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To further standardize the ethical review of life science and medical research involving humans， the National Health Commission， the Ministry of Education， the Ministry of Science and Technology， and the State Administration of Traditional Chinese Medicine jointly issued the Measures of the Ethical Review of Life Science and Medical Research Involving Humans in 2023. The provisions concerning research related to health information data within it include： emphasizing the protection of personal information and privacy rights， personal information can only be collected， stored， and used under the premise that research participants know and permit， and must not be disclosed to third-party without the authorization of research participants； the ethical committee should focus on reviewing the adequacy of confidentiality measures of personal information； for research that provides information and data or cooperation with external organizations， it is necessary to fully understand the research， conduct a full ethical review， and clarify the use， processing， and disposal after completion of information data through an agreement. The research institutions should improve the information data governance and supervision system in conjunction with the key points of information data management in the new regulations. The initial ethical review should focus on the risk-benefit ratio of the research， the reasonableness of the informed consent procedure， the feasibility of the opt-out procedure， the protection measures for the privacy of the research participants， and the data management capability of the research team. The knowledge training of researchers should be strengthened， policy advisory services should be provided for them， and even a unified information data management platform should be built for them from the overall level of research institutions. The ethical follow-up review emphasizes whether the researchers continue to protect the participant’s right to independent information or personal information， and privacy. It is believed that through a series of governance measures， the health information data of research participants in China will be better protected， thus safeguarding their legitimate rights and interests.
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Background: The vital use of data and information for successful policy-making, planning, monitoring of operations, and decision-making is essential to the administration of today’s health systems. Vital health choices typically rely on political expediency, donor pressure, and rarely replicated countrywide studies that are insensitive to changes unfolding over shorter timescales because data utilization has been constrained and is inadequate. Methods: A descriptive cross-sectional research study was conducted where quantitative technique was used for a minimum of 216 respondents. The results were presented in form of tables and charts. Results: The results show that access to routine data (p=0.0001), having a working computer (p=0.023), having access to the internet (p=0.030), having a high level of education (p=0.025), the gender of the health worker (p=0.010), the cadre (p=0.001), participating in data discussion forums (p=0.013), receiving training on data use (p=0.036), collecting data (p=0.041), analysing data (p=0.032), and data management (p=0.007) were substantially correlated with the use of health information data. Conclusions: The level of education, gender of the health worker, cadre, involvement in data discussion forums, training on data utilization, data collection, data analysis, data management, overall levels of competency, access to routine data, access to functional computer and access to internet significantly influenced the utilization of health information data.
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At the end of February 2023, the new Notice on the Issuance of Ethical Review Measures for Life Science and Medical Research Involving Humans was issued by the National Health Commission, the Ministry of Education, the Ministry of Science and Technology, and the State Administration of Traditional Chinese Medicine. It adheres to the basic principles and institutional framework of the Ethical Review Measures for Biomedical Research Involving Humans , and combines with the actual situation of domestic ethical work to optimize and improve the details and procedures of the review. Based on the Ethical Review Measures for Biomedical Research Involving Humans, the Ethical Review Measures for Life Science and Medical Research Involving Humans have expanded the scope of application of ethical review. Different experts in the field have discussed in detail the changes in the scope of review, and proposed review procedures that may need to be corresponding adjustments based on the changes for the readers’ reference.
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The use of digital means has made the public health emergency management more efficient and convenient. However, in the practice of managing public health emergencies, there are dilemmas in the protection of personal health information, such as the imperfect legal system, the weakened right of informed consent and control, the lack of reasonable norms in the collection and use of information, and the disclosure of personal health information. To solve the dilemma of personal health information protection, it is necessary to improve the corresponding legal mechanism, strengthen the classification of health information, standardize the behavior of health information collection and use, enhance the technical support of personal health information protection, build a system combining law and technology, and protect the security of personal health information.
