2020
MD&IT №6 2020
The relevance of improving the management of the palliative care system in the Krasnodar region, the direct provision of medical care and the interaction of public health authorities is due to the processing of large amounts of data on the need for pain relief and equipment. In each municipality of the Territory, registers of patients suffering from chronic pain syndrome are maintained. The purpose of the article is to develop a methodology for integration municipal registers into a single regis...
MD&IT №6 2020
The development of an effective unified information space of the regional radiology diagnostics service is possible by connecting all outpatient cancer care centers and medical organizations to distributed medical image storage systems under the management of regional radiological information systems within the framework of the regional programs “Creation of the unified digital circuit in healthcare based on the unified state health information system” of the territorial subjects of the Russian ...
MD&IT №6 2020
Aim of research: to develop and implement a patient registration register after relaparotomies in operation on the basis of a clinical oncological dispensary. The premise of this study was the need to obtain statistical data to analyze the effectiveness of vacuum therapy during relaparotomies. By automating the process of recording relaparotomy data, it will be possible to analyze the impact of various factors on patient mortality. Designed the interface and database structure. Based on the desc...
MD&IT №6 2020
The paper describes the approaches and methods, used in the experiment on the implementation of the Federal state system for electronic monitoring the movement of drugs on the asis of a large region (Novosibirsk region), the regulatory framework, the analysis of the results of the experiment. The features of the process of implementation of the results are formulated and generalized, conclusions about the current efficiency of the experiment and measures to improve it are made. Keyword s...
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 №6 2020
Speech recognition technology was tested to prepare protocols for radiological examinations. A method to evaluate the efficiency of speech recognition technology implementation for the preparation of radiological examination protocols has been developed. A time-study was conducted to confirm the effectiveness of voice input. The commitment of radiologist to using innovative technologies in their work practices was evaluated.
MD&IT №6 2020
The article discusses the representation of information on lysosomal storage diseases to support the process of diagnostic decisions in childhood. This hereditary pathology refers to rare (orphan) diseases that are difficult to recognize and without timely appropriate therapy has a negative effect on the quality and expectancy of life. The article analyzes information sources for 16 nosological units from this group. Using the methods of knowledge engineering, information about the ident...
MD&IT №6 2020
The work is devoted to the development of methods for the automatic isolation and analysis of areas of interest for physician-researchers studying the effect of transplanted mesenchymal stem cells on foci of ischemic stroke in laboratory animals. Areas of interest are represented by ischemic areas on T2 MRI-scans and stem cell clusters on SWI MRI-scans. For segmentation of ischemic zones, the possibilities of identifying spectral and visual informative characteristics using the Fourier transform...
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 №5 2020
In the context of rapid technological progress, the outlines of the prospects for the development of telemedicine technologies are becoming more and more clear. At the same time, changes in the organizational, legal and economic spheres often do not keep up with technological changes. This was especially evident in the conditions of the spread of the COVID 19 coronavirus. The article contains an analysis of the features of telemedicine technologies application in modern conditions, prospects and...
MD&IT №5 2020
The government went to provide medical and other workers engaged in the treatment OF covid-19 coronavirus infection with a fairly large set of benefits, guarantees and compensation. Among the key and most financially intensive of them were incentive payments, which were replaced with special social payments from November 1, 2020. At the same time, payments will now be made by the social insurance Fund. The implementation of such a scheme has caused the urgent need to create a complex system of i...