Complex network analysis of combination medication of patients with kidney malignant tumor based in real world / 中国中药杂志

Kidney malignant tumor is a type of primary renal cell carcinoma, and mainly refers to renal cancer. The incidence of kidney cancer and the number of hospital cases in China have been increasing. Based on the clinical medicine information of patients in the hospital information system(HIS) database of 37 hospitals in China, the combined medication of patients with kidney malignant tumor were analyzed by Tabu search algorithm, so as to analyze the combined medication of patients with kidney malignant tumor in real world. A total of 7 095 patients with kidney malignant tumor were included, the ratio of males to females was 2.11∶1, and the ratio of male patients increased gradually with age. About 3 933 patients(55.43%) showed a superior effect among those patients. The common therapies of patients with kidney malignant tumor were anti-tumor therapies and symptomatic therapies, including anti-infection, regulation of electrolyte balance, sedation and analgesia, analgesic, regulation of gastrointestinal function. The whole population of patients with kidney malignant tumor were mostly treated with anti-tumor drugs combined with more symptomatic therapies, while the anti-tumor therapies of the superiority population of patients were less combined with other drugs, with less combined medication. The result may be related to the stage of tumor or individual response to the therapeutic regimen. No matter for the whole population or for the superiority population of patients with kidney malignant tumor, the therapies was mainly Western medicines. Based on the pathogenesis of deficiency in origin and excess in superficiality with kidney malignant tumor, Chinese subgroups with formula for clearing heat and removing toxicity, formula for vigorate Qi and replenish the blood, formula for regulate Qi and invigorate the blood, laxative and hemostatic were more commonly used. In the future, further studies shall be conducted for combined therapies for patients of different stages, so as to play the advantages of multi-target, overall regulation, toxicity reduction and efficacy enhancement of traditional Chinese medicine, improve the life quality of patients with kidney malignant tumor, prolong their life time, and improve the survival rate of patients.

Analysis of clinical application characteristics and drug combination of Ciwujia Injection in 12 554 cases in real world / 中国中药杂志

To explore the real world clinical application characteristics and the drug combination regularity of Ciwujia Injection, 12 554 cases of patients with Ciwujia Injection were extracted from the information systems of 24 class Ⅲ grade A hospitals in China, and a standardized analysis was carried out. Most of the patients were middle-aged and old-aged, and the main departments were cardiovascular department(22.50%) and neurology department(17.92%). Before 2008, 93.77% of the patients were single overdose users, which reduced to only 2.07% after 2011. The course of treatment was mostly between 8-14 days(32.98%). The top three di-seases diagnosed by Western medicine were hypertension(11.78%), cerebral infarction(9.47%), and coronary heart disease(8.15%), and the most common traditional Chinese medicine syndrome was the deficiency of liver and kidney(18.59%). The most commonly used Western medicine was Acetylsalicylic Acid(51.07%), and the most commonly used traditional Chinese medicine was Danshen Injection(9.67%). The most commonly used Western medicine in combined application was calcium channel blocker(46.88%), and the most commonly used traditional Chinese medicine in combined application was stasis removing agent(93.21%). And the drug combination with the highest support was Isosorbide Mononitrate + Acetylsalicylic Acide, with a high recovery rate after discharge(96.81%). The results showed that Ciwujia Injection had certain regularity. It considered underlying concurrent diseases, anticoagulation and blood circulation, with a wide range of effects in strengthening the body and regulating the mind. The results could expand the understanding of Ciwujia Injection and provide a more detailed real world basis and reference for optimizing therapeutic regimen in clinic.

Clinical characteristics and combined medication of Suxiao Jiuxin Pills in 16 856 elderly patients in real world study / 中国中药杂志

