de Dados , Alemanha , Sistemas de Informação , Semântica
5.
Rev. pesqui. cuid. fundam. (Online) ; 11(4): 862-867, jul.-set. 2019. tab
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1005593

RESUMO

Objetivo: Avaliar a influência das ações de alimentação dos Sistemas de Informação utilizados na Atenção Primária a Saúde (APS) sobre os cuidados de enfermagem ao indivíduo ou comunidade. Método: Pesquisa quantitativa, com enfermeiros da Atenção Primária. Utilizaram-se os testes ANOVA one-way, Kruskal-Wallis e correlação de Spearman com significância de 5% e confiança de 95%. Resultados: A maioria dos enfermeiros era mulher (94,5%), 34,4 anos de idade, 8,8 anos de formação, sendo 7,6 anos atuando na atenção primária, especialista e concursada. Observou-se associação negativa (p-valor = 0,008) entre tempo destinado às atividades de alimentação dos sistemas e o tempo de atenção aos pacientes. Conclusão: O estudo aponta a influência das ações gerenciais voltadas aos sistemas de informação sobre a atenção prestada aos indivíduos/comunidade


Objective: To evaluate the influence of the feeding actions of the Information Systems used in Primary Health Care (PHC) on nursing care to the individual or community. Methods: Quantitative research with primary care nurses. One-way ANOVA, Kruskal-Wallis and Spearman correlation with significance of 5% and 95% confidence were used. Results: The majority of the nurses were women (94.5%), 34.4 years old, 8.8 years of training, and 7.6 years working in primary care, specialist and bankrupt. A negative association (p-value = 0.008) was observed between time spent feeding the systems and patient care time. Conclusion: The study points out the influence of the managerial actions directed to the information systems on the attention given to the individuals / community


Objetivo: Evaluar la influencia de las acciones de alimentación de los Sistemas de Información utilizados en la Atención Primaria a la Salud (APS) sobre los cuidados de enfermería al individuo o comunidad. Método: Investigación cuantitativa, con enfermeros de la Atención Primaria. Se utilizaron las pruebas ANOVA de una forma, Kruskal-Wallis y correlación de Spearman con significancia del 5% y confianza del 95%. Los resultados: La mayoría de los enfermeros eran mujeres (94,5%), 34,4 años de edad, 8,8 años de formación, siendo 7,6 años actuando en la atención primaria, especialista y concursada. Se observó asociación negativa (p-valor = 0,008) entre tiempo destinado a las actividades de alimentación de los sistemas y el tiempo de atención a los pacientes. Conclusión: El estudio apunta la influencia de las acciones gerenciales dirigidas a los sistemas de información sobre la atención prestada a los individuos / comunidad


Assuntos
Humanos , Masculino , Feminino , Atenção Primária à Saúde , Sistemas de Informação/organização & administração , Troca de Informação em Saúde , Cuidados de Enfermagem , Sistema Único de Saúde
6.
Rev. SOBECC ; 24(2): 107-114, abr-.jun.2019.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1006177

RESUMO

Objetivo: Descrever as etapas de desenvolvimento e avaliação da estrutura informatizada para processamento de bandejas cirúrgicas na área de preparo do centro de material e esterilização. Método: Trata-se de um projeto de desenvolvimento de produção tecnológica embasada na teoria de "ciclo de vida do sistema". Resultados: A estrutura foi criada utilizando formulários e planilhas do Google Apps. Os formulários foram desenvolvidos com base na coleta de informações das referências gravadas nos instrumentais, consulta ao nome correto nos catálogos dos fabricantes e registros fotográficos de detalhes das peças. Foi realizada a avaliação pelos colaboradores, e foram feitas as alterações sugeridas pelos mesmos. Os formulários permitiram identificar o nome do instrumental e a referência do fabricante e acessar as fotos dos materiais, o que passou a gerar planilhas que permitiram a rastreabilidade e o gerenciamento dos materiais cirúrgicos. Conclusão: A informatização do preparo das bandejas de cirurgia minimamente invasiva contribuiu para o preparo de maneira fácil, intuitiva e de forma rastreável. A tecnologia pode otimizar o tempo de assistência do enfermeiro do centro de material e esterilização com as questões relacionadas ao planejamento das ações gerenciais e à rastreabilidade dos processos.


