Information Management System Research Articles

Implementación de un Sistema de gestión de la información de ventas aplicando inteligencia de negocios en las PYMES del cantón La Maná

Small and Medium Enterprises (SMEs) are essential to the global economy, promoting employment, innovation and sustainable development. Effective sales information management is critical to your success, involving the collection, storage, analysis and application of data about customers, products, distribution channels, prices and market trends. Proper management of this data allows SMEs to understand customer demands, identify market opportunities and optimize their sales strategies.However, SMEs face significant challenges in this area, such as technological limitations, budget constraints and data complexity, which can lead to manual processes, lack of visibility in the supply chain and loss of competitiveness. The research carried out in the La Maná canton, in Cotopaxi, Ecuador, supports the implementation of a sales information management system due to its intense commercial activity and the presence of SMEs in sectors such as agriculture and commerce.The study adopted a mixed methodology, which combined literature review and field research, using inductive and deductive approaches. Managers, administrators and workers from two companies were surveyed. The results indicate that this methodology is effective in achieving the research objectives, underscoring the importance of integrating various methodologies to obtain a complete understanding of the topic

Exposure to family and domestic violence in the prenatal period is associated with an increased risk of hospitalization for bronchiolitis in children under 2years.

Existing research has acknowledged a correlation between stress in pregnancy and poorer respiratory health in offspring. However, research focusing on stress caused by family and domestic violence in the prenatal period is missing. A retrospective cohort study included children born 1987-2010 who were identified as being exposed to FDV in the prenatal period (n=1477) from two sources: WA Police Information Management System and WA Hospital Morbidity Data Collection (HMDC) and a non-exposed comparison group (n=41 996). Hospitalization for bronchiolitis was identified in HMDC. Cox regression was used to estimate the adjusted and unadjusted hazard ratio and 95% confidence interval for bronchiolitis hospitalizations contact. Children exposed to FDV had a 70% (HR 1.70, 95% CI: 1.49-1.94) increased risk of hospitalization for bronchiolitis than non-exposed counterparts by age two. Children exposed to FDV had a longer average hospital stay for bronchiolitis than non-exposed children (4.0days vs. 3.8days, P<0.001). Prenatal exposure to FDV is associated with bronchiolitis hospitalization in children <2years. Along with other risk factors, clinicians should give consideration to maternal stress factors, including experiencing FDV as a potential contributor to bronchiolitis.

Epidemiological characteristics of spontaneous subarachnoid hemorrhage cases in Shandong province

Objective: To investigate the characteristics and trends of spontaneous subarachnoid hemorrhage (SAH) in Shandong province. Methods: In this study, SAH incidence data of residents from 2012 to 2021 were collected from the chronic disease monitoring information management system of Shandong province, including the basic information of outpatient, emergency or inpatient cases and out-of-hospital deaths (name, gender, ID number, address, etc.) and disease diagnosis information (disease diagnosis, date of onset, date of diagnosis, etc.). The crude incidence rate and age-standardized incidence rate were used as indicators to describe the incidence of SAH in different gender, age groups and regions (urban and rural areas). Joinpoint regression was used to analyze the variation of incidence rate and age by year. The rate difference decomposition method was used to estimate the contribution of population aging to the increase of SAH incidence. Global and local spatial autocorrelation analysis was performed using DeoDa 1.12 software. Results: From 2012 to 2021, a total of 11 629 cases of SAH were reported from 19 provincial monitoring sites in Shandong province. Among them, 54.11% (6 293 cases) were female and 91.87% (10 684 cases) were≥45 years old. The reported crude incidence rate increased from 5.26/100 000 to 9.50/100 000, with an average annual increase of 7.75% (Ztrend=7.30, Ptrend<0.001), and the standardized incidence rate also showed an upward trend (Ztrend=3.92, Ptrend=0.004). The crude incidence rate of women was higher than that of men in all years (all P values<0.05), and the standardized incidence rate of women was higher than that of men in all years except in 2012 and 2021 (all P values<0.05). In 2012, the crude incidence and standardized incidence of urban residents were lower than those in rural areas (P<0.05); from 2013 to 2017, the urban incidence was higher than that in rural areas; and after 2018, the rural incidence exceeded the urban incidence again (all P values<0.05). The median age of onset of SAH increased from 61.9 years in 2012 to 67.2 years in 2021. The age of onset of SAH in men was lower than that in women in all years (all P<0.05), and there was no significant difference between urban and rural residents in most years (P>0.05). The incidence of SAH increased with age (Ptrend<0.001), with a low incidence reported in residents aged<45 years and a rapid increase in residents aged≥45 years. According to the seasonal decomposition, the incidence of SAH had three small peaks in January, March to May and October to November. From 2013 to 2021, the contribution of aging population to the increase of crude incidence of SAH increased from 27.86% to 43.68%. The global spatial autocorrelation analysis showed that the incidence of SAH was in an obvious spatial aggregation distribution (Moran's I>0, P<0.05). Local spatial autocorrelation analysis showed that the counties with high incidence were mainly concentrated in Dezhou City in northwest Shandong Province and Heze city in southwest Shandong province. Conclusions: The crude incidence rate of SAH in Shandong province is increasing, with spatial clustering and seasonal clustering. Residents aged 45 years and older, female residents, and rural residents are at high risk of developing SAH, so targeted prevention and control measures should be taken for high-incidence seasons, high-risk groups, and high-incidence clustered areas.

