Going “paperless” in an English National Health Service (NHS) breast cancer screening service: The intriduction of fully digital mammography

Objective: To test the feasibility of a fully paperless system, termed “paperlite” in a UK breast screening service. To demonstrate in NHS practice, how workload and workflow could be improved by moving to a paperless system and discovering what impact this has upon the complexity within the service. Setting: Warwickshire, Solihull and Coventry Breast Screening Service in the West Midlands of England. Methods: Quality improvement methodologies were employed, including value stream mapping, task analysis and a time-and-motion study. Results: The screening centred screened approximately 50,000 women per year. If they were to implement a paperless system, the administrative workload would decrease. The time saving per batch of screens, which could be achieved by moving to the paperless system ranged from 19 to 56 minutes (mean = 36 minutes). When calculated by batch the mean time saving per woman screened by moving to the paperless system was 42 seconds. This equates to 583 hours of administrative work per year in a centre screening 50,000 women. Conclusions: The paperless system has many benefits compared to the original system in terms of reductions in waste, time and cost. The simplification and standardisation of the process resulted in fewer tasks and interfaces where errors could occur, hence inadvertently improving patient safety. The limitation of the work is the heavy reliance on technology, live interfacing with computer databases and software stability is necessary for a paperless system to be used in NHS practice.

Implementing a paperless and integrated pharma quality system

Compliance to the PIC/s GMP[1]standards is a mandatory and challenging requirement for ASEAN Pharmaceutical manufactures.PIC/s has at its foundation and as a very strong basis the need for a robust and wide ranging Quality Management System that will impact nearly all the departments in the organization and requires companies to setup detailed controls and records across all relevant quality aspects.To achieve the PIC/s quality objectives reliably and efficiently,a comprehensively designed and implemented QMS will be based on the Quality Assurance principles and will integrate GMP,Quality Control and Quality Risk Management.The key functions required in a QMS are Document Control,Training Management Quality Event Management Quality Risk Management(QRM),Supplier Management and Audit Management.By operating a paper QMS.

The Application of Itest Paperless Test System in College English Teaching

In the process of public foreign language teaching,teaching evaluation is an indispensable part.With the rapid development of modern science and technology in China,major publishing houses are competing to research various software platforms related to public foreign languages,and carry out the research on the application evaluation of paperless teaching in various disciplines.Among them,the application effect is more prominent is the ITest test platform of FLTRP.This year,our school comprehensively adopts ITest as a means of English teaching evaluation.This paper will focus on the advantages and difficulties of paperless assessment in the process of teaching assessment based on this system,which is of great significance to the future foreign language teaching management of our college.

Research on Paperless and Paperless Assessment of College Foreign Languages in Digital Environment

With the rapid development of digital technology, the advantages of digital teaching mode of college foreign languages have become increasingly prominent. Challenges and problems are faced in the practice of college foreign language teaching in China. One of the problems we should try to solve is to improve students' cultural awareness and intercultural communicative competence. The digital environment has greatly expanded students' learning space. At present, the focus of college foreign language teaching reform is how to make full use of advanced digital technology and gradually change the traditional college foreign language teaching environment and means. After many students enter the university, they have not changed their foreign language learning concepts and lack the enthusiasm and initiative of foreign language learning. The reform and practice of the comprehensive test mode of foreign language proficiency is not only a process of paperless paperless evaluation of learners' foreign language use ability, but also a process of encouraging learners to improve their comprehensive ability to use foreign languages through the evaluation process.

Research on the paperless test based on the computer elementary course

Compared with the traditional examinations, the paperless examination of the computer elementary course can not only realize the assessment of the theoretical knowledge, but also can carry out the assessment of the actual operations of some of the operational computer subjects, which can make it more comprehensive. Through the computer evaluation, we can make the results consistent, and get rid of the human interference as far as possible, and thus it can prevent the emergence of the human errors, to ensure fairness and justice of the tests. This issue is analyzed and discussed in the following.

