Learning management systems as a platform for information sharing during the COVID-19

Background:During the outbreak of the deadly respiratory coronavirus disease (COVID-19) in the 2019­2022 period, many South African institutions of higher learning adopted online learning management systems (LMS) to share information and salvage the academic project. This adoption was fraught with challenges including a lack or preparedness, resources and strategy on how to manage change. Objectives: The study examined the challenges faced while using an online LMS as an information sharing platform in academia, specifically in a rural-based university in South Africa during (COVID-19) lockdown period. In addition, the study also explored the state of readiness of the rural-based university to transition to an online LMS. Method: A quantitative research methodology was used to collect data through the administration of a survey to respondents from a rural-based university. The target population for the study was students and academic staff. Results: The study revealed that online learning management provided a collaborative knowledge and information sharing platform. This study established that LMS enabled the university to continue sharing knowledge and interact with their students, staff, and stakeholders to continue to facilitate teaching and learning. Internet connectivity, a lack of preparedness and data costs were cited as key challenges. Conclusion: This study highlighted how an online LMS was used as a collaborative and knowledge sharing platform during a global crisis. Contribution: The study contributes to information and knowledge sharing disciplines to create awareness to authorities on the importance of technology during a crisis.

IMPACTO-MR: um estudo brasileiro de plataforma nacional para avaliar infecções e multirresistência em unidades de terapia intensiva / IMPACTO-MR: a Brazilian nationwide platform study to assess infections and multidrug resistance in intensive care units

RESUMO Objetivo: Descrever o IMPACTO-MR, um estudo brasileiro de plataforma nacional em unidades de terapia intensiva focado no impacto das infecções por bactérias multirresistentes relacionadas à assistência à saúde. Métodos: Descrevemos a plataforma IMPACTO-MR, seu desenvolvimento, critérios para seleção das unidades de terapia intensiva, caracterização da coleta de dados, objetivos e projetos de pesquisa futuros a serem realizados na plataforma. Resultados: Os dados principais foram coletados por meio do Epimed Monitor System® e consistiram em dados demográficos, dados de comorbidades, estado funcional, escores clínicos, diagnóstico de internação e diagnósticos secundários, dados laboratoriais, clínicos e microbiológicos e suporte de órgãos durante a internação na unidade de terapia intensiva, entre outros. De outubro de 2019 a dezembro de 2020, 33.983 pacientes de 51 unidades de terapia intensiva foram incluídos no banco de dados principal. Conclusão: A plataforma IMPACTO-MR é um banco de dados clínico brasileiro de unidades de terapia intensiva focado na pesquisa do impacto das infecções por bactérias multirresistentes relacionadas à assistência à saúde. Essa plataforma fornece dados para o desenvolvimento e pesquisa de unidades de terapia intensiva individuais e ensaios clínicos observacionais e prospectivos multicêntricos.

ABSTRACT Objective: To describe the IMPACTO-MR, a Brazilian nationwide intensive care unit platform study focused on the impact of health care-associated infections due to multidrug-resistant bacteria. Methods: We described the IMPACTO-MR platform, its development, criteria for intensive care unit selection, characterization of core data collection, objectives, and future research projects to be held within the platform. Results: The core data were collected using the Epimed Monitor System® and consisted of demographic data, comorbidity data, functional status, clinical scores, admission diagnosis and secondary diagnoses, laboratory, clinical, and microbiological data, and organ support during intensive care unit stay, among others. From October 2019 to December 2020, 33,983 patients from 51 intensive care units were included in the core database. Conclusion: The IMPACTO-MR platform is a nationwide Brazilian intensive care unit clinical database focused on researching the impact of health care-associated infections due to multidrug-resistant bacteria. This platform provides data for individual intensive care unit development and research and multicenter observational and prospective trials.

Development and clinical application of contrast enhanced ultrasound Liver Imaging Reporting and Data System / 临床肝胆病杂志

Hepatocellular carcinoma (HCC) is a malignant tumor with high incidence in China and the whole world, and early diagnosis and treatment are the key to improving the prognosis of patients. To facilitate the communication and cooperation between doctors of different centers and specialties, American College of Radiology issued the first edition of contrast-enhanced ultrasound (CEUS) Liver Imaging Reporting and Data System (LI-RADS) in 2016 to standardize the technical terms, techniques, interpretation, reporting, and data collection for liver imaging and perform HCC risk stratification for different focal liver lesions. This article reviews the development and clinical application of CEUS LI-RADS and believes that the application of CEUS LI-RADS has a great potential value in the clinical management of focal liver lesions in the population at a high risk of HCC, and the applicable population and indications for CEUS LI-RADS will continue to expand in the near future, so as to provide better service to clinical practice.

