Maturity Assessment of Hospital Information Systems Based on Electronic Medical Record Adoption Model (EMRAM)— Private Hospital Cases in Iran

Introduction: Today, information technology is considered as an important national development principle in each country which is applied in different fields. Health care as a whole and the hospitals could be regarded as a field and organizations with most remarkable IT applications respectively. Although different benchmarks and frameworks have been developed to assess different aspects of Hospital Information Systems (HISs) by various researchers, there is not any suitable reference model yet to benchmark HIS in the world. Electronic Medical Record Adoption Model (EMRAM) has been currently presented and is globally well-known to benchmark the rate of HIS utilization in the hospitals. Notwithstanding, this model has not been introduced in Iran so far. Methods: This research was carried out based on an applied descriptive method in three private hospitals of Isfahan—one of the most important provinces of Iran—in the year 2015. The purpose of this study was to investigate IT utilization stage in three selected private hospitals. Conclusion: The findings revealed that HIS is not at the center of concern in studied hospitals and is in the first maturity stage in accordance with EMRAM. However, hospital managers are enforced and under the pressure of different beneficiaries including insurance companies to improve their HIS. Therefore, it could be concluded that these types of hospitals are still far away from desirable conditions and need to enhance their IT utilization stage significantly.

Integrating Electronic Systems for Requesting Clinical Laboratory Test into Digital Clinical Records: Design and Implementation

Clinical laboratory tests are basic elements that support healthcare tasks such as disease detection, diagnosis and monitoring of response to treatments. Current laboratory information systems focus on the patient database, tests and results, with multiple modules available, connecting with the various analytical systems or work areas. However laboratory information systems functioned as “islands of information”, because their design was fundamentally inward-looking and disconnected from other healthcare computer applications. Actually, the Electronic Health Register (EHR) is considered by clinicians as a tool with great potential healthcare benefits. The EHR, in the sense of a unique and complete record of a patient’s healthcare and state of health, regardless of the healthcare level used, is a real attempt to eliminate these “islands of information” and need modules to act as “bridges” with the laboratory information systems. This type of module, which in generic terms may be referred to as a laboratory test request module, has become an essential feature of the EHR. These modules need to use a laboratory coding system as a common language for exchanging information, ensuring that tests and results are unequivocally identified. The development of the laboratory test request module requires the commitment of professionals and political authorities, being necessary time for their design and an adequate pilot phase. The laboratory professionals have to assume a leadership role in the whole process of design, development and implementation of these modules, integrating in the equipment of information technologies of healthcare providers. In our manuscript we review the elements that may prove electronic systems for requesting clinical laboratory test into digital clinical records and the key elements to move from theory to practice.

Monitoring of MMCA-based Military Electronic Information System

A multiplex monitoring and control architecture (MMCA) for military supervision based on common information model (CIM) is put forward after analyzing the features of military system. Information format based on CIM can be compatible with other protocols by mapping data type into that of SNMP, DMI and CMIP, etc. And in order to realize transparence and dynamic expansibility of MMCA administrator, CIM object manager and CIM object provider are designed based on monitoring mechanism of agent extensibility--AgentX that MMCA agent uses.

Analysis and Design of University Teaching Equipment Management Information System

Teaching equipment management is an important factor for colleges and universities to improve their teaching level,and its management level directly affects the service life and efficiency of teaching equipment.But in recent years,our university recruitment of students scale is increasing year by year,the size of the corresponding teaching equipment is also growing,therefore to develop a teaching equipment management information system is necessary,not only can help universities to effective use of the existing teaching resources,also can update scrap equipment,related equipment maintenance,and build a good learning environment to students and to the improvement of the teaching quality of colleges and universities play a reliable safeguard role.This paper first introduces some common development tools,and then analyzes the user functional requirements and data requirements of the system,and analyzes the feasibility of the system development from many aspects,finally based on B/S mode,using Java language,JSP technology and MySQL database design and implementation of a teaching equipment management information system.The main functional modules of the system include equipment basic information management,equipment loan and return information management,equipment maintenance information management,equipment scrap information management,the interface of each functional module is shown in the paper.