手术麻醉医疗文书无纸化归档应用实践

目的:对手术麻醉系统医疗文书进行无纸化归档改造,优化相关流程,满足医院对病案管理的要求。方法:实现医、护、患的电子签名,对所有医疗文书进行电子化改造,明确无纸化归档范围,重塑手术麻醉系统的病历归档流程。结果:通过一系列改造,实现了手术麻醉系统医疗文书的无纸化归档,归档流程严谨、顺畅,无纸化归档率达到100%。结论:手术麻醉系统医疗文书无纸化归档满足了医院对患者病历统一管理的需求,提升了临床的工作效率,保障了病历的完整性,为医院节省了运营成本,提升了医院精细化管理水平。

基于智慧物联技术住院部药品闭环可追溯管理模式建立与效果评价

目的介绍医院住院部药品调剂全流程可追溯闭环管理模式应用。方法依据智慧医疗建设思路和六级电子病历要求,从硬件和软件两方面入手,设计了住院部药品调剂全流程的无纸化模式,建立可追溯闭环管理体系,并对体系的实践效果进行全面评价。结果流程改造后,任务派领时间缩短,药品调配时间缩短,退药时间压缩,提高药师培训效率,降低人力耗材成本,促进安全合理用药。结论基于智能设备和信息化手段对医院信息系统进行改造,实现住院药品调剂全流程闭环式可追溯管理,具有安全、规范、高效、闭环可追溯的优势,降低调剂差错风险,提高用药安全性,可推广性强。

基于DID模型的医护智能终端无纸化办公系统应用效果评估

目的采用双重差分法(DID)模型评估智能终端无纸化办公系统对医护工作效率及工作满意度的影响。方法将某院2023年1月-2月的80名医生和160名护士作为研究对象,分为干预组和对照组。干预组采用智能终端无纸化办公App,对照组采用传统的医护工作站模式。记录不同时间点病历书写时间、护理项目完成时间、护理质量评分、医护工作满意度得分,并通过建立DID模型比较两组各项指标的差异。结果随着干预时间延长,在第7天、14天、28天时,干预组病历书写平均时间、护理项目完成平均时间均短于对照组,护理质量均分、医护工作满意度均分均高于对照组,差异均具有统计学意义(P<0.05)。DID模型显示,干预组病历书写平均时间、护理项目完成平均时间呈递减趋势(t=-2.170、-6.590,P<0.05),护理质量评分、医护工作满意度呈递增趋势(t=5.180、3.240,P<0.05)。结论智能终端无纸化办公系统能够有效提高医护人员工作效率和工作满意度。

关于土木工程材料课程混合式教学的几点思考与实践

以土木工程材料课程为例,分析线上线下教学特点,针对土木工程材料课程线下教学存在的问题,提出利用线上资源,增加课程训练频次和训练方式,辅助学生对课堂知识的掌握;通过线下实操与虚拟试验的对比,促进学生对试验技能的精细化掌握,巩固试验效果;实现课堂线下授课与APP自学的结合,培养学生在庞杂的知识系统中建立逻辑的技能,拓展课程容量。所提出措施的有效性在实际课堂中进行验证。设计手段的实施能够有效解决线下教学痛点,有效活化教学资源,丰富教学手段,助力符合OBE工程教育理念应用型人才的培养。

无纸化用血费用减免系统设计与实现

目的围绕医院用血费用减免的一站式服务场景,以财政电子票据应用为切入点,设计和实现无纸化用血费用减免系统,改变纸质医疗票据、亲属关系证明人工办理模式,持续提升献血服务水平。方法基于“浙里办”政务服务平台,与电子票据数据、亲属关系数据进行对接,自动获取含输血费的医疗票据、与献血者的亲属关系,在此基础上,优化血站与医院信息共享的接口,实现医院用血费用减免办理全流程的无纸化、智能化。结果完成了用血费用减免系统的迭代升级,并已在杭州、温州、衢州地区运行使用。结论本系统实现了浙江省“用血服务不用跑”服务无纸化全流程、无感式用户体验,进一步提升了无偿献血者及其亲属的就医获得感和满意度。