Objective: To describe the stages of development and evaluation of the computerized structure for the processing of surgical trays processing at the preparation room of the central sterile services department (CSSD). Method: This is a technological production development project based on the "system life cycle" theory. Results: The structure was created using Google Apps forms and spreadsheets. The forms were developed based on the collection of information from references recorded in the surgical instruments, and checking of correct names in manufacturers' catalogs and photographic records of details of the parts. The evaluation was performed by the employees, and changes suggested by them were applied. The forms allowed to identify the name each surgical instrument and the manufacturer's reference, and to access the photos of materials, which was input to spreadsheets that allowed the keeping track of and managing surgical instruments. Conclusion: The computerization of the process of preparation of minimally invasive surgery trays made it easier, more intuitive and traceable. Technology can optimize the nursing care time at the CSSD in what concerns the planning of actions and the keeping track of procedures


Objetivo: Describir las etapas de desarrollo y evaluación de la estructura informatizada para el procesamiento de bandejas quirúrgicas en el área de preparación del centro de material y esterilización. Método: Se trata de un proyecto de desarrollo de producción tecnológica basada en la teoría de "ciclo de vida del sistema". Resultados: La estructura se creó utilizando formularios y hojas de cálculo de Google Apps. Los formularios fueron desarrollados en base a la recolección de informaciones de las referencias grabadas en los instrumentos, consulta al nombre correcto en los catálogos de los fabricantes y registros fotográficos de detalles de las piezas. Se realizó la evaluación por los colaboradores, y se efectuaron las alteraciones sugeridas por los colaboradores. Los formularios permitieron identificar el nombre del instrumental y la referencia del fabricante y acceder a las fotos de los materiales, lo que pasó a generar hojas que permitieron la trazabilidad y la gestión de los materiales quirúrgicos. Conclusión: La informatización de la preparación de las bandejas de cirugía mínimamente invasiva contribuyó a la preparación de manera fácil, intuitiva y de forma rastreable. La tecnología puede optimizar el tiempo de asistencia del enfermero del centro de material y esterilización con las cuestiones relacionadas con la planificación de las acciones gerenciales y la trazabilidad de los procesos


Assuntos
Humanos , Sistemas de Informação , Procedimentos Cirúrgicos Ambulatórios , Instrumentos Cirúrgicos , Esterilização
7.
Lima; Perú. Ministerio de Salud; 20190700. 89 p. ilus, graf, tab.
Monografia em Espanhol | LILACS, LIPECS | ID: biblio-1005995

RESUMO

Contribuir a mejorar la calidad de la atención de salud y la continuidad de la misma en beneficio de los usuarios de los servicios de salud a través del uso del Sistema de Información de Historias Clínicas Electrónicas-SIHCE e-Qhali.


Assuntos
Atenção Primária à Saúde , Sistemas de Informação , Cuidados Médicos , Registros Eletrônicos de Saúde
8.
Stud Health Technol Inform ; 262: 168-171, 2019 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-31349293

RESUMO

One of the major problems that a national health system face is the lack of a unified clinical data management. In Greece, the critical and sensitive medical data generated during a patient lifetime are fragmented in one or more hospitals and healthcare services are not characterized by a 'continuity' factor. There is not the appropriate technological and administrative infrastructure for a unified patient medical history, prescriptions, laboratory tests or therapeutic plan. Technological, administrative and economic factors have led to this situation. We propose the integration and implementation of a blockchain network as a complementary technology to the existing information systems, so reliable and effective information management could be provided by a healthcare organization or the national healthcare system. Blockchain technology could be implemented as a bridge that can provide information systems interoperability within a hospital or between different hospitals.


