Digital Management of a Hysteroscopy Surgery Using Parts of the SNOMED Medical Model

Computer Methods and Programs in Biomedicine, 2004

In this paper a World Wide Web (WWW)-based medical system, called MI-TIS, is designed and developed for the management and processing of obstetrical, gynecological and radiological medical data. The system records all the necessary medical information in terms of patient data, examinations, and operations and provides the user-expert with advanced image processing tools for the manipulation, processing and storage of ultrasound and mammographic images. The system can be installed in a hospital's Local Area Network (LAN) where it can access picture archival and communication systems (PACS) servers (if available), or any other server within the radiology department, for image archiving and retrieval, based on the digital imaging and communication in medicine (DICOM) 3.0 protocol, over TCP/IP and also it is accessible to external physicians via the hospital's Internet connection. MITIS is composed as a set of independent WWW modules (ISAPI server extension dlls) and a Win32 application (COM+ server) for mammography image processing and evaluation.

PubMed, 1997

Recently the American College of Obstetricians and Gynecologists (ACOG) embarked on an effort to promote the development of nationally networked obstetrical records. The Laboratory of Computer Science (LCS) is collaborating with them to help achieve this goal through the development of a web-based prototype of an electronic medical record (EMR) which would allow the entry and display of typical clinical information for the obstetric patient. The process of porting a stand alone application to the web environment necessitated the development of a robust software scheme that could exploit the strengths of Web-based technologies and avoid some of the drawbacks inherent in a stateless environment.

Procedia Technology, 2014

The use of specific information systems is nowadays a great advantage in health care practice. Our work focuses on an Obstetric Information System named VCObsCare. This system is used by all health care professionals of the

Journal of Anesthesia, 2008

The anesthesia information management system (AIMS) will be part of the future of healthcare. An electronic medical records system or AIMS will provide clear and concise information and have the potential to integrate information across the entire hospital system, improve quality of care, reduce errors, decrease risks, and improve revenue capture. The practice of anesthesia requires a medical record system that can capture data in real time. In this article, we describe challenges that must be overcome to establish an effi cient electronic medical record system for anesthesiology.

Journal of the Royal Society of Medicine, 1997

A comprehensive patient information datafile of 320 topics has been developed, subserving the domains of medicine, surgery, gynaecology and paediatrics. The system was designed as loose-leaf sheets capable of being photocopied, as well as a computer-based datafile. In a four-practice study, 73% of consecutive general practice attenders could be issued with the relevant disorder or procedure information sheet. With a questionnaire return rate of 79%, 886 patients rated the three criteria of readability, understandability and usefulness of their leaflets as very or quite easy and very or quite useful in more than 94% of instances. This system could be a valuable adjunct to patient education in both general and hospital practice settings.

The Journal of the American Board of Family Practice / American Board of Family Practice

Despite the early excitement regarding the possible uses of computers in medical care in the 1980s, the computer has not had much effect on routine outpatient medicine except for billing and accounting. An emerging comprehensive ambulatory care computer system, The Medical Record (TMR), is used extensively in a large family practice, the Duke Family Medicine Center. TMR is the central system for accounting, appointments, billing, and reporting of laboratory results, radiographic findings, and medications. TMR also records problem lists and generates prompts to the clinicians for needed health maintenance, laboratory tests, and reminder letters. The most innovative function of TMR is the computerized obstetric patient record, which can be accessed from multiple sites. Cost savings compared with a manual system were found to be in excess of $7 per patient visit or approximately $500,000 per year for the Duke Family Medicine Center. A comprehensive computer system in a large family pra...

