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Zemengue, J., and T. Mbila. "Current state and tendencies of developing library-information services in the Republic of Cameroon." Bibliosphere, no. 3 (September 30, 2017): 31–34. http://dx.doi.org/10.20913/1815-3186-2017-3-31-34.
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The article reflects the state of affairs in the field, which generalizes an operational experience of libraries in the Republic of Cameroon and foreign countries. The authors pay attention to the factors influencing the development of library-information services by proposing and suggesting solutions to develop this situation. The authors consider the library structure in the country, their various divisions and the personnel number using statistical tools; characterize the structure of library collections on their languages; examine in detail the most effective methods of serving users. The article managers the problems related to acquisition of libraries, stocks regulations and redistribution. The problem of insufficient training and retraining of library specialists in the library profession is brought up. Authors draw attention to unsatisfactory development of the material-technical base in Cameroon libraries, which is a consequence of the meager appropriations. The energy crisis in the country does not permit stable Internet connection. The necessity of creating portals and web-sites for libraries in the Republic of Cameroon was noted. Sufficient causes that have a direct impact on the quality of library information services for users are outlined. Authors propose a system for structuring the library system and indicate developing priorities of library-information services of the Republic of Cameroon. The article gives a comparative analysis of libraries’ activity in different countries. The authors conclude that there is no complete system of library-information servicing, flexible mechanisms and their interrelation. The country has no a single information space based on modern technology, reading rooms of major libraries fail to meet the growing demand for information services. Based on this study, the paper shows that there is need to create a unified platform for the Republic of Cameroon; identifies problems and different forms of developing the library-information service. The authors propose to pay more attention to modern remote non-stationary forms of library service delivery to the population as the most promising direction.
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Brady, W., G. Carr, J. Ilton, and K. Robbins. "Emergency medical services transfer of patient information to emergency department personnel." Annals of Emergency Medicine 44, no. 4 (2004): S64. http://dx.doi.org/10.1016/j.annemergmed.2004.07.212.
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Palkova, Karina. "MEDICAL PERSONNEL’S LEGAL AWARENESS AS THE KEY OF PRINCIPAL QUALITY OF WORK WITH MINOR PATIENTS." SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference 4 (May 25, 2018): 190–98. http://dx.doi.org/10.17770/sie2018vol1.3165.
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Nowadays increasing attention is paid to the issues of the relationships between minor patients and medical personnel. There are several problematical issues in relationships mentioned above and one of the most significant is the legal regulation awareness of people providing medical services. The aim of the study is to make evaluation of the legal knowledge of medical personnel who work with minor patients and find out the main problems medical personnel deal with in particular area. Material and methods: the first group consisting of 70 medical personnel completed the questionnaire about knowledge of legal regulations by medical personnel. As the result the participants possess the low level of knowledge in providing information to minor patients about their health status. Insufficient knowledge is resulting in low quality of legal perspective of provided services. And this fact puts medical personnel at risk of being liable for breaching the laws.
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PEMUNTA, NGAMBOUK VITALIS, and MATHIAS ALUBAFI FUBAH. "SOCIO-CULTURAL DETERMINANTS OF INFANT MALNUTRITION IN CAMEROON." Journal of Biosocial Science 47, no. 4 (2014): 423–48. http://dx.doi.org/10.1017/s0021932014000145.
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SummaryThis study seeks to explore and explain the socio-cultural factors responsible for the incidence of infant malnutrition in Cameroon with particular emphasis on northern Cameroon where it is most accentuated. It combines quantitative data drawn from the 1991, 1998, 2004 and 2011 Cameroon Demographic and Health Surveys, as well as a literature review of publications by the WHO and UNICEF. This is further complemented with qualitative data from various regions of Cameroon, partly from a national ethnographic study on the ethno-medical causes of infertility in Cameroon conducted between 1999 and 2000. Whereas socio-cultural factors related to child feeding and maternal health (breast-feeding, food taboos and representations of the colostrum as dangerous for infants) are widespread throughout Cameroon, poverty-related factors (lack of education for mothers, natural disaster, unprecedented influx of refugees, inaccessibility and inequity in the distribution of health care services) are pervasive in northern Cameroon. This conjunction of factors accounts for the higher incidence of infant malnutrition and mortality in northern Cameroon. The study suggests the need for women's empowerment and for health care personnel in transcultural situations to understand local cultural beliefs, practices and sentiments before initiating change efforts in infant feeding practices and maternal health. Biomedical services should be tailored to the social and cultural needs of the target population – particularly women – since beliefs and practices underpin therapeutic recourse. Whereas infant diarrhoea might be believed to be the result of sexual contact, in reality, it is caused by unhygienic conditions. Similarly, weaning foods aimed at transmitting ethnic identity might not meet a child's age-specific food needs and might instead give rise to malnutrition.
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Kuo, Nai Wen. "Healthcare Information System and Data Mining." Applied Mechanics and Materials 55-57 (May 2011): 561–66. http://dx.doi.org/10.4028/www.scientific.net/amm.55-57.561.
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This paper is to integrate information technology and medical-related technologies to develop a healthcare information system for comprehensive geriatric assessment. This system not only can process geriatric consultation services and ensure that all patient’s information are stored in standardized format , but also provide medical personnel for statistical analysis and processing purposes. This paper uses the Apriori algorithm of data mining for helping doctors to find out the relationship of geriatric syndrome. The systems of this paper can improve increase the timeliness and accuracy of patient care and administration information, increase service capacity, reduce personnel costs, and improve the quality of patient care in geriatric medicine. Furthermore, making the theories and applications of medical informatics will be more extensive and convenient for researcher and healthcare-related industry.
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Tagne Simo, Richard, Erika Myriam Baiguerel, Armel Hervé Nwabo Kamdje, et al. "Awareness of Breast Cancer Screening among the Medical and General Population of the North Region of Cameroon." International Journal of Breast Cancer 2021 (July 27, 2021): 1–7. http://dx.doi.org/10.1155/2021/6663195.
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Breast cancer has become a real public health problem in Cameroon, particularly in rural areas due to late diagnosis, resulting partly from the absence of national screening programs. This work is aimed at assessing breast cancer awareness in the North Region of Cameroon. Participants were selected in six health centers surrounding the rural area of Garoua, North Region, Cameroon, and administered a questionnaire aimed at assessing their awareness about breast cancer risk factors and screening. Out of the 475 women (including 37 medical personnel) interviewed, 45.5% attended at least secondary school; 91.3% were aware of the disease with the main sources of information from those around them (64.8%), media (46.5%), and health professionals in health facilities (42.7%). 23.3% had misconceptions and myth-based ideas on the origin of the disease. Ignorance was the main reason preventing the performance of breast self-examination, and the high cost prevents individuals from going for mammography. The highest awareness rate was observed in employed women with higher level of education. Our study highlights the need to raise awareness among the populations in North Region, Cameroon, about the risk factors and clinical signs of breast cancer and the importance of screening practice for early diagnosis of breast cancer.
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Kaspruk, Lyudmila Ilyinichna, and Elizaveta Vladislavovna Mitrofanova. "Socio-hygienic characteristics of regional middle-level medical personnel." Spravočnik vrača obŝej praktiki (Journal of Family Medicine), no. 4 (April 16, 2021): 44–49. http://dx.doi.org/10.33920/med-10-2104-06.
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The presented study sets out the results of an assessment of a sociological survey of middle-level medical personnel of the Orenburg Region in morphological connection with their quality of life. Information on the factors influencing the quality of medical care provided by medical personnel is provided. The assessment of the main indicators of the quality of life was carried out, revealing minor deviations of the lower limit of normal of the mean values on the SF-36 scales. The authors describe social stress factors affecting the social and hygienic «portrait» of middle-level medical professionals as recipients of medical services.
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Verulava, Tengiz, Revaz Jorbenadze, and Vakhtang Surguladze. "Patients’ informed consent to medical services in Georgia." Medico-Legal Journal 87, no. 4 (2019): 188–92. http://dx.doi.org/10.1177/0025817219853127.