Assuntos
Assistência à Saúde , Sistemas de Informação em Saúde , Grécia , Humanos , Sistemas de Informação , Tecnologia
9.
Praxis (Bern 1994) ; 108(9): 609-614, 2019 Jul.
Artigo em Alemão | MEDLINE | ID: mdl-31288660

RESUMO

Rheumatology from A to Z - a Web-Based Information Tool Abstract. Online health information is consulted frequently. However, appropriately examining this data for its quality, trustworthiness, and clinical relevance presents a challenge even for medical professionals. This project offers contents in the area of the musculoskeletal system that has been compiled and verified by experts. Overall, 222 terms are defined, explained and equipped with clinically relevant details in order to provide interested professionals with quick and encompassing access to high-quality, subject-specific information. In addition, these terms are supplemented with a total of 2150 links to websites of verified quality with further information. All content is provided in English and German and can be retrieved either by website or by app.


Assuntos
Internet , Reumatologia , Sistemas de Informação
10.
J. Health Biol. Sci. (Online) ; 7(3): 258-264, jul.-set. 2019.
Artigo em Português | LILACS | ID: biblio-1005640

RESUMO

Objetivo: descrever o perfil das notificações da violência física ou sexual contra mulheres de 10 a 49 anos no Piauí. Métodos: estudo descritivo e de série temporal, tendo como base os dados do Sistema de Informação de Agravos de Notificações entre 2009 e 2016. Análises bivariada e múltipla por regressão logística foram realizadas, com cálculo de odds ratio ajustadas (ORaj) e intervalos de confiança de 95% (IC95%). Resultados: houve notificação de 7.783 casos de violência contra mulheres de 10 a 49 anos, sendo 62,3% de agressão física e 23,1% de abuso sexual. Ocorreu maior chance de violência física entre mulheres com 20 anos ou mais (ORaj=1,68;IC95% 1,49-2,07), casadas/ união estável (ORaj=2,18;IC95% 1,98-2,32), praticada pelo parceiro íntimo (ORaj=2,20;IC95% 1,44-2,97) e no ambiente doméstico (ORaj=2,22;IC95% 1,55-3,41). Por sua vez, houve maior chance de violência sexual entre adolescentes de 10 a 19 anos (ORaj=1,78;IC95% 1,44-2,19), solteiras (ORaj=1,94;IC95% 1,33-2,51), perpetrada por desconhecidos (ORaj=1,88;IC95% 1,30-2,84) e na via pública (ORaj=2,04;IC95% 1,66-2,49). Conclusão: o perfil da violência física é diferente daquele da violência sexual, sendo a agressão física mais frequente entre mulheres casadas, no âmbito privado e por parceiro íntimo, enquanto o abuso sexual foi mais comum entre solteiras, praticado em local público e por desconhecidos. Os dados reforçam que o conhecimento desses perfis possibilita intervenções intersetoriais para prevenção e redução de danos da violência contra a mulher.


Objective: to describe the profile of physical or sexual violence against women aged 10-49 in Piauí, Brazil. Methods: descriptive and time-series study based on data from the Notification of Injury Information System, 2009-2016. Bivariate and multiple logistic regression analyses were performed, with adjusted odds ratio calculation (ORaj) and 95% confidence intervals (95%CI). Results: there were 7,783 reported cases of violence against women aged 10-49, 62.3% of whom being physical aggression and 23.1% being sexual abuse. There was greater chance of physical violence among women aged 20 or older (ORadj=1.68;95%CI 1.49-2.07), married/ stable union (ORadj=2.18;95%CI 1.98-2.32), perpetrated by intimate partner (ORadj=2.20;95%CI 1.44-2.97), and in the domestic environment (ORadj=2.22;95%CI 1.55-3.41). In turn, there was greater chance of sexual violence among adolescents aged 10-19 (ORadj=1.78;95%CI 1.44-2.19), single (ORadj=1.94;95%CI 1.33-2.51), committed by strangers (ORadj=1.88;95%CI 1.30-2.84), and in the public place (ORadj=2.04;95%CI 1.66-2.49). Conclusion: physical violence and sexual violence have different profiles, being physical aggression more frequent among married women, in private and by intimate partner, while sexual abuse was more common among single women, practiced in public place and by unknown persons. The data reinforce that the knowledge of these profiles can enable intersectoral interventions for preventing violence against women and reducing its harm.


