scholarly journals Knowledge and practice of health managers in using information technology in health system

2011 ◽  
Vol 1 (3) ◽  
pp. 149-153
Author(s):  
Suvada Švrakić ◽  
Amer Ovčina
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Health Care System ◽  
Care Center ◽  
Daily Work ◽  
Health Care Center ◽  
Clinical Center ◽  
Health Institutions ◽  
Knowledge And Practice ◽  
Care System

Introduction: Information systems today are an inevitable link in the health care system. Health care institutions and health workers in modern society, depend on information systems in everyday tasks of organizing institutions.The goals of the study were to determine the existence and application of information technology in the health care system and of the Clinical Center of Sarajevo University and, Primary Health Care Center of Sarajevo Canton, as well as to assess knowledge and practice of managers in nursing of the Organizational units of the University Clinical Center in Sarajevo and Primary Health Care Center of Sarajevo Canton.Method: The study is of a prospective type. It will use a questionnaire based on which we will be able to determine the knowledge and application in practice of managers in nursing of knowledge about information technology in the health care system. The study was conducted from June 1st – August 1st 2010.Results: It is expected that most health institutions in the Canton Sarajevo has no organized information network system. Most managers’ nurses use e-mail in order to quickly contact other colleagues and exchange experiences. A large number of nurse’s managers in health institutions use computer technology in their daily work in order to make medical reports.Conclusions: Health system and information technology are in close relationship, although still insufficiently applied in everyday work. Management of organizational units in health care in the future will not be able to successfully function without the use of information technology in their daily work.

scholarly journals Reflective Choice in Health Care: Using Information Technology to Present Allocation Options

1999 ◽  
Vol 25 (2-3) ◽  
pp. 387-402
Author(s):  
Arti K. Rai
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Health Care System ◽  
Medical Technology ◽  
Health Benefit ◽  
Cost Benefit ◽  
Alternative Funding ◽  
Health Care Interventions ◽  
The U.S ◽  
Care System

Over the last few decades, the U.S. health care system has been the beneficiary of tremendous growth in the power and sheer quantity of useful medical technology. As a consequence, our society has, for some time, had to make cost-benefit tradeoffs in health care. The alternative—funding all health care interventions that would produce some health benefit for some patient—is not feasible, because it would effectively consume all of our resources.

Monitoring adverse drug reactions across a nationwide health care system using information technology

2012 ◽  
Vol 69 (4) ◽  
pp. 321-328 ◽  
Author(s):  
Thomas Emmendorfer ◽  
Peter A. Glassman ◽  
Von Moore ◽  
Thomas C. Leadholm ◽  
Chester B. Good ◽  
...  
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Health Care System ◽  
Adverse Drug Reactions ◽  
Drug Reactions ◽  
Care System

scholarly journals Change Management in Medical Institutions: Implementation View

2021 ◽  
Vol 3 (2) ◽  
pp. 161-168
Author(s):  
Said Said Elshama ◽  
◽  
Keyword(s):  
Health Care ◽  
Medical School ◽  
Health Care System ◽  
Change Process ◽  
Resistance To Change ◽  
Daily Work ◽  
Efficient Management ◽  
Medical Institutions ◽  
Suitable Climate ◽  
Care System

Change is a learning process modeling the attitudes and values of the involved staff to adapt and show the change in daily work life. Leading the change in medical schools or in the health care system is considered one of the assignments of successful leadership that can achieve an effective organizational change under complex conditions. This review aims to show an implementation view about how to manage the change in medical institutions and how to overcome obstacles, and how to face the challenges. The resistance to change represents a major obstacle to the change process in any medical school or health care system. Thus, it should address this resistance by creating a suitable climate for carrying out the change based on a flexible strategy that may be translated into practical steps during the implementation. Moreover, the change should be institutionalized wherein new behaviors are persisting and generalizing in the medical school or the health care system as a result of the change application. In addition, the successful management of change in any medical school or system requires a well-functioning and efficient management system for achieving the intended results. Therefore, many benefits may be gained as a result of the success of a change process in any organization wherein it improves the effectiveness and efficiency of organizational and staff performance besides creating an opportunity for getting the best practices.

scholarly journals Outcomes of mechanically ventilated patients with COVID-19 associated respiratory failure

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242651
Author(s):  
Christopher S. King ◽  
Dhwani Sahjwani ◽  
A. Whitney Brown ◽  
Saad Feroz ◽  
Paula Cameron ◽  
...  
Keyword(s):  
Health Care ◽  
Mechanical Ventilation ◽  
Health System ◽  
Health Care System ◽  
Care Center ◽  
Invasive Mechanical Ventilation ◽  
Tertiary Care ◽  
Advanced Age ◽  
Record Review ◽  
Care System

