ABSTRACT
Introduction: An E-Aushadhi management system based on database was introduced in urban health centre for managing stock outs. This study was conducted to assess utility of web-based drug warehouse management system in a peripheral hospital. Objectives: The objectives of this study were to assess the perceived benefits and difficulties by health care providers expected in introducing a web-based Supply Chain Management System (E-aushadhi) and to identify the factors which will govern successful transition from current system of drug logistics man-agement to web-based system. Methods and materials: In this study Focus Group Discussion was conducted with the staff members of an urban health centre who were working on a similar web-based platforms. There are four teams each comprising 3-5 members. Results: Themes and subthemes were made based on the transcripts analysed. It is perceived that with introduction of web-based drug warehouse system, accuracy of the data can be well assured as manual errors can be reduced a lot. Quality of stock maintenance will increase and will prevent stock outs Conclusion: The accuracy and transparency of drug stock maintenance will be increased while technical challenges such as internet availability, technician availability and training of personnel are perceived barriers.
ABSTRACT
OBJECTIVE@#To ensure the supply of prevention materials in the tertiary public hospitals in prefecturelevel cities, and to make the process of allocating prevention materials more scientific and reasonable.@*METHODS@#Open the green passage, simplify the procurement process, carry out emergency procurement of related materials, ensure timely delivery of prevention materials, distribute them at different levels, and strengthen the warehouse management of prevention materials.@*RESULTS@#The scheme of emergancy supplies was constantly improved, and the supply of prevention materials was completed with good quality.@*CONCLUSIONS@#Using scientific and efficient management methods, the supply of prevention materials in medical institutions has been guaranteed, which has experience and reference significance for the prevention and control of similar public health emergencies in the future.
Subject(s)
Humans , Emergencies , Public Health , Tertiary Care CentersABSTRACT
In recent years, the utilization of health care databases has been increasing worldwide. It is expected that Real World Data (RWD) will soon be effectively used for clinical research in Japan. On the other hand, database studies that use accumulated existing data such as electronic medical records, Diagnosis Procedure Combinations (DPCs), and health insurance claims, require extremely high loads of data preprocessing before statistical analysis is possible. So far, there is insufficient literature that describes the challenges of RWD preprocessing from an academic point of view. In this review paper, the challenges of database study are classified into three categories：（1）data content,（2）data structure, and（3）large-volume data handling. We then investigated existing preprocessing research and systematically introduced them. Most data preprocessing research targeted the improvement and reliability of the database itself through supplementing data contents required for each clinical research. There is very little research with the primary purpose of solving problems related to data structures and large-volume data processing. As the use of RWD for clinical research increases, the importance of the data preprocessing field will be recognized. In the future, we expect to see more research focused on RWD, which can enable the growth of clinical researches using RWD.
ABSTRACT
【Objective】 To study the effect of air inlet modes on the temperature variation, fluctuation, uniformity and coefficient of variation(CV), so as to evaluate the stability and uniformity of the temperature field in refrigerated warehouse for blood. 【Methods】 The temperature changes of blood refrigerated warehouse under different modes of air inlet during compressor operation were analyzed. The stability of the temperature field in the storehouse was evaluated by the changes, fluctuation, uniformity, CV and deviation of temperature at each testing point. 【Results】 The average value of temperature in the storehouse, adopting air inlet via straight blow, was (4.98±0.92)℃, while that of air inlet via micro-hole mode was(4.15±0.25)℃, with significant differences between each other(P<0.05). As to the CV of temperature, air inlet via straight blow was significantly different from that via micro hole(P<0.01). The fluctuation, uniformity and deviation of temperature created by straight blow and micro hole were 1.85±1.11 vs 0.49±0.38, 1.00±0.68 vs 0.47±0.37, and 0.61±0.45 vs 0.27±0.21, respectively, with significant differences between each other(P<0.01). 【Conclusion】 Compared with straight blow, the mean temperature created by micro hole was closer to the median value (4℃) of the temperature range, i. e.(4±2)℃, during blood storage. Otherwise, micro hole demonstrated a smaller CV of temperature, and superior performance in fluctuation, uniformity and deviation of the temperature at the testing points, which was conducive to ensure the stability of storehouse temperature field.
ABSTRACT
The management of in vitro diagnostic reagents has always been a concern. This paper describes the application of SPD medical consumables fine management system in our hospital. Relying on the brand-new management mode, the whole process from supplier qualification certificate management, in vitro diagnostic reagent procurement management, secondary warehouse management, and then to the use process traceability was realized. The monthly cost of in vitro diagnostic reagents can be accurately counted, which effectively controls the cost of in vitro diagnostic reagents.