From 2001 to 2015, medical data of 16 856 elderly patients aged 65 years and over who used Suxiao Jiuxin Pills in the information system of 37 tertiary A-level hospitals were collected. After standardized analysis, it was found that the average age of 16 856 elderly patients was 72.48 years, and the main admission departments were department of cardiology(19.30%) and geriatric department(9.77%). Generally, 61.96% of the degree of illness is average, and the average hospitalized days were 16.16 days; 47.97% of the patients were diagnosed as coronary heart disease by Western medicine, and 5.86% of the patients were diagnosed as Qi deficiency and blood stasis; The more common combination of Western medicine was isosorbide nitrate(61.15%), Aspirin Enteric Coated Tablets(50.77%) and Gansu(36.88%), the combination of traditional Chinese medicine is Compound Danshen Dropping Pills/Tablets(19.13%), Xuesaitong Capsules/Injection(15.01%), Shexiang Baoxin Pills(12.29%); the commonly used Western medicine is vasodilator(78.39%), Chinese medicine is Huoxue Huayu(82.04%), and the commonly used Western medicine is Aaspirin Enteric Coated Tablets+Isosorbide Nitrate. The author intends to explore the valuable clinical characteristics and the clues of the combined medication scheme, and find that the application of Suxiao Jiuxin Pills basically conforms to the instructions, conforms to the characteristics of the elderly with many common diseases and complicated concurrent diseases; the combination of drugs and the indications-coronary heart disease guidelines are consistent, with certain rules to follow, and expand the recognition of the clinical application of Suxiao Jiuxin Pills, and provide clinical diagnosis and treatment ideas.

Clinical characteristics of Yinhua Miyanling Pian users based on real world study / 中国中药杂志

Clinical characteristics of Yinhua Miyanling Pian user group were analyzed based on real world hospital information system (HIS)database. The information was collected from the HIS in sixteen hospitals of grade Ⅲ-A. Normalizing the data and descriptive analysis was performed. Among the 5 312 cases, female patients(63.67%) were more than male patients (36.33%). The median age was 49 years old. The age of 18-65 accounted for 74.52%.The patient was admitted to the hospital's department of obstetrics and gynecology(28.71%) and urology(28.43%). The median single dose is 2 g, accounted for 49.55%. The median daily dose is 6 g. 88.80% of patients were treated for less than 7 d. The median hospitalization were 12 d, most were 7-14 d accounted for 41.70%. Most hospitalization expenses payment by medicare, accounted for 80.22%. The median hospitalization expenses was 12 211.47 RMB. Most patients with benign tumor(27.36%) and malignant tumor(15.56%), next is the obstruction of urinary tract(15.49%) and urinary calculi(10.52%). The most common syndromes were damp heat syndrome(32.46%), liver and kidney deficiency syndrome(15.33%) and splenasthenic fluid-retention syndrome(15.01%). Clinical use is combined with antibiotics, as well as traditional Chinese medicine heat clearing agents, tonic drugs and so on. Finally, 44.22% were cured and 51.05% were better. Most of the drug users were adults, and mostly were female. Most with the tumor, urinary tract obstruction or stones. TCM syndrome is mainly characterized by dampness and heat, deficiency of liver and kidney, and dampness of spleen. In clinical practice, it was mainly combined with Western medicines, and Chinese medicines were also a-vailable. And most are combined with antibiotics.The medication basically conforms to the drug instruction. Based on the results of the real world HIS，Yinhua Miyanling Pian could provide theidea and reference for regulating the medication in adolescent patients.

Complex network analysis on Shenxiong glucose injection in combined use with Chinese and Western medicine for cerebral infarction in real world study / 中国中药杂志

In order to analyze Shenxiong glucose injection in combined use with other medicines for cerebral infarction in real world, the basic information, Chinese and western medicine diagnosis information, doctors'advice information, and laboratory checking information for the patients with Shenxiong glucose injection in treatment of cerebral infarction were extracted from the hospital information system (HIS) of sixteen 3A hospitals. Apriori Algorithm was used to establish models, and Clementine 12.0 was used for correlation analysis. Then complex network was established to analyze the combined drug use and visualize the results. A total of 635 patients were included in the study, among which 599 patients (94.33%) showed superior effect. Shenxiong glucose injection was often used with platelet suppressant drug, neuroprotective agent, lipid regulating agents, free radical scavenger, vitamins and Chinese medicine blood activating and stasis eliminating agent in the treatment of cerebral infarction. In the patients with superior effect, neuroprotective agent and free radical scavengers were also used based on the combined use with Aspirin, hypolipidemic drugs and blood activating and stasis removing agents, highlighting the rain protection strategies. Shenxiong glucose injection in combined use with Chinese and western medicines for cerebral infarction complied with the latest clinical practice guideline on the treatment of cerebral infarction, and the application of neuroprotective agent was propitious to improve the therapeutic effect.

