Artificial intelligence (AI) is revolutionizing the healthcare sector worldwide. In Morocco, several AI applications are being deployed in public and private healthcare establishments, improving appointment management...Artificial intelligence (AI) is revolutionizing the healthcare sector worldwide. In Morocco, several AI applications are being deployed in public and private healthcare establishments, improving appointment management, surgical operations, diagnostics, patient record tracking, biology and radiology, and OR organization. This article explores the main AI applications used in the Moroccan healthcare sector, their frequency of use, the types of establishments adopting them, as well as the main functionalities of each application and its contribution to the sector. The aim of this study is to analyze the impact of the main AI applications on quality of care and process efficiency in Moroccan healthcare facilities. This research focuses on several fundamental questions: Which AI applications are most frequently used? What types of establishments are adopting these technologies, and for which specific functionalities? What are the benefits and challenges of integrating AI into the Moroccan healthcare system, particularly in terms of territorial distribution and accessibility? The methodology is based on a quantitative analysis of data collected from selected healthcare establishments, combined with studies of reports from public health authorities and a sweep of their websites. The results show that 45% of hospitals use AI systems for appointment scheduling and 30% for medical diagnosis. The use of surgical robots, such as the Da Vinci system, increased by 30% between 2020 and 2024. Comparisons with other emerging countries highlight Morocco’s acceptable advances, while underlining the challenges, particularly in terms of the territorial distribution of these technological infrastructures generally centralized in the country’s major cities.展开更多
Background:Electronic Health Record(EHR)systems are used as an efficient and effective technique for sharing patient’s health records among different hospitals and various other key stakeholders of the healthcare ind...Background:Electronic Health Record(EHR)systems are used as an efficient and effective technique for sharing patient’s health records among different hospitals and various other key stakeholders of the healthcare industry to achieve better diagnosis and treatment of patients globally.However,the existing EHR systems mostly lack in providing appropriate security,entrusted access control and handling privacy and secrecy issues and challenges in current hospital infrastructures.Objective:To solve this delicate problem,we propose a Blockchain-enabled Hyperledger Fabric Architecture for different EHR systems.Methodology:In our EHR blockchain system,Peer nodes from various organizations(stakeholders)create a ledger network,where channels are created to enable secure and private communication between different stakeholders on the ledger network.Individual patients and other stakeholders are identified and registered on the network by unique digital certificates issued by membership service provider(MSP)component of the fabric architecture.Results:We created and implemented different Chaincodes to handle the business logic for executing separate EHR transactions on the network.The proposed fabric architecture provides a secure,transparent and immutable mechanism to store,share and exchange EHRs in a peer-to-peer network of different healthcare stakeholders.It ensures interoperability,scalability and availability in adapting the existing EHRs for strengthening and providing an effective and secure method to integrate and manage patient records among medical institutions in the healthcare ecosystem.展开更多
Nursing leaders are currently faced with opportunities to advance nursing’s role in the use of electronic health records (EHRs). Nurse leaders can advance the design of EHRs with nurse informaticists to improve healt...Nursing leaders are currently faced with opportunities to advance nursing’s role in the use of electronic health records (EHRs). Nurse leaders can advance the design of EHRs with nurse informaticists to improve health outcomes of individual and populations of patients.展开更多
An emerging healthcare delivery model is enabling a new era of clinical care based on well-informed decision-making processes.Current healthcare information systems(HISs)fall short of adopting this model due to a conf...An emerging healthcare delivery model is enabling a new era of clinical care based on well-informed decision-making processes.Current healthcare information systems(HISs)fall short of adopting this model due to a conflict between information security needed to implement the new model and those already enforced locally to support traditional care models.Meanwhile,in recent times,the healthcare sector has shown a substantial interest in the potential of using blockchain technology for providing quality care to patients.No blockchain solution proposed so far has fully addressed emerging cross-organization information-sharing needs in healthcare.In this paper,we aim to study the use of blockchain in equipping struggling HISs to cope with the demands of the new healthcare delivery model,by proposing HealthyBlockchain as a granular patient-centered ledger that digitally tracks a patient’s medical transactions all along the treatment pathway to support the care teams.The patient-centered ledger is a neutral tamper-proof trail timestamp block sequence that governs distributed patient information across the decentralized discrete HISs.HealthyBlockchain connects patients,clinicians,and healthcare providers to facilitate a transparent,trustworthy,and secure supporting platform.展开更多
