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Objective:To explore the development, application and practical experience of investigator-initiated integrated clinical research information platform.Methods:The process of developing and constructing an integrated clinical research platform in a tertiary hospital in Beijing was introduced, the functions and advantages of the platform were described and displayed, and the main problems and risk points in the development and construction process were analyzed.Results:The integrated clinical research platform meets the management requirements of clinical research initiated by investigators, and the standardized management of the whole life cycle of the project can be realized through the platform, and the key issues of data security, information capture, sharing and interoperability need to be further explored in terms of platform docking.Conclusions:The integrated clinical research platform effectively improves the standardization, management quality and efficiency of investigator-initiated clinical research.
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The outpatient and emergency electronic medical record system is an important part of the hospital information system. By analyzing the current outpatient and emergency electronic medical record system in hospitals in China, this paper rounded up weaknesses in the development of the outpatient and emergency electronic medical record system in terms of management standards, support, technology bottleneck, data sharing and security. On such basis, the authors suggested to improve the policy standards, clarify the construction objectives, increase the support, optimize the system functions and strengthen the security management, which aimed at promoting the high-quality development of the construction of outpatient and emergency electronic medical record system in China′s hospitals.
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Resumen: El intercambio de información entre los aplicadores de intervenciones en salud mental es esencial para garantizar la efectividad de la implementación de programas. El objetivo fue examinar cómo influyen factores individuales y grupales en el intercambio de información entre los implementadores de un programa de intervención psicosocial dirigido a víctimas de la guerra en Colombia. Se desarrolló un diseño exploratorio transversal. Fueron entrevistados 18 psicólogos, 22 trabajadores sociales, 10 promotores comunitarios y una enfermera. Se empleó el índice E-i y la visualización de vínculos interclase e intraclase. No existe tendencia homofílica en el intercambio de información entre las tres categorías profesionales. El empoderamiento predice las nominaciones recibidas en la red de solicitud de información (β = 0,296, p < 0,006). Ser central en la red de preferencia es el principal predictor de la recepción de peticiones de información (β = 0,562, p < 0,0001). Los profesionales empoderados y aquellos que intercambian información sobre el proceso de implementación son considerados informantes clave que pueden mejorar la efectividad del programa.
Abstract: The exchange of information between appliers of mental health interventions is essential to guarantee effective program implementation. The study aimed to examine how individual and group factors influence the exchange of information among the implementers of a psychosocial intervention program targeted to victims of the war in Colombia. A cross-sectional exploratory design was developed. Interviews were held with 18 psychologists, 22 social workers, 10 community promoters, and a nurse. The study used the E-i index and the visualization of interclass and intraclass links. There is no homophilic tendency in the exchange of information among the three professional categories. Empowerment predicts the nominations received in the request for information network (β = 0.296, p < 0.006). To be central in the preference network is the principal predictor of receiving requests for information (β = 0.562, p < 0.0001). Empowered professionals and those who exchange information on the implementation process are considered key informants that can improve the program's effectiveness.
Resumo: A troca de informações entre os profissionais envolvidos nas intervenções de saúde mental é fundamental para garantir a efetividade da implementação de programas. O objetivo aqui era analisar a maneira como fatores individuais e de grupo influenciam a troca de informações entre os implementadores de um programa de intervenção psicossocial, dirigido a vítimas da guerra na Colômbia. Foi desenvolvido um desenho de estudo exploratório transversal. Foram entrevistados 18 psicólogos, 22 trabalhadores sociais, 10 agentes comunitários e uma enfermeira. Foram utilizados o índice E-i e a visualização de vínculos interclasse e intraclasse. Não existe tendência homofílica na troca de informações entre as três categorias profissionais. O empoderamento prevê as denominações recebidas na rede de solicitação de informação (β = 0,296, p < 0,006). Ser central na rede de preferência é o principal preditor da recepção de pedidos de informação (β = 0,562, p < 0,0001). Os profissionais empoderados e aqueles que trocam informações sobre o processo de implementação são considerados informantes chaves que podem melhorar a efetividade do programa.
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Humanos , Salud Mental , Brasil , Estudios Transversales , ColombiaRESUMEN
Novel coronavirus pneumonia, which has emerged in Wuhan since the end of 2019, has posed a huge challenge for medical institutions in the city. Rapid completion of a number of cabin hospitals plays a vital role in preventing further spreading of the epidemic, by means of collecting and treating mild patients of the disease. This paper presents the key process of Tongji Hospital in its rapid informatization since it took over a cabin hospital. Based on the network architecture of the Tongji cloud platform, the shared service center is used to share data and integrate services between the cabin hospital and Tongji hospital. This practice can prevent cross-infection and improve service efficiency as well, hence offering a reference for future information infrastructure development of cabin hospitals.
