Integrated Hospital Information System (HIS) Special focus on BIRDEM Hospital (600 Beds)

Introduction: Integrated Hospital Information System (HIS) is vital to decision making and plays a crucial role in the success of the organization. Computerization of the medical records and documentation has resulted in efficient data management and information dissemination for the users. Hospital Information System addresses the entire major functional areas of modern multi-specialty hospitals. The package enables improved patient care, patient safety, efficiency and reduced costs. It provides easy access to critical information, thereby enabling management to make better decisions on time. Aims: The short-term objectives of the on-line computerized system are to reduce costs and improve the accuracy and timeliness of patient care, accounting and administration, record keeping, and management reporting. The long-term goal is to build and maintain patient database for analysis of data to facilitate decision-making process. Methods: To run the system it requires some Hardware & Database for IT Department. The technique involves Patient Registration System, Finance & Accounts, Human Resource Management System, Laboratory, Out Patient Management System, and Inpatient Management System. Results: In the mid seventies, a complex was established at Shahbag area in the name of Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM). From 1982 BIRDEM was designated as the WHO collaborating centre for research on prevention and control of diabetes. It is first of its kind outside Europe. Now from 2000 BIRDEM has successfull developed & implemented some crucial part of HIS System like Patient Admission & Billing System, Finanace & Account System, Human Resourse Management & Payroll System, Store Inventory & Procurement Management System, Labrotary Management System, Assets Management System, Radiology & Imaging Management System. Conclusions: It can thus be seen that deploying IT can help the medical profession in improving its quality of service and thus automatically increasing the preparedness and defensiveness. Of course, it is of vital importance that the software must have the right type of modularity and openness so that it is manageable, maintainable and upgradeable. They can perform the complex task of matching, tabulating, calculating, retrieving, printing and securing the data as required. Well designed, integrated computer system can be a great tool in the hands of the hospital management in improving services, controlling cost, and ensuring optimal utilization of facilities.

Service Delivery Factors That Influence Utilization of HIV Integrated Primary Health Care Programme in Embu Referral Hospital, Kenya

Globally, there are approximately 36.7 million people living with HIV. Integration of HIV treatment with primary care services improves effectiveness, efficiency and equity in service delivery. The study sought to establish service delivery factors that influenced utilization of integrated HIV and primary health care services in Embu Teaching and Referral hospital. A descriptive cross-sectional survey design was used to collect data at a specific period and point of time from a sample of 302 seropositive clients who were selected using simple random method. Data collection tool was structured and semi-structured questionnaire. The tool was reliable at Cronbach’s alpha of 0.817. SPSS version 23 was used to analyze the data. A binary logistic regression model was used to predict the relationship between service delivery and utilization of integrated services. Results: Majority of the respondents (59.6%) were aged over 35 years with majority being female (58.9%) and the married were 57.6% of the total sample. On service delivery factors, majority (94.7%) felt that their health status had improved. Action taken when clients developed side effects, 78.8% reported that the drugs were changed. Action taken following drug side effects significantly affected utilization, χ2 = 1.305, p = 0.001, df = 1. The findings showed that waiting time significantly influenced utilization, χ2 = 9.284, df = 1, p = 0.002. Source of information on self care also significantly influenced utilization, χ2 = 10.689, df = 1, p = 0.001. Kind of treatment at the facility also significantly influenced utilization, χ2 = 5.713, p = 0.048. Conclusion: significant factors that influenced utilization of integrated services were source of health care information, secondly waiting time was another factor which influenced utilization. Majority of the respondents were satisfied with duration of time they take before they were served;they reported to take utmost 1 hour to be attended to and action taken by health care provider following side effects was another factor that influenced the utilization.

An agent-based service-oriented integration architecture for chemical process automation

In reality, traditional process control system built upon centralized and hierarchical structures presents a weak response to change and is easy to shut down by single failure. Aiming at these problems, a new agent-based service-oriented integration architecture was proposed for chemical process automation system. Web services were dynamically orchestrated on the internet and agent behaviors were built in them. Data analysis, model, optimization, control, fault diagnosis and so on were capsuled into different web services. Agents were used for service compositions by negotiation. A prototype system of poly(ethylene terephthalate) process automation was used as the case study to demonstrate the validation of the integration.