Purpose The outcomes of patients requiring invasive mechanical ventilation for COVID-19 remain poorly defined. We sought to determine clinical characteristics and outcomes of patients with COVID-19 managed with invasive mechanical ventilation in an appropriately resourced US health care system. Methods Outcomes of COVID-19 infected patients requiring mechanical ventilation treated within the Inova Health System between March 5, 2020 and April 26, 2020 were evaluated through an electronic medical record review. Results 1023 COVID-19 positive patients were admitted to the Inova Health System during the study period. Of these, 164 (16.0%) were managed with invasive mechanical ventilation. All patients were followed to definitive disposition. 70/164 patients (42.7%) had died and 94/164 (57.3%) were still alive. Deceased patients were older (median age of 66 vs. 55, p <0.0001) and had a higher initial d-dimer (2.22 vs. 1.31, p = 0.005) and peak ferritin levels (2998 vs. 2077, p = 0.016) compared to survivors. 84.3% of patients over 70 years old died in the hospital. Conversely, 67.4% of patients age 70 or younger survived to hospital discharge. Younger age, non-Caucasian race and treatment at a tertiary care center were all associated with survivor status. Conclusion Mortality of patients with COVID-19 requiring invasive mechanical ventilation is high, with particularly daunting mortality seen in patients of advanced age, even in a well-resourced health care system. A substantial proportion of patients requiring invasive mechanical ventilation were not of advanced age, and this group had a reasonable chance for recovery.

Process Level Benefits of an Electronic Medical Records System

2011 ◽  
pp. 393-401
Author(s):  
Abirami Radhakrishnan ◽  
Dessa David ◽  
Jigish Zaveri
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Health Care System ◽  
Medical Errors ◽  
Technology Plan ◽  
Health Insurance Premiums ◽  
The U.S ◽  
Care System

The challenges faced by U.S. health care system are vividly explained in the U.S. Government’s health information technology plan, The U.S. health care system faces major challenges. Health care spending and health insurance premiums continue to rise at rates much higher than the rate of inflation. Despite spending over $1.6 trillion on health care, there are still serious concerns about preventable errors, uneven health care quality, and poor communication among doctors, hospitals, and many other health care providers involved in the care of any one person. The Institute of Medicine estimates that between 44,000 and 98,000 Americans die each year from medical errors. Many more die or have permanent disability because of inappropriate treatments, mistreatments, or missed treatments in ambulatory settings. It has been found that as much as $300 billion is spent each year on health care that does not improve patient outcomes – treatment that is unnecessary, inappropriate, inefficient, or ineffective. All these problems – high costs, uncertain value, medical errors, variable quality, administrative inefficiencies, and poor coordination – are closely connected to inadequate use of health care information technology. (U.S. Federal Government Health Information Technology Plan, 2004).

Exploring the Effect of mHealth Technologies on Communication and Information Sharing in a Pediatric Critical Care Unit

2013 ◽  
pp. 88-108 ◽  
Author(s):  
Victoria Aceti ◽  
Rocci Luppicini
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Information Sharing ◽  
Health Care System ◽  
Health Informatics ◽  
Daily Work ◽  
Care Services ◽  
Mitigating Factors ◽  
Care System

Communication and information sharing is an important aspect of healthcare information technology and mHealth management. A main requirement in the quality of patient care is the ability of all health care participants to communicate. Research illustrates that the complexity of communicating within the health care system hinders the quality of health care service delivery. Health informatics have been touted as a way to improve communication deficiencies, which has led to the exponential growth of health informatics integration. However, research still lags in understanding how health informatics affects patient care, health professional work routines, and the overall health care system. This study investigates the extent to which mHealth technologies influence communication information sharing patterns between interdisciplinary health care providers in the delivery of health care services. This study was conducted at Hamilton Health Sciences and through a sociotechnical approach, focuses on both the end user’s experiences with mHealth in daily work communication scenarios, and the extent to which mHealth use affects interdisciplinary communication. Results indicate that there are several mitigating factors which influence communication patterns using mHealth technologies, including: information sharing, mobility, ergonomic and system design.

Wybrane zagadnienia położnicze: stosowanie leczenia tokolitycznego po przedwczesnym przerwaniu błon płodowych oraz znaczenie oceny długości szyjki macicy w przezpochwowym badaniu ultrasonograficznym

2018 ◽  
Vol 21 (2) ◽  
Author(s):  
Grażyna Jarząbek-Bielecka ◽  
Paulina Wojtyła-Buciora ◽  
Magdalena Pisarska-Krawczyk ◽  
Witold Kędzia ◽  
Dawid Luwański ◽  
...  
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Transvaginal Ultrasound ◽  
Care Center ◽  
Family Doctor ◽  
Cervical Length ◽  
Daily Work ◽  
Health Care Center ◽  
The Family ◽  
Work Family

In our health care system, family doctor is the first physician that patients have contact with. Family medicine provides basic health care. In his daily work, family doctor independently consults both children and adults regardless of the reason of visit, if necessary, cooperating with consulting physicians working in outpatient specialist centers or referring patients for diagnosis and treatment in specialist centers (hospitals). This also applies to pregnant women. Two specific issues requiring consultation with gynecology clinics are discussed: tocolytic treatment after premature rupture of membranes and the importance of assessing cervical length in transvaginal ultrasound. When discussing obstetric problems from the family doctor’s perspective, the importance of education should be emphasized. The basis of prenatal education for pregnant women, including high-risk pregnant women, consists of an education plan developed by a midwife working in the Primary Health Care Center. The plan is an integral part of the patient’s medical record and includes both practical and theoretical preparation for childbirth, puerperium, breastfeeding and parenting (also in case of group services).

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