Subject(s)
Hospitals , Indicators and ReagentsABSTRACT
Introducción: El síntoma osteomuscular se puedepresentar en cualquier momento de la vida ya que son algo inmanente al ser humano; sin embargo,estas molestias pueden aumentarse y permanecer pormás tiempo en el individuo debido a múltiples factores individuales. Objetivo: Determinar los síntomas osteomusculares y factores individuales presentes en los trabajadores de la bodega de unaempresa de industria textil en Barranquilla en el periodo comprendido de febrero a diciembre, 2017.Metodología: El método que se utilizo fue deductivo, con una población de 21 trabajadores en el año 2017. Se recolectaron datos socio-demográficos (sexo, edad y tiempo en el cargo) y factores individuales (IMC). Los síntomas osteomusculares fueron evaluados por mediode una encuestade síntomas y factores individuales. Resultados:Se observó que el 47,6% de la población presenta sobrepesoy el 19% restante se encuentra en obesidad tipo 1, Se destaca que el 66,66% de los trabajadores encuestados, tienen problemas con su peso. la población estudio se identificó que las edades prevalentes están 85,7% representa por edad adulta, mayores de 26 años y el 14,3% son jóvenes menores a 26 años. Conclusión: A partir de lo mencionado y evidenciado anteriormente escrito se encontróque la frecuencia de los síntomas es baja y prevalece la respuesta casi nunca o nunca. Síntomas específicos como Dolor de cabeza, cuello, muñeca izquierda, abdomen, lumbar y pierna derecha, son los que más variabilidad presentan en cuanto a su frecuencia.En general los trabajadores refieren que lleven un estilo de vida saludable, no fuman, ni consumen bebidas alcohólicas, duermen más de 6 horas diarias y no tienen antecedentes de cáncer. Se observó en particular que el 57,14% consume café diariamente, mientras que el 42,86% no consume café. El 19,05% manifiesta llevar hábitos de vida sedentarios
Introduction: Osteomuscularsymptoms can occur at any time in life since they are something immanent to the human being; however, these discomforts can be increased and remain longer in the individual due to multiple individual factors.Objective:To determine the osteomuscular symptoms and individual factors present in the workers of the winery of a textile industry company in Barranquilla in the period from February to December, 2017. Methodology:The method I used was deductive, with a population of 21 workers in 2017. Socio-demographic data (sex, age and time in office) and individual factors (BMI) were collected. Osteomuscular symptoms were evaluated by means of a survey of syphilis and individual factors.Results:It was observed that 47.6% of the population is overweight and the remaining 19% is in type 1 obesity. It is noted that 66.66% of the workers surveyed have problems with their weight. The study population identified that the prevailing ages are 85.7% represented by adult age, older than 26 years and 14.3% are younger than 26 years.Conclusions:From the aforementioned and evidenced previously written it was found that the frequency of symptoms is low and the answer prevails almost never or never. Specific symptoms such as headache, neck, left wrist, abdomen, lumbar and right leg are the most variable in their frequency. In general, workers report that they lead a healthy lifestyle, do not smoke, or consume alcoholic beverages, sleep more than 6 hours a day, and do not have a history of cancer. It was observed in particular that 57.14% consume coffee daily, while 42.86% do not consume coffee. 19.05% manifest sedentary lifestyle habits
Subject(s)
Humans , Animal Proteins, Dietary , Therapeutics , Medical ExaminationABSTRACT
AbstractIntroduction: This paper aims to develop a data warehouse (AD-SISCOLO) in order to support the management of the cervical cancer screening program in the municipality of Rio de Janeiro/Brazil. As a part of the management process, the program managers of the municipality perform tedious manual work in order to calculate a series of performance indicators and then take decisions based on them. Methods AD-SISCOLO was implemented using the Pentaho BI Suite Business Intelligence Platform and the MySQL database management system. The indicators to be calculated and visualized in the tool were based on the municipal data of the cytopathology and histopathology tests from January 2012 until December 2014, which was obtained from the Information System of Cervical Cancer (SISCOLO) after a record linkage process. The follow-up indicators were based on a simplified version of the Brazilian guidelines for the cervical cancer screening. Results AD-SISCOLO allows the visualization of a set of test-based and follow-up indicators from different views and dimensions, which enable managers to monitor all the phases of the screening process and to identify the process' failures. Conclusions Compared with the current available environments in Brazil, AD-SISCOLO is unique in its visualization of the follow-up indicators of groups of women, according to their test results and age. Thereby it provides presentation flexibility to suit the program manager's needs.
ABSTRACT
Object To explore a new management mode to increase the efficiency of medical consumables management while decrease the hospital cost. Methods The management mode involved in management theories and technologies as well as modern information system so that a set of medical consumables management flow was established.Results Whole-course traceability was implemented for the medical consumables from admittance to utilization, and medical consumables active management mode was constructed in the secondary warehouse.Conclusion The new management mode of medical consumables helps to improve the management level and competitiveness of the hospital.
