Evaluation of the effect of the traditional ward wisdom upgrade based on the Internet of Things platform / 中国实用护理杂志

Objective:To upgrade the wisdom of traditional wards through the internet of things platform to achieve intelligent and refined management of wards, and to evaluate the effect of the upgrade.Methods:In June 2020, the convenience sampling method was used to selecte two wards of the cardiology department of Shandong First Medical University as the pilot units of the affiliated provincial Hospital to implement the intelligent ward management mode. Based on the principle of easy transformation, easy construction and easy maintenance, on the basis of realizing the full coverage of the internet of things, the hardware and software system were connected to complete the intelligent upgrade of the traditional ward, and the structured observation and semi-structured interview methods were adopted to evaluate the upgraded work efficiency and the use experience of patients.Results:The time spent on vital sign collection and recording, nursing risk assessment and time spent, and signage production and hanging were (4.24 ± 0.87), (4.07 ± 0.86) and 0 min respectively, which were effectively reduced than those before the upgrade (6.50 ± 2.95), (4.73 ± 1.62) and (1.13 ± 0.43) min, with statistically significant differences ( t=8.04, 3.99, 28.96, all P<0.01). The results of semi-structured interviews showed that patients perceived the smart ward as intelligent, saving manpower and waiting time; simple to operate, improving the experience of healthcare workers and patients in using it; and untimely system updates. Conclusions:The wisdom upgrade of traditional wards can help refine patient management, improve work efficiency, and improve the experience of health care workers and patients in using them, which will be continuously improved in future development and can provide practical paths for reference for the wisdom upgrade of similar wards.

Establishing a modernized and integrated surveillance system for infectious diseases in a megacity with model transformation and innovation / 上海预防医学

The COVID-19 epidemic fully reflects the importance of surveillance and early warning of infectious diseases， and also puts forward higher requirements for us to further improve epidemic surveillance to achieve early detection， early identification， early reporting and early disposal of various pathogens. In this paper， we reviewed the development of the integrated surveillance system for infectious diseases in Shanghai in recent years， illustrated the approach of integrated surveillance based on syndromes and events， and initially summarized the key results of the integrated surveillance， expanding the scope of surveillance， improving sensitivity and enhancing the capacity of the system. Moreover， considering the requirements regarding the public health system， we provide some thoughts and suggestions on further expanding of the integrated surveillance， continuously strengthening the integration of public health surveillance with clinical diagnosis and treatment， laboratory capacity development， and public health information technology.

Suitability of Internet Medical Services of Hospitals from the Perspective of Suppliers / 中国医学科学院学报

Objective To investigate the suitable services of telemedicine at present and the future from the perspective of medical service supplier,clarify the challenges in the development of telemedicine services at present,and provide evidence-based suggestions for improving the quality of telemedicine services. Methods A questionnaire was developed through literature review for the survey of telemedicine services from the perspective of service providers.From January to June in 2020,electronic questionnaires were collected from volunteers.The data were collated and analyzed by Excel 2010 and SPSS 21.0. Results A total of 614 questionnaires were distributed,and 582 effective questionnaires were collected,which showed an effective rate of 94.79%.The participants of this study were mainly young healthcare workers,including doctors,nurses,technicians,and medical students.Among them,68.73% expressed concern to telemedicine services-related work,and more than 50% only had a basic understanding of the related work.The top five developable telemedicine/healthcare services were health management,online consultation,disease re-examination,disease screening,and difficult disease consultation,which were basically consistent with the services suitable for future development. Conclusions Healthcare workers have a high degree of recognition to the development of telemedicine services,while their understanding of the related technologies remains to be improved.The available telemedicine services focus on online consultation,difficult disease consultation,and disease re-examination,while the complicated medical services need to be improved.In the future,efforts should be made to continuously improve the information construction level and narrow the regional gap of medical services,so as to promote the continuous improvement and the coordinated development of medical services between regions.

Thoughts on Construction of Information System of Medical Device Variety Archives / 中国医疗器械杂志

OBJECTIVE@#Thinking on the construction of the medical device type archives information system.@*METHODS@#This paper introduces the concept and significance of medical device variety archives, and puts forward the overall construction idea and system framework of medical device variety archives by analyzing its construction difficulties.@*RESULTS@#Considering the long-term nature and complexity of the construction of medical device variety archives, the system can be constructed in accordance with the three steps of system building, platform building and data management, and the overall technical architecture can be designed from the eight aspects of user layer, business application layer, application support layer, data resource layer, infrastructure layer, security, standards and operation and maintenance management.@*CONCLUSIONS@#Architecture design is the foundation of system construction, and its design rationality is very important for the success of system construction. The architecture design proposed in this study has a certain reference role for promoting the construction of medical device variety archives management system.