Design and Application of Vocational Competency Assessment System / 医学信息学杂志

Based on the characteristics that most patients in Vocational Rehabilitation Department of Guangdong Provincial Work Injury Rehabilitation Hospital are patients with occupational injuries,the paper analyzes the hospitalized business process,concretely introduces the main functional modules,design framework,safety requirements,database design,etc.of the vocational competency assessment system.The application of this system provides references for rehabilitation doctors and vocational rehabilitation therapists to make training schemes,strengthens patient information management,improves working efficiency and service level.

Electrical Inter-department Consultation Based on Existing Electronic Medical Records System / 医学信息学杂志

Based on the existing Electronic Medical Records (EMR) system in Shanxi Dati Hospital,the paper analyzes the consultation process,and illustrates the inter-department consultation electronic process based on existing EMR system from the four roles of doctors in application department,nurses in application department,nurses in consultation department and doctors in consultation department,introduces the involved function modles concretely.

Development and Application of Whole Process Medical Insurance Informatization Management / 医学信息学杂志

The paper introduces the application technology of whole process medical insurance informatization management in the Third Hospital Affiliated to Sun Yat-sen University,including how to implement the medical insurance information into the whole treatment process in real time,construct the medical insurance database suitable for the hospital and interface technology of medical insurance settlement,so as to lay foundation to achieve disease diagnosis related groups.

Study on the Scheme for the Business Continuity of the Information System in Large Hospital / 医学信息学杂志

The paper analyzes the application scenarios of the information systems in large grade A class 3 hospitals by referring to domestic and overseas experience and standards,classifies and quantifies the demands for the business continuity of the Hospital Information System (HIS),and studies the technical schemes applicable for hospitals based on the core elements of the disaster recovery capability of the information system,including backup infrastructures,backup network,backup data processing system,data backup and protection,etc.

Existing Problems and Opimization Strategies for Information Management of Hospitals / 医学信息学杂志

The paper introduces the informatization development situation of hospitals,and puts forward corresponding optimization strategies from the perspective of management science through the analysis on the problems of non-unified standards,lacked strategic planning and shortage of professional talents in the current hospital information management,in order to make information management of hospitals more scientific and efficient.

Design and Application of Queuing & Calling System in Complex Environment of Specialized Hospitals / 医学信息学杂志

From the perspective of information technology,the paper designes and implementes the queuing & calling system in the complex environment of specialized hospitals according to actual circumstances and characteristics of out-patient and examination areas,and introduces the architecture,operating process,comparison of effects before and after the optimization,specific application of the system.After launched and used,the system can improve the order in various areas and enhance the satisfaction of both doctors and patients.

Issues on the automation and information of clinical laboratories / 中华医学科研管理杂志

This article describes the development,components and function of the laboratory automation system (LAS) and laboratory information system(LIS). And it also discusses the construction and application laboratory automation,and the operation of the automated laboratory information system.

Construction of a patient-centered hospital information management system / 基础医学与临床

Since hospital information management has been constructed and applied in many hospitals.In most case the running of the system has been focused on technology and equipment,this paper discussed some important issues on the service capability that system offers.The key issue is how to use the information management system with two functions i.e provide information supporting medical care and to help patients receiving the health care and medication.

Design and Analysis on Improving Reliability of Hospital Information System / 医疗卫生装备

Objective To discuss how to improve the stability,reliability and security of the core servers of hospital information system.Methods Flaws on security were analyzed objectively in hospital server system adopting 'PC server & local hardisk' scheme.New schemes were put forward including both hot standby scheme based on concentrated storage and full redundancy scheme based on'minicomputer & diskette array'.Results It is proved that the full redundancy scheme is reasonable in theory,and usable in practice.Conclusion The mode of'minicomputer & diskette array' can effectively enhance the stability,reliability and safety of core servers.