Background: Nurses are professionally accountable for assessing and documenting patients’ vital signs. Nurses failing to fulfill this responsibility position their patients at risk. This paper presents two real-life ...Background: Nurses are professionally accountable for assessing and documenting patients’ vital signs. Nurses failing to fulfill this responsibility position their patients at risk. This paper presents two real-life cases pertaining to patients’ safety resulting in fatal outcomes, leading to the professional, legal, and ethical liability of nurses as the providers of patient care. Objective: This paper focuses on the role of organizational culture in fostering patient safety specifically in monitoring and documentation of patients’ vital signs and early recognition of warning signs. Methodology: A comprehensive literature search was conducted using various databases, examining the significance of vital signs monitoring and documentation and early warning signs in patient safety. Relevant articles combining quantitative and qualitative data were analyzed. Results: By fostering an environment of honest reporting, healthcare organizations can enhance patient safety and improve the quality of care. This paper offers valuable insights and recommendations for developing effective strategies aligned with organizational policies and protocols. Conclusion: This paper serves as a valuable resource, encouraging healthcare professionals to reflect on their practices and the organizations to assess their contributions to creating a culture of safety. It also highlights the importance of reporting and disclosing adverse events as learning opportunities and outlines the role of ethics, professionalism, legislation, and organizational support in achieving patient safety.展开更多
当前个人健康记录(PHR:Personal Health Records)存在着存储不安全和难以共享的问题。为提高PHR的安全性和共享性,提出一种基于超级帐本(Hyperledger)和手指静脉(FV:Finger Vein)特征身份验证的安全共享模型。PHR提供方在录入医疗记录时...当前个人健康记录(PHR:Personal Health Records)存在着存储不安全和难以共享的问题。为提高PHR的安全性和共享性,提出一种基于超级帐本(Hyperledger)和手指静脉(FV:Finger Vein)特征身份验证的安全共享模型。PHR提供方在录入医疗记录时将FV特征与临床医生的私钥签名结合,生成PHR索引。然后将PHR的索引存储在Hyperledger Fabric中,将真正的隐私数据存储在Filecoin中,减少了存储成本和链上存储压力。同时,设计了PHR访问控制合约防止恶意节点攻击。实验结果表明,该模型在性能和存储上有显著的优势。展开更多
In Japanese pharmacies, Drug Profile Books (DPBs), which are a type of Personal Health Record (PHR), are incorporated in order to prevent duplicate medication and drug interactions in outpatients (patients) through th...In Japanese pharmacies, Drug Profile Books (DPBs), which are a type of Personal Health Record (PHR), are incorporated in order to prevent duplicate medication and drug interactions in outpatients (patients) through the uniform management of drug administration information. In this study, we tried to clarify the effect on patient safety of brief interventions via DPBs by pharmacists. The study design was a randomized controlled trial on pharmacies as clusters. 65 pharmacies agreed to participate in the study (intervention group (IG): 33;control group (CG): 32). The primary outcomes were: rate of inquiry occurrence, rate of prescription change, and rates of duplicate medications & drug interactions. 56 pharmacies (IG: 29;CG: 27) completed the study. There was a higher tendency for prescription changes in the IG compared to the CG (IG: 0.03%;CG: 0.02%;P = 0.08). In addition, the rate of duplicate medications & drug interactions accounting for the inquiries was significantly higher in the IG than in the CG (IG: 89.2%;CG: 71.9%;P = 0.01). This implied that brief interventions by pharmacists using DPBs had an effect in raising patient safety.展开更多
随着信息技术的不断发展,医疗卫生行业已逐步实现了信息化,HIS、LIS、PACS等系统也已进入较为成熟的发展阶段。然而随着人们对健康问题进一步的重视,传统的健康信息管理模式已经不能满足人们的需求,个人健康档案PHR(Personal Health Rec...随着信息技术的不断发展,医疗卫生行业已逐步实现了信息化,HIS、LIS、PACS等系统也已进入较为成熟的发展阶段。然而随着人们对健康问题进一步的重视,传统的健康信息管理模式已经不能满足人们的需求,个人健康档案PHR(Personal Health Record)这一概念也由此被提出。个人健康档案是一种以拥有人为中心,综合管理个人健康信息的方案,它记录了个人日常生活中的各种健康状态,包括各种病史,用药情况,每次体检情况以及自检情况等。通过这种方式,医疗资源可以被有效地集中起来,这对预防医学的发展无疑也是有益的。在设计个人健康档案的存储标准时,XML是一种较为合适的选择,它的可读性、扩展性、平台无关性恰好解决了健康信息多来源、非结构化等问题。HL7 CDA标准同样选择了XML,这也使得我们在设计符合中国国情的健康档案时有了很好的参考标准。展开更多