Information Reach and Range Impact on Interorganizational Systems Platforms

Organizations tend to use information systems (IS) applications that require data to be exchanged between different parties, while data exchange is restricted with information reach and range, which determines the organizations’ IT platform. To determine the best platform, a comparison between electronic data interchange (EDI) and web services was conducted depending on certain criteria, and then we match the results with the information reach and range. The main findings show that the web services platform can take place when the range of information access is required by anyone and anywhere regardless of IT base. EDI can take place when the range of information access doesn’t exceed the organizations’ boundaries. But when the range of information access exceeds the organizations’ boundaries, still between certain partners, web services or EDI can take place, and thus the organization can select them from those platforms depending on other criteria such as security, and cost.

Modern Maintenance Strategy of Electronic Equipment in Complex Electromechanical System

In this paper, the failure mechanism of electronic equipment was analysed.Aiming at the limitation of traditional maintenance modes, modern maintenance strategy was putforward on the basis of reliability-centered maintenance ( RCM) combined with condition-basedmaintenance ( CBM) and maintenance efficiency review (MER). A maintenance management informationsystem was constructed for electronic equipment for the purpose of failure analysis, reliabilityevaluation, and maintenance decisions such as time, mode, and plan. The best maintenance time couldbe predicted with failure analysis and reliability evaluation, which was mainly influenced byenvironmental stress. Suitable maintenance modes should be determined from equipment importance,failure aftereffect, maintenance condition, and economical power so as to ensure equipmentreliability and decrease the requirement of the maintenance source.

Practice and Exploration of Economic Benefit Evaluation of Medical Equipment in Our Hospital

Objective The evaluation index of medical equipment's economic benefit is based on the usage of medical equipment,the traditional data collection method is time-consuming,laborious and not entirely accurate.The usage of medical equipment is obtained by designing data query statements from the HIS system.Methods First the charging items are in correspondence with the device's name included,second fees and other relevant data are extracted from charging module in HIS.Through a rough estimate of the recovery period and an increase or decrease ratio,the economic benefit of the medical equipment can be analyzed.Results Through the method of the benefit analysis of the medical equipment,we can clearly find out the different economic benefit of the equipment,and finally analyze the reasons.Conclusion Practice has proved that,this methad,it can greatly reduce human,material resources required in data collection and improve the accuracy of the data.It can help hospital managers timely to grasp the operating costs of medical equipment and other information,and also provide scientific data for hospital managers when they purchase reasonable medical equipment.

铁路三维电子沙盘搭建及其应用研究

为解决目前铁路行业电子沙盘存在的表达方式不一、应用内容单一、数据泄露风险大、数据加载效率低等问题,研究海量地理地质及BIM模型的数据处理、管理和应用方法,建立以BIM+GIS为技术核心的标准化电子沙盘,从而更好地服务于铁路设计和建造。根据鲁南高铁、拉林铁路、成渝中线高铁等项目实践总结,在中国铁路BIM联盟和国铁集团相关标准基础上提出了面向电子沙盘应用的地形、影像、BIM模型、专题图的数据制作标准,从坐标转换、数据转换、数据切片、知识图谱建立、模型发布、前端数据汇集的方法完成了电子沙盘的搭建。最后,在电子沙盘中实现了百公里级、多专业数据的在线高效组织和管理,提出的方法和标准适用于铁路设计、建设过程的管理和分析应用。

以学科竞赛为载体的电子信息类专业实践创新型人才培养体系构建与实施

培养大学生的实践创新能力,是新工科建设背景下教学改革的重中之重,对我国实现经济提质增效升级,实现创新驱动发展的战略具有决定性作用。该文以浙江师范大学电子信息类专业为例,以本专业对口的学科竞赛为载体,结合工程教育的OBE理念,构建实践创新型人才培养方案和课程体系,梳理核心知识和教学目标形成教学大纲,把核心课程建设成为网络在线课程,建设资源库,完善指导老师,从而形成系统的实践创新型人才培养体系,提升本专业学生的实践创新能力,也为其他高校提供可借鉴学习的实践案例。