ABSTRACT
Objective To reform the management mode for medical consumables.Methods The problems and countermeasures in medical consumables management were explored from the aspects of variety introduction,consumables naming,secondary warehouse management,charging management,qualification management,logistics delivery,supervision and professional level.Results Medical consumables management had to emphasize on demonstration management,warehouse management,information management,safety management and personnel management.Conclusion Standardization of medical consumables management can be promoted by optimizing the management methods and strengthening the quality control management strategy.
ABSTRACT
PURPOSE: The purpose of this study was to identify the relationship between work-related characteristics and job stressors and the factors influencing musculoskeletal symptoms of the warehouse employees. METHODS: The research was a cross-sectional, descriptive study. Data were collected from 319 warehouse employees who agreed to participate in the study by using self-report questionnaires. Data were analyzed using descriptive statistics, χ2-test, and logistic regression analysis (SPSS 18.0). RESULTS: The overall prevalence of musculoskeletal symptoms was 37.6%. The logistic regression analysis revealed a posture that renders fatigue or pain, repetitive work, and a higher total score of job stressors as the risk factors for musculoskeletal symptoms in many body parts. CONCLUSION: Employers should plan to educate employees who work in warehouses about the correct working posture to prevent musculoskeletal diseases, stop repetitive work, and manage job stressors.
Subject(s)
Fatigue , Human Body , Logistic Models , Musculoskeletal Diseases , Posture , Prevalence , Risk FactorsABSTRACT
BACKGROUND: The increasing use of electronic medical record (EMR) systems for documenting clinical medical data has led to EMR data being increasingly accessed for clinical trials. In this study, a database of patients who were prescribed statins for the first time was developed using EMR data. A clinical data mart (CDM) was developed for cohort study researchers. METHODS: Seoul St. Mary's Hospital implemented a clinical data warehouse (CDW) of data for ~2.8 million patients, 47 million prescription events, and laboratory results for 150 million cases. We developed a research database from a subset of the data on the basis of a study protocol. Data for patients who were prescribed a statin for the first time (between the period from January 1, 2009 to December 31, 2015), including personal data, laboratory data, diagnoses, and medications, were extracted. RESULTS: We extracted initial clinical data of statin from a CDW that was established to support clinical studies; the data was refined through a data quality management process. Data for 21,368 patients who were prescribed statins for the first time were extracted. We extracted data every 3 months for a period of 1 year. A total of 17 different statins were extracted. It was found that statins were first prescribed by the endocrinology department in most cases (69%, 14,865/21,368). CONCLUSION: Study researchers can use our CDM for statins. Our EMR data for statins is useful for investigating the effectiveness of treatments and exploring new information on statins. Using EMR is advantageous for compiling an adequate study cohort in a short period.
Subject(s)
Humans , Cohort Studies , Data Accuracy , Diagnosis , Electronic Health Records , Endocrinology , Hydroxymethylglutaryl-CoA Reductase Inhibitors , Oxidoreductases , Prescriptions , SeoulABSTRACT
Objective To investigate whether there is Blomia tropicalis breeding in the flour warehouse of food factory in a civil aviation airport,and,if there is,to observe the morphological structure of the mite. Methods The flour samples were col-lected from the flour warehouse of food factory in a civil aviation airport. The breeding mites were isolated from the samples by di-rect microscopy and made into specimens to observe with a light microscope. Results Female Blomia tropicalis was found in the collected flour samples. Under the microscope,the mite was nearly spherical,and it had no tergum and claw. Its apodemeⅠwas developed and connected in the midline. The reproductive hole was located between the foot Ⅲand IV level and was cov-ered with a pair of oblique genital folds. The footⅢandⅣhad no solenoids. The copulatory pouch was a long,slightly curved tube,extending from the end of the mite. Conclusions Blomia tropicalis has been found in the flour warehouse of a food factory in the civil aviation airport. The main distinguishing feature of this mite is that it has no tergum,its feet have no pectinate inferi-or tarsus scales or claw,the feetⅠgenu has only one solenidia,and feetⅢandⅣhave no solenidias.
ABSTRACT
Objective:To discuss the use and management of medical material in hospital in order to resolve the key problem during medical material was used in department of device management.Methods: Using the modern logistics management idea to overall upgrade the original system. And to reconstruct the hospital integrated operations management platform included all aspects, such as design ideas, technical architecture, software function and so on, from whole management requirement point.Results: This platform could provide the improvement solution of traceability management for medical material in hospital, and increase the efficiency and transparency of management, and improve the whole management level in hospital.Conclusion: The introduced integrated operations management platform has standardized high-value materials management, met the fine management and cost requirements, and greatly improved the management level of medical materials.
