Evaluation of International Standards of Management of Communication and Information Technology (MCIT) in Khorasan Razavi Hospitals from the Perspective of Managers

The general goal of the management of communication and information technology (MCIT) in the health sector, is to accelerate collecting, achieving and supporting the health system processes, and effective decision-making for managing this system;because preparing and providing health care services for society is very complex, and highly dependent on the information system. The aim of this investigation is to determine the mean scores of the possibility of implementing the MCIT standards in Khorasan Razavi hospitals, from the perspective of managers. This was a cross sectional descriptive-analytic study conducted in two steps in all hospitals. In the first step, the applicability of the standards in hospitals was studied. In the second step, the current status of hospitals was compared with international standards MCIT. In order to determine the validity of the questionnaires, opinions of professors and experts were acquired. Regarding the reliability, the SPSS V. 12 calculated the value of Cronbach’s to be 0.95 for the first questionnaire and 0.86 for the second questionnaire. Data were analyzed using statistic tests of one way ANOVA and t-test. The level of significance was fixed at 0.5. In the 16 hospitals studied, the mean and standard deviation of MCIT were (57.25 ± 13.74). The MCIT standards are applicable in hospitals of Khorasan Razavi according to half (49.4%) of managers;nonetheless, their application requires greater efforts by the hospitals.

Site Suitability Evaluation for Sustainable Distribution of Hospital Using Spatial Information Technologies and AHP: A Case Study of Upper Egypt, Aswan City

Site selection for location of a hospital is one of the crucial policy-related decisions taken by the government. In upper Egypt, the cities suffer from a shortage and bad distribution of hospital site. The selection of the appropriate hospital site requires consideration of multiple alternative solutions and evaluation factor. We develop a Multi-Criteria Decision Support System (MCDSS) process that combines Geographical Information System (GIS) analysis with Analytical Hierarchy Process (AHP) and use this process to determine the optimum site for a new hospital in the Aswan urban area. Based on actual conditions Aswan city, we used three main factors and seven sub-factors. The main factors are urban, environmental and economic factors. An application adopting AHP process was developed to calculate weights of every factor. Spatial analysis in GIS was used to overlay and generate factors maps and suitability evaluation map. All maps are classified from 1 (low suitable) to 5 (high suitable) using spatial information technologies. The candidate sites are divided by best, good and unsuitable hospital areas. Best hospital site represents optimal sites;good hospital site can be used as back-up candidate sites. The study was found that best area (S3) is about 30%, and most of these are located in the south part of the study area;good area (S2) is about 58%, and most of these are located in the central part of the study area;unsuitable area (S1) is about 12%, and most of these are located in the Eastern and Western parts of the study area. Finally, the study ends with an assessment of proposed sites.

Hierarchical hybrid testability modeling and evaluation method based on information fusion

In order to meet the demand of testability analysis and evaluation for complex equipment under a small sample test in the equipment life cycle, the hierarchical hybrid testability model- ing and evaluation method （HHTME）, which combines the testabi- lity structure model （TSM） with the testability Bayesian networks model （TBNM）, is presented. Firstly, the testability network topo- logy of complex equipment is built by using the hierarchical hybrid testability modeling method. Secondly, the prior conditional prob- ability distribution between network nodes is determined through expert experience. Then the Bayesian method is used to update the conditional probability distribution, according to history test information, virtual simulation information and similar product in- formation. Finally, the learned hierarchical hybrid testability model （HHTM） is used to estimate the testability of equipment. Compared with the results of other modeling methods, the relative deviation of the HHTM is only 0.52%, and the evaluation result is the most accu rate.

Survivability Mechanisms of Complex Computer Systems Based on Common Information Space

The survivability of computer systems should be guaranteed in order to improve its operation efficiency,especially for the efficiency of its critical functions.This paper proposes a decentralized mechanism based on Software-Defined Architecture(SDA).The concepts of critical functions and critical states are defined,and then,the critical functional parameters of the target system are collected and analyzed.Experiments based on the analysis results are performed for reconfiguring the implementations of the whole system.A formal model is presented for analyzing and improving the survivability of the system,and the problem investigated in this paper is reduced to an optimization problem for increasing the system survival time.