文摘Artificial intelligence (AI) is revolutionizing the healthcare sector worldwide. In Morocco, several AI applications are being deployed in public and private healthcare establishments, improving appointment management, surgical operations, diagnostics, patient record tracking, biology and radiology, and OR organization. This article explores the main AI applications used in the Moroccan healthcare sector, their frequency of use, the types of establishments adopting them, as well as the main functionalities of each application and its contribution to the sector. The aim of this study is to analyze the impact of the main AI applications on quality of care and process efficiency in Moroccan healthcare facilities. This research focuses on several fundamental questions: Which AI applications are most frequently used? What types of establishments are adopting these technologies, and for which specific functionalities? What are the benefits and challenges of integrating AI into the Moroccan healthcare system, particularly in terms of territorial distribution and accessibility? The methodology is based on a quantitative analysis of data collected from selected healthcare establishments, combined with studies of reports from public health authorities and a sweep of their websites. The results show that 45% of hospitals use AI systems for appointment scheduling and 30% for medical diagnosis. The use of surgical robots, such as the Da Vinci system, increased by 30% between 2020 and 2024. Comparisons with other emerging countries highlight Morocco’s acceptable advances, while underlining the challenges, particularly in terms of the territorial distribution of these technological infrastructures generally centralized in the country’s major cities.
基金funded by the Deanship of Scientific Research at Princess Nourah bint Abdulrahman University through the Fast-track Research Funding Program.
文摘Background:Electronic Health Record(EHR)systems are used as an efficient and effective technique for sharing patient’s health records among different hospitals and various other key stakeholders of the healthcare industry to achieve better diagnosis and treatment of patients globally.However,the existing EHR systems mostly lack in providing appropriate security,entrusted access control and handling privacy and secrecy issues and challenges in current hospital infrastructures.Objective:To solve this delicate problem,we propose a Blockchain-enabled Hyperledger Fabric Architecture for different EHR systems.Methodology:In our EHR blockchain system,Peer nodes from various organizations(stakeholders)create a ledger network,where channels are created to enable secure and private communication between different stakeholders on the ledger network.Individual patients and other stakeholders are identified and registered on the network by unique digital certificates issued by membership service provider(MSP)component of the fabric architecture.Results:We created and implemented different Chaincodes to handle the business logic for executing separate EHR transactions on the network.The proposed fabric architecture provides a secure,transparent and immutable mechanism to store,share and exchange EHRs in a peer-to-peer network of different healthcare stakeholders.It ensures interoperability,scalability and availability in adapting the existing EHRs for strengthening and providing an effective and secure method to integrate and manage patient records among medical institutions in the healthcare ecosystem.
文摘Nursing leaders are currently faced with opportunities to advance nursing’s role in the use of electronic health records (EHRs). Nurse leaders can advance the design of EHRs with nurse informaticists to improve health outcomes of individual and populations of patients.
基金funding from Ibn Khaldun Fellowship for Saudi Women in partnership with the Center for Clean Water and Clean Energy at MITthe Deanship of Scientific Research at King Saud University through research Group No.RG-1438-002。
文摘An emerging healthcare delivery model is enabling a new era of clinical care based on well-informed decision-making processes.Current healthcare information systems(HISs)fall short of adopting this model due to a conflict between information security needed to implement the new model and those already enforced locally to support traditional care models.Meanwhile,in recent times,the healthcare sector has shown a substantial interest in the potential of using blockchain technology for providing quality care to patients.No blockchain solution proposed so far has fully addressed emerging cross-organization information-sharing needs in healthcare.In this paper,we aim to study the use of blockchain in equipping struggling HISs to cope with the demands of the new healthcare delivery model,by proposing HealthyBlockchain as a granular patient-centered ledger that digitally tracks a patient’s medical transactions all along the treatment pathway to support the care teams.The patient-centered ledger is a neutral tamper-proof trail timestamp block sequence that governs distributed patient information across the decentralized discrete HISs.HealthyBlockchain connects patients,clinicians,and healthcare providers to facilitate a transparent,trustworthy,and secure supporting platform.