Konsep Dan Penerapan Sistem Informasi Manajemen

The purpose of writing this article is to find out the concepts, benefits, applications and challenges experienced in Information Management Systems. Management Information System (MIS) is a very important and strategic system in the modern digital era. This system functions as the main means of collecting, processing and presenting relevant and accurate information to management, so that it can assist in making better decisions. In this article, researchers use the literature study research method to analyze data by describing data that has been collected from various sources such as books, journals, articles, research reports, and other sources that are relevant to the topic being studied. Through a literature study, this research explores the definition and main benefits of MIS, which is a combination of human resources, information technology, and procedures to produce quality information for decision making. Effective implementation of MIS can provide a competitive advantage for organizations in increasing productivity, efficiency and competitiveness. However, SIM implementation also faces various challenges, such as system integration, data security, data quality, user resistance, investment costs, rapid technological changes, and organizational complexity. This research contributes to providing a comprehensive understanding ofManagement Information Systems, as well as highlighting the importance of utilizing information as a strategic asset for organizations in achieving their business goals

Data Model for the Comprehensive Management of Biobanks and Its Contribution to Personalized Medicine.

Biobanks are infrastructures essential for research involving multi-disciplinary teams and an increasing number of stakeholders. In the field of personalized medicine, biobanks play a key role through the provision of well-characterized and annotated samples protecting at the same time the right of donors. The Andalusian Public Health System Biobank (SSPA Biobank) has implemented a global information management system made up of different modules that allow for the recording, traceability and monitoring of all the information associated with the biobank operations. The data model, designed in a standardized and normalized way according to international initiatives on data harmonization, integrates the information necessary to guarantee the quality of results from research, benefiting researchers, clinicians and donors.

Climatic factors correlate with emergency visits due to animal injuries in Southern Turkey: A single-center retrospective study

BackgroundAnimal-related injuries are among the major causes of morbidity and mortality all over the world, especially in rural areas. This study aims to determine the characteristic features of animal-related injury cases presented to the emergency department and to evaluate their temporal trends and relationships with climatic factors. MethodsAmong the animal-related injury cases, those who applied between January 1, 2017, and December 31, 2021, in a small seaside town in Turkey were included in the study. Application date, age, gender, ICD code, and prognosis constitute the variables from the hospital information management system within the relevant date range. Meteorological data were taken from Hatay Meteorological Directorate as average daily temperature ( °C) and humidity (g/m3). Descriptive statistics are presented using mean, standard error, number, percentage, and ratio. Kruskal-Wallis, Pearson correlation analysis, linear trend analysis, chi-square, and t-test were used in the analyses. The statistical significance level was accepted as p < 0.05. ResultsA total of 6634 animal-related injuries were included in the study. The average age of the injured was 26.1 ± 21.1 years and 60.3 % were male. Injuries were most frequently observed in the 0–9 age group (29.9 %). Of all the cases, around 0.1 % were hospitalized and there were no reported deaths. Injuries caused by mammalian species accounted for 85 % of the cases. The number of recorded cases was lowest in 2018 and highest in 2021. Over the five years, animal-related injuries showed an increase trend which was not statistically significant (R2 = 0.216, p= 0.430). The injury cases showed a marked seasonality; numbers tended to increase in March and reached the highest level between June and September. While a significant and positive relationship was observed between the daily average temperature and the number of cases (r = 0.428, p < 0.001), there was no correlation between the average relative humidity and the injury numbers (p = 0.537). ConclusionThis study revealed that animal-related injuries were commonly seen in children and young middle-aged adult groups and during warmer seasons. Based on the results of the study, we suggest several strategies to reduce the public health impact of animal-induced injuries, such as region-specific intervention programs adapted to animal species and seasonal changes, educational campaigns targeting children during the warmer seasons, and improved data recording systems for the cases.

Perceptions of Realtors on Property Information Processing: Basis for a Web-Based Real Estate Property Management System

Managing real estate properties efficiently presented challenges due to the complexity of tasks involved, including tenant communication, maintenance scheduling, and financial tracking. Traditional methods often relied on manual processes, leading to inefficiencies, errors, and delays. Motivated by the need for a streamlined solution, this paper introduced a web-based real estate property management system designed to address these challenges. By employing a descriptive research design and utilizing the mixed methodology approach, the study investigates the challenges faced by realtors in managing property information. It also evaluated the current information management systems of each realtor in handling property listing, sales, leases, and rentals. The research findings revealed that 45% of respondents encounter challenges in property information management, primarily related to inefficient handling of sales information and lease agreements. While 72.7% of respondents use real estate software, shortcomings such as a lack of detailed property information and communication issues underline the need for a comprehensive web-based management system meeting various real estate management needs, as preferred by 90.9% of respondents. The results of the study will be used to propose a web-based real estate property management system for the overall efficiency of real estate operations and revolutionize how real estate assets were managed and optimized in digital age

Trends in HIV/AIDS-Related Mortality and the Impact of Antiretroviral Treatment Strategies in Lu'an City: A Comprehensive Analysis.