Construction and operation of hospital radiation protection management information system / 中华医院管理杂志

The construction and operation of the hospital-wide radiation protection management information system is of great significance for improving the efficiency and quality of radiation protection management. A hospital has built a hospital-wide radiation protection management system, which consisted of four modules: radiation staff management module, protection items management module, site and equipment management module, and self-inspection module. The system adopted B/S mode, carried the lightweight J2EE framework-SpringBoot framework, and used mybatis, which was flexible and practical, as the persistence layer of the system, to store the data completely in the SQLServer database.Java language was used as the system development language, and the front and back-end separation architecture was used. Each of the four modules implemented the management responsibility departments and responsible personnel to carry out the all-round management of radiation protection, and realized the integrated, information-based and standardized management of radiation protection management in the hospital.

Valoración de las estudiantes emiratíes del uso de Blackboard como herramienta para la formación científica en Psicología / Emirati students' valuing of the use of Blackboard as a tool for scientific training in Psychology

Resumen Este estudio examina las valoraciones que tienen las estudiantes de Psicología de la Universidad de los Emiratos Árabes Unidos (UAEU) sobre el uso de Blackboard™ como herramienta para la formación científica profesional. Según los resultados de una encuesta aplicada a las estudiantes, tanto de pregrado como de posgrado, se identificaron algunas de las experiencias que afectan la adquisición de conocimientos y el desarrollo de habilidades científicas cuando se usa un Sistema de Gestión del Aprendizaje (SGA). El análisis cualitativo de las respuestas se abordó teniendo en cuenta las directrices de la teoría fundamentada. Las afirmaciones resultantes en la encuesta se clasificaron en tres dominios: el primero cubrió las experiencias previas (emocionales y cognitivas) de las estudiantes en el uso de Blackboard; el segundo comprendió las creencias de las estudiantes en el uso de Blackboard como herramienta para la gestión de aprendizaje, y el tercer dominio refirió las expectativas en el uso de Blackboard como herramienta para el entrenamiento en investigación. Los resultados del análisis indican que con Blackboard se desarrollan actitudes positivas para el aprendizaje en Psicología, pero que tales experiencias no les permiten inferir si Blackboard les servirá en su trabajo profesional desde una perspectiva científica. Las estudiantes consideran que Blackboard es muy eficaz para el aprendizaje de teorías y muy útil para compartir información, pero menos eficiente en el aprendizaje de métodos para investigar, interpretar y redactar informes. En general, Blackboard fue mejor valorado en aspectos administrativos que como herramienta para la formación académica, y mucho menos para el desarrollo de la investigación científica.

Abstract This study examines the appraisals of Psychology students at United Arab Emirates University (UAEU) in the use of Blackboard™, as a tool for professional scientific education. The objective of the research was to investigate the assessment that Psychology students have regarding the use of the Learning Management System, as well as to investigate their expectations about training, learning and the ease in transmitting and creating knowledge when they use Blackboard. Based on the results of a survey applied to both undergraduate and graduate students, some of the experiences that affect the acquisition of knowledge and the development of scientific skills when using a Learning Management Systems were identified. The survey focused on three areas: the self-assessment of the students of Psychology of the UAEU in the use of Blackboard in relation to their emotions, as well as the use of Blackboard to transmit and create knowledge, and finally, their general evaluations and attitudes about of research activities in a Learning Management System. The qualitative analysis of the answers was addressed taking in account the guidelines of the "grounded theory". The resulting statements in the survey were classified into three domains. The first one covered the previous experiences (emotional and cognitive), of the students in the use of Blackboard, the second one included the beliefs of the students in the use of Blackboard as a tool for learning management, and the third domain referred to expectations in the use of Blackboard as a tool for research training. The results of the analysis indicate that the use of Blackboard develops positive attitudes for learning in Psychology, but they also indicate that such experiences do not allow students to infer whether Blackboard serves them in their professional work from a scientific perspective. The results indicate a general convergence of the students' evaluations in most of the items, both in introductory and advanced undergraduate courses, as well as for postgraduate courses. The students' narratives of their learning experiences reflected some of the key themes of using Blackboard. The relationship between technology and learning is highlighted in the sentences of the students in a positive way, since most think that Blackboard is useful for learning, but they cannot perceive whether Blackboard serves to create knowledge or to develop research. The generally positive rating that the students gave to using Blackboard confirms initial assumptions about the use of the system in learning, which underscores the positive attitude of the students to work in a Learning Management Systems environment. However, feedback from graduate students indicates that learning can enhance with the use of a Learning Management Systems. Students consider that Blackboard is very effective for learning theories, and very useful for sharing information, but less efficient in leaning methods to investigate, interpret and write reports. In general, Blackboard was better valued in administrative aspects than as a tool for academic training, and even less so for the development of scientific research. As a general conclusion, students tend to consider Blackboard to be a tool that facilitates administrative processes, but they have not "discovered" the possible advantages that Learning Management Systems could have as a support to research.