ABSTRACT
Objective To reform the management mode for medical consumables.Methods The problems and countermeasures in medical consumables management were explored from the aspects of variety introduction,consumables naming,secondary warehouse management,charging management,qualification management,logistics delivery,supervision and professional level.Results Medical consumables management had to emphasize on demonstration management,warehouse management,information management,safety management and personnel management.Conclusion Standardization of medical consumables management can be promoted by optimizing the management methods and strengthening the quality control management strategy.
ABSTRACT
The paper analyzes the deficiencies of the traditional Hospital Information System (HIS),establishes the hospital data mining and analysis platform,introduces the platform architecture,builds the data mining models themed by analysis of hospital leaders,supervision and management of antibacterial drugs,analysis of hospital quality,analysis of single disease,expenditure control by medical insurance,etc.,and puts forward the smart solutions to improve the service tevel of hospitals on the basis of above.
ABSTRACT
Objecive To explore modern management and optimization of hospital warehouse slotting with some class A tertiary hospital taken as an example.Methods EIQ_ABC classification method,multi-objective assignment model and genetic algorithm were used to analyze and simulate the data of 126 kinds of medical devices for 20 orders.Results The medical devices were divided into nine categories of Ⅰ A,Ⅰ B,Ⅰ C,Ⅱ] A,Ⅱ B,Ⅱ C,Ⅲ A,Ⅲ B and Ⅲ C.It's suggested that emphasized management and precision slotting storage were carried out for A categories of devices,dedicated storage for B categories and random storage for C categories.At the same time,the layout of the warehouse was optimized according to the importance of the goods so that the important goods were placed near the passageway.Slotting analog simulation diagram was obtained based on multi-objective assignment model of Ⅲ A category medical device.Conclusion Classified management and allocation as well as slotting optimization of medical devices contribute to improving hospital modern management in efficiency,cost and error rate.
ABSTRACT
OBJECTIVE:To improve the automation of hospital pharmaceutical warehouse management by using Visual Basic for Applications (VBA) language so as to improve work efficiency. METHODS:Through editing VBA language of Microsoft of-fice software,the experience of our hospital was swmmarized,such as letting the computer automatically sort,split and encrypt, pharmaceutical email and track purehase plan. RESULTS & CONCLUSIONS:By adopting VBA programming,our hospital has re-alized automatic splitting of the pharmaceutical purchase plan,sending pharmaceutical shortage warning and automatic warning doc-ument management. Pharmaceutical purchase plans are sent faster and drug distribution to our hospital is becoming more timely. The management of document that have a period of validity is becoming more intelligent. Massive manpower and resoure are saved,and the work efficiency is greatly improved. New ideas and methods for smart warehouse management are provided.
ABSTRACT
Objective To establish relevant management measures and guarantee the safety of clinical medication by analyzing the quality of warehouse entry inspection for Chinese decoction pieces.Methods According to the records of warehouse entry inspection for Chinese decoction pieces during January 2014 to December 2014, reasons for unqualified Chinese decoction pieces were collected and analyzed.Results Our hospital checked and accepted 2376 batches of Chinese decoction pieces, among which 98 batched were unqualified (4.12%); the reasons for unqualified Chinese decoction pieces mainly included improper storage, adulteration, and nonstandard preparation, which accounted for 48.97%, 19.39% and 18.37% respectively.Conclusion There are some problems in the Chinese decoction pieces in our hospital. Dispensary of TCM should enhance the management of check and acceptance of Chinese decoction pieces, and improve quality for check and acceptance and quality of Chinese decoction pieces.
ABSTRACT
AbstractIntroductionThis paper's aim is to develop a data warehouse from the integration of the files of three Brazilian health information systems concerned with the production of ambulatory and hospital procedures for cancer care, and cancer mortality. These systems do not have a unique patient identification, which makes their integration difficult even within a single system.MethodsData from the Brazilian Public Hospital Information System (SIH-SUS), the Oncology Module for the Outpatient Information System (APAC-ONCO) and the Mortality Information System (SIM) for the State of Rio de Janeiro, in the period from January 2000 to December 2004 were used. Each of the systems has the monthly data production compiled in dbase files (dbf). All the files pertaining to the same system were then read into a corresponding table in a MySQL Server 5.1. The SIH-SUS and APAC-ONCO tables were linked internally and with one another through record linkage methods. The APAC-ONCO table was linked to the SIM table. Afterwards a data warehouse was built using Pentaho and the MySQL database management system.ResultsThe sensitivities and specificities of the linkage processes were above 95% and close to 100% respectively. The data warehouse provided several analytical views that are accessed through the Pentaho Schema Workbench.ConclusionThis study presented a proposal for the integration of Brazilian Health Systems to support the building of data warehouses and provide information beyond those currently available with the individual systems.
ABSTRACT
In order to improve health management efficiency and decision-making level, regional health decision support system is constructed based on regional health information platform and business intelligence ideas.Technical plan, construction contents and ap-plication examples in health management are introduced in the paper.