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MD&IT №5 2021
This mini-review covers the current situation in digital transformation, one of the leading trends in the evolution of health systems. The tasks of providing convenient access to health data and continuity of care are being solved successfully in many countries, including Russia. However, there are gaps in the areas of prevention, wellness, and patient-centeredness. These aspects were declared in several national programs, but still remain to be implemented due to the systemic limitations of the...
MD&IT №5 2021
The article is a market survey of healthcare institutions’ automatization over a period from October 2020 to September 2021, using the Unified Information System for procurements as a source for the survey data. Primary market tendencies were evaluated, leaders were revealed, and regularities were considered. Comparison to the situation of 2013–2015 has also been completed.
MD&IT №5 2021
For the development of healthcare information systems, an effective system of interaction between means of storing and processing structured and unstructured data is important. The paper describes the ways of reconciling the object and relational approaches to data processing between the application and the DBMS as suggested by the NORM methodology. It also describes the use of tabular modules for constructing data warehouses through the example of the new version of the Interin IPS platform for...
MD&IT №5 2021
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...
MD&IT №5 2021
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...
MD&IT №5 2021
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.
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....
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