Usability in the admission monitoring system of an emergency room / Usabilidade de um sistema de monitoramento das internações em pronto-socorro

ABSTRACT OBJECTIVE To develop and evaluate the usability of the admission monitoring system in an emergency room. METHODS This applied research intends to develop a software product and evaluate its usability. The development followed four stages: systematic review, structuring of the system framework, construction of system forms, and evaluation of the information generated. In the evaluation, the experts simulated the use of the system by inserting data from a fictitious medical record. We measured usability using the System Usability Scale (SUS). Scores and scores were calculated individually and globally. We propose these evaluation standards: worst case scenario, poor, average, good, excellent, and best-case scenario. RESULTS The Sistema de Informação e Monitoramento das Internações em Pronto-Socorro (SIMIPS - Information and Monitoring System for Emergency Room Admissions) monitors the epidemiological profile of admissions to the emergency room, time management, clinical deterioration, incidence of adverse events, and human resource management. The usability of SIMIPS, evaluated by 17 experts, reached the SUS Score 86.5 (best case scenario), and some suggestions for modifications were accepted. CONCLUSIONS We consider SIMIPS an easy-to-use tool, with real importance in the management of emergencies in view of overcrowding and congestion problems faced in Brazil.

RESUMO OBJETIVO Desenvolver e avaliar a usabilidade de um sistema de monitoramento das internações em pronto-socorro. MÉTODOS Trata-se de uma pesquisa aplicada, com desenvolvimento de um produto de software e avaliação de sua usabilidade por enfermeiros especialistas. O desenvolvimento seguiu quatro etapas: revisão sistemática, estruturação do arcabouço do sistema, construção dos formulários do sistema e avaliação das informações geradas. Na avaliação, os especialistas simularam a utilização do sistema com a inserção de dados de um prontuário fictício, e a usabilidade foi medida pelo System Usability Scale (SUS). A pontuação e os escores foram calculados de forma individual e global. O sistema foi avaliado nos padrões: pior imaginável, pobre, mediano, bom, excelente e melhor imaginável. RESULTADOS O Sistema de Informação e Monitoramento das Internações em Pronto-Socorro (SIMIPS) realiza o monitoramento do perfil epidemiológico das internações no pronto-socorro, gestão de tempo, deterioração clínica, incidência de eventos adversos e gestão de recursos humanos. A usabilidade do SIMIPS, avaliada por 17 especialistas, atingiu o Score SUS 86,5 (melhor imaginável), e algumas sugestões de modificações foram acatadas. CONCLUSÕES O SIMIPS foi avaliado como uma ferramenta de fácil utilização, com real importância na gestão das urgências frente aos problemas de superlotação e congestão, enfrentados no Brasil.

Application of ISO9000 quality management systems in science &technology management in college / 中华医学科研管理杂志

Objective To establish a set of sound and scientific managing procedures and systems that conforms with the current needs and reform of the scientific research management methods .Methods Based on the current operation status of the scientific research management system in colleges of domestic universities ,this paper expounds and analyzes the theory and method of holistic quality management from the perspective of ISO9000 quality management system .Results Bring in the ho-listic quality management idea into the fields of college management ,especially cater to the science and technology management in college .Conclusions Provided a reference for bring in and comprehensive construction of ISO 9000 quality management sys-tem in scientific research management in colleges at universities .

Investigating the Impact of Establishing Integrated Management Systems on Accidents and Safety Performance Indices: A Case Study

BACKGROUND: Increasing the establishment of integrated management systems (IMSs) is done with the purpose of leaving traditional management methods and replacing them with modern management methods. Thus, the present study sought to analyze the events and investigate the impact of IMS on health and safety performance indices in an Iranian combined cycle power plants. METHODS: This case study was conducted in 2012 in all units of the Yazd Combined Cycle Power Plant on accident victims before and after the implementation of IMS. For data analysis and prediction of indices after the implementation of IMS, descriptive statistics and Kolmogorov–Smirnov test, Chi-square, linear regression, and Cubic tests were conducted using SPSS software. RESULTS: The number of people employed in the power plant in an 8-year period (2004–2011) was 1,189, and 287 cases of work-related accidents were recorded. The highest accident frequency rate and accident severity rate were in 2004 (32.65) and 2008 (209), respectively. Safe T-score reached to below −3 during 2010–2011. In addition, given the regression results, the relation between all predictor variables with outcomes was significant (p < 0.05), except for the variable X1 belonging to the accident severity rate index. CONCLUSION: The implementation of safety programs especially that of IMS and its annual audits has had a significant impact on reducing accident indices and improving safety within the study period. Accordingly, health and safety management systems are appropriate tools for reducing accident rate, and the use of regression models and accident indices is also a suitable way for monitoring safety performance.