Security-Critical Components Recognition Algorithm for Complex Heterogeneous Information Systems

With the skyrocketing development of technologies,there are many issues in information security quantitative evaluation(ISQE)of complex heterogeneous information systems(CHISs).The development of CHIS calls for an ISQE model based on security-critical components to improve the efficiency of system security evaluation urgently.In this paper,we summarize the implication of critical components in different filed and propose a recognition algorithm of security-critical components based on threat attack tree to support the ISQE process.The evaluation model establishes a framework for ISQE of CHISs that are updated iteratively.Firstly,with the support of asset identification and topology data,we sort the security importance of each asset based on the threat attack tree and obtain the security-critical components(set)of the CHIS.Then,we build the evaluation indicator tree of the evaluation target and propose an ISQE algorithm based on the coefficient of variation to calculate the security quality value of the CHIS.Moreover,we present a novel indicator measurement uncertainty aiming to better supervise the performance of the proposed model.Simulation results show the advantages of the proposed algorithm in the evaluation of CHISs.

Robustness evaluation method for unmanned aerial vehicle swarms based on complex network theory

Unmanned Aerial Vehicle(UAV)swarms have been foreseen to play an important role in military applications in the future,wherein they will be frequently subjected to different disturbances and destructions such as attacks and equipment faults.Therefore,a sophisticated robustness evaluation mechanism is of considerable importance for the reliable functioning of the UAV swarms.However,their complex characteristics and irregular dynamic evolution make them extremely challenging and uncertain to evaluate the robustness of such a system.In this paper,a complex network theory-based robustness evaluation method for a UAV swarming system is proposed.This method takes into account the dynamic evolution of UAV swarms,including dynamic reconfiguration and information correlation.The paper analyzes and models the aforementioned dynamic evolution and establishes a comprehensive robustness metric and two evaluation strategies.The robustness evaluation method and algorithms considering dynamic reconfiguration and information correlation are developed.Finally,the validity of the proposed method is verified by conducting a case study analysis.The results can further provide some guidance and reference for the robust design,mission planning and decision-making of UAV swarms.

基于五级电子病历的医院信息基础建设历程与实践成果

随着医疗系统电子信息化应用地不断深入以及我国医改新政强调进一步提升医院信息化建设水平,以电子病历为核心的医院信息化建设已成为进一步提升医疗质量、诊疗效率的重要工作。电子病历系统应用水平分级评价是衡量医院信息化建设水平的国家标准。为向更高标准五级跨进,中山大学附属第六医院通过持续长达1年的升级改造措施,于2023年8月正式通过了国家电子病历五级评审。文章基于电子病历分级评价标准五级要求对中山大学附属第六医院电子病历基础建设的现状进行分析,介绍医院信息基础建设历程以及五级电子病历系统升级改造措施和取得的成果。

智慧医院评价推动临床医技业务整合的路径探索

目的探索智慧医院评价推动医院临床医技业务整合的路径。方法以宁夏某三甲医院为例,对临床与药学、临床与检验、临床与影像等进行业务整合。结果通过对标智慧医院评价标准进行临床医技业务整合,实现了用药全流程管控,统一检验诊断降本增效,智慧影像体系提升诊断质量等。结论智慧医院评价标准促进了临床医技业务整合,推动了医院综合改革和高质量发展。

等级医院评审监测指标数据治理组织建设探索

随着2019年以来“公立医院绩效考核”“新版等级医院评审标准”系列政策文件的发布,使得数据量化方式已经成为综合医院评价的重要手段。但目前除了少部分管理相对完善和信息系统基础较好的医院外,仍有众多医院存在关键系统缺失、大量指标数据靠手工、数据不准确且无法溯源等问题。数据不仅直接影响医院的评审评价结果,也给医院相关部门带来巨大工作负担。文章结合广州艾力彼(GAHA)在医院管理和医院信息化方面多年来的管理经验,以及笔者近两年来在国内多家公立医院信息建设和数据治理咨询辅导的实践案例进行总结,分析当前三级医院评审评价指标数据管理的现状,从指标数据的整体流程、组织建设、制度体系、系统配套等方面提出具体建议,对未来医院数据治理和应用相关工作提出展望。