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Informed consent requires that a patient understands the purpose, benefits and potential risks of a medical or surgical intervention and then agrees to it. It is important not only ethically and legally but for the effectiveness of care. Studies show that, in some cases, patients have no real information on the medical service to be provided so their informed consent is just a formality. This study aims to determine problems arising from a patient’s informed consent. As part of a cross-sectional study, surgical patients were interviewed using a semi-structured questionnaire. 34% of patients (n = 68) did not know what the surgical intervention was; 57% (n = 114) received sufficient information on their diagnosis and methods of treatment; however, 26% (n = 52) agreed with it only partially; 62% (n = 124) of patients knew they needed surgery; 66% (n = 132) were adequately informed on risks and benefits of alternative ways of treatment; 58% (n = 116) were informed of potential risks during surgery. The study demonstrated patients need to be better informed about different treatment options, consequences of treatment refusal. Doctors have to provide information to patients in a manner understandable to them. Medical personnel need to be educated as to what constitutes informed consent and the importance of adhering to such requirements.
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Auliasari, Karina, and Sukmadiningtyas. "Penerapan Pemodelan Spasial pada Sistem Informasi Geografis Tenaga Kesehatan Kabupaten Malang." MATICS 8, no. 1 (2016): 7. http://dx.doi.org/10.18860/mat.v8i1.3474.
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<p class="Abstract" style="text-align: justify;"><em>Abstract</em>—Geographic information systems can improve the health services to the community. This system able to provide spatial considerations in determining the type of health services and accessibility to public health facilities.The increase of health care needs, especially in Kabupaten Malang still has an unbalanced ratio between health-care facilities and service needs, so that the necessary to improve the facility and medical personnel. In this research is to developed a geographic information system that provide the visualization. The visualization of the mapping is visualization the distribution of medical personnel in Kabupaten Malang. The system generates mapping visualization that equipped with a comparative analysis of the number of medical personnel and the population of Kabupaten Malang. In this system also provides a potential data of health facilities in Kabupaten Malang. The system is also supported with data management to change facilities and medical personnel data. Results from the mapping showed that the health personnel, particularly physicians uneven. Nine of a total of thirty-three districts in Malang has a number of doctors that excessive when compared with the rest of the other districts are still lacking.</p>
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Venesoja, Anu, Maaret Castrén, Susanna Tella, and Veronica Lindström. "Patients’ perceptions of safety in emergency medical services: an interview study." BMJ Open 10, no. 10 (2020): e037488. http://dx.doi.org/10.1136/bmjopen-2020-037488.
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BackgroundResearch on patient safety in emergency medical services (EMS) has mainly focused on the organisation’s and/or the EMS personnel’s perspective. Little is known about how patients perceive safety in EMS. This study aims to describe the patients’ experiences of their sense of safety in EMS.MethodsA qualitative design with individual interviews of EMS patients (n=21) and an inductive qualitative content analysis were used.ResultsPatients’ experiences of EMS personnel’s ability or inability to show or use their medical, technical and driving skills affected the patients’ sense of safety. When they perceived a lack of professionalism and knowledge among EMS personnel, they felt unsafe. Patients highlighted equality in the encounter, the quality of the information given by EMS personnel and the opportunity to participate in their care as important factors creating a sense of safety during the EMS encounter. Altogether, patients’ perceptions of safety in EMS were connected to their confidence in the EMS personnel.ConclusionsOverall, patients felt safe during their EMS encounter, but the EMS personnel’s professional competence alone is not enough for them to feel safe. Lack of communication or professionalism may compromise their sense of safety. Further work is needed to explore how patients’ perceptions of safety can be used in improving safety in EMS.
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Zhang, Yongrui, and Jialin Gao. "Application of Wireless Network in Hospital Information Construction." MATEC Web of Conferences 227 (2018): 02001. http://dx.doi.org/10.1051/matecconf/201822702001.
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The rapid development and wide application of wireless network technology have brought unprecedented opportunities to the reform of medical and health services in China. Many hospitals in China have widely applied wireless network technology to informatization construction of hospitals, mainly including wireless room inspection, wireless infusion, wireless nursing, telemedicine, and warehouse management. This has the advantages of being flexible, convenient, effective, and reliable, which is conducive to the comprehensive integration of hospital data and information, reducing the work pressure of medical personnel, improving medical diagnosis and quality of care, and promoting the development of China’s medical and health services. Wireless networks have made outstanding contributions in controlling medical defects and improving economic efficiency while improving work efficiency and reducing costs. However, there are still certain security risks in wireless networks. Only the safe and rational use of wireless network technology can ensure the hospital’s information security.
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Kuo, Nai Wen. "Geriatric Care in Healthcare Information System." Advanced Materials Research 181-182 (January 2011): 151–55. http://dx.doi.org/10.4028/www.scientific.net/amr.181-182.151.
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This paper is to integrate information technology and medical-related technologies to develop a Healthcare Information System for geriatric care. This system not only can process geriatric consultation services, and ensure that all patient’s information are stored in standardized format , but also provide medical personnel for statistical analysis and processing purposes. Furthermore, this paper uses the Apriori algorithm of data mining for helping doctors to find out the relationship of geriatric syndrome. Moreover, by using the result of association rules, we found out five common aging diseases. Through this information system, we will be able to ameliorate the quality of medication and the efficiency of work in hospital.
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Alanazy, Ahmed, John Fraser, and Stuart Wark. "Provision of Emergency Medical Services in Rural and Urban Saudi Arabia: An overview of personnel experiences." Asia Pacific Journal of Health Management 16, no. 2 (2021): 148–57. http://dx.doi.org/10.24083/apjhm.v16i2.559.
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Objective: Pre-hospital emergency medical services (EMS) are a vital component of health management, however there are disparities in the provision of EMS between rural and urban locations. While rural people experience lower levels of pre-hospital care, there has been little examination of the reasons underpinning these differences through discussion with the providers of EMS, and particularly in countries other than the USA, UK and Australia. The purpose of this paper is to provide an overview of the lived experience of EMS personnel in Saudi Arabia regarding the key issues they face in their work practice. Design: This research focussed on frontline workers and middle-level station managers within the Saudi Arabian EMS system and adopted a hermeneutic phenomenology design to better understand the factors contributing to observed disparities between rural and urban areas in Riyadh region in Saudi Arabia. A semi-structured interview approach was used to collect data reflecting realistic experiences of EMS personnel in both urban and rural locations. Results: 20 interviews (10 each with rural and urban personnel) were done. Data analyses identified three primary thematic categories impacting EMS delivery: EMS Personnel Factors; Patient Factors; and, Organisational Factors. Underpinning each category were sub-themes, including Working Conditions, Stress, Education and training, and Resources, amongst others. Conclusions: The quality and efficiency of EMS services, in both rural and urban areas, was affected by a number of over-arching organizational factors. Implementing major policy shifts, such as recruitment of female EMS professionals, will be critical in addressing these challenges, but is acknowledged that this will take time. Quicker changes, such as improving the advanced training options for rural EMS staff, may help to remediate some of the issues. Public awareness campaigns may also be effective in addressing the identified misconceptions about the role of EMS in Saudi Arabia.
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Argyropoulos, Ioannis Th, Maria A. Samakouri, Dimitrios K. Balascas, Melpomeni Dalapascha, Dimitrios P. Pallas, and Miltos D. Livaditis. "Mental Health Problems of Army Personnel Seen in Medical Outpatient Clinics in Greece." International Journal of Psychiatry in Medicine 35, no. 3 (2005): 225–39. http://dx.doi.org/10.2190/b6xn-w4ct-ypv0-6jfe.
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Objective: The problem of the underdiagnosis and inadequate treatment of mental disorders in people who visit health services has been studied in Greece as well as in other countries. There is not, however, enough research data for military personnel. The purpose of the present study is to assess the psychiatric morbidity of military personnel referred to outpatient clinics for physical problems. Method: Two hundred twenty-two (222) males serving in the Army, aged 21.9 + 2.8 years, were examined when they visited the outpatient clinics of a General Military Hospital of a border area of Greece. They gave information concerning demographic data, completed the General Health Questionnaire (GHQ-28), and were assessed by the psychiatric interview M.I.N.I. (Mini International Neuropsychiatric Interview). Results: Eighty-two out of 222 individuals (36.9%) were classified as GHQ cases. Enlisted men and personnel with chronic physical disabilities were classified more often as cases than were professionals and physically able military men. Those referred for fractures had fewer psychiatric problems than those referred for other reasons. The most common diagnoses were anxiety disorders, major depressive episode, and alcohol abuse. Conclusions: A large number of military personnel present undiagnosed psychological problems despite attempts in the last few years by army services to develop mechanisms of timely diagnosis and treatment of psychiatric cases. Measures for the improvement of this situation are discussed.