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Background: Communication of patient information in a healthcare setting in previous years was based on documented information on paper records carried from one location to another. However, with the introduction of electronic health records (EHRs), communications are now conducted electronically via installed and connected computer systems that are networked together. Inadequate communication of patients' information can deter patients' health and threaten their lives, putting them in unnecessary danger. Objective: The objective of this study was to design a standard EHR template model of communication for tertiary hospital that can be used in communicating patients' information between various departments involved in the management of patients without carrying papers around or tossing Patients or their relatives up and down. Method: The research adopts soft system methodology (SSM) with communication concepts from knowledge management, combining observations with various practical information to make a conclusion based on past experiences through a process of inductive reasoning, a communication model was developed that can be used as a template for hospitals to upgrade/integrate paper-based patient information management to electronic based in a bid to enhance patient care and information management. Results: The developed communication template model has been designed to be adopted for use in a bid to manage patients' information electronically in all tertiary hospitals and other hospitals that may so desire its use. Conclusion: It is observed from this article that communication in hospitals through EHR template is user friendly, safe and possible within the hospital and to outside facilities for effective paperless management of patients.
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Sistemas de Información en SaludRESUMEN
OBJECTIVE:To establish a fast,accurate,programmed and automatic mode for the statistical analysis of drug in-formation data so as to achieve the compatibility and the switching among multiple forms and the sharing of data information. METHODS:Common Excel commands and functions as well as their use methods were introduced and analyzed combined with drug information statistics cases. RESULTS & CONCLUSIONS:By taking steps such as exporting raw data,designing drug infor-mation sheets and summarizing drug raw data with the pivot table,the data of the drugs purchased by the hospital in a manner of centralized bidding and national essential drugs purchased can be calculated on the basis of different periods of time to fast and accu-rately search for drug data,facilitate data induction and processing and shorten statistics cycle. The above-mentioned steps are well applicable,easy to master,efficient and fast,reliable in the check of results and data,and suitable for the statistics for hospital drug information and other fields.
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Objective To evaluate the effect of the optimized flowchart for collecting and inputting the vital signs data using the latest mobile nursing information system,intensive care information system and multiple life parameter monitor.Methods Daily average total time for collecting and inputting vital signs data was calculated by using the working hours measurement and the minimum estimation method.Then the matched-pairs design was used to select 100 patients at random from 4 wards,whose vital signs data were collected and input by the nurses of different working time.The time for collecting and inputting the data before optimizing the flowchart was compared to that after optimizing the flowchart.Results The time for collecting and inputting the data of vital signs before the use of optimized flowchart was significantly shorter than that after using the flowchart.The time was shortened by 24.4 h every day on average if the latest mobile nursing information system was used together with the intensive care information system and the time by 154.1 h if the latest mobile nursing information system was used together with the intensive care information system and multiple life parameter monitor.Conclusion The optimized flowchat for collecting and inputting the vital signs data may be effective in improving the work efficiency of nursing.
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OBJECTIVE: According to development of web service technology and mobile device supply, mobile web service becomes an essential element of ubiquitous healthcare. But there are many constraints for offering mobile web services on mobile devices. Hence, this paper propose optimal system supplying web services about medical information in wired /wireless network according to resources of device. METHODS: Proposed system consists of web server, database, desktop subscriber, mobile device and mobile context server. When a mobile device requires the web service, a mobile context server rewrites and offers the equivalent contents provided from web server to suit the requiring device's resource. Our proposed system services the same medical information after its recomposition as the network and devices of user. RESULTS: The medical staff may require patient information in wired/wireless environment, web server and mobile context server supports their correct judgment and expeditious response by servicing optimized data of the patient according to the requiring device. CONCLUSION: Proposed system designed the wired/wireless integrated medical information system using web service and mobile web service as the bases of ubiquitous healthcare system. Not only for web service in wired network, to provide the optimal web service in wireless network, we should know the limited resource of mobile devices and appropriately divide the web contents of wired network to fit the mobile device's screen. The future research needs dynamic division of screen according to extension of medical information data.