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Objective: To construct medical consumables management system based on internet cloud platform so as to eliminate the obstacles of information connectivity between the internal system and external supplier in the management of medical consumables and solve the problems of passive management and low efficiency in consumables management. Methods: Through introduced the internet cloud platform to link the internal system of hospitals and the external suppliers. The supplier, product managements and consumables purchasing were completed through the qualification platform and procurement platform. Results: Under the part of internal system were reserved, the internet cloud platform has completed data interchange, and introduced the third party, and innovated the management mode, and established standardization system about the enterprise qualification and product information, optimized original service mode about supply and demand, and shortened the cycle of procurement and supply, and enhanced the efficiency. Conclusion: The internet cloud platform can complete the communication of the information about inside and outside consumables management of medical institution as lower cost, and ensured the accuracy and consistency of data, and provide data support for fine management with higher level includes information sharing, large data analysis and so on.
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By taking the People's Hospital of Hechi as an example,the paper analyzes the implementation situation and causes of difficulty in China's tiered medical service,introduces the way by which implementation of tiered diagnosis and treatment is promoted through "internet + medical".It points out that the mode is effective in promoting the smooth development of tiered diagnosis and treatment and enhancing medical efficiency of quality medical resources.
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Objective To establish an intelligent and integrated regional health service platform by process reengineering, multi business system collaboration,heterogeneous data exchange and applying big data analysis.Methods Interconnection, intercommunication and data sharing between related platforms were implemented with service-oriented architecture,internet technology, integrated medical resources in Nanjing as well as combined on-and off-line services. Results The regional health service platform based on big data sharing was implemented in Nanjing so that medical service process was optimized and the problems such as"three longs and one short"were solved.The idea and methods for constructing the platform were recognized by national 12320 center and duplicated by six provinces, and social benefits were gained. Conclusion It's feasible to establish the regional health service platform based on big data sharing, and whole-course and multi-way self health management is implemented.
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Objective To develop a clinical laboratory information system to execute information sharing.Methods The system realized information sharing between the third-party clinical laboratory facility and HIS with Oracle 10g database and Powerbuilder 9.0.Results The system implemented information sharing and informatized storing of the delivery specimen clinical laboratory results in the hospital.Conclusion The system fulfills seamless interface between the third-party clinical laboratory information system and HIS so as to provide the doctor and patient access to information and enhance the accuracy and timeliness of diagnosis.
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The paper analyzes the overall solution project building background of the palm intelligent hospital and its value for the hospital,patients and the society,introduces the system design scheme,network security,software security and other security building schemes,and indicates that this system can help improve the service level of the hospital,promote the efficiency of medical treatment and satisfaction ratio of patients.
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Objective To analyze the application status and problems of PACS so as to facilitate its future development.Methods The application of PACS in some hospital from June 2015 to May 2016was reviewed,and considerations were taken on the hospital conditions to explore the application status and problems of PACS in China.Results There were a number of problems found in Department of International Diagnosis and Treatment,including 13-a active time of image acquisition devices,6.8％ of the workstations and 14.2％ of the image acquisition devices having no interface with PACS,and 2.9％ of the images non-uploaded to PACS.Conclusion PACS in China has to emphasize on stability,high efficiency,safety and reliability to facilitate its future application to medicine,scientific research and teaching.
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Objective To analyze the application status and problems of PACS so as to facilitate its future development.Methods The application of PACS in some hospital from June 2015 to May 2016was reviewed,and considerations were taken on the hospital conditions to explore the application status and problems of PACS in China.Results There were a number of problems found in Department of International Diagnosis and Treatment,including 13-a active time of image acquisition devices,6.8％ of the workstations and 14.2％ of the image acquisition devices having no interface with PACS,and 2.9％ of the images non-uploaded to PACS.Conclusion PACS in China has to emphasize on stability,high efficiency,safety and reliability to facilitate its future application to medicine,scientific research and teaching.