基于ATML标准的SCATS在机载电子系统通用自动测试设备中的应用

SCATS是一款由成都天奥测控技术有限公司开发的,基于最新AMTL标准的面向信号的国产自动测试程序集开发软件;ATML标准的显著特征,便是采用了可扩展标记语言(XML),以实现测试信息描述的标准化和测试信息的可交互,通过生成的基于ATML标准的描述文档,实现对被测对象的特征信息、测试信号、测试路径、测试策略、故障诊断等内容的表述,进而实现通用测试设备的通用化设计,有效克服了传统面向信号的测试设备测试程序集开发软件存在的语言形式复杂、信号模型少、软件架构开放性差等不足;SCATS软件采用纯中文开发界面,测试程序集采用无代码开发,软件界面友好、可读性强,大大降低了测试程序集开发人员的技术门槛,内置信号模型丰富可满足现代机载电子系统测试需求;通过在机载电子系统通用测试设备中的应用表明,使用SCATS软件开发的机载电子系统测试程序集具有开发速度快、故障定位准确、通用性和可移植性好等特点。

ICU智能电子交班系统的构建及应用研究

目的构建ICU智能电子交班系统,并评价其应用效果。方法通过文献检索、问卷调查、半结构式访谈及专家论证构建ICU智能电子交班系统。于2023年1月1日—6月30日在浙江省某三级甲等医院ICU试行,通过比较系统应用前后的护士整理交班时长、床旁交班补充率、交接班评估量表来评价其运行效果。结果ICU智能电子交班系统应用后,ICU护士整理交班时长从(39.12±1.80)min缩减到(27.26±1.29)min,差异具有统计学意义(t=5.365,P<0.001);床旁交班补充率较应用前降低,且差异具有统计学意义(χ^(2)=4.481,P=0.034);护士交接班评估量表总分显著升高(Z=-6.343,P<0.001),仅促进患者参与维度得分在应用前后比较差异无统计学意义(t=-1.793,P=0.075)。结论ICU智能电子交班系统可节省护士整理交班报告的时长,减少床旁交班补充率,有利于提高护士交班效率及质量,提升护士满意度。

新征程背景下“电子信息系统综合实验”教学改革

党的二十大报告指出,必须坚持科技是第一生产力、人才是第一资源、创新是第一动力。实验教学是提升人才培养质量和激发创新意识的重要阵地。在新征程背景下,立足教学改革新基建,对“电子信息系统综合实验”教学改革举措、实验内容创新、发展思路等进行详细分析和总结。信息化教学模式下,如何设计良好的综合实验教学内容、考核形式、质量评价、量化反馈等显得极为重要。如何不忘初心、以学生为本,以学习成果和用人单位满意度评价为导向,推动专业人才培养质量不断提升,是需要持续关注的问题。

“双万计划”背景下电子信息类一流本科专业人才培养模式研究与实践

“双万计划”是教育部以一流本科专业建设为目标的重大战略举措,如何建设高水平一流本科专业是摆在中国所有高校面前的重大课题。该文以武汉理工大学电子信息类一流本科专业建设为背景,从专业布局、师资培育、课程建设、教学平台和创新创业五个方面进行研究与实践。构建“双万计划”背景下电子信息类一流本科专业人才培养的新模式,为“双万计划”的实施和成果总结积累实践经验。

北京市麻醉科电子病历信息化及药品管理智能化系统建设现状分析

目的探究北京市麻醉科电子病历信息化及药品管理智能化系统的建设现状。方法选取2021年1~12月北京市辖区内109家二级及以上医院上报的质控数据进行分析,对麻醉科电子病历信息化及药品管理智能化系统相关的质控指标实行动态管理,探讨其在临床麻醉及质控管理中的应用现状。结果截至2021年12月,64家医院(58.7%)启用麻醉科电子记录系统,63家(57.8%)医院启用电子化麻醉记录单,45家(41.3%)医院启用电子化术前访视记录单,49家(45.0%)医院启用电子化术后随访记录单,32家(29.4%)医院启用电子化麻醉恢复室记录单,23家(21.1%)医院配备智能药柜,68家(62.4%)医院配备彩色药品标签。朝阳区、海淀区、东城区、西城区麻醉科电子病历信息化医院数量较多,顺义区、门头沟区、通州区、平谷区上报的医院中只有1~2家医院启用麻醉信息管理系统,麻醉科电子病历信息化程度较低,怀柔区、密云区上报的医院中尚未启用麻醉信息管理系统。结论北京市部分区域麻醉电子病历信息化及药品管理智能化仍偏低、麻醉信息化建设滞后,需进一步加强麻醉质控管理标准化和医疗服务同质化建设。