Medical Consumable Management System Research under the New Situation / 中国医疗器械杂志

With the continuous improvement of the difficulty of surgery, we need to investigate and analyze the current situation, to understand the structure and related attributes of medical consumables. Rely on the information construction of medical consumables; Improve the supervision method and further improve the refined management effect; Establish multi-modal procurement management; Improve management methods; Maximize the benefits of transformation structure and study the trace management of medical consumables in the key areas of the hospital's full life process at the same time. Provide data decision-making services for hospitals through the early warning management of medical consumables based on clinical quality management, and use tools such as HB-HTA to further construct a reasonable evaluation system for medical consumables.

Pathway and Effect Evaluation of Information Management for Hospital Pharmacy / 中国药房

OBJECTIVE:To promote the realization of information management for hospital pharmacy. METHODS:The practice of pharmacy information management pathway in our hospital was introduced in respects of drug supply,rational drug use monitoring,pharmacy information dissemination,etc. The effects of information management were evaluated in respects of work efficiency,the rate of drug dispensing error and rational drug use index,etc. RESULTS:The information management pathway of our hospital included drug purchase,warehousing and keeping system,drug distribution management system,reasonable drug use monitoring information module,etc. It realized automatic generation and issue of purchase plan,acceptance bar code of drug warehousing,real-time drug stocking and location changing,drug guarantee delivery in advance,window drug delivery and check barcode scanning,drug distribution quality information management,whole process temperature and humidity monitoring, unreasonable prescription after the event,in the event,in advance,early warning of drug use,real-time monitoring of drug use and administration of drugs for chronic diseases,etc. After the implementation of information management,the time of drug warehousing invoice input and drug stocking were shortened.Among drug dispensing error,the percentage of type error decreased from 0.005 2% during Jun.-Dec. 2015 to 0.001 6% during Jan.-Jun. 2016;that of number error decreased from 0.006 9% to 0.001 6%;that of other error dropped to zero. During 2014-2016,the ratio of drug cost to treatment cost decreased gradually;those of inpatient were 26.62%,24.91%,24.36%,respectively;those of outpatient were 44.06%,42.10%,41.32%, respectively. Utilization rates of antibiotics in the inpatients decreased gradually,and were 44.82%,44.14%,43.91%, respectively. CONCLUSIONS:Information construction plays an important role on hospital pharmacy,can effectively improve work efficiency,reduces medication error and promotes rational drug use.

"""Internet+"" and information construction in grass-root medical and health institutions" / 中华医学图书情报杂志

After the information construction in grass-root medical and health institutions was considered according to the thinking of Internet+, the action plan for Internet+ in grass-root medical and health institutions was elaborated, and the target of Internet+ and information construction in grass-root medical and health institutions was defined, the information communication-oriented, use-oriented, and users-oriented strategies were put forward for the Internet+ and information construction in grass-root medical and health institutions.

Participation of social capital in health information construction: foreign experiences and domestic status quo and strategies / 中华医学图书情报杂志

After the connotation and necessity of social capital participating in health information construction were analyzed, the principal foreign experiences, and domestic status quo and problems of social capital participating in health information construction were described and the following development strategies were put forward for the par-ticipation of social capital in health information construction, namely the key points for the participation of social capital in health information construction, smooth and effective management mechanisms, standard management systems and information security management systems, comprehensive and practical assessment and monitoring sys-tems, encouragement of the participation of social capital in health information construction.

Participation of social capital in health information construction: foreign experiences and domestic status quo and strategies / 中华医学图书情报杂志

After the connotation and necessity of social capital participating in health information construction were analyzed, the principal foreign experiences, and domestic status quo and problems of social capital participating in health information construction were described and the following development strategies were put forward for the par-ticipation of social capital in health information construction, namely the key points for the participation of social capital in health information construction, smooth and effective management mechanisms, standard management systems and information security management systems, comprehensive and practical assessment and monitoring sys-tems, encouragement of the participation of social capital in health information construction.