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Borisov, Dmitry N., Vladimir V. Sevryukov, Gennady B. Eremin, and Denis N. Petryakhin. "Approaches to management and assessment of the health of military services using information technologies." Hygiene and sanitation 100, no. 8 (2021): 812–17. http://dx.doi.org/10.47470/0016-9900-2021-100-8-812-817.
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Introduction. At the present stage of developing domestic health care, active processes of informatization of the clinical diagnostic process are taking place. In most regions of the Russian Federation, various medical information systems are actively exploited in medical organizations, digital medical devices and devices are being introduced, which determines the relevance of the formation of a methodology for the use of information technologies in the health care system of military personnel. Materials and methods. The materials of literary sources, bibliographic databases, regulatory documents, research and development work data, materials of military-scientific support of military-medical information systems have been studied. The historical, literary and structural-logical approach, system analysis methods, comparison, composition, and decomposition were used. Results. This study proposes approaches to managing the health of servicemen and a system of its assessment using information technologies. Within the framework of the entire system of medical support for troops at the sectoral level, the ultimate goal of informatization is to construct a single information space for the medical service of the RF Armed Forces. It should be based on the use of unified personal electronic cards of military personnel, a single protected intradepartmental telecommunication network, and medical information systems for various purposes, depending on the level of a medical organization, unit or subdivision. In the informatization of the medical service, it is necessary to distinguish three primary levels, each of which develops its technologies and means of automation: personal (the level of an individual soldier); the level of medical organizations; the systemic level that determines the activities of the entire medical service. A personal electronic card of a serviceman should be used as an individual carrier of passport and medical information in military medical information systems. To decide on the medical and evacuation purpose of a particular patient at the admission and triage department of a medical company, it is necessary to ensure the formation of a protocol of medical and evacuation measures, which includes information from the electronic medical archive, vital activity sensors and medical care accounting systems. Conclusion. The capabilities of information technologies, vital activity sensors, electronic medical archives and communication channels should ensure the collection of relevant information about an individual patient for the needs of the treatment and diagnostic process, even when military medical organizations are deployed at the stages of medical evacuation. The integration of all information systems in the health care system of servicemen into a single information space must be carried out, taking into account the requirements of regional medical information systems and a unified state information system in the field of health.
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Armand, Kouotou, Ananfack Gaël, Ngowa Marcien, Ndjitoyap Wilson, Mendouga Reine, and Ndjitoyap Claude. "Telemedicine and COVID-19: Experience of Medical Doctors in Cameroon." American Journal of Health, Medicine and Nursing Practice 6, no. 1 (2021): 32–37. http://dx.doi.org/10.47672/ajhmn.666.
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Introduction : Since the beginning of Coronavirus disease2019 (COVID-19), hospitals and health centres have become sites of potential contamination and spread of the virus, and have had to reorganize their working environments to limit infections of patients and health care providers while continuing to render health services for those affected by other ailments. The purpose of the study was to conduct a descriptive study to assess the practice of telemedicine among Cameroonian medical doctors through an electronic survey.
 Methodology: This was a cross-sectional study conducted from May to June 2020 using an online data collection form designed on Google Forms. The questions dealt with socio-demographic data, the cancellation rate of appointments, the practice of teleconsultation, the frequency of telephone use, the means of teleconsultation used and the quality of the doctor-patient relationship. Participants comprised all physicians practicing in Cameroon using information and communication technologies
 Results: A total of 253 participants were included, 56.5% of which were women. Physicians from the ten regions of the country were represented. Twenty percent (20.2%) of physicians practiced teleconsultation, of which 3.2% continued teleconsultations while in quarantine. Seventy-five percent (75.4%) of physicians used multiple communication modalities at the same time; the most used modality in combination with others was the WhatsApp android application. Forty-six percent (41.6%) of participants judged that the doctor-patient relationship was poor during teleconsultations.
 Conclusion and recommendation: The practice of telemedicine is not widespread and is poorly framed in this setting. Regulatory authorities should put in place regulations and provide training to frame and ease access to the use of telemedicine
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Nurpelita Sari, D., and N. Aula Rumana. "Distribution of Medical Record Personnel on Medical Record and Health Information Services in the Health Centre in Serang City in 2016." KnE Life Sciences 4, no. 10 (2019): 240. http://dx.doi.org/10.18502/kls.v4i10.3792.
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Rawlins, Patrice, and Pat Stephens. "Medical-Educational Liaison: A Valuable Resource for Rural Educators." Rural Special Education Quarterly 11, no. 3 (1992): 43–47. http://dx.doi.org/10.1177/875687059201100307.
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The Medical-Educational Liaison provides a valuable resource to rural educators who, in working with special health needs children, often lack direct contact with the child's health care providers. This innovative program received three year funding from the State Department of Education. The staff is a Clinical Nurse Specialist who enhances the liaison role of the school nurse, parent and school personnel. The primary goal of the program is accurate and timely exchange of information between families, educators, and health care providers to facilitate provision of appropriate services to special needs children.
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MONTALVO NÚÑEZ, KATHERINE ALESSANDRA, MARISEL ROXANA VALENZUELA RAMOS, ALBERTO VALENZUELA MUÑOZ, RAFAEL DOUGLAS SCIPIÓN CASTRO, and PAUL ORESTES MENDOZA MURILLO. "Management and administration of dental health services." Llamkasun 2, no. 1 (2021): 97–104. http://dx.doi.org/10.47797/llamkasun.v2i1.34.
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Within medical informatics there’s dental informatics, which deals with the management of information, communication, and the application of new technologies in clinical practice and research. These computer systems involve the storage of information and will be in charge of organizing the work in the dental clinic.(Specified, 2009) Objective: The primary objective of this research work is to know the need to manage and administer dental health services through computer systems in the city of Chiclayo. Method: It is a cross-sectional, descriptive, observational, and prospective study. Which comprised conducting questionnaires to the owners of dental clinics, administrative personnel, dentists, and patients who attend the different dental clinics that are in the City of Chiclayo. Results: We verified that there were contrasting hypotheses. Conclusions: We conclude that there is a need to implement dental clinics with computer systems.
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Simamora, Ruth Damayanti Patricia, Made Sudarma Sudarma, and I. Made Arsa Suyadnya. "RANCANG BANGUN APLIKASI AMBULANCE ONLINE BERBASIS ANDROID." SINTECH (Science and Information Technology) Journal 3, no. 2 (2020): 118–29. http://dx.doi.org/10.31598/sintechjournal.v3i2.633.
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Ambulance is an emergency transportation used by hospitals, health centers, or related agencies that serves to help people who need medical help. Ambulance is supported with medical devices and medical personnel and is used to carry patients from certain locations to other locations. The majority of Indonesians did not know how to call an ambulance when they were in an emergency situation and needed medical personnel. This ignorance can be fatal and can even cause a person to lose life. Based on these problems, this research creates an Android-based Ambulance Online application that equipped with a Geographic Information Services (GIS) by utilizing the map feature that is integrated with the Google Maps API so that it can provide information of ambulance location, customer location and the route of the road between the two locations. This application is also integrated with the notification feature by utilizing FCM (Firebase Cloud Messaging) so that users can find out information and status order in real time. This Ambulance Online application is expected to result an application that can be used by the society as a customer to order an ambulance quickly and efficiently. This application can provide convenience in emergency response services so that it expected to be able to help people in need
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King, Brent R., Brian S. Zachariah, David C. Cone, and Peter Clark. "A Survey of Emergency Medical Services Systems on College and University Campuses." Prehospital and Disaster Medicine 11, no. 4 (1996): 265–69. http://dx.doi.org/10.1017/s1049023x00043107.
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AbstractIntroduction:Many colleges and universities appear to exist in relative isolation from community-based emergency medical services (EMS) systems. In response, some have developed their own EMS systems.Objective:To determine the extent of this phenomenon and to delineate the characteristics of these systems.Design/Methods:Questionnaires were mailed to 1,503 colleges/universities in the United States and Canada. The questionnaire asked whether the institution had an EMS system and included 19 questions about the characteristics of the system.Results:A total of 919 (61 %) responses were received. Of the institutions responding, 234 (25%) had an EMS system and 31 (3.4%) were considering starting a system. Characteristics of the systems were as follows: 1) Types of patients—the two most common call types were medical and trauma/surgical; 134 (57%) reported one-fourth of calls to be medical and 91 (39%) reported one-fourth of calls to be trauma/surgical. 2) Type of service—133 (57%) services transport patients; 195 (83%) respond only to the campus or other university property; the remainder also respond to the community; and 135 (58%) function all year. 3) Dispatch—178 (76%) are dispatched by the campus police, although most services are dispatched by several sources; 46 (20%) use 9-1-1. 4) Personnel—two systems (0.85%) exclusively employ paramedic; 141 systems (60%) have at least one emergency medical technician; the remainder use emergency care attendants and first-aid providers; 118 (50%) have medical directors, of these 76 (64 %) are student health physicians and 21 (18%) are community physicians. 5) Demographic Information—The majority of the campus-based EMS systems exist on small campuses in urban areas.Conclusions:A significant number of colleges/universities have EMS systems and one-half transport patients. However, the level of training of the personnel and medical direction may be below the standard for the EMS systems in the communities in which these campus-based systems exist.