Assuntos
Violência contra a Mulher , Delitos Sexuais , Sistemas de Informação , Violência por Parceiro Íntimo
11.
Cuad. Hosp. Clín ; 60(1): 88-94, jun. 2019.
Artigo em Espanhol | LILACS, LIBOCS | ID: biblio-1006902

RESUMO

Las competencias digitales son habilidades, destrezas aquellas que desarrolla el profesor universitario en su labor docente y el estudiante en su proceso de aprendizaje. Por otro lado, las nuevas tecnologías de información y comunicación han generado diferentes programas computaciones, herramientas tecnológicas gratuitas y de pago, el objetivo del presente trabajo es describir las competencias digitales existentes vinculadas con las nuevas tecnologías de información y comunicación, además, pretende identificar los ambientes flexibles, colaborativos, científicos, participativos y personalizados que se presentan con la integración de herramientas digitales. La integración y aplicabilidad de las competencias digitales integradas con las herramientas tecnológicas son determinantes en el desarrollo educativo, investigativo, profesional y otros


The digital competences are skills, skills that are developed by the university professor in his teaching work and the student in his learning process. On the other hand, the new information and communication technologies have generated different computer programs, free and paid technological tools, the objective of this work is to describe the existing digital competences linked to the new information and communication technologies, in addition, it aims to identify the flexible, collaborative, scientific, participative and personalized environments that are presented with the integration of digital tools. The integration and applicability of integrated digital competencies with the tools of technology are determining factors in educational, research, professional and other development


Assuntos
Tecnologia da Informação , Sistemas de Informação , Educação Superior , Comportamento de Busca de Informação
12.
Stud Health Technol Inform ; 261: 289-293, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31156132

RESUMO

This paper presents the extension of a service-oriented architecture framework for precision oncology to the management of patient generated health data from wearables. The solution follows the indication provided by the Health Level 7 (HL7) and Object Management Group (OMG) initiative Healthcare Service Specification Project (HSSP) and is compliant to Retrieve Locate and Update Service (RLUS) Release 1 standard adopting Clinical Document Architecture Release 2 (CDA R2) as semantic signifier. The system which has been developed supports the management of visits, the setting up of a clinical diary and a comprehensive view of the patients from the wearables data for improve clinical care and for research. The system structure is highly modular and the parameters relating to wearables data are only present in one module. Extension of the systems to other aspects, such as genomics and immune therapy, are planned following the same modular design criteria.


Assuntos
Tecnologia da Informação , Neoplasias , Dados de Saúde Gerados pelo Paciente , Medicina de Precisão , Humanos , Sistemas de Informação , Neoplasias/terapia
13.
Recurso educacional aberto em Espanhol | CVSP - Regional | ID: oer-3844

RESUMO

Al final de este guía, el usuario es capaz de: - Acceder el sistema FI-Admin para ingresar y editar registros de recursos educativos de un repositorio del nodo país del CVSP. - Reconocer los principales componentes y funciones del sistema FI-Admin, permitiendo describir, indizar, enlazar y relacionar los registros de recursos educativos.


Assuntos
Materiais de Ensino , Bases de Dados Bibliográficas , Bibliotecas Digitais , Catalogação , Resumos e Indexação como Assunto , Gestão da Informação , Sistemas de Informação
14.
Lima; Perú. Ministerio de Salud; 20190500. 29 p. tab, graf.
Monografia em Espanhol | LILACS, LIPECS | ID: biblio-1005785

RESUMO

Contribuir a la evaluación y toma de decisiones para la mejora continua de la calidad en toda la cadena trasfusional en la Res Nacional de los Centros de Hemoterapia y Bancos de Sangre Tipo I y Tipo II.


Assuntos
Sistemas de Informação , Estatística , Serviço de Hemoterapia , Transfusão de Sangue
15.
Lima; Perú. Ministerio de Salud; 20190500. 18 p. graf.
Monografia em Espanhol | LILACS, LIPECS | ID: biblio-1005789

RESUMO

Contar con información en salud confiable, consistente y oportuna, necesaria en los procesos asistenciales, asi como en la formulación y evaluación de políticas publicas en salud.