Automatic synonyms extraction of TCM terms through pattern recognition / 国际中医中药杂志

The national basic science and technology projects (No.2012FY130100) help us design and use the method of automatic extraction of TCM term synonyms based on pattern recognition. This method included 6 steps: preparing the dictionaries, compiling extraction programs, extracting synonyms based on the pattern rules, auditing the results, merging synonyms and evaluating the effectiveness. Statistical data showed that the accuracy of synonym extraction by this method was about 94％, and the recall rate was about 94.5％. Therefore, the automatic synonym extraction of TCM terms based on pattern recognition could improve the efficiency of synonym extraction.

Risk Factor Analysis of Extended Opioid Use after Coronary Artery Bypass Grafting: A Clinical Data Warehouse-Based Study / 대한의료정보학회지

OBJECTIVES: A clinical data warehouse (CDW) is part of our hospital information system, and it provides user-friendly ‘data search and extraction’ interfaces for query composition. We carried out a risk factor analysis for the extended use of opioids after coronary artery bypass grafting (CABG), taking advantage of the CDW system. METHODS: From 2015 to 2017, clinical data from 461 patients who had undergone either isolated or concomitant CABG were extracted using the CDW; the extracted data included baseline patient characteristics, various examination results, and opioid prescription information. Supplementary data that could not be extracted with the CDW were collected via manual review of the electronic medical records. RESULTS: Data from a total of 447 patients were analyzed finally. The mean patient age was 66.8 ± 10.9 years, 332 patients (74%) were male, and 235 patients (53%) had diabetes. Among the 447 patients, 90 patients (20.1%) took some type of opioid at the 15th postoperative day. An oral rapid-acting agent was the most frequently used opioid (83%). In the risk factor analysis for extended opioid use, duration of operation was the only significant risk factor (odds ratio = 1.004; 95% confidence interval, 1.001–1.007; p = 0.008). CONCLUSIONS: Longer operation time was associated with the risk of extended opioid use after CABG. CDW was a helpful tool for extracting mass clinical data rapidly, but to maximize its utility, the data should be checked carefully as they are entered in the system so that post-processing can be minimized. Further refinement of the clinical data input and output interface is warranted.

Diseño de instrumentos de medición del nivel de madurez del sistema de gestión de calidad en Empresas de Alta Tecnología del sector biofarmacéutico / System design for measuring the maturity level of quality management system at high technology enterprises of biopharmaceutical sector

Las empresas del sector biofarmacéutico, históricamente han estado estrictamente regidas por requisitos regulatorios de Buenas Prácticas de Fabricación y más recientemente han ido incorporando los principios de las Normas ISO para estructurar los sistemas de gestión de la calidad. En el contexto cubano, no en todos los casos los sistemas de gestión de calidad logran un enfoque hacia el éxito sostenido ni la sinergia con el cumplimiento de los estándares o características distintivas de las Empresas de Alta Tecnología (EAT) del sector biofarmacéutico. Si bien la Norma Internacional ISO 9004:2009 constituye un punto de partida importante, que proporciona ayuda para conseguir el éxito sostenido y sugiere herramientas para la evaluación del nivel de madurez de los sistemas de gestión en el camino hacia la excelencia operacional; aún no ha sido asumido de forma consciente por las EAT, debido en lo fundamental a que dista de las particularidades del sector. Es así que en este trabajo se presenta por primera vez un nuevo diseño de instrumento (Encuesta para Evaluación del Nivel de Madurez del Sistema de Gestión de Calidad Total de una EAT) para evaluar el nivel de madurez del sistema de gestión de calidad en estas empresas, complementado con otro instrumento (Encuesta para Evaluación del Nivel de Madurez del Sistema de Calidad Farmacéutico) específico para el sistema de calidad farmacéutico. Ambos incluyen elementos referidos a los principios de gestión de riesgos y resiliencia y al mismo tiempo consideran la pertinencia de disponer de una herramienta que se acerque en justa medida a las particularidades de estas organizaciones(AU)

Biopharmaceutical production has been historically done under Good Manufacturing Practice requirements and more recently, the principles of International Organization for Standardization are being included to structure its quality management systems. In the Cuban context, High Technology Enterprises of biopharmaceutical sector do not achieve in all cases sustained success or synergy with standards for quality management systems or distinctive characteristics by this type of companies. While ISO 9004: 2009 is an important starting point, which provides support for sustained success and tools for assessing the maturity level of management systems on the way to operational excellence; it has not yet been consciously assumed by the High Technology Companies, due to that it is a bit far from the particularities of the sector. This paper aims at showing a new instrument with a specific design to evaluate the maturity level of the quality management system in High Technology Companies, which is complemented with another particular instrument for pharmaceutical quality system evaluation. Both instruments include elements related to the principles of risk management and resilience and consider the relevance of having a tool more closely approximates to the particularities of biopharmaceuticals organizations(AU)