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Pesennikova, E. V., O. V. Gridnev, and S. A. Korostelev. "Main legal risks in provision of commercial medical services by state medical institution." Research'n Practical Medicine Journal 5, no. 3 (2018): 149–55. http://dx.doi.org/10.17709/2409-2231-2018-5-3-16.
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Based on the analyses of normative-legislative documents related to medical activities in RF published between 1990 and 2017 the classification of medical facility legal risks has been formed. The usage of the classification enables building systematic approach for legal protection.The right for health protection is ensured also by providing paid medical services according to the Federal Act on Public Health Care. It doesn’t follow from Russian legislation that this right could be exercised only in private medical institutions, which makes public medical institutions legitimate participants of the process. However, in accordance with the Government Resolution No. 1006, there is range of restrictions for public medical institutions in case they provide paid medical services. For instance, they must justify charging by informing consumers about their rights guaranteed by the State guarantees program.The analysis of normative-legislative documents that ensure regulation of public medical services caused the classification of legal risks. The violation of the Consumer Protection Act and of the Civil Code (contractual risks) appeared to become the most common ones.There is no clear notion of “medical error”. That’s why it is almost impossible to make a distinction between patient irresponsibility, staff negligence or low doctor’s professionalism. This is the reason for patients’ rights as well as medical personnel responsibility to be regulated by the state.The analysis that is been made shows that risks and sanctions in the provision of Paid Medical Services by State institutions occur in cases of misconduct while providing Paid Medical Services. The most typical cases of misconduct while providing Paid Medical Services come when: medical services could be provided under the State guarantees program; failure to provide medical care occurs; violation of medical and contractual documents in the provision of Paid Medical Services takes place; violation of patient’s rights to receive complete and reliable information related to medical care takes place.
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Wesley, T. Lindsey, and C. Thomas Charles. "The Role of the Drug Information Center in Disaster and Emergency Preparedness." Hospital Pharmacy 47, no. 1 (2012): 31–36. http://dx.doi.org/10.1310/hpj4701-31.
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Purpose The objective of this article is to describe an innovative practice model that involves the drug information centers and drug information specialists in the Alabama Department of Public Health's (ADPH) response procedure to a terrorism event or natural disaster that requires mass dispensing of a pharmaceutical product. Summary A descriptive account is provided of a strategic partnership between the ADPH and the drug information centers located in the state of Alabama. These sites have been contracted to supply information services to patients during an event where a disaster response is required and adequate patient information regarding the disease state and drug product may be lacking. These sites are utilized on a rotating basis, with the ADPH obligated to provide infrastructure and access to the drug information specialists providing information and counseling over the telephone to patients. These services can be funded through federal and state agencies to support the equipment and personnel needed during a response. Conclusion Drug information centers in Alabama play a key role in the plan for providing reliable and unbiased information to patients during a disaster event where an ADPH response is needed.
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Jones, Jeffrey S., George Walker, and Jon R. Krohmer. "To Report or Not to Report: Emergency Services Response to Elder Abuse." Prehospital and Disaster Medicine 10, no. 2 (1995): 96–100. http://dx.doi.org/10.1017/s1049023x00041790.
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AbstractPurpose:Prehospital emergency medical services (EMS) personnel, as initial responders to calls for assistance, are in an ideal position to identify abused or neglected elderly. A survey of prehospital personnel in Michigan was conducted to determine the scope of this problem, levels of awareness, and willingness to report cases of elder abuse.Methods:The study population was a random sample of 500 prehospital personnel throughout one state. A blinded, self-administered survey was completed by emergency medical technicians (EMTs) and paramedics outlining their practice characteristics, prevalence of abuse in their community, and training available specific to elder abuse. Attitudes concerning the understanding and reporting of geriatric abuse were measured using a Likert-type scale.Results:A total of 156 surveys (31%) was completed; 68% of the respondents were paramedics. Respondents had an average of 8.7 years (range: 9 months-30 years) of prehospital emergency-care experience, and evaluated an average of 11 patients (range: 1–59) older than 65 years of age each week. Seventy-eight percent had seen a suspected case of elder abuse or negligence during their careers; 68% had seen a case during the past 12 months (mean: 2.3 cases/yr; range: 0–24 cases/yr). However, surveyed personnel reported only 27% of suspected cases to authorities last year (mean: 0.62 cases/yr). Reasons for not reporting included 1) unsure which authorities take reports; 2) unclear definitions; 3) unaware of mandatory reporting laws; and 4) lack of anonymity. Ninety-five percent of respondents stated that training related to elder abuse was not available through their EMS agency.Conclusion:Paramedics and EMTs lack complete understanding of their role in the identification and reporting of elder abuse. This information should be emphasized during EMS training and reinforced through continuing education.
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Puchner, Maximilian. "Planning and Principles of Operational Tactics for Major Medical Incidents." Journal of the World Association for Emergency and Disaster Medicine 1, no. 2 (1985): 114. http://dx.doi.org/10.1017/s1049023x00065146.
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Major disasters require extensive activity by the fire-fighting, technical and emergency services. Simultaneously, victims have to be rescued, fires have to be fought and other technical aspects of assistance have to be employed. Ill and injured patients have to be removed from danger, prepared for transport, and taken by ambulance, under the care of skilled personnel, to hospitals. The responsibility for these actions lies in West Germany in the hands of the Fire Brigades.The Alert. Emergency calls arriving at Fire Brigade communication centers or emergency service control centers are often inaccurate. It is necessary for professional emergency personnel to give detailed information from the incident site. This should include the nature and gravity of the damage, the number of injured and their severity, and the best possible access.Exploration of the Site. In major medical incidents it is highly important to gain a full overview of the scale of the danger and damage. Often incident sites with a great number of injured are difficult to reach and to survey.Searching for the Injured. It is a matter of high priority to search all over the site for injured persons and those suffering from shock. In large areas, which are difficult to survey, this must still remain a priority. Additional personnel may have to be called in.
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Al-turaiki, M. H. S., and L. A. Al-falahi. "Prosthetics and orthotics: A survey of centres in the Kingdom of Saudi Arabia." Prosthetics and Orthotics International 16, no. 1 (1992): 38–45. http://dx.doi.org/10.3109/03093649209164306.
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This paper reports the results of a survey carried out to evaluate existing prosthetic and orthotic facilities and programmes of education, training, and research and development in the Kingdom of Saudi Arabia. One hundred and twenty hospitals and medical rehabilitation centres were each circularised with a questionnaire requesting information that mainly concerned (i) types of prostheses/ orthoses, (ii) area of facility, (iii) personnel number and qualifications, and (iv) problems encountered and suggested solutions. The completed questionnaires revealed that in the final analysis of data there were only ten prosthetic/orthotic facilities. The survey provided useful data on the personnel, equipment, and facilities available in each hospital or medical rehabilitation centre, together with details of the services to prospective referring clinicians. Two centres were found to provide high quality services by qualified personnel. There were no formal prosthetic/orthotic training programmes and there was only one prosthetic/orthotic research and development centre. The respondents generally felt that there were three major problems: (i) lack of qualified personnel, (ii) lack of materials and components, and (iii) lack of continuing education and training programmes. It is hoped that presentation of these results will provide facts for both health-care providers and educators which may be used as a basis for development in this important area of healthcare.
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Putri, Farica Perdana, and Florentina Kurniasari. "Sistem Informasi Layanan Puskesmas Berbasis Web." Ultimatics : Jurnal Teknik Informatika 11, no. 2 (2020): 89–93. http://dx.doi.org/10.31937/ti.v11i2.1457.
