Abstract
The automation of the management in the Emergency Service of the Hospital de Clinicas of the Universidad Nacional de Asuncion is a problem addressed in this work since the care of the patient in critical condition must be accurate, appropiate and efficient. The development of a management automation tool will generate benefits for both the patient and the hospital's target staff. With the automatization of the processes, which are still done manually, it will be possible to achieve: (a) more time to devote to a better patient care, (b) doctors will be able to spend part of their time to analyze the statistics and information, which can be generated through the application to carry out investigations in the area of emergency care, and (c) as well as to optimize the resources of both the staff and the logistics used in the Hospital. To achieve the proposed objective, in this work a complete and Electronic Health Records System management based on international health standards has been developed, as well as good practices in the care processes in an area as sensitive as the Emergency Service. After more than 100 years of history of the Hospital, for the first time it is intended to automate processes and generate online information quickly and efficiently from this modern tool optimizing patient care in the emergency area.
Highlights
Emergency services most often have an asymmetry between high demand for patient care and scarce resources available in these areas
We conclude that the SIGHU system is efficient, effective, and safe use in all functionality
This work proposes the SIGHU system, whose objective allows the automation of managing the medical protocol indicated in the RAC Procedures standard, using good software engineering practices
Summary
Emergency services most often have an asymmetry between high demand for patient care and scarce resources available in these areas. DES serves the most unprotected citizens and who do have no health insurance and without access to primary care In this context, congestion in emergency services causes several problems for patients and health workers, such as ever-longer waiting times, increasing ambulance deviations, ever-prolonged stays, increased number of medical errors, hospital-acquired infections, re-admission, and increased patient mortality. The designed and implemented system in this work is called SIGHU (Sistema Integral de Gestion Hospitalaria para Urgencias by its acronym in Spanish) This system implements the DES functions, where data are structured in the EHR for further processing and reviewing service statistics. These features based on the Paraguayan Ministry of Public Health [3] help improve processes reducing waiting time in the care system.
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