IMPULSORES, BARRERAS Y BENEFICIOS PARA LA IMPLEMENTACIÓN DE SISTEMAS DE GESTIÓN AMBIENTAL EN INDUSTRIAS DE CALDAS, COLOMBIA1 / DRIVING FROCES, BARRIERS AND BENEFITS FOR THE IMPLEMENTATION OF ENVIRONMENTAL MANAGEMENT SYSTEMS IN INDUSTRIES IN CALDAS, COLOMBIA

Objetivo: Identificar impulsores, barreras y beneficios en la implementación del Sistema de Gestión Ambiental -SGA- en empresas manufactureras del departamento de Caldas. Metodología: Este estudio aborda la evolución de la certificación ISO 14001 a nivel global y nacional, considerando las estadísticas de la encuesta ISO y los informes del Consejo Colombiano de Competitividad. Luego, presenta un análisis descriptivo para 16 empresas manufactureras de los sectores metalmecánico y alimentos y bebidas, localizadas en Caldas. Para su realización, se recolectó información primaria mediante entrevistas a los responsables del SGA en las industrias; se emplearon instrumentos metodológicos basados en los requisitos de la ISO 14001. Los resultados obtenidos fueron evaluados por sector y tamaño industrial, para identificar los niveles de cumplimiento del estándar y los principales impulsores, barreras y beneficios en su implementación. Resultados: Las estadísticas revelan que Colombia lidera la certificación ISO 14001 en América Latina; sin embargo, las tasas de adopción son relativamente bajas comparadas con países desarrollados. En Colombia, Santander tiene los mejores indicadores en certificación ISO 14001, mientras que Caldas ocupa la novena posición. Para las empresas evaluadas en Caldas, sólo el 25% estaba certificada en el estándar; se encontraron diferencias estadísticamente significativas, con relación al tamaño industrial, en el nivel de implementación del estándar y en los impulsores, barreras y beneficios del SGA. Conclusiones: Los impulsores del SGA son los requerimientos legales y el acceso a mercados, en las grandes empresas evaluadas; la mejora de procesos y la producción sostenible, en las PYME. La principal barrera es el clima organizacional, en grandes empresas; mientras que el costo asociado, en las PYME. Las industrias evaluadas reconocen como beneficios del SGA una mayor satisfacción de partes interesadas; no obstante, su implementación se percibe más como un requerimiento de tipo 'obligatorio' y no como una estrategia voluntaria de mejoramiento.

Objective: To identify driving forces, barriers and benefits for the implementation of Environmental Management Systems (EMS) in manufacturing industries in the department of Caldas. Methodology: This study addresses an evolution of 14001 certifications at a global and national level considering ISO survey statistics and reports of the Colombian Council on Competitiveness. It also presents a descriptive analysis for 16 manufacturing industries of the metal-mechanic and food and beverage sectors located in the Department of Caldas. To achieve this goal, primary information was collected through interviews with those responsible for EMS in the industries using methodological instruments based on the requirements of ISO 14001 . The results obtained were evaluated according to sector and industry size, in order to identify levels of compliance with the standard and the key driving forces, barriers and benefits in its implementation. Results: Statistics shows that Colombia leads the ISO 14001 certification in Latin America. However, adoption rates are relatively low compared to developed countries. Nationwide, the Department of Santander has the best indicators regarding ISO 14001 certified companies, while the Department of Caldas ranks in the ninth position. For the companies evaluated in the Department of Caldas, only 25% were certified to the standard. Statistically significant differences, regarding the industry size, the standard implementation level and driving forces, barriers and benefits of EMS were found. Conclusions: EMS driving forces are the legal requirements and access to markets in the large companies evaluated and process improvement and sustainable production for SMEs. In large industries, the main barrier is the organizational climate, while in SMEs is the associated cost. The industries evaluated recognize greater stakeholders' satisfaction as EMS benefits but the certification implementation is perceived more as a "mandatory" requirement rather than as an improvement strategy.

Implantação e uso de sistema de rastreabilidade automatizado em central de materiais e esterilização / Implementation and use of automated traceability system in the central sterile supply department / Implantación y uso de sistema de rastreabilidad automatizado en central de materiales y esterilización

Objetivo: Descrever a implantação do sistema de rastreabilidade automatizada no Centro de Material e Esterilização (CME). Método: Relato de experiência desenvolvido entre 2011 e 2014. Foi escolhido o sistema de rastreabilidade mais adequado ao perfil da instituição e adquiridas as licenças básicas. Necessária adaptação da infraestrutura e treinamento. Resultados: Optou-se por rastrear a caixa por meio de código de barras. Iniciou-se pelo banco de dados. Realizou-se cadastro das caixas e impressão da etiqueta. Após um mês, 3 caixas estavam cadastradas e 81 unidades com rastreabilidade criadas; no terceiro mês, 698 unidades; e após 9 meses, 7.669 unidades foram criadas. São esquecidas 5,0% das etapas; 4,2% são corrigidas; e 0,8% perdem a rastreabilidade por erro humano. A gestão é realizada por meio de relatórios e discussão dos resultados. A implantação total durou nove meses. Conclusão: Mesmo com a incipiência do método, este estudo demonstra que o sistema de rastreabilidade automatizado trouxe benefícios ao CME do hospital.