基于层次分析法和熵值法的医院信息工程师绩效评价模型研究

目的:构建医院信息工程师绩效评价模型,以解决医院信息工程师绩效评价的科学性和客观性问题。方法:根据医院对信息部门的总体绩效目标要求,遵从定性定量相结合的原则,将绩效目标量化分解为核心素养、技能水平、工作实绩、科研教学和大项任务5项一级评价指标,并细化23项二级指标,采用层次分析法(AHP)的主观赋权法和熵值法的客观赋权法,综合计算确立指标权重系数,构建医院信息工程师绩效评价模型。采用随机抽样法选取2022年联勤保障部队第九〇〇医院的5名在职信息工程师(标记为A、B、C、D和E)进行绩效评价,通过收集其相关数据,使用模型评估计算,对比工程师年度绩效水平确定该评价模型的可行性。结果:经综合测算,5名信息工程师(A、B、C、D和E)的综合评价分数分别为87.46、80.39、60.38、76.33和70.33分,总分排名靠前的工程师A和B在2022年度医院绩效考评中成绩优秀,排名靠后的信息工程师C在2022年度医院绩效考评中评定为称职,均与综合测算评价结果一致。结论:基于AHP与熵值法构建的医院信息工程师绩效评价模型,能够比较客观、真实地评估医院信息工程师的绩效情况,充分调动信息工程师的工作积极性和创造性,推动医院信息工程师绩效的科学性和客观性评价,并能以此支撑医院信息部门考核机制的建立和激励措施的实施,保障医院高质量发展的信息化人才队伍建设要求。

基于信息化建设的公立医院职称评审优化实践

文章基于深化职称制度改革的大背景,利用大数据、云服务等技术手段,深入分析医院职称评审现状,并通过不断优化职称评审信息系统总体架构和组成模块,完善职称评审信息化建设机制,在个人申报、组织审核和专家评审等方面实现信息化,有效地提高了职称评审工作的效率与质量。现阶段,职称评审信息化建设成效显著,能够帮助规范简化评审流程、优化申报审核机制、完善员工电子档案,为推进公立医院职称评审信息化建设提供了参考和思路。未来,将进一步加强宣传引导,完善多系统对接,健全管理机制,打造立体化、信息化的医院人力资源管理平台,全面推进医院信息化建设。

探究公立医院人才评价体系的创新路径

传统的人才评价体系已经难以支撑医院未来的可持续发展。为此,公立医院需不断创新人才评价体系,探索更具科学性、针对性及有效性的创新路径,以期为医院培养更高质量的人才队伍。本文由此展开综述,深入了解当前公立医院人才评价体系中存在的问题,并从人才评价指标的提出、评价程序的完善、试点工作的开展、反馈机制的启动等多个维度进行分析,探索更加合理的创新路径。

复杂自适应系统理论视角下公立医院绩效评价体系探讨

从复杂自适应系统(complex adaptive system,CAS)理论视角探索公立医院绩效评价体系构建方式,借助Donabedian评价模型将医院绩效评价置于CAS理论研究框架,构建集科学性、系统性为一体的公立医院规制管理绩效评价工具。以CAS理论为基础,在目标导向、评价方法和评价维度方面为公立医院绩效评价改革提供新思路。

医院资源规划系统在医疗设备全生命周期信息化管理中的效果分析

目的:探讨医院资源规划(HRP)系统在医疗设备全生命周期信息化管理中的应用效果。方法:基于HRP系统建立医院医疗设备状态评估数据库,借助HRP系统功能完成医疗设备全生命周期的各项管理功能。选取医院进行全生命周期管理的391套医疗设备,按照基于HRP系统的医疗设备全生命周期信息化管理前后对医疗设备招标、采购、安装、使用、维护、安全监管和报废等全生命周期过程进行分析。对比信息化管理实施前后的设备配置结果、设备操作不良事件可追溯率、维修验收合格率、设备管理问题发生率以及设备维修耗时和维护费用。结果:医疗设备信息化管理后设备的利用率和设备成本收益分别为(64.23±18.17)%和(52.92±15.20)万元,均高于管理前,设备使用浮动率为(3.71±1.15)%,低于管理前,管理前后比较差异有统计学意义(t=7.066,t=6.884,t=7.733;P<0.05);可追溯性不良事件发生率由管理前的7.41%下降到1.27%,其差异有统计学意义(χ^(2)=17.711,P<0.05);管理后的维修验收合格率为24.04%,高于管理前,设备管理问题发生率为2.04%,低于管理前,管理前后比较差异有统计学意义(χ^(2)=6.161,χ^(2)=9.963;P<0.05);管理后设备维修耗时和每月维护费用分别为(8.81±1.19)d和(1.83±0.28)万元,均少于管理前,两者管理前后比较差异有统计学意义(t=7.972,t=8.478;P<0.05)。结论:基于HRP系统的医疗设备全生命周期信息化管理能够有效提升设备维修验收合格率,提高医疗资源综合利用。