反常积分敛散性的L′Hospital判别法

根据L′Hospital法则,运用反常积分比较判别法,讨论了无穷区间反常积分的L′Hospital判别法。

Research misconduct in hospitals is spreading:A bibliometric analysis of retracted papers from Chinese university-affiliated hospitals

Purpose: The number of retracted papers from Chinese university-affiliated hospitals is increasing, which has raised much concern. The aim of this study is to analyze the retracted papers from university-affiliated hospitals in China’s mainland from 2000 to 2021. Design/methodology/approach: Data for 1,031 retracted papers were identified from the Web of Science Core collection database. The information of the hospitals involved was obtained from their official websites. We analyzed the chronological changes, journal distribution, discipline distribution and retraction reasons for the retracted papers. The grade and geographic locations of the hospitals involved were explored as well.Findings: We found a rapid increase in the number of retracted papers, while the retraction time interval is decreasing. The main reasons for retraction are plagiarism/self-plagiarism(n=255), invalid data/images/conclusions(n=212), fake peer review(n=175) and honesty error(n=163). The disciplines are mainly distributed in oncology(n=320), pharmacology & pharmacy(n=198) and research & experimental medicine(n=166). About 43.8% of the retracted papers were from hospitals affiliated with prestigious universities. Research limitations: This study fails to differentiate between retractions due to honest error and retractions due to research misconduct. We believe that there is a fundamental difference between honest error retractions and misconduct retractions. Another limitation is that authors of the retracted papers have not been analyzed in this study.Practical implications: This study provides a reference for addressing research misconduct in Chinese university-affiliated hospitals. It is our recommendation that universities and hospitals should educate all their staff about the basic norms of research integrity, punish authors of scientific misconduct retracted papers, and reform the unreasonable evaluation system.Originality/value: Based on the analysis of retracted papers, this study further analyzes the characteristics of institutions of retracted papers, which may deepen the research on retracted papers and provide a new perspective to understand the retraction phenomenon.

单调性1’Hospital法则及其应用

本文介绍在研究函数单调性和凹凸性、推导函数不等式中能发挥重大作用的单调性1’Hospital法则及其在微积分和研究特殊函数中的应用。特别地，作者运用此法则，证明并改进了关于完全椭圆积分的一个猜测。

Lessons learned from the hospital to home community care program in Singapore and the supporting AI multiple readmissions prediction model

In a prior practice and policy article published in Healthcare Science,we introduced the deployed application of an artificial intelligence(AI)model to predict longer‐term inpatient readmissions to guide community care interventions for patients with complex conditions in the context of Singapore's Hospital to Home(H2H)program that has been operating since 2017.In this follow on practice and policy article,we further elaborate on Singapore's H2H program and care model,and its supporting AI model for multiple readmission prediction,in the following ways:(1)by providing updates on the AI and supporting information systems,(2)by reporting on customer engagement and related service delivery outcomes including staff‐related time savings and patient benefits in terms of bed days saved,(3)by sharing lessons learned with respect to(i)analytics challenges encountered due to the high degree of heterogeneity and resulting variability of the data set associated with the population of program participants,(ii)balancing competing needs for simpler and stable predictive models versus continuing to further enhance models and add yet more predictive variables,and(iii)the complications of continuing to make model changes when the AI part of the system is highly interlinked with supporting clinical information systems,(4)by highlighting how this H2H effort supported broader Covid‐19 response efforts across Singapore's public healthcare system,and finally(5)by commenting on how the experiences and related capabilities acquired from running this H2H program and related community care model and supporting AI prediction model are expected to contribute to the next wave of Singapore's public healthcare efforts from 2023 onwards.For the convenience of the reader,some content that introduces the H2H program and the multiple readmissions AI prediction model that previously appeared in the prior Healthcare Science publication is repeated at the beginning of this article.