Objective: To describe the implementation of the automated traceability system in Central Sterile Supply Department (CSSD). Method: Experiment report developed between 2011 and 2014. The traceability system best suited to the profile of the institution was chosen, and its basic license was purchased. The proper infrastructure and training were also adapted. Results: We decided to trace cases with barcodes. We began with the database; the cases were registered, and the labels printed. After one month, three cases were registered and 81 traceable units were created; in the third month, 698 units were created; after nine months, 7,669 units were created. Of the total number of stages, 5.0% are omitted; 4.2% are corrected; and 0.8% loose traceability owing to human error. Management is performed through reports and the discussion of results. Total implementation lasted nine months. Conclusion: Even with the incipience of the method, this study demonstrates that the automated traceability system benefits the hospital's CSSD.

Objetivo: Describir la implantación del sistema de rastreabilidad automatizada en el Centro de Material y Esterilización (CME). Método: Relato de experiencia desarrollada entre 2011 y 2014. Fue escogido el sistema de rastreabilidad más adecuado al perfil de la institución y adquiridas las licencias básicas. Necesaria adaptación de la infraestructura y capacitación. Resultados: Se optó por rastrear la caja por medio de código de barras. Se empezó por el banco de datos. Se realizó el registro de las cajas e impresión de la etiqueta. Tras un mes, 3 cajas estaban registradas y 81 unidades con rastreabilidad creadas; en el tercer mes, 698 unidades; y tras 9 meses, 7.669 unidades fueron creadas. Son olvidadas un 5,0% de las etapas; un 4,2% son corregidas; y un 0,8% pierden la rastreabilidad por error humano. La gestión es realizada por medio de informes y discusión de los resultados. La implantación total duro nueve meses. Conclusión: Incluso con la insipiencia del método, este estudio demuestra que el sistema de rastreabilidad automatizado trajo beneficios al CME del hospital.

Investigation on the necessity of development of information system integration platform in county hospital / 中国基层医药

Objective To evaluate the necessity of construction of hospital information system integration platform for county Hospital as the urban and rural medical hub in the context of the development of modern medical information.Methods By referring to the development of the domestic and international integration platform,and comprehensively considered the development status of the county hospital,and analyzed based on the perspective of sustainable development.Results The hospital information integration platform was formed to meet the needs of the county hospital,and it platform was used to open up the internal and external medical information resources,realize the integration of business resources and process optimization..Conclusion The county hospital building information system integration platform is the inevitable trend of the current construction of information technology,and its comple-ted construction can enhance province -city-county tertiary care facility data communication,reduce the coupling within the hospital business systems,and make the county hospital more flexible in the future construction and devel-opment.

Cost-Effective Mobile-Based Healthcare System for Managing Total Joint Arthroplasty Follow-Up / 대한의료정보학회지

OBJECTIVES: Long-term follow-up care after total joint arthroplasty is essential to evaluate hip and knee arthroplasty outcomes, to provide information to physicians and improve arthroplasty performance, and to improve patients' health condition. In this paper, we aim to improve the communication between arthroplasty patients and physicians and to reduce the cost of follow-up controls based on mobile application technologies and cloud computing. METHODS: We propose a mobile-based healthcare system that provides cost-effective follow-up controls for primary arthroplasty patients through questions about symptoms in the replaced joint, questionnaires (WOMAC and SF-36v2) and the radiological examination of knee or hip joint. We also perform a cost analysis for a set of 423 patients that were treated in the University Clinic for Orthopedics in Essen-Werden. RESULTS: The estimation of healthcare costs shows significant cost savings (a reduction of 63.67% for readmission rate 5%) in both the University Clinic for Orthopedics in Essen-Werden and the state of North Rhine-Westphalia when the mobile-based healthcare system is applied. CONCLUSIONS: We propose a mHealth system to reduce the cost of follow-up assessments of arthroplasty patients through evaluation of diagnosis, self-monitoring, and regular review of their health status.