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Puskesmas must always improve their quality so that the services provided are faster and more effective. One of the efforts in improving the quality is the construction of information systems regarding types of services, programs, operating hours, and availability of inpatient rooms. Puskesmas Keranggan is one of the Puskesmas where the use of inpatient rooms is still done manually, without a system, so that medical personnel in different health services find it difficult to know the exact number of rooms that are still available. Therefore, Puskesmas Keranggan built a web-based information system that can be accessed quickly and easily using internet. The information system was built using the Laravel framework, Bootstrap, and MySQL. The web application is ready to use and has been built in accordance with the requirements.
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Jones, Bruce A., Molly K. Walsh, and Stephen G. Ruby. "Hospital Nursing Satisfaction With Clinical Laboratory Services: A College of American Pathologists Q-Probes Study of 162 Institutions." Archives of Pathology & Laboratory Medicine 130, no. 12 (2006): 1756–61. http://dx.doi.org/10.5858/2006-130-1756-hnswcl.
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Abstract Context.—Monitoring customer satisfaction is an important and useful quality improvement tool and is required of most clinical laboratories in the United States. Objective.—To survey the level of nursing satisfaction with hospital clinical laboratory services. Design.—Participating laboratories provided information regarding laboratory demographics and practices. These laboratories then surveyed hospital nursing personnel regarding their level of satisfaction with defined aspects of laboratory service. Setting.—College of American Pathologists Q-Probes laboratory quality improvement study in 162 hospital laboratories. Main Outcome Measures.—Nursing overall satisfaction score (ranging from 1, not satisfied, to 5, very satisfied) and satisfaction scores for 13 specific aspects of clinical laboratory services. Results.—One hundred sixty-two institutions submitted data from a total of 7033 nursing surveys. The overall satisfaction score for all institutions ranged from 2.5 to 4.6. The median overall score for all participants was 3.9 (10th percentile, 3.2; 90th percentile, 4.2). Nursing personnel were most satisfied with the accuracy of test results, phlebotomy courtesy toward patients and nursing staff, and notification of abnormal results. They were least satisfied with stat test turnaround time, laboratory management responsiveness and accessibility, phlebotomy responsiveness to service requests, and routine test turnaround time. The most important aspect of laboratory service reported by nursing personnel was stat test turnaround time. Conclusions.—Most nursing personnel are satisfied with the clinical laboratory services that are provided to the patients in their care. Although test result accuracy is very highly regarded, there is room for improvement in several aspects of service, particularly in test turnaround time and laboratory management accessibility and responsiveness.
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Chi, I.-Cheng, and Shyam Thapa. "Postpartum tubal sterilisation: an international perspective on some programmatic issues." Journal of Biosocial Science 25, no. 1 (1993): 51–61. http://dx.doi.org/10.1017/s0021932000020290.
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SummaryThe demand for postpartum sterilisation (performed within 42 days after delivery), is increasing both in developed and developing countries. The incidence of regret after postpartum sterilisation is important, but it could be minimised by carefully screening risk factors. Using trained paramedical personnel to perform postpartum sterilisation via minilaparotomy where physicians are in short supply appears to be safe and acceptable, under close medical supervision. Including postpartum sterilisation information in the antenatal counselling services effectively strengthens postpartum services and simultaneously helps to minimise subsequent regret.
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Kampen, Kathryn E., Jon R. Krohmer, Jeffrey S. Jones, J. M. Dougherty, and Robert K. Bonness. "In-Field Extremity Amputation: Prevalence and Protocols in Emergency Medical Services." Prehospital and Disaster Medicine 11, no. 1 (1996): 63–66. http://dx.doi.org/10.1017/s1049023x00042370.
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AbstractObjective:To determine current experience, attitudes, and training concerning the performance of in-field extremity amputations in North America.Design:Cross-sectional, epidemiological survey.Participants:Emergency medical services (EMS) directors from the 200 largest metropolitan areas in North America and attendees at the 1992 Mid-Year National Association of EMS Physicians Meeting.Interventions:The survey consisted of five questions focusing on demographic and operational data, the frequency of occurrence of the performance of in-field amputations, personnel responsible for performing the procedure, existing written protocols for the procedure, and the scope of training provided.Results:A total of 143 surveys was completed. Eighteen respondents (13%) reported a total of 26 in-field extremity amputations in the past five years. The most common cause for the injuries requiring amputations was motor-vehicle accidents. In the majority of cases (53.2%), trauma surgeons were responsible for performing the amputation, followed by emergency physicians (36.4%). Of respondents, 96% stated that there was no training available through their EMS agencies related to the performance of in-field extremity amputations. Only two EMS systems had an existing protocol regarding in-field amputations.Conclusions:The results suggest a need for established protocols to make the procedure easily accessible when needed, especially in large metropolitan EMS systems. This information should be emphasized during EMS training and reinforced through continuing education.
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Apiratwarakul, Korakot, Takaaki Suzuki, Ismet Celebi, et al. "Comparison of Emergency Medical Services Duration amid Routine Service for COVID-19 Patients." Open Access Macedonian Journal of Medical Sciences 9, E (2021): 289–92. http://dx.doi.org/10.3889/oamjms.2021.5953.
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BACKGROUND: Concerning the COVID-19 outbreak in Thailand, the number of patients has been increasing. Emergency medical services (EMS) operating duration differs from normal services due to equipment preparation, number of personnel, and on-board ambulance procedures. Notably, there have been no studies examining EMS duration regarding COVID-19 patients. AIM: The aim of this study was to compare the EMS time for COVID-19 patients and routine services. METHODS: This cross-sectional study was conducted in a tertiary university hospital in Khon Kaen, Thailand. Information gathering was carried out by employing the Srinagarind Hospital EMS database throughout January 1, 2020, and February 10, 2021. RESULTS: A total of 2420 EMS operations were examined, of which five tested positive for COVID-19 (0.21%). The mean age of the COVID-19 patients was 35.6 ± 7.2 years, with the activation interval for COVID-19 and routine services at 64.20 ± 10.14 and 1.42 ± 0.42 min, respectively (p < 0.001). The on-scene time for COVID-19 and routine services was 3.20 ± 0.44 and 5.20 ± 2.20 min, respectively. CONCLUSIONS: EMS operating time amid the activation interval for COVID-19 patients was significantly longer than in the normal group. However, on-scene time for COVID-19 patients was less time than in normal operations.
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Smith, Kelly M., Philip J. Trapskin, Philip E. Empey, Keith A. Hecht, and John A. Armitstead. "Internally-Developed Online Adverse Drug Reaction and Medication Error Reporting Systems." Hospital Pharmacy 41, no. 5 (2006): 428–36. http://dx.doi.org/10.1310/hpj4105-428.
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Online reporting systems for adverse drug reaction (ADR) and medication error (ME) reporting were developed at the University of Kentucky Chandler Medical Center. Collaboration between Pharmacy Services, Information Services, and the Drug Information Center resulted in the creation of two stand-alone systems that input data directly into centrally-stored databases. Web forms were designed using Web-authoring tools, as well as javascript and server-side scripting. Medication error reporting incorporated an E-mail notification process for hospital personnel based upon patient location, medical service, and severity of the error. Adverse drug reaction reporting increased initially following implementation, but leveled out soon thereafter. Conversely, ME reporting greatly increased, and also captured a greater number of type A MEs (eg, situations with a capacity for error). A number of system changes and patient safety initiatives have been implemented in response to data obtained from the reporting systems. Internally developed systems have supported customized forms that meet the institution's reporting needs and support a safer patient care environment.
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Rumambi, Frendy Rocky, Salahudin Robo, and Citra Amalia. "Identifikasi Dampak Penggunaan Sistem Informasi Rumah Sakit (SIRS) Terhadap Pelayanan Kesehatan Menggunakan Hot-Fit Model 2006." JURNAL MEDIA INFORMATIKA BUDIDARMA 4, no. 1 (2020): 216. http://dx.doi.org/10.30865/mib.v4i1.1973.