ICU clinical information system management mode / 医学研究生学报

With the development of health care, the use of modern medical devices and the improvement of hospital manage-ment system, Intensive care unit( ICU) emerges.ICU is a treatment-nursing ward, which is a collection of modern medical care tech-nology.With ICU information constructive practice of Nanjing General Hospital of Nanjing Military Region as the background, this pa-per introduces the target base、functional requirements、business processes of the intensive care information system management mode of operation from the perspective of clinical application.Furthermore, this paper describes the realization of the function of the mode of operation with cases as evidence.

WIOD-based comparative study on foreign and domestic medical and health information construction / 中华医学图书情报杂志

The gap between foreign and domestic medical and health information construction levels was described and the major factors that influence the domestic medical and health information construction level were analyzed by analyzing the medical and health information construction levels in USA, Britain, Canada, Germany, Japan, Aus-tralia and China according to the input-output data in WIOD, with suggestions put forward for the improvement of domestic medical and health information construction.

Project management in hospital information construction / 中华医学图书情报杂志

Hospital information construction is a systematic project involving many sectors and specialties,it is thus quite necessary to implement project management in hospitalinformation construction. The problems in hospital in-formation construction were analyzed,the key points and common problems in its project management were presented, and the importance of scientific project management methods used in hospital information construction was pointed out.

Analyzing framework for inter-organizational network of medical and health organizations / 中华医学图书情报杂志

After the important role of interoperability in health information construction , organizational interopera-bility and inter-organizational network studies were analyzed , the analyzing framework for inter-organizational net-work of medical and health organizations and its relevant study directions were proposed from the aspects of its nodes, dyads and overall structure.

Teaching model of writing graduation thesis for undergraduates majoring information management and in-formation system in medical colleges and universities / 中华医学图书情报杂志

After a description of the demand for qualified health information professionals, the employment of graduates from department of information management and information system in medical colleges and universities, and the importance of writing graduation thesis, the problems in teaching how to write graduation thesis were analyzed with suggestions put forward for their solution. A new teaching model of writing graduation thesis was established according to the growth assessment theory.

Library information management / 中华医学图书情报杂志

Attention has not been paid to information management in library information construction .Library in-formation management is the management of information process, which is different from library information and li-brary management information.Library information management includes information strategy planning, information project organization and implementation, management innovation, and comprehensive information assessment.Li-brary information management needs the attention and participation of administrative officers, establishment of infor-mation management organization and scientific information management mechanisms .

Analysis of national health information management organization gateway and its enlightenments / 中华医学图书情报杂志

The Web portals of health information management organization gateway in USA, Canada and Australia were analyzed in aspects of their leading organizations , Web resources , types of user , relationship between users and resources in order to know their methods to organize resources and Website design , and certain suggestions were put forward for the Web portal construction of official gateway and related health information service institutions .

Grade review and the development of hospital information system / 中国医学装备

Objective:To adapt to the new review requirements of third level of first-class hospital, passed the hospital informationization evaluation successfully, to promote the continuous development of hospital informatization.Methods: Analysis standard from the section level and hospital level One by one, find out the gap, implement of rectification from the written materials, application of information system and the function point, server and network hardware.Results:The hospital pay high attention to and strongly support as well as the efforts of all staff of our department, through the review of hospital informationization disposable.Conclusion:The hospital informationization construction only carries on, there is no complete, must improve continually, make unremitting efforts to improve hospital management and service level.

Advances in Sichuan grass-root health information construction / 中华医学图书情报杂志

After a description of the basic contents of Sichuan grass-root health information, health information systems at county level or below, and their roles and features, the key points of Sichuan grass-root health informa-tion construction program, progress and problems in Sichuan grass-root health information construction were stressed in discussion , with certain measures put forward for the solution of such problems .

3521 project-based master design of regional health information construction framework / 中华医学图书情报杂志

The functional framework of information management system for regional medical and health institutions was established according to the 5 application systems (public health, medical service, medical support, drug supply support and general management ) and the target to develop 2 databases ( a resident electronic health records data-base and a resident electronic medical records database ) and an operational network put forward in the overall framework of health information construction during The National Twelfth-5 Year Plan Period, based on the functional position of health institutions at different levels.The difficulties to realize the target of the national 3521 project and its prospects were pointed out.

Development of Beijing Mother and Child Health Care Information System and its problems / 中华医学图书情报杂志

After a description of Beijing Mother and Child Health Care Information System and its characteristics , the needs of its users were analyzed, its problems were summarized, its functions were verified, and suggestions were proposed for its future development .