Prevalência de hipertensos e diabéticos cadastrados e acompanhados pelas unidades de saúde do município de Cascavel - Paraná / Prevalence of hypertensive and diabetic patients registered and monitored by health units in the city of Cascavel, Paraná

Estudos epidemiológicos constatam que, no Brasil, a hipertensão arterial sistêmica (HAS) e o Diabetes Mellitus (DM) estão sendo reconhecidos como um importante problema de saúde pública, ocupando um percentual de 30 a 40% das causas de morbidade. Estudos também têm demonstrado uma associação entre essas doenças e patologias bucais, sugerindo que as infecções bucais podem aumentar o risco para doenças sistêmicas, mas também o portador de doenças sistêmicas pode apresentar uma susceptibilidade maior para o desenvolvimento de patologias bucais, especialmente a doença periodontal. Nesse contexto, o objetivo deste estudo foi verificar a prevalência de HAS e DM e a associação de ambas, de acordo com o gênero e a idade de indivíduos do município de Cascavel, por meio do Sistema HiperDia (Sistema de Cadastramento e Acompanhamento de Hipertensos e Diabéticos) do Ministério da Saúde. Os resultados obtidos permitiram identificar que no município de Cascavel existem 26450 pacientes cadastrados no Sistema HiperDia, sendo 3,29% diabéticos, 76,51% hipertensos e 20,19% diabéticos com hipertensão. O número de indivíduos do gênero feminino cadastrados é maior que o do gênero masculino e a prevalência das doenças aumenta com a idade. Conclui- se que o número de hipertensos e diabéticos cadastrados é muito menor do que os valores estimados em cidades brasileiras, sendo necessária uma pesquisa mais abrangente para demonstrar a real prevalência dessas doenças em Cascavel-PR.

Epidemiological studies find that hypertension and diabetes mellitus (DM) are being recognized as an important public health problem in Brazil, occupying a percentage of 30 to 40% of the causes of morbidity. Studies have also shown an association between these diseases and oral pathologies, suggesting that oral infections can increase the risk of systemic diseases, but also that systemic diseases may increase susceptibility to the development of oral diseases, especially periodontal disease. The objective of this study was to assess the prevalence of hypertension and DM, and the combination of both, according to the gender and age of individuals in Cascavel, PR, through the System of Enrollment and Follow-up of Hypertensive and Diabetic Patients (HiperDia) of the Ministry of Health. In Cascavel there were 26,450 patients enrolled in HiperDia, 3.29% being diabetics, 76,51% hypertensive, and 20,19% diabetics with hypertension. A higher number of females are enrolled than males, and the prevalence of these diseases increases with age. The number of hypertensive and diabetic patients enrolled is much lower than the estimated prevalence in Brazilian cities, requiring a larger study to demonstrate the actual prevalence of these diseases in Cascavel, PR.

Architecture design of county hospital information system integration platform / 中国基层医药

Based on the current county hospital information construction in the problem of integration,pro-posed a scheme based on a unified architecture application integration platform.The original business system interface standardization of the construction of hospital information systems analysis and integration platform architecture and integration framework,the framework can be achieved through integrated hospital between heterogeneous systems.A unified standardized interfaces can achieve a good cross -system data integration.The construction of county hospitals information system integration platform,data sharing and interaction is conducive to solve the problem of data islands facing the county hospital,hospital to enhance business development capabilities and scale.

Evolución de un sistema de gestión de seguridad y salud en el trabajo e impacto en la accidentalidad laboral: estudio de caso en empresas del sector petroquímico en Colombia / Progress of an occupational health and safety management system that impacts workplace accidents: case study of petrochemical companies in Colombia

INTRODUCCIÓN: La adopción de sistemas para la gestión de la salud y seguridad en el trabajo trata de responder a las demandas y presiones de los entes regulatorios, empleadores y trabajadores para garantizar un ambiente de trabajo seguro previniendo los accidentes y reduciendo el número de lesionados. OBJETIVO: analizar el impacto en la accidentalidad laboral que tiene la implementación de un sistema de gestión de seguridad y salud en el trabajo bajo el estándar OHSAS 18001. MÉTODO: se recopilaron los datos de la accidentalidad de cuatro empresas del sector petroquímico, tres años antes y después de la certificación en la norma OHSAS, y se realizó una revisión documental y una entrevista al responsable de seguridad y salud en el trabajo para observar el grado de evolución del sistema de gestión a partir de seis elementos: política, identificación de peligros, objetivos y programas, control operacional, medición del desempeño e investigación de accidentes. RESULTADOS: en relación con los índices de frecuencia, severidad y lesiones incapacitantes de los accidentes, de las cuatro empresas analizadas, no presentan una tendencia clara de disminución en los tres años posteriores a la certificación. Sin embargo, el reporte de observaciones si aumentó en tres de las empresas estudiadas. CONCLUSIÓN: En general, se evidenció que la evolución del sistema de gestión se ha dado como resultado de los cambios en la normatividad legal y no hay una tendencia clara frente a la disminución de la severidad y frecuencias de los accidentes.