Assisting Nurses in Basic-Level Hospitals to Improve Three Capacities

The importance of scientific study has received more and more attentions from various levels of hospitals,while paper writing,topic declaring,and achievement and patent grasping have become the fundamental tasks for the hospitals. As nurses in basic-level hospitals,howto find and implement excellent scientific research thoughts in busy work has become a challenge in front of them. Nursing of Integrated Traditional Chinese and Western M edicine attempts to establish a Special Fund for Nursing of Integrated Traditional Chinese and Western M edicine( "Special Fund"for short),aiming to support and assisting nurses in basic-level hospitals to conduct nursing-associated scientific research project approval,achievement declaration and publication,and to promote the co-improvement of scientific research level,academic level and quality of journals in domestic nursing field of integrated traditional Chinese and western medicine by assisting the nurses in basic-level hospitals to improve their declaring,executing and summarizing capacities on nursing research topics.

Framework for integration of SOA and Web2.0

To avoid the isolation between the external and the internal information of enterprise information systems, a four-layer integrated framework is proposed on the basis of integrating Web2. 0 and the service- oriented architecture （SOA）, which contains the data layer, the service layer, the presentation layer and the collaboration layer. The presentation layer plays the key role, converging the external information from the collaboration layer to the inside of information system （IS）, and diffusing the internal information from the service layer to public users. This framework can also illustrate how users contribute to producing new services, and how web services are integrated to collaborate with public users.

ENTERPRISE INTEGRATION PLATFORM BASED ON SERVICEORIENTED ARCHITECTURE

To achieve information integration, process integration and application integration of enterprise, an enterprise integration platform （EIP） based on service-oriented architecture （SOA） is built. The enterprise integration model depending on encapsulating the business processes as well as the enterprise applications by the neutral and standard web services is presented. The problem how to discover the existed enterprise resources and share them was resolved depending on the mechanism of publishing and discovering the services. The EIP is integrated closely with product lifecycle management （PLM） system so that the process integration as well as orchestration of the business process services is implemented by encapsulating the workflow engine of PLM system. Not only process integration and application integration, but also information integration based on the bill of material （BOM） conversion driven by process are achieved. Finally, an interpretive, qualitative case study on EIP is conducted for this research.

一类广义积分integral from n=0 to ∞(((sin(θ_x))/x)~ndx)的计算

利用三角函数幂公式、L′Hospital法则、分部积分公式,得到含有三角函数的第一类广义积分integral from n=0 to ∞(((sin(θ_x))/x)~ndx)的计算公式,其中n≥1且θ≠0.

Network Structure and Reliability Analysis of a New Integrated Circuit Card Payment System for Hospital

This paper proposes a redundant network communication structure for the patient integrated circuit(IC)card payment system in a hospital information system(HIS),compares it with the network structure of normal hospital IC card system,and calculates the reliabilities of the related communications like the RS485communication and the Ethernet communication.The new structure can efectively promote the reliability of the hospital operation and ensure the payment collection when the Ethernet network is broken.The system is applied to a local hospital and the cost-performance rate is satisfactory during the application.

公立医院廉洁风险防控量化评价研究

目的探讨公立医院廉洁风险防控量化评价,为提升公立医院廉洁风险防控工作质效提供参考。方法自行设计《公立医院权力事项廉洁风险防控检查标准》,从权力运行流程梳理清晰程度、廉洁风险点查找准确程度、防控措施有力程度三个方面对四川大学华西医院各部门/临床医技科室提供的权力事项廉洁风险防控进行评分和评级。结果共检查了236个权力事项的廉洁风险防控情况,根据检查标准,57项评为一档,103项评为二档,76项评为三档,占比分别为24.15%、43.64%和32.20%。经检查,全院236个权力事项的廉洁风险防控检查得分为(5.82±1.92)分,其中,流程维度得分为(2.11±0.75)分,风险点查找维度得分为(1.89±0.75)分,防控维度得分为(1.89±0.79)分,体现出部分单位的工作流程不够清晰、个别风险点查找不准确、防控措施不具体等问题。结论医院要结合自身工作环节的问题,从思想、行为、成效和考核评价几方面入手,着力思考廉洁风险防控长期建设中的具体化、精准化、显著化和可量化。

Event-Driven SOA Based Integration Platform for Mold Making Industry

The platform consists of three administers the infrastructure of the whole platform; layers： the management service layer the integration service layer provides the core integration functions and the user service layer satisfies the enterprise integration demands. For the purpose of accommodating the characteristics of mold making companies, an event-driven enterprise service bus working as the heart of the platform is realized. A prototype system combining Web services, Business Process Execution Language （BPEL） and Web Ontology Language （OWL） is implemented. The clients and suppliers and the applications of mold making company are integrated in a loosely-coupled way through the services provided by the platform. Meanwhile the sharing of data and knowledge, and the coordination of business process are realized. By adopting the platform, a new approach is provided to solve the problem of design and manufacture integration for intra and inter mold making companies.