文摘Background: Nurses are professionally accountable for assessing and documenting patients’ vital signs. Nurses failing to fulfill this responsibility position their patients at risk. This paper presents two real-life cases pertaining to patients’ safety resulting in fatal outcomes, leading to the professional, legal, and ethical liability of nurses as the providers of patient care. Objective: This paper focuses on the role of organizational culture in fostering patient safety specifically in monitoring and documentation of patients’ vital signs and early recognition of warning signs. Methodology: A comprehensive literature search was conducted using various databases, examining the significance of vital signs monitoring and documentation and early warning signs in patient safety. Relevant articles combining quantitative and qualitative data were analyzed. Results: By fostering an environment of honest reporting, healthcare organizations can enhance patient safety and improve the quality of care. This paper offers valuable insights and recommendations for developing effective strategies aligned with organizational policies and protocols. Conclusion: This paper serves as a valuable resource, encouraging healthcare professionals to reflect on their practices and the organizations to assess their contributions to creating a culture of safety. It also highlights the importance of reporting and disclosing adverse events as learning opportunities and outlines the role of ethics, professionalism, legislation, and organizational support in achieving patient safety.
文摘当前个人健康记录(PHR:Personal Health Records)存在着存储不安全和难以共享的问题。为提高PHR的安全性和共享性,提出一种基于超级帐本(Hyperledger)和手指静脉(FV:Finger Vein)特征身份验证的安全共享模型。PHR提供方在录入医疗记录时将FV特征与临床医生的私钥签名结合,生成PHR索引。然后将PHR的索引存储在Hyperledger Fabric中,将真正的隐私数据存储在Filecoin中,减少了存储成本和链上存储压力。同时,设计了PHR访问控制合约防止恶意节点攻击。实验结果表明,该模型在性能和存储上有显著的优势。
文摘In Japanese pharmacies, Drug Profile Books (DPBs), which are a type of Personal Health Record (PHR), are incorporated in order to prevent duplicate medication and drug interactions in outpatients (patients) through the uniform management of drug administration information. In this study, we tried to clarify the effect on patient safety of brief interventions via DPBs by pharmacists. The study design was a randomized controlled trial on pharmacies as clusters. 65 pharmacies agreed to participate in the study (intervention group (IG): 33;control group (CG): 32). The primary outcomes were: rate of inquiry occurrence, rate of prescription change, and rates of duplicate medications & drug interactions. 56 pharmacies (IG: 29;CG: 27) completed the study. There was a higher tendency for prescription changes in the IG compared to the CG (IG: 0.03%;CG: 0.02%;P = 0.08). In addition, the rate of duplicate medications & drug interactions accounting for the inquiries was significantly higher in the IG than in the CG (IG: 89.2%;CG: 71.9%;P = 0.01). This implied that brief interventions by pharmacists using DPBs had an effect in raising patient safety.
文摘随着信息技术的不断发展,医疗卫生行业已逐步实现了信息化,HIS、LIS、PACS等系统也已进入较为成熟的发展阶段。然而随着人们对健康问题进一步的重视,传统的健康信息管理模式已经不能满足人们的需求,个人健康档案PHR(Personal Health Record)这一概念也由此被提出。个人健康档案是一种以拥有人为中心,综合管理个人健康信息的方案,它记录了个人日常生活中的各种健康状态,包括各种病史,用药情况,每次体检情况以及自检情况等。通过这种方式,医疗资源可以被有效地集中起来,这对预防医学的发展无疑也是有益的。在设计个人健康档案的存储标准时,XML是一种较为合适的选择,它的可读性、扩展性、平台无关性恰好解决了健康信息多来源、非结构化等问题。HL7 CDA标准同样选择了XML,这也使得我们在设计符合中国国情的健康档案时有了很好的参考标准。