面向解决复杂工程问题的电子信息类专业实践教学改革与实践

针对解决复杂工程问题的能力培养需求,该文分析工程教育背景下实践教学尚需解决的问题,以大连民族大学电子信息类专业为例,剖析专业的复杂工程问题内涵,提出以面向复杂工程问题能力培养的多层次实践教学培养体系,并在不同实践环节中规划相应的复杂工程项目,合理设置项目内容要求,引入多样化实践教学形成性能力考核评价标准,以单片机系统课程设计为例详细说明面向复杂工程问题的实践教学实施过程及能力评价标准。通过改革与实施,有效提高学生实践能力和创新能力,为解决工程教育实践环节中如何融合复杂工程问题,提高学生解决复杂工程问题起到一定的借鉴意义。

基于复杂网络的天基信息网节点重要性评价综述

为评估和度量天基信息网的节点重要性,围绕天基信息网与复杂网络相关理论,对经典的节点重要性表征参数进行归纳分析,并重点梳理分析基于静态和动态的天基网络节点重要性评价方法,指出目前存在的主要问题并展望其发展趋势。结果表明,该分析为天基信息网络节点重要性评价方法及抗毁性方面的研究提供了新思路。

三级甲等医院横向项目管理模式探究

本研究通过文献检索和三级甲等医院(以下简称“三甲医院”)科研工作人员工作经验分享,分析现阶段三甲医院横向课题管理方面存在的问题。研究发现三甲医院在科研横向课题合同管理、立项审批、伦理审查等方面仍然存在管理不规范的问题。针对这些问题,本研究提出三甲医院可通过科研横向课题信息系统建设、健全三甲医院院内科研评级体系、细化管理流程、合同管理、结题管理等方面开展工作,提高三甲医院科研横向课题管理规范性。

基于复杂巨系统理论的城市轨道交通可持续发展综合评价

我国城市轨道交通正逐步走向以运营为主导的“运建时代”,为进一步促进其高质量可持续发展,本文进行了城市轨道可持续发展的综合评价研究。首先从“一心三轴四圈层”的系统要素、输入—配置—运行—输出—反馈的要素关系、开放系统、技术—社会系统以及复杂巨系统特性出发,论述城轨交通是一个“开放的技术—社会复杂巨系统”;其次,基于可持续发展的经济、社会和环境三维度交错概念模型,建立由评价要素体系和评价业务体系构成的城市轨道交通可持续发展综合评价体系;最后,建立“线性—非线性相融合的人机交互法”的方法论,并突破当前知识—数据双驱类评价方法难点,创立基于先验信息的深度融合型“知识—数据”双驱算法模型,为下一步应用奠定基础。

医院信息化建设中网络安全保护方案设计研究

随着医院信息化建设的日益发展,网络安全问题也越来越受到重视。本文就医院信息化建设中网络安全保护方案的设计研究进行探讨,分析医院信息化建设中常见的网络安全问题,提出了网络安全保护方案设计的原则,并详细描述网络安全保护方案的设计过程以及评估方法,旨在为医院信息化建设提供安全保障。

医院信息系统评价复杂性研究

医院信息系统评价是医院信息化推进及其研究领域的重点和难题所在。因为医院信息系统所具有的复杂性,决定了对它的评价必然也是一个复杂的过程。本研究对造成HIS评价复杂性的主要原因作了分析,以期为设计科学、合理、全面、操作性强的HIS综合绩效评价指标体系提供思路。