以病案质控管理为目标的住院病历无纸化归档体系建设实践

目的:借助信息化手段提升病案质量和管理效率,实现住院病历归档的全生命周期智慧化管理。方法:以问题为导向,对某院病历归档管理流程进行深入调研与需求分析,通过建立无纸化归档闭环管理机制、文书完整性卡控机制、病案修改审核管理机制、可靠电子签名架构,构建以临床业务系统、归档系统、电子签名系统为一体的住院病历无纸化归档全流程闭环管理体系。结果:已实现24项医技报告、12种医护文书的无纸化归档,覆盖住院归档病历范围的90.00%以上,病历无纸化自动归档率96.13%,病历归档完整率达100.00%,杜绝了纸质病历缺张少页的安全隐患。结论:住院病历无纸化归档体系的建设,有效提升现代医院病案质控管理水平,进一步助力公立医院高质量发展。

非正式出版物全域性共建共享可行性研究——以广东省书目中心为例

非正式出版物是特色馆藏的重要体现,在传承与发扬岭南文化过程中具有重要意义。但由于各种原因使之无法实现全域性共建共享。论文通过一系列可行性研究分析认为,以广东省书目中心建设为契机,通过拓展书目中心的服务职能,可以有效解决非正式出版物共建共享问题。

影像危急值闭环管理系统的研发与应用

目的为解决纸质版危急值报告登记本记录不规范、登记内容不全面、难以统计和追踪、难以监管等问题,设计一套影像危急值闭环管理系统。方法影像中心危急值闭环管理系统后端采用Java、前端采用Visual C#开发,系统在C/S架构下的影像工作站系统通过exe传参调用,在B/S架构下的护士站、医生站系统通过URL Protocol服务协议+exe传参调用。随机选取系统上线初期(2021年1—3月,对照组)及临床人员对系统有良好依从性后(2022年1—3月,实验组)的各200份危急值数据作为研究资料,验证系统的应用成效。结果实验组的医生接收耗时、放射科医生的反馈确认耗时和危急值上报全程耗时明显减少,差异具有统计学意义(P<0.05)。同时,可实现对影像危急值相关数据的统计分析。结论系统的应用规范了危急值上报流程,实现了上报过程的闭环和无纸化,完成了对危急值信息的全流程跟踪、监控和管理,使危急值上报情况一目了然,一旦发生不良事件,可通过系统精确跟踪处理,值得进一步推广应用。

Modern Corrosion Mapping of Storage Tank Bottoms--Notable Advancements in Critical Zone Coverage,Inspection Efficiency and Data Integrity

Every day,an NDT(Non-Destructive Testing)report will govern key decisions and inform inspection strategies that could affect the flow of millions of dollars which ultimately affects local environments and potential risk to life.There is a direct correlation between report quality and equipment capability.The more able the equipment is-in terms of efficient data gathering,signal to noise ratio,positioning,and coverage-the more actionable the report is.This results in optimal maintenance and repair strategies providing the report is clear and well presented.Furthermore,when considering tank floor storage inspection it is essential that asset owners have total confidence in inspection findings and the ensuing reports.Tank floor inspection equipment must not only be efficient and highly capable,but data sets should be traceable and integrity maintained throughout.Corrosion mapping of large surface areas such as storage tank bottoms is an inherently arduous and time-consuming process.MFL(magnetic flux leakage)based tank bottom scanners present a well-established and highly rated method for inspection.There are many benefits of using modern MFL technology to generate actionable reports.Chief among these includes efficiency of coverage while gaining valuable information regarding defect location,severity,surface origin and the extent of coverage.More recent advancements in modern MFL tank bottom scanners afford the ability to scan and record data sets at areas of the tank bottom which were previously classed as dead zones or areas not scanned due to physical restraints.An example of this includes scanning the CZ(critical zone)which is the area close to the annular to shell junction weld.Inclusion of these additional dead zones increases overall inspection coverage,quality and traceability.Inspection of the CZ areas allows engineers to quickly determine the integrity of arguably the most important area of the tank bottom.Herein we discuss notable developments in CZ coverage,inspection efficiency and data integrity that combines to deliver an actionable report.The asset owner can interrogate this report to develop pertinent and accurate maintenance and repair strategies.