INTRODUCTION: The adoption of occupational health and safety management systems is a response to the demands and pressures of regulatory agencies, employers and workers to guarantee a safe work environment free that prevents accidents and reduces the number of people injured. Given Colombian companies' tendency to seek certification in those systems, particularly under the OHSAS 18001:2007 standard. OBJECTIVE: Goal was defined of analyzing the impact on workplace accidents of implementing an occupational health and safety management system under the OHSAS 18001 standard. METHOD: all the data on workplace accidents was compiled, with ratios of severity, frequency and disabling injury of petrochemical companies three years before and after their OHSAS standard certification. Overall, we found that the progress of the management system has come about as the result of changes in the country's standards, and not so much as a product of continuous improvement processes according to the system's performance results. RESULTS: In relation to accidents rates of frequency, severity and disability injuries, four companies analyzed do not show a clear downward trend in the three years following certification. However, if the report of observations increased in three of the companies studied. CONCLUSION: we did not find a clear trend toward a decrease in the severity nor the frequency of accidents. However, there has been improvement in terms of observations of unsafe conditions.

Ossos ID: uma proposta de banco de dados didático de peças anatômicas para área da saúde / Bones ID: a proposal of didactic database of anatomic parts to health area / Huesos ID: una propuesta de base de datos educativos de estructuras anatómicas para la área de salud

Objetivo: Desenvolvimento e padronização de uma base de dados didática para armazenamento de informações relacionadas às coleções de peças osteológicas humanas acondicionadas no ossário do Departamento de Morfologia da Universidade Federal do Ceará. Método: A presente pesquisa trata-se de um estudo descritivo-exploratório executado em três etapas distintas: na primeira, foi desenvolvida a base de dados OssosID; na segunda etapa foi realizado a aplicação da base de dados OssosID e a terceira etapa consistiu na disponibilização da base de dados OssosID em nuvem, a partir do uso de software gratuito disponível online. Resultados e Conclusão: Após o desenvolvimento, aplicação e disponibilização da base de dados OssosID,foi possível observar que esta plataforma tornou-se viável para o seu uso contínuo e de rotina nas atividades do Departamento de Morfologia da Universidade Federal do Ceará, podendo servir como modelo para outras instituições de ensino e pesquisa devido a sua facilidade de operação e uniformidade.

Objective: Development and standardization of a didactic database to storage information related to human osteological collections of stored pieces in the ossuary of the Department of Morphology (DM) of the Federal University of Ceará (UFC). Method: The present research it is about a study descriptive and exploratory executed in three distinct stages: at first, was developed the based data: OssosID; at the second stage was performed the implementation of the OssosID and the third step consisted in providing the database OssosID in cloud by using a free software available online. Results and Conclusion: After the development, application and availability of the basedata: OssosID, we could observe that this platform has become viable for its continued and routine use in the activities of the Department of Morphology, Federal University of Ceará, and it can be used as a model for other institutions of education and research, by its easy operation and uniformity.

Objetivo: Desarrollo y normalización de una base de datos de enseñanza para almacenar información relacionada con las colecciones osteológicas de datos piezas que se conservan en el osario del Departamento de Morfología (DM) de la Universidad Federal de Ceará (UFC). Método: La presente investigación es un estudio descriptivo y exploratorio, ejecutado en tres etapas distintas: en primer lugar, fue desarrollado el base de datos: OssosID; la segunda etapa se llevó a cabo la aplicación de la base de datos OssosID y el tercer paso consistió en el suministro de el base OssosID nube de la utilización de software libre disponible en línea. Resultados y Conclusión: Después del desarrollo, la aplicación y la disponibilidad de los datos OssosID base, se observó que esta plataforma sea posible para su uso continuado y rutinaria en las actividades del Departamento de Morfología de la Universidad Federal de Ceará, pueden servir como un modelo para otras instituciones educativas y de investigación, debido a su facilidad de operación y la uniformidad.

Improving Indicators in a Brazilian Hospital Through Quality-Improvement Programs Based on STS Database Reports

ABSTRACT OBJECTIVE: To report the initial changes after quality-improvement programs based on STS-database in a Brazilian hospital. METHODS: Since 2011 a Brazilian hospital has joined STS-Database and in 2012 multifaceted actions based on STS reports were implemented aiming reductions in the time of mechanical ventilation and in the intensive care stay and also improvements in evidence-based perioperative therapies among patients who underwent coronary artery bypass graft surgeries. RESULTS: All the 947 patients submitted to coronary artery bypass graft surgeries from July 2011 to June 2014 were analyzed and there was an improvement in all the three target endpoints after the implementation of the quality-improvement program but the reduction in time on mechanical ventilation was not statistically significant after adjusting for prognostic characteristics. CONCLUSION: The initial experience with STS registry in a Brazilian hospital was associated with improvement in most of targeted quality-indicators.