2020
MD&IT №6 2020
Informatization and automation of the processes of collecting, storing, handling, analyzing data on the results of research activities is of paramount importance for the implementation of effective planning, control, administrative decision-making, scientific and methodological guidance. The article presents the experience of designing and implementing Current Research information System in National Research Center for Hematology.
MD&IT №6 2020
The paper presents a cloud service for the formation of case records, the feature of which is a formal presentation of all entered patient data. A formal presentation of the case record is necessary for further processing of patient data by intelligent decision support services, as well as for obtaining new knowledge about the diagnosis and treatment of patients based on machine learning methods. The service is implemented on the medical portal of the IACPaaS cloud platform. The basic principles...
MD&IT №5 2020
The paper discusses possible improvement of healthcare through extension of its organizational model and better utilization of medical information systems. A brief review of ‘classical’ healthcare informatization tools is given with their relation to the steps of healthcare workflow that they intend to optimize. All consumers of healthcare are divided in four target audiences based on their needs in care and health preservation. Concepts of ‘health continuum’ and ‘continuum of care’ are discusse...
MD&IT №5 2020
The statements and algorithms for solving the problem of scheduling medical examinations and treatment of patients in a medical information system are considered. The problem of the optimal multi-day route for the provision of medical procedures to a patient is solved, taking into account the doctors’ work schedule. Cases of one- and multi-day service are considered. A description of the algorithms is given and their comparison is performed.
MD&IT №5 2020
Approaches to ensuring the safety of patient treatment in a medical organization are considered on the example of surgical treatment. The proposed case is implemented on the basis of the JCI IPSG4 “Ensure Safe Surgery” standards and includes the implementation of preoperative verification and timeout by means of MIS. The interface is considered as a chain of interconnected checklists, which was named “Green wave of patient safety during surgical treatment”.
MD&IT №5 2020
IT procurement is always a challenge for healthcare providers as it is not directly related with the scope of activities. Meanwhile, preparing a tender for IT services for Ministry of Defence depends on some specific peculiarities which are a subject of the current article – pricing, sole source purchasing, products from the Unified Register of Russian Software, etc. The article is intended to help healthcare provider specialists who conclude contracts on specified subjects to prepare and to mak...
MD&IT №5 2020
The article summarizes many years of experience in implementing medical information systems (MIS) in medical organizations. The article analyzes the transformation of the medical community’s ideas about the process of implementing MIS and its effectiveness for the period from 1994 to 2020. The features of the introduction of MIS in large medical and preventive associations are considered. There is a need to reorganize the business processes of a medical organization, including clinical p...
MD&IT №5 2020
The article is devoted to the automation of the process of planning and management of operational activities in a multidisciplinary hospital– the basic principles and features, parameters and factors affecting the formation of the operation plan are formulated, the model of the business process is described and criteria for its effectiveness are given, the methodological foundations for organizing the planning of operational activities are shown– shown the leading role of the relationship betwee...
MD&IT №5 2020
Opportunities of healthcare informatization tools are closely related to and limited by requirements of the corresponding model of care. The paper covers specific features of biopsychosocial patient-centered (BPC) model and their implications for informatization. Some approaches to automation of BPC model are discussed: ecosystem architecture and patient-centered online platform that provides communication infrastructure for consumers and providers of health services. Operation principle...
MD&IT №4 2020
Currently, Internet resources are widely used in medical education, becoming one of the key tools of e-learning. We have developed a web application for congenital malformations and anomalies for medical students as an additional tool for self-learning. The web application contains two components: multimedia descriptions of congenital malformations, including images, animations, videos and interactive graphical tests; and the knowledge control module. It is important to evaluate effectiveness of...
MD&IT №3 2020
The paper reviews current scientific evidence on the impact of different health information technologies (HIT) on patient safety, as well as the potential negative consequences of HIT introduction, including systems of computerized physician order entry (CPOE), clinical decision support (CDSS), medication administration technologies, telemedicine and telemonitioring, electronic incident reporting and electronic medical records (EMR). It was concluded that the most...
MD&IT №2 2020
Actuality: evaluation system for healthsaving technologies innovation level development is defined by need of innovative healthcare development strategy implementation and insufficient definition of innovative healthcare technologies criteria. Implementation of new healthcare technologies into systemic healthsaving requires managerial decision making support for innovations integration. Goal: healthsaving technologies innovation level multicriteria evaluation scientific approval and development....
MD&IT №1 2020
Data management is a key process in modern clinical researches, which aims to ensure the unambiguity, completeness, security, and reliability of the collection and storage of information. Since 2017, in the Federal State Autonomous Institution Scientific Research Center of Neurosurgery named after ac. N. N. Burdenko of the Ministry of Health of Russia (NMRC of Neurosurgery) the clinical data management process was modified and a special management information system was introduced into t...
MD&IT №1 2020
Prolonged monitoring of the patients health is the important issue in the treatment of patients after allogeneic hematopoietic stem cell transplantation (allo-HSCT) and is extremely important for the transplant team. The basis of this awareness is the aggregation, systematization and analysis of data about what happens to the patient outside the hospital, namely those parameters that are clinically important for physicians. The basis of the future system of patients’ monitoring is a self...