Assuntos
Sistemas de Informação , Interoperabilidade da Informação em Saúde , Instalações de Saúde , Guias como Assunto
16.
BMC Health Serv Res ; 19(1): 268, 2019 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-31035979

RESUMO

Concern among the public and policymakers about current and future major staff shortages is increasing. Strengthening Human Resource (HR) practices and adopting HR technologies such as Human Resource Information Systems (HRIS), that can collect, store and report workforce data are often described as a potential solution to this problem. Indeed, examples from other industries show that HRIS can help to launch or manage, as well as provide ongoing insights concerning the whole career cycle of an employee. However, few of the existing studies that discuss technology or its impacts on the future of work have focused on health organizations, and those that do have not received sufficient attention in health literature. Furthermore, such contributions as there have been have either prioritized a particular type of technology or focused mainly on the effect of automation on health professionals' work. They have thus overlooked the full range of possible uses of these technologies and, specifically, have neglected the topic of HR for Health (HRH) management in health organizations. The primary aim of this paper is to address this lacuna, with specific reference to the existing categorization of HR technological disruptions. To conclude, health organizations and the health and HR professionals who work within them need to use HRIS responsibly, finding a balance between the drive for innovation, productivity and efficiency and respect for all potential legal, ethical and compliance issues, as well as taking account of the importance of HRH wellbeing and satisfaction.


Assuntos
Sistemas de Informação/organização & administração , Sistemas de Informação Administrativa/normas , Administração de Recursos Humanos/normas , Assistência à Saúde , Pessoal de Saúde , Pesquisa sobre Serviços de Saúde , Humanos , Sistemas de Informação Administrativa/tendências , Administração de Recursos Humanos/tendências
17.
Stud Health Technol Inform ; 260: 33-40, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31118316

RESUMO

The introduction of national electronic patient records such as the electronic patient dossier EPD in Switzerland provides a new basis for digitizing healthcare processes at a national level. One process however, that is currently neglected within the Swiss EPD, is the scheduling process in healthcare. The objective of this work is to analyze the appointment scheduling process and the involved IT systems in order to develop an appointment data structure and a concept for cross-institutional exchange of appointment data. The analysis showed that various outpatient and inpatient information systems support appointment booking through proprietary solutions. A true standard for appointment data exchange is missing. We suggest an appointment data structure and a corresponding data exchange process based on the FHIR standard. In its current implementation, the Swiss EPD does not support this proposed appointment scheduling process. We discuss how potential additions such as the IHE Care Services Discovery (CSD) profile can provide better compatibility.


Assuntos
Agendamento de Consultas , Registros Eletrônicos de Saúde , Troca de Informação em Saúde , Assistência à Saúde , Humanos , Sistemas de Informação , Suíça
18.
RECIIS (Online) ; 13(1): 158-171, jan.-mar. 2019. tab, graf
Artigo em Português | LILACS | ID: biblio-987723

RESUMO

Este artigo apresenta os resultados de uma pesquisa que teve como objetivo analisar a qualidade da declaração da idade nos registros de óbito no Brasil, de 1996 a 2015. Foi realizada uma análise por 'idade simples' dos microdados de óbitos no Brasil no período mencionado. A preferência por dígitos terminais 0 e 5 foi avaliada usando o índice de Whipple (IW). Já a preferência pelos dígitos terminais de 0 a 9 foi expressa usando o método de Myers (IM). A qualidade dos dados de idade foi alta no período [IWtot = 0,55 ­ 0,83 (masculino) e 0,71 ­ 0,93 (feminino); IM = 0,388 ­ 1,004 (masculino) e 0,430 ­ 1,589 (feminino)]. A qualidade da informação foi mais satisfatória entre homens e não houve tendência significativa a uma melhora, sugerindo sua estabilidade durante os 20 anos analisados. Foi encontrada preferência pelo dígito terminal 0 (zero) principalmente entre mulheres. Concluiu-se que os dados de óbito no Brasil, com relação à idade, são satisfatórios, podendo ser utilizados em análises demográficas e epidemiológicas.


This article presents the results of a research aimed at analyzing the quality of the information about the age on the death registers in Brazil, from 1996 to 2015. An analysis was performed by simple age of the deaths microdata in Brazil for that period. The preference for the last digits 0 and 5 was evaluated using the Whipple index (IW), while the preference for the last digits from 0 to 9 was expressed using the Myers (IM) method. The quality of the age data was high in the period [IWTtot = 0.55 - 0.83 (male) and 0.71 - 0.93 (female); IM = 0.388 - 1.004 (male) and 0.430 ­ 1.589 (female)]. The quality of the information was more satisfactory among men, and there was not a significant trend in the improvement suggesting stable quality during the 20 years analyzed. The preference was given to the last digit 0, mainly among women. It was concluded that data from death registers in Brazil regarding the age are satisfactory and can be used in demographic and epidemiological analyses.