公立医院党建业务融合发展“五同”机制实证研究

党建与业务工作深度融合不仅是基层党组织工作开展的基本要求,也是公立医院高质量发展的根本保障。本研究在把握公立医院党建工作和业务工作内在关系基础上,系统阐述党建业务融合发展的重要性,围绕目标规划、管理体制、人才培养、实践活动、评价机制,构建党建与业务工作同谋划、同部署、同推进、同落实、同考核“五同”工作机制,全方位促进党建业务深度融合,以高质量党建推动医院高质量发展。本文为公立医院党建与业务工作深度融合发展提供了一定可行的实践经验。

基于业财融合的公立医院成本精细化管控研究

随着医保支付制度改革的深入,公立医院的发展方向从规模扩张转向提质增效,成本管理也亟需从粗放式管理转向精细化管控。目前,大多数公立医院的成本管控存在效率低、效果差的问题,必须建立健全成本精细化管控制度、成本管控信息系统、预算成本管理系统,优化成本核算方法,针对各项资源消耗情况制定成本精准化管控措施,并开展成本精细化管控评价,推动医院高质量和可持续发展。

综合医院资源整合型学科建设的实践与探讨

以中山大学附属第三医院围绕脑疾病的诊疗研究工作,以学科群形式组建精神与神经疾病研究中心(脑病中心)为案例,介绍综合医院资源整合学科建设模式,并按照资源整合建设思路,结合中心建设实践从学科方向、学科平台、学科任务、学科人才、学科管理五个学科建设要素开展探讨,同时对中心建设过程中面临的问题与挑战进行分析和讨论。

公立医院一体化运营管控体系建设路径思考

公立医院运营管理信息化是智慧管理建设的重要内容。本研究通过将公立医院各部门的资源要素和各业务流程环节进行整合和优化,将资源要素与业务流程相耦合,在数字孪生医院的场景化业务基础上增加管控规则,达到构建一体化运营管控体系的目的。该体系可以提升公立医院运营管理的科学化、规范化和精细化水平,有助于降低医院的运营成本,提升运营效益,从而推动公立医院的高质量发展。

基于“互联网+”的医院-社区-家庭一体化中西医结合护理模式对促进自体动静脉内瘘成熟的效果研究

目的:探讨“互联网+”医院-社区-家庭一体化中西医结合护理模式在促血液透析患者自体动静脉内瘘成熟中的应用效果。方法:将82例自体动静脉内瘘期患者按照随机数字表法分为对照组和试验组,各41例。对照组术后给予常规延续性护理,试验组实施“互联网+”医院-社区-家庭一体化中西医结合护理模式进行管理。比较两组术前及术后2周、4周、8周及12周瘘静脉血管内径及血管壁厚度,两组内瘘成熟时间,两组内瘘成熟时间及首次透析吻合口自然血流量,术后3、6月透析吻合口自然血流量。结果:两组术后2周、4周、8周的血管内径无统计学意义(P>0.05)。两组术后12周的血管内径有统计学意义(P<0.05)。首次透析吻合口自然血流量无统计学意义(P>0.05),术后3、6月透析吻合口自然血流量有统计学意义(P<0.05)。

医院多场景融合智能门禁系统的设计与实现

目的充分发挥门禁系统在医院管理中的作用,满足医院多场景应用需求,使门禁系统更智能。方法制定合理流程及相应技术方案,通过门禁系统与医院信息系统、智慧医院微信公众平台、叫号系统、人事系统、教学系统等进行融合,建设多场景融合智能门禁系统。结果实现了医院多场景融合下的全流程自动化、智能化门禁系统。结论多场景数据与门禁数据互通,解决了患者、陪护、职工、学生、第三方人员进出医院的管理问题,提升了患者就诊效率,节约了人力成本,实现了医院的精细化管理。