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OBJECTIVE: To study the intellectual property provisions relating to drug regulation in the TPP agreement, analysize the interaction mechanism between drug regulation and intellectual property rights on the basis of information sharing, study the possible impact, and then discusses the references to China. METHODS: This article analysizes the TPP final text and relevant research literatures, study the interaction mechanism between drug regulation and intellectual property rights and the possible impact of, and then discuss the relevantlaw of China. RESULTS: The TPP agreement provides several intellectual property provisions relating to drug regulation, demanding the concordant relation between the registration of pharmaceutical and patent protection period, drug data protection and patent protection, which will establish the interaction mechanism based on information sharing. The intellectual property provisions relating to drug regulation are a summary of the experience of the TPP parties forming a coordinated and interactive mechanism between encouraging innovation and ensuring drug safety and an attempt to a wide range practice, which will have abroad impact on the biopharmaceutical industry. CONCLUSION: Refer to the relevant experience in TPP agreement, China can amend the Pharmaceutical Administration Law and the Patent Law in the process of revision by improving the information sharing mechanism to achieve a higher level of institutional interaction.
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The current medical information sharing in Hebei Province that was achieved by the action in concert of governments,industry associations,hospitals and users at different levels was analyzed based on the actor network theory. The problems in hospital information sharing were pointed out with measures put forward for improving hos-pital information sharing,such as perfecting law,regulations,and industrial standards.
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This study was aimed to analyze the application of non-pharmacotherapy in treating cervical radiculopathy (CR) in real-world,and to provide clinical reference for CR non-pharmacotherapy.The clinical real-world data of CR was extracted by using information sharing system of traditional Chinese medicine (TCM) and clinical research.Six hundred and twenty-eight inpatients and outpatients with CR were enrolled from December 2012 to July 2014 in the information system database of Wangjing Hospital.Basic characteristics of the non-pharmacotherapy groups were analyzed by statistical description method.The node degree and mutual information value were recorded for non-pharmacotherapy application of all patients by using liquorice software.Complex network diagrams were generated.The results showed that 47％ of CR patients received non-pharmacotherapy (294/628),including 67 males and 227 females.The average age of patients was 49 years old,and the prevalence of the disease was the highest from 45 to 65 years old.In all patients,the usage of manipulation and cervical traction was higher,and the combination of manipulation and acupuncture was the most.Within outpatients,the proportion of cervical traction was higher,and the combination of manipulation and acupuncture was the most frequently.Within inpatients,the proportion of manipulation and cervical traction was higher,and the combination of comprehensive physical therapy and exercise therapy was the most frequently.It was concluded that non-pharmacotherapy has been commonly used in clinical treatment of CR.Cervical traction and manipulation was the widest applications.The combination treatment was in wide application.Future studies should increase the sample size of CR patients from different regions,and enhance gradually the level of evidence of clinical research for non-pharmacotherapy treating CR.
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Through the clinical research information sharing system,this study was aimed to explore the law of Professor Shen Zhongyuan's treatment of hepatitis B liver cirrhosis,and to inherit academic thoughts of senior famous traditional Chinese medicine (TCM) doctors.The structured electronic medical record system was used.The information of Professor Shen Zhongyuan expert outpatient with hepatitis B cirrhosis was collected from September 2012 to September 2015.And then,the medical data were extracted and analyzed to find out the medication regularity of hepatitis B cirrhosis and the distribution rule of the taste tropism of herbal medicine in the treatment.The results showed that 388 cases of hepatitis B cirrhosis patients with a total of 127 kinds of herbal medicine.The cumulative using frequency of herbal medicine was 5595.The most commonly used 10 types of Chinese medicine were turmeric,citrus aurantium,cuttlefish bone,atractylodes,rhizoma coptidis,salvia miltiorrhiza,lobelia,artemisia capillaris,fructus trichosanthis,and chicken's gizzard-membrane.The taste of mostly used Chinese medicine is bitter and sweet,followed by acrid.The nature of Chinese medicine is cold,slightly cold,warm and even.The meridian tropism of Chinese medicine is mainly to the liver and spleen meridian.It was concluded that Professor Shen in treatment of hepatitis B cirrhosis drug laws was often to use heat-clearing and toxin-relieving,qi-reinforcing and spleen-invigorating medicine,liver-soothing and qi-regulating medicine,blood-activating and stasis-removing medicine.The nature of herbal medicine used is mostly cold,slightly cold,warm and even.It is based on the TCM syndrome differentiation and treatment thought of “regulating yin-yang to maintain the balance.” It showed the important principle of “toxin-removing,stasis-removing,liver-regulating and spleen-strengthening” by professor Shen.