Este artículo presenta los resultados de una investigación que tuvo como objetivo analizar la calidad de la declaración de la edad en los registros de óbito en Brasil, desde 1996 hasta 2015. Se realizó el análisis por edad simple de los microdatos de óbitos en Brasil en el periodo mencionado. La preferencia por dígitos finales 0 y 5 fue evaluada usando el índice de Whipple (IW). La preferencia por los dígitos finales desde 0 hasta 9 fue expresada usando el método de Myers (IM). La calidad de los datos de edad fue alta en el período [(IWtot = 0,55 - 0,83 (masculino) y 0,71 - 0,93 (femenino), IM = 0,388 - 1,004 (masculino) y 0,430 - 1,589 (femenino)]. La calidad de la información fue más satisfactoria entre hombres y no hubo tendencia significativa en la mejora, sugiriendo estabilidad en la calidad en los 20 años analizados. Se encontró una preferencia por el dígito terminal 0 principalmente entre mujeres. Se concluye que los datos de óbito en Brasil con relación a la edad son satisfactorios y pueden ser utilizados en análisis demográficos y epidemiológicos.


Assuntos
Humanos , Demografia , Registros de Mortalidade , Indicadores Básicos de Saúde , Estudos Ecológicos , Brasil , Sistemas de Informação , Mortalidade , Informação
19.
Rev Bras Enferm ; 72(2): 400-407, 2019 Mar-Apr.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31017202

RESUMO

OBJECTIVE: To adapt data collection of the Information System software with the nursing process in Intensive Therapy for use in medical and surgical clinic units. METHODS: A descriptive study developed in three stages. The first consisted of team training; in the second, the software was applied in clinical practice with 100 patients; and in the third, we analyzed the modifications to be done. RESULTS: There was inter-observer agreement of 91%, followed by application of the software in 100 patients. In the "patient registration" module, it was suggested the exclusion of one item, inclusion of six and modification of four of them. In the anamnesis screens, no items were flagged to be deleted; 26 inclusions and 7 changes were proposed. In the physical examination screens, it was suggested the exclusion of 31 items, inclusion of 26 and modification of 27. CONCLUSION: Modifying information systems and going through stages methodologically constructed and implemented was important.


Assuntos
Processo de Enfermagem/tendências , Inovação Organizacional , Desenho de Programas de Computador , Humanos , Sistemas de Informação/normas , Sistemas de Informação/tendências , Quartos de Pacientes/organização & administração , Quartos de Pacientes/tendências
20.
Plant Sci ; 282: 14-22, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31003607

RESUMO

Progress in remote sensing and robotic technologies decreases the hardware costs of phenotyping. Here, we first review cost-effective imaging devices and environmental sensors, and present a trade-off between investment and manpower costs. We then discuss the structure of costs in various real-world scenarios. Hand-held low-cost sensors are suitable for quick and infrequent plant diagnostic measurements. In experiments for genetic or agronomic analyses, (i) major costs arise from plant handling and manpower; (ii) the total costs per plant/microplot are similar in robotized platform or field experiments with drones, hand-held or robotized ground vehicles; (iii) the cost of vehicles carrying sensors represents only 5-26% of the total costs. These conclusions depend on the context, in particular for labor cost, the quantitative demand of phenotyping and the number of days available for phenotypic measurements due to climatic constraints. Data analysis represents 10-20% of total cost if pipelines have already been developed. A trade-off exists between the initial high cost of pipeline development and labor cost of manual operations. Overall, depending on the context and objsectives, "cost-effective" phenotyping may involve either low investment ("affordable phenotyping"), or initial high investments in sensors, vehicles and pipelines that result in higher quality and lower operational costs.


Assuntos
Análise Custo-Benefício/métodos , Plantas/genética , Sistemas de Informação , Fenótipo
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