2021
MD&IT №4 2021
Informatization of healthcare, the creation of new services and applications, as well as the development of applied medical information technologies are difficult to imagine in isolation from the key trends in healthcare itself. In the current reality, one of the necessary requirements in healthcare is the organization of a system of internal quality control and safety of medical activities. GBUZ “Regional Clinical Hospital No. 2”, one of the largest multidisciplinary medical organizations in Pr...
MD&IT №4 2021
The article presents a methodology for evaluating the effectiveness of the use of lean manufacturing technologies (BP) in the work of medical organizations based on evidence-based medicine. This allows the use of a system of “indicators”, alongside weighing coefficients and procedures for assessing the costs and effects of the introduction of BP technologies in a medical organization. Traditional indicators (medical effect, innovative result, economic effect, prevented economic damag...
MD&IT №4 2021
In this paper we describe our experience in the development and testing of a medical decision support system based on open R/Shiny tools at the Center for the Treatment of New Coronavirus Infection (First Pavlov State Medical University). The first version of the software was created and deployed in less than two weeks, and contained basic functionality for the visualization of significant clinical and laboratory parameters for each patient, as well as a summary table for all patients in...
MD&IT №4 2021
The study presents the results regarding the retrospective analysis of the tactics of differential diagnosis in 49 patients with acute mesenteric ischaemia , using the original model of the expert diagnostic decision support system. The data obtained indicates the relevance and validity of the clinical application of a similar system in the diagnostic program for patients with acute abdomen as a diagnostic assistant. The role of the proposed system for early diagnosis, improvement of the quality...
MD&IT №2 2021
Treatment of tuberculosis currently requires the consideration of many factors. Timeliness of initiation, comprehensive treatment, and its correction during long-term chemotherapy are fundamental in achieving a positive result in a patient’s recovery. The purpose of the work is to create a doctor’s assistant in the form of an intelligent service for managing the treatment process in order to improve the quality of treatment. To achieve this goal, a platform for implementing intelligent services ...
MD&IT №1 2021
Diagnosing diseases with inaccurate signs and symptoms is the basis for designing a fuzzy logic medical system. Fuzzy inference is a method of processing information based on expert rules set in a fuzzy form. The article discusses the possibility of applying a fuzzy expert system for diagnosing gastrointestinal parasitic diseases. The authors consider a fuzzy logic system for diagnosing enterobiasis , one of the most common paediatric gastrointestinal parasitic diseases. For this purpose, the au...