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This paper was aimed to study traditional Chinese medicine (TCM) syndrome distribution characteristics of HIV infection in Xinjiang region based on the Clinical Medical Research Information Sharing System (CMRISS).CMRISS was used to establish a database (data were from 1151 hospital electronic medical records from May 2011 to March 2012).Oracle and ETL software were used in the data processing.Visualization analysis was used in the data mining.The results showed that syndrome distribution of HIV infection in Xinjiang region was concentrated in four categories with the blockade of dampness due to qi deficiency,deficiency of both qi and yin,yin deficiency of liver and kidney,and the stagnation of liver qi.The syndrome of blockade of dampness due to qi deficiency was relatively concentrated in the range of 20-30 years old,with the majority of female population.The proportion of sexually transmitted infection was more.The syndrome of deficiency of both qi and yin was relatively concentrated in the age range of 30-40 years old,with the majority of male population.The large proportion of infection was due to intravenous drug use.Among different TCM syndromes,Uyghur population occupied relatively large part.Stratified analysis on disease course due to the change of TCM syndrome according to 1 year,3 years and 5 years revealed the disease development rule from excess syndrome,deficiency combined with excess,to deficiency syndrome.It was concluded that the application of CMRISS was able to process a large amount of clinical data.The data mining results can be used to guide clinical practice.It provided a better platform for the scientific research of TCM clinical practice.
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This paper introduced the design ideas and general information of Shanghai in building theHospital-Link Project.Thanks to innovative information technology and service model,it achieved real-time connectivity and clinical information sharing between the 38 municipal hospitals,which enables the general reform of such hospitals citywide.
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Based on clinical research and information-sharing system, this article was aimed to study both the syndrome distribution and Chinese medicine composition of acute exacerbation of chronic obstructive pulmonary disease (AECOPD) in the COPD base of our hospital using the complex networks. The analysis was made on the common rules of syndrome distribution and features of key Chinese medicine compositions in the diagnosis and treatment of AECOPD. The clinical research and information-sharing system was used on the AECOPD data study (3000 hospital electronic medical records from August 2012 to January 2015). Data was processed by ETL software. The database was constructed. And the complex networks were used in the data mining. The results showed that the distribution of AECOPD common syndromes was heat-phlegm obstructing lung of 41.94%, phlegm-turbid obstructing lung of 22.97%, phlegm-damp obstructing lung of 10.30%,qi-yin deficiency of 6.31%, phlegm-stasis obstructing lung of 5.72%, lung-kidneyqi-deficiency of 4.01%, lung-spleenqi-deficiency of 1.15%, and phlegm obstructing orifices of 1.15%. Chinese medicine compositions were obviously divided into two large groups, which were the core Chinese medicine group and the associated Chinese medicine group. The research results illustrated that the clinical research and information-sharing system had good analysis and classification effects, which not only analyzing the medication laws of senior Chinese medicine experts and single disease treatment by a hospital, but also using in the large data analysis (data collection of single or multiple diseases on Chinese medicine clinical research nationally). It provided a good scientific research platform for Chinese medicine.
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BACKGROUND: Blood supply circumstances in Korea have changed in recent decades because of blood supplier diversification and restructuring of hospital blood donation centers. The purpose of this study is to understand the current status of hospital blood donation centers and their satisfaction levels with the Korean Red Cross Blood Center (KRCBC) and compare with the previous results for sustainable development of the blood supply system. METHODS: During one month in November 2014, we conducted a questionnaire survey through e-mail in 64 hospital blood donation centers which are approved by government. The response rate was 97% (62/64 hospitals). Responses from 62 hospitals were analyzed. RESULTS: The number of hospital blood donation centers were reduced by half from 129 in 2004 to 64 in 2014. There was no blood donation center in hospitals less than 400 beds, except 2 hospitals; 23 hospital (37.1%) blood banks collected no blood components. More than 80% of hospitals were satisfied with the KRCBC service such as donor record lookup and nucleic acid amplification Test (NAT) results lookup. Hospitals with more than 1,000 beds replied that they would not take account of transferring the collection services to KRCBC because of the directed and autologous donation and unexpected emergency blood transfusion. CONCLUSION: The government should be the subject of national blood policy and establish a committee or agency for its comprehensive and consistent execution through close cooperation with the KRCBC and hospitals.
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Humanos , Bancos de Sangre , Donantes de Sangre , Transfusión Sanguínea , Recursos Naturales , Correo Electrónico , Urgencias Médicas , Corea (Geográfico) , Técnicas de Amplificación de Ácido Nucleico , Cruz Roja , Donantes de TejidosRESUMEN
The connotation and position of learning and examination resources center in library were elaborated. How to perfect the service system for readers was proposed by introducing the IC ideas and model into library con-struction.The characteristic, cooperative, sharing and developmental principles were pointed out, which should be followed in construction of the learning and examination resources center.The new model for learning together and innovative service should be established by integrating the characteristic databases ,constructing communication plat-forms,strengthening librarian literacy,and bringing the functions of library resources,spaces and manpower into full play.