Journal for Nurses in Staff Development, 2012

This article discusses the implementation of a new electronic medical record (EMR) on workflow in vascular interventional radiology (VIR) and briefly discusses the preparation for launching EMR system, obstacles, advantages, and disadvantages based on an electronic survey of employees in the VIR unit at King Abdulaziz Medical City, Riyadh, Saudi Arabia. Launching the EMR system was preceded by 6-month period of a hospital-wide training introducing the new EMR system to all health care providers and associates. During this period, all hospital units were equipped with new computers, iPads, and special printers compatible with the new system. Integration of the radiology information system and new EMR was carefully conducted and monitored by the radiology team and new preprocedure and postprocedure order sets for every VIR procedure were uploaded to the system; these order sets helped in improving the quality of patient care and patient workflow in VIR. Intensive training of staff and "super users" was done in preparation for the actual launch of the system. On call clinical and information technology teams along with hotlines were available on the day of "Go Live" for troubleshooting.

2010

The Health Information Management Systems Society's (HIMSS) definition of EHRs is: "a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting. Included in this information are patient demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data, and radiology reports. The EHR automates and streamlines the clinician's workflow. The EHR has the ability to generate a complete record of a clinical patient encounter, as well as supporting other care-related activities directly or indirectly via interface-including evidence-based decision support, quality management, and outcomes reporting." It is important to note that an EHR is generated and maintained within an institution, such as a hospital, integrated delivery network, clinic, or physician office. An EHR is not a longitudinal record of all care provided to the patient in all venues over time. This paper presents a functional software development, specialized for obstetrics and gynecology practice in Bulgarian medical environment. The record design is subordinated to the Bulgarian and international medical laws for tracing the pregnancy period. It consists of three separated modules-medical history of the patient, administrative data, tracing the pregnancy in 3 trimesters with various tests and medical analyzes, different for each trimester. It allows multimedia history archive, heart rate records, 3D/4D video records, fetal morphology history, biochemical screening record, weekly echograph records and full laboratory history at simple screen. It performs telemedical functions through the possibility to connect from every point with Internet and to be accessible both-for patient and doctor. The EHR is unique for Bulgarian gynecology medical practice. It combines the validate paper version of pregnant patient record with separate medical exams that are performed from different specialists and genetic laboratories.

Nepal Journal of Obstetrics and Gynaecology

Aim: The aim of the study was to collect and digitalize data of patients who underwent fistula repair at Kathmandu Model Hospital. Once data were collected, a Tableau dashboard was built to visualize the collected data and to share key insights. Methods: Operation Fistula built a digital version of Kathmandu Model Hospital’s Surgery Log, using a mobile data collection tool (CommCare). Researchers were trained on the data collection tool and provided with an electronic tablet device which hosted the application. Kathmandu Model Hospital then proceeded to input patient records, meanwhile providing Operation Fistula with key feedback to continue improving this process. Results: The results of this process have been threefold: facilitation of data collection, creation of an accurate database and provision of clear insights with access to data visualization dashboards. Conclusions: This study has shown the benefits of digitizing historical patient records using Operation Fistula’s Global...

2020

Perioperative mortality rate (POMR) is a metric widely used to describe the quality of treatment in hospitals. Perioperative data, or data collected during surgery, can be used to calculate POMR and determine factors that lead to adverse surgical outcomes. Access to such data is essential for decreasing POMR and improving medical treatment. In low-and middleincome countries (LMICs), perioperative data is often manually recorded on paper flowsheets. While these flowsheets capture essential information, their non-digital format leads to difficulty in analysis of perioperative data, as aggregating data and observing trends is a time-consuming and tedious task. The goal of this project is to design a system to digitize the information contained in surgical flowsheets that have been in use for six years at the University Teaching Hospital of Kigali in Rwanda. To accomplish this goal, the research team has done the following: 1) Designed a wooden scanning structure, SARA (Scanning Apparatus for Remote Access), to capture flowsheet images in a standard format, 2) Developed a web application to upload images and securely transfer them to UVA for processing, 3) Developed image processing programs to digitize medication, blood pressure, heart rate and logistical data, and 4) Created a PostgreSQL database system to store the digitized flowsheet data. Additional testing and validation of this system is needed to evaluate the accuracy of each processing technique in the fully integrated system.