2021
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 №4 2021
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...
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 №4 2021
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...
MD&IT №4 2021
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...
MD&IT №3 2021
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...
MD&IT №3 2021
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...
MD&IT №3 2021
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...
MD&IT №3 2021
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...
MD&IT №3 2021
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...
MD&IT №3 2021
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...
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