Articles

The article postulates the importance of the subsystem of planned hospitalization for a healthcare organization engaged in scientific activities. The requirements for a prospective subsystem of planned hospitalization have been formulated, while the approach and results of a 2-year operational experience of this subsystem are described against the background of changes in the financing procedure for medical care and changes related to covid-19. Conclusions are drawn about the fundamental role of...

The article postulates the relevance of developing an optimal technology system for the implementation of a healthcare information system in a healthcare organization. Adaptive implementation technology is offered as a solution, and HIS requirements for use of the technology are listed. The use of adaptive technology in the implementation of the HIS Interin PROMIS Alpha at the Research Institute of Rheumatology is also described. Factors affecting the implementation sequence of HIS subsystems ar...

Nurses’ work with the peripheral venous catheter is a routine procedure that requires careful monitoring of routine care and regular catheter changes. The article provides an algorithm for maintaining a peripheral venous catheter and describes its implementation in a healthcare information system.

The paper provides a detailed description of the process of forming and processing the ECG database, and provides links to the regulatory legal acts necessary for its creation. The principles of the formation and work of the expert group are defined, and the technology of processing an array of raw data is proposed. Two-level modelling was used to process 220 ECGs which were included into the database. A reduced thesaurus was used to create reference annotations, allowing someone to compare resu...

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...

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...

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...

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...

There are several terrible pandemic catastrophes known in world history, as a result of which scientists periodically tried to form the correct sequences of actions leading to a system of measures that exclude a high probability of re-occurrence. The effectiveness of the proposed systems of measures, with varying degrees of success, are confirmed in practice, which allows us to subsequently judge the correct, complete, and timely application of each specific anti-epidemic system. Currently, ther...

Russian health blogs remain under-explored, despite their growing popularity. Our goal is to evaluate the degree of research development regarding health blogging in Russia. We analysed and grouped key studies in the Russian language retrieved from the national scientific database eLibrary , where there are general descriptions of interactions between physicians and the internet. Some articles are dedicated to exploring personal branding in social media, while several other papers describe techn...

The paper provides an overview of software solutions created between 2018-19 for the integrated information system of the Clinical Oncological Dispensary No.1 in Krasnodar. Health, laboratory, and radiology information systems have been introduced, alongside combined digital archives of medical images. A reference centre for breast pathology based on teleradiology was also organized, and the automatic transmission of images of mobile mammography complexes to the workplaces of radiologists has be...

In this article, we provide a brief overview of precision and predictive medicine, which use modern medical diagnostics, molecular medicine approaches, and information technology. This includes artificial intelligence and machine learning to analyse medical data in order to improve the diagnosis, prognosis, and treatment of diseases. The development of effective predictive medicine is changing the traditional medical approach to diseases and patients from the reactive paradigm of response to dis...

Is it possible to link the prevalence of cancer cases in a Russian region with the age of its population and several environmental variables, specifically by levels of atmospheric air pollution, emissions of radioactive elements, and discharges of contaminated wastewater? The aim of the study is to build a linear regression model that links the oncologic incidence of the population Y within the region in year t with the listed factors taken with lags. One of the variables was qualitative and the...

The dynamic development of diagnostic radiology requires updating its approaches to resource management, as well as revising outdated time standards. The purpose of the study is to determine a turnaround time for reporting results of radiological examinations in primary health care for the formation of time standards. Material and Methods. The analytical (elementwise) method of labour rationing was used. The research included image interpretation and writing CT scan reports, image interp...

This article focuses on the development of a system to help epileptologists use an automated search for epileptic seizures in electroencephalographic records. Purpose: Development of software that implements the analysis of EEG signals for the subsequent detection of epileptic seizures Materials and methods: EEG data from 10 patients with symptomatic epilepsy, which are characterized by recurrent, stereotyped seizures after exposure to a provoking factor were used in the study. The data was reco...

Healthcare systems in countries around the world are becoming more complex every year. The number of automated processes in the industry, the requirements for forecasting these processes, and the efficiency of managing the entire system are increasing with digital transformation. Simulation modelling allows us to imagine the state of processes under real conditions to identify the most important processes and operations. This article is devoted to the creation of an information model of the clin...

Knowing the parameters of the infectious and epidemic process allows us to make a forecast and calculate the amount of exposure to infectious morbidity. On the basis of real data of registered cases of the disease, mathematical modelling of serial morbidity increases was carried out. The parameters and initial conditions of five viral infections (mumps, chickenpox, rubella, measles and viral hepatitis A) were determined. The reproductive number ranged at 2.4–5.3, while the oscillation am...

A method of documenting some formal medical procedures is proposed in order to consolidate experience, bring clarity, exclude risk areas, as well as reduce the likelihood of falling into “loops” and making erroneous management decisions. For the purpose of unification, the proposed method is described in terms of the formal notation of GOST standards, the SIPOC method (Supplier, Input, Process, Output, Customer) and is additionally synchronized with the PDCA cycle, which is well known to...

Artificial intelligence (AI) technologies are considered to be one of the most promising areas of development in various fields of human activity. AI-based systems are used not only in scientific research, but are also actively used in practice. However, the practical implementation of AI technologies has revealed a number of problems associated with the imperfection of the current legislative framework. For this purpose, in July 2019, by order of The Federal Agency for Technical Regulat...

Electrocardiography (ECG) is one of the most common types of instrumental diagnostics, so the creation of specialized cardiographic information systems is an important step towards a fully digital clinic. The article presents the results of conducted research in the «National Medical and Surgical Center named after N.I. Pirogov» investigation to study the readiness of ECG equipment and software suppliers to be included in the complex information and technological landscape of a large mul...