废弃电器电子产品回收与处理体系研究及建议

随着全球电器电子产品的快速更新和迭代,电器电子产品呈现出生命周期缩短的新趋势。废弃电器电子产品(WEEE)对全球生态环境构成巨大威胁,解决这一问题势在必行,各国政府纷纷制定了相应的法律法规来应对这一挑战。首先,对世界各地区主要国家的法规建设情况进行了系统梳理;然后,对我国当前WEEE行业的发展现状进行分析并提出了发展中存在的问题;最后,从加快生产者责任延伸制度深化推广、提升正规回收企业的市场竞争力和加强WEEE相关技术能力3个方面提出了发展意见,以期为我国WEEE行业的发展提供一定的指导。

计算机网络技术在电子信息工程中的应用探讨

在新形势下,计算机网络技术不断创新,为电子信息工程提供了更多的便利。计算机网络技术在电子信息工程中的实践,使电子信息工程的发展进入了一个全新的阶段。本文介绍了计算机网络技术在电子信息工程中的应用价值,探讨了新形势下计算机网络技术在电子信息工程中的几种典型应用场景,希望对推动我国电子信息工程的发展有所帮助。

基于数字孪生技术的新型电力系统数字化

随着“双碳”目标的提出,大规模的清洁能源、电力电子设备和新型负荷将接入电力系统,传统的电力系统管理控制模式难以应对双侧随机性、波动性增强等问题,电力系统的安全稳定运行迎来巨大挑战。数字孪生技术作为重要的数字化手段,成为电力系统转型升级新方法。针对新型电力系统内在机理发生的深刻复杂变化,综述了数字孪生的发展历程以及其在电力系统领域的研究现状,并从新型电力系统数字化需求、数字建模方法、数字化平台建设3个层面研究了电力系统数字化转型进程。最终,提出了以数字孪生技术为核心的新型电力系统建模方法和框架。

高比例电力电子电力系统过电压(一):定义、分类及相关要求

随着新能源发电设备的大量投运和大容量交直流输电工程的相继投产,我国已初步形成高比例电力电子电力系统的基本格局,以过电压为代表的安全问题日渐凸显。然而,高比例电力电子电力系统过电压起因众多、产生机理繁复,对新能源外送及直流输电能力构成了严重制约。为解决上述问题,该文从大电网安全稳定视角出发,首先明确电力系统过电压的基本概念及其分类,分析高比例电力电子电力系统中不同过电压的起因与波形特征。进一步围绕3个实际电网过电压问题较为突出的场景,分析不同场景下过电压产生的原因、各类设备的过电压耐受能力及限制因素,论述传统交流设备过电压及新型电力电子设备在过电压场景中可能存在的安全风险。最后,总结了高比例电力电子电力系统过电压的分析流程,并结合时域仿真算例进行论述说明。

基于HIS数据的凝血功能障碍伴出血事件自动监测模块的构建与优化——以替加环素为研究案例

目的:依托临床药品不良事件主动监测与智能评估警示系统(ADE-ASAS-Ⅱ)构建凝血功能障碍伴出血事件监测模块,探索复杂诊断条件下药品不良反应(ADR)自动监测方法。方法:以替加环素为研究案例,基于决策树算法将触发器技术与自然语言处理技术相结合,构建量化-文本复合监测模块,并基于某大型三级甲等医院的医院信息系统(HIS)数据挖掘凝血功能障碍相关出血事件。反复优化模块设置,以人工评价结果为“金标准”,比较不同优化方案下模块监测效能以确定最佳设置。统计阳性事件的发生率、基本特征。结果:共监测2019—2022年2345例使用替加环素的患者,人工评价后确定阳性病例83例。模块初始设置下,报警985例,精确率为7.72%,召回率为91.57%,F1值为14.23%。反复优化后,报警475例,召回率不变,精确率提升至16.00%,F1值提升至27.24%;1870例被ADE-ASAS-Ⅱ系统标记为阴性病例,可减少约80%的人工评价工作量。1359例符合纳入与排除标准的患者中(阴性1276例,阳性83例),凝血功能障碍伴出血事件的发生率为6.11%。结论:凝血功能障碍伴出血事件模块的开发提升了ADE-ASAS-Ⅱ系统对复杂诊断条件下ADR的检出效率,拓展了联合结构化与非结构化HIS系统数据识别ADR的监测方法。后续需扩大样本以验证模块稳定性,并持续改进系统算法,以进一步提高监测效率。