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Hospital Information System (SIRS) is an integrated information system that aims to handle all hospital management processes, ranging from diagnostic services, medical data measures, medical records, pharmaceuticals, pharmaceutical warehouses, billing, personnel databases, payroll, and accounting to the control management. Based on Indonesian Constitution No. 44 Article 52 year 2009, paragraph 1 states that "Indonesian hospitals are required to record and report all activities that occur within a hospital". On the Indonesia ministry regulation, PERMENKES No. 1171 year of 2011, Article 1 paragraph 1 states that "Each hospital is required to apply SIRS". Therefore Dr. Samratulangi Tondano District Hospital of Minahasa Regency in the North Sulawesi uses SIRS to improve employee performance in providing health services to the community. The paper discussed how to identify the impact of the use of Hospital Information Systems (SIRS) on health services. The purpose of this study is to look at the impact of the use of the SIRS system based on four indicators contained in the 2006 Human Organizational Technology (HOT-Fit) method in addition to the DeLone and McLean Success 2003 methods. By taking 150 respondents of SIRS users randomly, data were collected and analyzed using SPSS and AMOS software.The four hypotheses derived from three components namely "Technology", "Human" and "Organization" have a positive impact and provide a net benefit to the use of the system. In short, the majority of users SIRS only focuses on functions for registration and administration rather than clinical functions. The availability of IT units and IT personnel influences the use of SIRS as well.
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Annenkova, E. A., O. A. Tikhonova, A. P. Biryukov, et al. "Risk-Based Causal Model of Risk Factors for Infection among Medical Personnel Involved in the Care Of Patients with the New COVID-19 Coronavirus Infection." Disaster Medicine, no. 3 (September 2021): 65–68. http://dx.doi.org/10.33266/2070-1004-2021-3-65-68.
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The aim of the study is to develop and apply a mathematical model for assessing the risks of contamination of medical personnel involved in providing medical care to patients with COVID-19 in a "red zone" environment. Materials and methods. Based on the analysis of informative signs and information on working conditions in the infectious disease department of the A.I. Burnazyan Federal Medical Biophysical Center of the Federal Medical and Biological Agency of Russia, a decision-making support system was developed to provide an objective assessment of the risks of infection for medical personnel when providing medical care in the "red zone". Results of the study and their analysis. The influence of various risk factors for infection of medical personnel involved in the provision of medical care to patients with new coronavirus infection COVID-19 was analyzed; the most significant risk factors were identified.
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Schultz, Carl H., Kristi L. Koenig, and Wajdan Alassaf. "Preparing an Academic Medical Center to Manage Patients Infected With Ebola: Experiences of a University Hospital." Disaster Medicine and Public Health Preparedness 9, no. 5 (2015): 558–67. http://dx.doi.org/10.1017/dmp.2015.111.
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AbstractAs Ebola has spread beyond West Africa, the challenges confronting health care systems with no experience in managing such patients are enormous. Not only is Ebola a significant threat to a population’s health, it can infect the medical personnel trying to treat it. As such, it represents a major challenge to those in public health, emergency medical services (EMS), and acute care hospitals. Our academic medical center volunteered to become an Ebola Treatment Center as part of the US effort to manage the threat. We developed detailed policies and procedures for Ebola patient management at our university hospital. Both the EMS system and county public health made significant contributions during the development process. This article shares information about this process and the outcomes to inform other institutions facing similar challenges of preparing for an emerging threat with limited resources. The discussion includes information about management of (1) patients who arrive by ambulance with prior notification, (2) spontaneous walk-in patients, and (3) patients with confirmed Ebola who are interfacility transfers. Hospital management includes information about Ebola screening procedures, personal protective equipment selection and personnel training, erection of a tent outside the main facility, establishing an Ebola treatment unit inside the facility, and infectious waste and equipment management. Finally, several health policy considerations are presented. (Disaster Med Public Health Preparedness. 2015;9:558–567)
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Chan, Jennifer L., and Hemant Purohit. "Challenges to Transforming Unconventional Social Media Data into Actionable Knowledge for Public Health Systems During Disasters." Disaster Medicine and Public Health Preparedness 14, no. 3 (2019): 352–59. http://dx.doi.org/10.1017/dmp.2019.92.
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ABSTRACTEvery year, there are larger and more severe disasters and health organizations are struggling to respond with services to keep public health systems running. Making decisions with limited health information can negatively affect response activities and impact morbidity and mortality. An overarching challenge is getting the right health information to the right health service personnel at the right time. As responding agencies engage in social media (eg, Twitter, Facebook) to communicate with the public, new opportunities emerge to leverage this non-traditional information for improved situational awareness. Transforming these big data is dependent on computers to process and filter content for health information categories relevant to health responders. To enable a more health-focused approach to social media analysis during disasters, 2 major research challenges should be addressed: (1) advancing methodologies to extract relevant information for health services and creating dynamic knowledge bases that address both the global and US disaster contexts, and (2) expanding social media research for disaster informatics to focus on health response activities. There is a lack of attention on health-focused social media research beyond epidemiologic surveillance. Future research will require approaches that address challenges of domain-aware, including multilingual language understanding in artificial intelligence for disaster health information extraction. New research will need to focus on the primary goal of health providers, whose priority is to get the right health information to the right medical and public health service personnel at the right time.
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Watt, Kerrianne, Vivienne C. Tippett, Steven G. Raven, et al. "Attitudes to Living and Working in Pandemic Conditions among Emergency Prehospital Medical Care Personnel." Prehospital and Disaster Medicine 25, no. 1 (2010): 13–19. http://dx.doi.org/10.1017/s1049023x00007597.
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AbstractIntroduction:Little is known about the risk perceptions and attitudes of healthcare personnel, especially of emergency prehospital medical care personnel, regarding the possibility of an outbreak or epidemic event.Problem:This study was designed to investigate pre-event knowledge and attitudes of a national sample of the emergency prehospital medical care providers in relation to a potential human influenza pandemic, and to determine predictors of these attitudes.Methods:Surveys were distributed to a random, cross-sectional sample of 20% of the Australian emergency prehospital medical care workforce (n = 2,929), stratified by the nine services operating in Australia, as well as by gender and location. The surveys included: (1) demographic information; (2) knowledge of influenza; and (3) attitudes and perceptions related to working during influenza pandemic conditions. Multiple logistic regression models were constructed to identify predictors of pandemic-related risk perceptions.Results:Among the 725 Australian emergency prehospital medical care personnel who responded, 89% were very anxious about working during pandemic conditions, and 85% perceived a high personal risk associated with working in such conditions. In general, respondents demonstrated poor knowledge in relation to avian influenza, influenza generally, and infection transmission methods. Less than 5% of respondents perceived that they had adequate education/training about avian influenza. Logistic regression analyses indicate that, in managing the attitudes and risk perceptions of emergency prehospital medical care staff, particular attention should be directed toward the paid, male workforce (as opposed to volunteers), and on personnel whose relationship partners do not work in the health industry.Conclusions:These results highlight the potentially crucial role of education and training in pandemic preparedness. Organizations that provide emergency prehospital medical care must address this apparent lack of knowledge regarding infection transmission, and procedures for protection and decontamination. Careful management of the perceptions of emergency prehospital medical care personnel during a pandemic is likely to be critical in achieving an effective response to a widespread outbreak of infectious disease.
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Davis, Eric A., and Anthony J. Billitier. "The Utilization of Quality Assurance Methods in Emergency Medical Services." Prehospital and Disaster Medicine 8, no. 2 (1993): 127–32. http://dx.doi.org/10.1017/s1049023x0004019x.
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AbstractObjective:The concept of the necessity of a good quality assurance (QA) plan for emergency medical services (EMS) is well-accepted; guidelines as how best to achieve this and how current systems operate have not been defined. The purpose of this study was to survey EMS systems to discover current methods used to perform medical control and QA and to examine whether the existence of an emergency medicine residency affected these components.Methods:A survey was mailed in 1989 to the major teaching hospitals associated with all of the emergency medicine residency programs (n = 79) and all other hospitals with greater than 350 beds within the 50 largest United States metropolitan areas (n = 172). If no response was received, a second request was sent in 1990. The survey consisted of questions concerning four general EMS-QA categories: 1) general information; 2) prospective; 3) immediate; and 4) retrospective medical control.Results:Completed surveys were received from 78.5% of residency and 50% of non-residency programs. The majority had an emergency medicine physician as medical director (80.1% vs 61.5%, p = .03). While both residency and non-residency hospitals participated in initial public and prehospital personnel education, academic programs were more likely to be involved in continuing medical education (98.2% vs 82.3%, p = .009). On-line (direct) supervision was more likely to be provided by residency institutions (96.4% vs 81.0%, p = .017) which was provided by a physician in 88.3%. Trip sheet review was utilized by 62.0% of non-residency and 75.5% of residency programs responding, and utilized the paramedic coordinator (44.5% vs 46.1%) or medical director (35.7% vs 34.5 %) primarily.Conclusion:This survey characterizes some of the current methods utilized nationwide in EMS-QA programs. Further research is needed to determine the effectiveness of these various methods, and to develop a model program.
