Digestive endoscopy is currently the main diagnostic procedure for investigation of the digestive tract when a digestive disease is suspected.The use of computers and electronic medical records for the management of e...Digestive endoscopy is currently the main diagnostic procedure for investigation of the digestive tract when a digestive disease is suspected.The use of computers and electronic medical records for the management of endoscopic data are an important key to improving endoscopy unit efficiency and productivity.This technology supports optimal program operation,monitoring and evaluation colorectal cancer screening.This article is a comprehensive survey of endoscopic electronic medical records and information systems.Computerized clinical records have the capability of identifying patients due for screening and to calculate baseline rates of colorectal cancer screening by patient characteristics and by primary care physician and practice group.This paper describes data flow in the endoscopy unit,the minimum data set of colorectal cancer and key features of endoscopic electronic medical record.In addition,the researchers state standards in different aspects,especially terminology standards and interoperability standards for image and text.展开更多
Clinical data have strong features of complexity and multi-disciplinarity. Clinical data are generated both from the documentation of physicians＇ interactions with the patient and by diagnostic systems. During the ca...Clinical data have strong features of complexity and multi-disciplinarity. Clinical data are generated both from the documentation of physicians＇ interactions with the patient and by diagnostic systems. During the care process, a number of different actors and roles （physicians, specialists, nurses, etc.） have the need to access patient data and document clinical activities in different moments and settings. Thus, data sharing and flexible aggregation based on different users＇ needs have become more and more important for supporting continuity of care at home, at hospitals, at outpatient clinics. In this paper, the authors identify and describe needs and challenges for patient data management at provider level and regional- （or inter-organizational-） level, because nowadays sharing patient data is needed to improve continuity and quality of care. For each level, the authors describe state-of-the-art Information and Communication Technology solutions to collect, manage, aggregate and share patient data. For each level some examples of best practices and solution scenarios being implemented in the Italian Healthcare setting are described as well.展开更多
One of the standout problems in rural regions of India is the lack of a comprehensive medical record system.Medical records are a vital part of any diagnosis as they provide a glimpse into the patient’s past,which is...One of the standout problems in rural regions of India is the lack of a comprehensive medical record system.Medical records are a vital part of any diagnosis as they provide a glimpse into the patient’s past,which is influential to the current diagnosis.Medical records help practitioners spot anomalies and patterns in a variety of medical cases.It is also utilized to gain a better understanding of the health situation in certain demographics.In this paper,the authors have proposed a comprehensive distributed system which can be used to preserve the medical history of individuals,and also provide a valuable insight into the health situation of the rural populous.The distributed data are aggregated into a single entity from which observations are gathered.The data acquired could be of extreme importance to the government,as it can be utilized to determine the health issues which require immediate attention,and to evaluate possible mitigation plans.The data collected would be portable and easily accessible with the help of mobile devices.展开更多
为探讨改进麻醉信息管理系统(AIM S)对提高麻醉文书质量的作用,该文通过对AIM S的4大体系细节功能的改进,随机抽取改进前和改进后的麻醉文书各6000份,对麻醉文书的合格量、合格率、缺陷项、缺陷率进行数据的统计分析,并探讨AI M S细节...为探讨改进麻醉信息管理系统(AIM S)对提高麻醉文书质量的作用,该文通过对AIM S的4大体系细节功能的改进,随机抽取改进前和改进后的麻醉文书各6000份,对麻醉文书的合格量、合格率、缺陷项、缺陷率进行数据的统计分析,并探讨AI M S细节功能的改进对麻醉文书的质量及麻醉医生文书工作时间的影响。结果证明,改进后的麻醉文书合格率较改进前升高34.9%,4大体系均有明显改善,9项缺陷率均显著下降(P<0.05);麻醉医生文书工作时间显著减少(P<0.05)。说明改进的AIMS明显提高麻醉文书的质量,显著降低了缺陷率;大大减少麻醉医生的工作时间,提高质控效率;麻醉信息系统细节功能的改进促进了麻醉质量管理更加的实时、完整且精确。展开更多
文摘Digestive endoscopy is currently the main diagnostic procedure for investigation of the digestive tract when a digestive disease is suspected.The use of computers and electronic medical records for the management of endoscopic data are an important key to improving endoscopy unit efficiency and productivity.This technology supports optimal program operation,monitoring and evaluation colorectal cancer screening.This article is a comprehensive survey of endoscopic electronic medical records and information systems.Computerized clinical records have the capability of identifying patients due for screening and to calculate baseline rates of colorectal cancer screening by patient characteristics and by primary care physician and practice group.This paper describes data flow in the endoscopy unit,the minimum data set of colorectal cancer and key features of endoscopic electronic medical record.In addition,the researchers state standards in different aspects,especially terminology standards and interoperability standards for image and text.
文摘Clinical data have strong features of complexity and multi-disciplinarity. Clinical data are generated both from the documentation of physicians＇ interactions with the patient and by diagnostic systems. During the care process, a number of different actors and roles （physicians, specialists, nurses, etc.） have the need to access patient data and document clinical activities in different moments and settings. Thus, data sharing and flexible aggregation based on different users＇ needs have become more and more important for supporting continuity of care at home, at hospitals, at outpatient clinics. In this paper, the authors identify and describe needs and challenges for patient data management at provider level and regional- （or inter-organizational-） level, because nowadays sharing patient data is needed to improve continuity and quality of care. For each level, the authors describe state-of-the-art Information and Communication Technology solutions to collect, manage, aggregate and share patient data. For each level some examples of best practices and solution scenarios being implemented in the Italian Healthcare setting are described as well.
基金This work was supported by the Department Science and Technology, India.
文摘One of the standout problems in rural regions of India is the lack of a comprehensive medical record system.Medical records are a vital part of any diagnosis as they provide a glimpse into the patient’s past,which is influential to the current diagnosis.Medical records help practitioners spot anomalies and patterns in a variety of medical cases.It is also utilized to gain a better understanding of the health situation in certain demographics.In this paper,the authors have proposed a comprehensive distributed system which can be used to preserve the medical history of individuals,and also provide a valuable insight into the health situation of the rural populous.The distributed data are aggregated into a single entity from which observations are gathered.The data acquired could be of extreme importance to the government,as it can be utilized to determine the health issues which require immediate attention,and to evaluate possible mitigation plans.The data collected would be portable and easily accessible with the help of mobile devices.
文摘为探讨改进麻醉信息管理系统(AIM S)对提高麻醉文书质量的作用,该文通过对AIM S的4大体系细节功能的改进,随机抽取改进前和改进后的麻醉文书各6000份,对麻醉文书的合格量、合格率、缺陷项、缺陷率进行数据的统计分析,并探讨AI M S细节功能的改进对麻醉文书的质量及麻醉医生文书工作时间的影响。结果证明,改进后的麻醉文书合格率较改进前升高34.9%,4大体系均有明显改善,9项缺陷率均显著下降(P<0.05);麻醉医生文书工作时间显著减少(P<0.05)。说明改进的AIMS明显提高麻醉文书的质量,显著降低了缺陷率;大大减少麻醉医生的工作时间,提高质控效率;麻醉信息系统细节功能的改进促进了麻醉质量管理更加的实时、完整且精确。