Project of Digital ICU System / 医疗卫生装备

Objective To develop ICU digital system for over-all monitoring and remote monitoring.Methods The programming and design was performed according to the principles of"taking patients as center,clinic as basis,utility as goal,service as aim".Results ICU digital system was composed of digital medical instruments and their clinical Gateway,intensive care information system,bedside integrated clinical information terminals,nurse workstation integrated clinical information terminals,serious patients visit system,little smart local communication system,consultation demonstration teaching system and personal digital assistant clinical information terminal system.Conclusion As one of the important symbols of modern hospital,the ICU digital system integrates the vital signs information of every patient in ICU and implement seamless connection with CIS,LIS,PACS,HIS.The construction of ICU digital system will accelerate the digital hospital's development.

Comparative study on Database Performance before and after Upgrading Database and Server / 医疗卫生装备

Objective To perform comparative study on database performance before and after upgrading hardware & software of database. Methods The comparison was carried out from the aspects of hardware expansibility, processing ability, system stability and database performance. Results The reasons for the change of performance and the change law were analyzed. Conclusion After upgrading, the system performance is enhanced greatly.

Factors Affecting Users' Satisfaction with Order Communicating System / 예방의학회지

OBJECTIVES: To identify the factors affecting users' satisfaction with the Order Communicating System(OCS) and to highlight the factors important for the successful establishment of OCS. METHODS: A Users Satisfaction survey was sent to 4,513 people, consisting of 1,503 doctors, 2,379 nurses, 255 pharmacists and 370 administrative workers in 16 hospitals which had introduced OCS. The response rate was 63.9%. Measurement of users' satisfaction was performed with the instrument which was used in Doll's study. Some aspects of Doll's instrument were adjusted according to the aims of this study. The classifying sections of this survey included age, job and status classification, computer experience , OCS education, duration of daily OCS use, type of order entering, number of personnel in the Hospital Information System's department, cost of OCS, problem frequency, proportion of work managed by hand, OCS type, and Hospital establishment type. RESULTS: There was a positive correlation between satisfaction level and managerial status throughout all job classifications. Irrespective of the importance of OCS education as a factor relating to users' satisfaction, the additional work load caused by OCS lowered users' satisfaction. Different factors affected users' satisfaction according to job and status classification. The composition of factors affecting the pharmacist and administrative worker satisfaction levels was simpler than that of the doctor and nurse levels. There were no statistically significant differences between the actual computer experience duration of daily OCS use and users' satisfaction with OCS. CONCLUSIONS: There was an understandable relationship between users' attitude to OCS and factors affecting users' satisfaction. The results of this study could be used as a basis for the successful expansion of the operation of OCS. But more detailed studies on users' satisfaction and further improvements of methodologies are required for the successful establishment of OCS.

A Study for the Quality Measurement Method of Medical Record Delivery Process by Using Statistical Process Control Technique / 대한의료정보학회지

This study was performed to find a more efficient analytic method for medical record delivery process between using data collected from HIS and using data collected manually. And how to apply the Statistical Process Control technique to the quality measurement of work process. The results were as follows: 1. The method of using data collected from Hospital Information System was more efficient ( 99.2% ) than using data collected manually in time consumption. 2. The amount of analyzed data collected from HIS was amount about 3 times (279%) of those collected manually. 3. The application of Statistical Process Control technique for evaluating medical record delivery process was very effective to identify the problems in delivery process We identified the possibility that this statistical analytic technique of using data collected from HIS could be adopted to evaluate other process of healthcare management.

Discussion on routine maintenance for HIS in General Hospital of P.D.S.Coal Group / 医疗卫生装备

This paper analyses the 9-year opeation experience and daily records of HIS in the General Hospital of Pingdingshan Coal Group.HIS plays an irreplaceable role in hospital operation management from hardware,software to management coordination.At the same time,this article also expounds the install ation process,the new features and the benefits of the new system.

Development and Application of Cost-Benefit Analysis of Medical Equipment on HIS / 医疗卫生装备

Objective In order to realize the real time collection of the data related to the usage of medical equipment, input of the running cost and the cost-benefit analysis, the software with the cost-benefit analysis of medical equipment is developed. Methods On the basis of No.1 Military Medical Project, the software was interlinked to the subsystem of it such as the pricing system, paying system and report system etc. Results The evaluation system of management of medical equipment was established based on the income of large-scale medical equipment and expendables, the running cost, the ratio of cost -benefit, the evaluation. Conclusion The scientific and standard management of medical equipment is accelerated with strengthening the information management of medical equipment.