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Quimbaya, Alexandra Pomares, Rafael A. González, Wilson Ricardo Bohórquez, Oscar Muñoz, Olga Milena García, and Dario Londoño. "A Systemic, Participative Design of Decision Support Services for Clinical Research." International Journal of Information Technologies and Systems Approach 7, no. 2 (2014): 20–40. http://dx.doi.org/10.4018/ijitsa.2014070102.
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Development of IT-based services to support decision-making in healthcare should be guided by the following considerations: rigor, relevance, user-centered participation and inclusion of the best practices for IT-based service systems. In this paper, the balance between rigor and relevance is achieved by following the design science research methodology; user-centered participation is tackled from the socio-technical tradition in information systems; best practices considered in the planning, design and implementation of the services are informed by the MOF framework. Moreover, and considering the premise that these pillars should holistically converge, this research has been approached from a systemic stance where iterative, participative, socio-technical activities have allowed the effective collaboration between information systems researchers, clinical researchers, medical staff and administrative hospital personnel. This paper argues for a move towards enhancing systemic, participative, design-centered service systems engineering by reporting a case which applies these concepts for providing decision-support services, enabled by data and text mining techniques, to contribute to clinical research and administration by being able to search electronic health records where narrative text hides meaningful information that would otherwise require a time-consuming human revision of these records.
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Ravan, S., J. Szarzynski, and D. Stevens. "(A34) Space Technology to Support Disaster Risk Reduction and Emergency Medical and Rescue Teams." Prehospital and Disaster Medicine 26, S1 (2011): s10. http://dx.doi.org/10.1017/s1049023x11000471.
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Space technology plays important role during emergency as well as non-emergency situation to provide the information that is relevant for disaster preparedness and to the rescue and emergency medical teams. During emergency situation, first and immediate information rescue and medical teams like to have is the area impacted, severity of the disaster and the population at risk. Such information is of critical nature for emergency medical teams in order to plan and mobilize the medical personnel, resources and infrastructure needed to provide effective medical services. Space based observation is the most efficient way to provide this preliminary information. Often emergency maps generated based on the space based observations are useful to the medical and rescue teams during emergency situation while detailed information from the field is still awaited. UN-SPDIER offers the platform for providing such services effectively by connecting with the end users the international and regional mechanism that provides such information. During non-emergency phase, the space technology contributes in strengthening disaster risk reduction (DRR) efforts, especially through telemedicines and Global Positioning System (GPS) technologies. These tools integrated with Geographical Information System (GIS) provide effective mechanism for predicting risks (risk mapping) and early warning. It also ensures the rapid distribution of information during catastrophic events. In recognition of these needs the United Nations General Assembly established the United Nations Platform for Space-based Information for Disaster Management and Emergency Response (UN-SPIDER). The programme aims at providing universal access to all types of space-based information by: being a Gateway to space information for disaster management support; serving as a Bridge to connect the disaster management and space communities; and being a Facilitator of capacity-building and institutional strengthening.
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Norri-Sederholm, Teija, Minna Joensuu, and Johanna Lammintakanen. "Opportunities and challenges for multi-professional units in rural areas." International Journal of Emergency Services 8, no. 2 (2019): 163–74. http://dx.doi.org/10.1108/ijes-02-2018-0017.
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Purpose The purpose of this paper is to investigate opportunities and challenges for multi-professional paramedic-firefighter units in small municipalities in Finland. Design/methodology/approach The data were collected by means of four focus group interviews conducted with managers (N =12) and a questionnaire comprising open-ended questions for the personnel working in the units (n =73). Data from both sources were analyzed using inductive content analysis. Findings The empirical results suggest that the use of multi-professional units (MPUs) may be one means of providing a better standard of service in rural areas. However, the working practices and different professional backgrounds in MPUs are considered challenging by the personnel. Managers had a broader perspective; during the interviews they raised matters such as citizen characteristics, legal issues like varying working hours, and economic aspects. Both the personnel and the managers agreed on the strengths and weaknesses of the MPU model in principle. Practical implications The results of this study may clarify the opportunities and challenges posed by MPUs in rural areas from the perspectives of personnel and managers. Originality/value The study provides novel information on MPUs comprising paramedics and firefighters, who function at the interface of emergency medical services and rescue services and who have new tasks in rural areas, including home healthcare support and accident prevention.
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Riyatno, Riyatno, Djayani Nurdin, Nuraisyah Ambo, and Intam Kurnia. "Implementation of Family Planning Services for the Long Term Contraception Method (KB MKJP) in Palu City." International Journal Papier Public Review 1, no. 2 (2020): 105–13. http://dx.doi.org/10.47667/ijppr.v1i2.54.
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This study aims to analyze the implementation of the Long Term Contraception Method (KB MKJP) in the City of Palu. The type of research used is descriptive with a qualitative approach by utilizing the post-positivism paradigm to see social phenomena that occur. Researchers determined the criteria for informants, namely program administrators, medical officers, and fertile age couples, including: 2 program administrators (BKKBN), 4 medical officers (Tadulako Hospital), 4 Fertile Age Couples (PUS). The results showed reliability with the aspect of timeliness, where the presence of medical personnel and program administrators was not according to what had been agreed or scheduled. Physical evidence with aspects of the facility, where the operating room is not yet available and does not meet the specified minimum requirements. Empathy with the information aspect, where the delivery of information related to KB MKJP in the form of risks and side effects is not conveyed to the PUS, while information in the form of Long-Term Contraceptive Method (MKJP) type of contraceptive methods, benefits, and benefits have been conveyed completely, clearly and easy to understand Fertile Age Couples (PUS). Empathy is seen from the information aspect that the information related to KB MKJP by program administrators and medical officers has been delivered completely and clearly. Responsiveness is not only seen by service providers, but can also be assessed through service recipients because in the selection of contraceptives there are still PUS who are not able to make appropriate decisions so that they require counseling or information delivery by program administrators.
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Alsalmi, Latifa, and Robert Mayo. "An Overview of Facilities Providing Clinical Services for Persons Who Stutter in Kuwait." Perspectives of the ASHA Special Interest Groups 1, no. 4 (2016): 79–95. http://dx.doi.org/10.1044/persp1.sig4.79.
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Presently, no clear picture is available about the facilities providing clinical services for persons who stutter (PWS) in Kuwait. This information is crucial for any awareness program to be established in the future. The purpose of this study was to identify clinical facilities and speech-language personnel that provide services for PWS in Kuwait. Participants consisted of 21 clinical directors of governmental medical centers, non-profit clinics, and private clinics as well as department heads of governmental school clinics where speech-language services were provided. Participants were interviewed regarding the availability of speech-language services within their centers and whether or not PWS receive services. The results revealed that four out of five governmental medical centers with a total of 32 speech-language pathologists (SLPs) provided services for PWS. Additionally, 12 schools of special education were found to have 62 SLPs on their staff providing fluency services for students. Finally, two stand-alone private clinics and one non-profit clinic provided services for PWS. Results indicated an overall shortage of SLPs in the country, especially in medical settings. This study sets the foundation for a series of future studies investigating the type and quality of stuttering services provided by the identified facilities in Kuwait.
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Cahyani, Prilian, and Astutik Astutik. "Criminal Liability for Misuse of Electronic Medical Records in Health Services." SOEPRA 5, no. 2 (2020): 215. http://dx.doi.org/10.24167/shk.v5i2.2431.
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Electronic medical records (RME) have been used in hospitals as a substitute for or complementary to medical records in the form of paper. The obligation to make medical records is the responsibility of every doctor or dentist in carrying out the medical practice. However, the use of electronic-based medical records does not rule out the possibility of raising problems in the field of law, if some abuse it. This will raise the issue of who has the obligation to take responsibility. The problem is the background of the author to write in an article with the title "Accountability for the Misuse of Electronic Medical Record Abuse in Health Services". The formulation of the problem in this article is: 1) Setting an electronic medical record; 2) Criminal liability for the misuse of electronic medical records. The research method used is normative legal research with a statutory approach and a conceptual approach. From the discussion, it can be seen that in Indonesia the obligation to make medical records is specifically regulated in the Medical Practice Law. Furthermore, in the Ministry of Health No. 269 / MENKES / PER / III / 2008 especially Article 2 paragraph 2 states that medical records can be made electronically. However, to date, no specific regulations are governing electronic medical records. The use of electronic systems in medical records makes it necessary to heed the provisions of Law No. 11 of 2008 concerning Electronic Information and Transactions. The party who has the responsibility for the misuse of the Electronic Medical Record covers people who in this case are medical personnel or certain health workers. Hospitals can also be held responsible for the misuse of electronic medical records.