铁路企业全流程无纸化会议系统的研究与设计

针对铁路企业会议现行管理模式下存在的资源浪费、办会效率低等问题,设计铁路企业全流程无纸化会议系统。通过加密算法、自然语言处理等技术,实现对会议资料、流程等的数字化和智能化管理,提升工作效率和会议质量。

无纸化SBAR医护沟通模式在骨科患者预警管理中的应用效果

目的:探讨无纸化现状-背景-评估-建议(SBAR)医护沟通模式在骨科患者预警管理中的应用效果。方法:选取2023年1—6月南方医科大学南方医院增城院区骨科住院患者834例,采用连续抽样法,将2023年1—3月收治的417例患者纳入对照组,2023年4—6月收治的417例患者纳入观察组。对照组医护日常病情汇报采用常规沟通模式,观察组采用无纸化SBAR医护沟通模式。采用沟通能力自评量表、工作能力自评量表、自制满意度调查表比较实施前后护士沟通能力、工作能力、医生对护士满意度,并比较两组患者满意度和护理不良事件、投诉发生率。结果:实施无纸化SBAR医护沟通模式后,护士工作能力自评量表评分、沟通能力自评量表评分高于实施前;医生对护士在报告时机、沟通条理、信息完整、双方默契、护理人员准备方面满意度高于实施前;观察组患者满意度高于对照组,护理不良事件发生率及投诉率低于对照组,差异均有统计学意义(P<0.05)。结论:无纸化SBAR医护沟通模式可提高护士的工作能力和沟通能力,提高医生和患者对护理工作的满意度,减少患者不良事件和投诉的发生。

全过程智慧会议系统设计与实现

在当今数字化时代,传统的会议方式面临着一系列挑战,如会务烦琐、信息管理混乱及效率低下等问题逐渐凸显。随着信息技术的迅猛发展,智慧会议系统作为一种新兴的会务管理解决方案在企业和组织中引起了广泛关注。为提高企事业单位的会议召开效率,以无纸化办公、会务自动化和信息整合为主要需求,设计一套支持全过程会议管理的智慧会议系统。该系统通过对线上和线下会议全过程进行一体化管理,为用户提供更为便捷和高效的会务体验。

面向住院的病案无纸化系统一体化建设及关键技术思考

病案无纸化建设是医院迈向智能化病案管理发展的新阶段。实施病案无纸化对于提升病案管理效果、提高医疗服务水平以及降低医疗运行成本等方面具有显著的实际意义。为了探讨面向住院的病案无纸化建设的关键技术问题,本文首先总体性地梳理了病案无纸化建设在医院信息化系统中的整体定位和业务流程。其次,结合我院实际应用的病案无纸化情况,重点讨论了可信电子化签名、全维度病案数据校验等关键技术环节的核心难点和应用流程。然后,分析了病案无纸化的智能综合应用效果。最后,对病案无纸化的重点研究方向和未来发展模式进行了展望。

基于电子签名的无纸化献血流程研究

以数字证书为基础,结合时间戳,将可靠的电子签名应用到血站献血流程中。利用电子签名,实现了献血全过程无纸化,优化了业务流程,提高了数据的安全性,提升了献血服务质量,改善了献血者的献血体验。

医疗设备报废信息管理系统的设计及应用

目的针对传统医疗设备报废的痛点,设计一套操作便捷且规范化的医疗设备报废信息管理系统。方法系统以ASP.NET MVC为开发架构,基于医疗设备报废实际,通过钉钉开发平台,证书颁发机构认证,内置报废申请、报废鉴定、报废审批、报废跟踪和报废处置模块,实现报废管理的无纸化及实时化。结果传统手工报废流程耗时(45.72±30.76)h/台件,信息管理系统执行报废程序耗时(7.37±5.67)h/台件,使用信息管理系统后单设备报废耗时降幅达到83.88%,业务开展效率提升显著,且差异有统计学意义(t=3.003,P=0.028)。结论医疗设备报废信息管理系统显著推动了医疗设备报废工作的有序进行,大幅提升了报废流程的规范化管理水平和工作效率,为各医疗机构在报废管理方面提供了有力的参考。