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Wahid, Umaimah. "The Politic of Health Communication Model to Improve Government Hospital Service." Environment-Behaviour Proceedings Journal 5, SI3 (2020): 275–82. http://dx.doi.org/10.21834/ebpj.v5isi3.2563.
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The report aims to investigate poor health services among patients, doctors, medical personnel, non-transparent health information, and unequal health access for the community due to social, political, and economic status. The research used qualitative descriptive methods. The result explained that serious efforts are required to improve health services to the public in hospitals, good relations between doctors, media personnel, and patients. Health communication must be applied to develop good relationships between hospitals, doctors, and patients. Aceh government requires to make a political policy that guarantees the quality of health services equitably and equally. The community has the right to have access to health easily, equitably, and transparently. Keywords: politic-health communication, model, hospital-government eISSN: 2398-4287© 2020. The Authors. Published for AMER ABRA cE-Bsby e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v5iSI3.2563
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Chow, Renée, and Kim J. Vicente. "A Field Study of Emergency Ambulance Dispatching: Implications for Decision Support." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 46, no. 3 (2002): 313–17. http://dx.doi.org/10.1177/154193120204600321.
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To inform the design of computer-based support for decision making, a field study was conducted in a communication centre for emergency medical services (EMS). 142 hours of direct observations, spanning 13 different shifts were conducted. EMS is an intentional work domain that emphasizes human-human interaction over human-machine interaction. This study focused on the information requirements for EMS dispatching, the collaboration between EMS personnel within and beyond the communication centre, and the information that is currently available to the dispatchers. An abstraction-decomposition space (Rasmussen, 1985; Vicente, 1999) was used to model the information requirements in this work domain, and to identify opportunities for enhancing and/or redesigning the decision support.
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Orlov, O. I., E. Yu Mamonova, V. M. Levanov, and O. V. Perevedentsev. "USE OF THE RISK MANAGEMENT TECHNOLOGY IN EVALUATION OF HEALTH SERVICES FOR EMPLOYEES OF ENTERPRISES OF A LARGE OIL PRODUCING COMPANY." Aerospace and Environmental Medicine 55, no. 1 (2021): 91–98. http://dx.doi.org/10.21687/0233-528x-2021-55-1-91-98.
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Protection of personnel health is part and parcel of the corporate social policy adopted by oil producing companies with the divisional structure. The medical care system using outsourcing needs a proficient control of its functioning. Since it incorporates dozens of objects, the control is workable only provided digital technologies are applied. We made choice of the infographic matrix to build up two matrices, i.e. one for health risk management and the other, for resources and processes management. Besides, we developed systems for quantitative risk evaluation, and to score key resources, processes, and medical personnel efficiency on 5-point scales. Weight coefficient was accepted for each factor. The technique has been implemented for health analysis and healthcare evaluation at 49 enterprises. Scrupulous attention was given to the enterprises within the orange zone (51-75 on the scale). Out of 9 to 10 enterprises that traveled in the zone over 3 years of monitoring, 4 were present in both matrices. Analysis of the reports provided guides to develop response measures suitable for specific enterprises. Health risk matrices can find application in a large number of enterprises for online information acquisition, problem identification and solving.
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Liu, Z. "(A221) Medical Preparedness for Expo 2010 Shanghai China." Prehospital and Disaster Medicine 26, S1 (2011): s60—s61. http://dx.doi.org/10.1017/s1049023x1100210x.
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ObjectiveEXPO 2010 Shanghai China attracted about 246 nations and international organizations as well as 73 million visitors from home and abroad. To provide good medical services to is a challenge.MethodsEight Level A hospitals are designated as EXPO Hospitals to provide advanced medical services to those who need critical care. There are five first aid stations in the EXPO park to provide first aid to EXPO visitors and staff. First aid at scene and emergency response are the emphasis. Practical, realistic, and systematic and forewarning emergency plans are made. An agile and efficient structure is organized. All EXPO staff members underwent first aid training, especially the CPR training and the use of AED. The public are trained for self rescue skills via different approaches and provided with first-aid kits. A medical rescue team is recruited; the team consists of Critical Care physicians, surgeons, anesthetists and nurses. The team is able to deal with different situations under all conditions. The team is a standing army, after the EXPO, the team will be responsible for providing medical services in the regional disaster rescue. Drills are performed periodically to practice the rescue skills, enhance the communication and cooperation among different government departments.ResultsBy joint efforts, a safe, wonderful and unforgettable EXPO was presented to the world. During the 184 days, medical personnel provided medical services to the 73 million visitors.ConclusionsThe medical preparedness for World EXPO should be practical, realistic, and systematic and forewarning. The public should have the easy access to the information and resources. Develop the contingency plans according to the real situation, ensure its timely updating and deliver training to every one involved. Drills should be performed periodically to practice the rescue skills, enhance the communication and cooperation among different government departments.
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Iltchev, Petre, Aleksandra Sierocka, Sebastian Gierczyński, and Michał Marczak. "The Knowledge of Medical Professionals from Selected Hospitals in the Lubelskie Province about Diagnosis-Related Groups Systems." Studies in Logic, Grammar and Rhetoric 35, no. 1 (2013): 191–201. http://dx.doi.org/10.2478/slgr-2013-0044.
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Abstract Health information technology (IT) in hospitals can be approached as a tool to reduce health care costs and improve hospital efficiency and profitability, increase the quality of healthcare services, and make the transition to patient-centered healthcare. A hospital’s efficiency and profitability depends on linking IT with the knowledge and motivation of medical personnel. It is important to design and execute a knowledge management strategy as a part of the implementation of IT in hospital management. A Diagnosis-Related Groups (DRG) system was introduced in Poland in 2008 as a basis for settlements between hospitals and the National Health Fund (NHF). The importance and role of a DRG system in management of healthcare entities was emphasized based on a survey of medical professionals from two hospitals in the Lubelskie province. The goal of a survey is to assess the knowledge of medical professionals about the DRG system and how the medical personnel uses the DRG system in order to achieve the strategic goals of the organization. A newly developed survey was used to assess the medical personnel’s knowledge of DRG, using 12 closed and 5 open questions. The survey was conducted on 160 medical employees from two hospitals in the Lubelskie province. In conclusion, medical personnel’s DRG knowledge unambiguously contributes to reducing hospital costs and increasing profitability. The DRG related knowledge enables personnel to obtain value from data by applying DRG data-driven decisions.
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Solovyev, A. A., and N. V. Kopysova. "PATIENTS’ SATISFACTION WITH THE QUALITY OF MEDICAL SERVICES AT DIFFERENT STAGES OF THE PROJECT “LEAN HOSPITAL” IN TOMSK REGION." Siberian Medical Journal 33, no. 4 (2019): 154–57. http://dx.doi.org/10.29001/2073-8552-2018-33-4-154-157.
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The purpose of the study was to analyze the state of satisfaction of the population in the provision of medical services and to observe the changes taking place in this area in connection with the start of the national project “Lean Polyclinic”. The studies were conducted in the form of a questionnaire survey of patients of two medical institutions, namely: the Regional Public Health Institutions “Children’s City Hospital No. 2” and “B. I. Alperovich City Clinical Hospital No. 3”.The material of the study was the responses on paper of the interviewed patients. The average indicators of patient satisfaction with the received medical services were determined by means of statistical calculations. The survey was conducted at the start of the project in May‑July of 2017 and again in October‑December of 2017.Results. The initial survey revealed the presence of such problems as insufficient number of automated workplaces; heavy workload of the doctor when working in the Medical Information System of the Tomsk Region; imperfection of the card filing cabinet; insufficient number of racks for storing outpatient cards, front-office and back-office were located in the same room and did not have a partition, which created noise and interfered with the work of call-center operators; the need to contact the registry to get the outpatient card when the visit was previously assigned; difficult orientation of patients in the clinic; long-term preventive examination of children aged 1 year; mixed flows of healthy and sick patients; and lack of personnel. The repeated survey reflected the changes that occurred in connection with the start of the “Lean Polyclinic” project: the number of detected violations tended to decrease, which indicated the improvement in the quality of services and the improvement in the organization of medical personnel work.Conclusion. Thus, the present study established that the use of lean production technologies contributed to the quality of medical services and it had a beneficial effect on the processes of organizing the work of medical institutions.