BACKGROUND There are many factors that affect human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS)-related deaths, and different antiretroviral therapy (ART) strategies may affect HIV/AIDS-related fatality rates. However, studies on this area are very limited. This study aimed to evaluate the factors associated with HIV/AIDS-related mortality and the impact of different ART strategies in Lu'an City, Anhui Province, China, 1999-2023. MATERIAL AND METHODS Data of HIV/AIDS cases were downloaded from the China HIV/AIDS Comprehensive Response Information Management System, and were assessed to evaluate the impact of different ART strategies on the related fatality rate using interrupted time series (ITS). RESULTS We found that age at diagnosis of 15 years, 25 years, 40 years, and 60 years, as well as receiving ART, were protective factors against death (with P below 0.05), while lower CD4 count at the last CD4 count and the year of diagnosis before 2007 and between 2007 and 2016 were risk factors (with P below 0.05). ITS analysis revealed that in the year of the introduction of free ART in 2006, the fatality rate decreased by 38.60% (P=0.015). The fatality rate trend from 2006 to 2015 was -1.1%, which was not statistically significant (P=0.434). The fatality rate trend from 2016 to 2023 was -0.33%, indicating a decreasing trend (P=0.000). CONCLUSIONS Children under 15 years old and elderly patients had a higher risk of death. The main reasons for the decrease in HIV/AIDS-related fatality rate were ART, especially the "early treatment" strategy.

A SARS-CoV-2 minimum data standard to support national serology reporting.

Healthcare laboratory systems produce and capture a vast array of information, yet do not always report all of this to the national infrastructure within the United Kingdom. The global COVID-19 pandemic brought about a much greater need for detailed healthcare data, one such instance being laboratory testing data. The reporting of qualitative laboratory test results (e.g. positive, negative or indeterminate) provides a basic understanding of levels of seropositivity. However, to better understand and interpret seropositivity, how it is determined and other factors that affect its calculation (i.e. levels of antibodies), quantitative laboratory test data are needed. 36 data attributes were collected from 3 NHS laboratories and 29 CO-CONNECT project partner organisations. These were assessed against the need for a minimum dataset to determine data attribute importance. An NHS laboratory feasibility study was undertaken to assess the minimum data standard, together with a literature review of national and international data standards and healthcare reports. A COVID serology minimum data standard (CSMDS) comprising 12 data attributes was created and verified by 3 NHS laboratories to allow national granular reporting of COVID serology results. To support this, a standardised set of vocabulary terms was developed to represent laboratory analyser systems and laboratory information management systems. This paper puts forward a minimum viable standard for COVID-19 serology data attributes to enhance its granularity and augment the national reporting of COVID-19 serology laboratory results, with implications for future pandemics.

Application of computer information management system in universities in the information age

The application of computer information management system (IMS for short here) in university management faces problems such as incomplete system software and complex system design. Applying clustering algorithms (CA for short here) to computer student IMS can help optimize the system’s overall effectiveness. This article constructed a computer student IMS based on computer technology and applied it to the management of college students. This article also combined CA to conduct relevant effectiveness tests on the system, in order to optimize the overall effectiveness of the system. Under the algorithm in this article, the average connection speed for each user accessing the system was 9.17 Mbps. The average reaction time was 0.34 seconds, the average security level was 92.47%, and the highest memory usage rate of the system was 34.27%; Under the decision tree algorithm, the average connection speed of each user accessing the system was 8.82 Mbps, and the average reaction time reached 0.64 s. The average security level was 88.41%, and the highest memory usage rate was 42.58%. Under the artificial neural network algorithm, the average connection speed of the system was 8.47 Mbps, the average response time was 0.86 s, and the highest memory usage rate was 45.97%. Analyzing the data reveals that the algorithm introduced in this paper significantly enhances system connection speed and reduces reaction time. This improvement not only enhances security measures but also minimizes memory usage, effectively optimizing the overall efficiency of the system.

Application of Artificial Intelligence Technology in Vulnerability Analysis of Intelligent Ship Network

The improvement in transportation efficiency, security, safety, and environmental effects may be possible due to the impending advent of autonomous ships. Automatic situational awareness, risk detection, and intelligent decision-making are the key features of the intelligent ship network, differentiating it from conventional ships. There is an immediate need to implement a system for marine information management and network security due to the growing importance of this field, which poses a risk to national and societal stability due to factors, such as the diversity and complexity of marine information types, the challenges associated with data collection, and other similar factors. By recognizing different vulnerabilities and through research cases of the ship systems and Artificial Intelligence (AI) technologies, this paper presents Adaptive Fuzzy Logic-assisted Vulnerability Analysis of Intelligent Ship Networks (AFL-VA-ISN) in various cyberattack scenarios for autonomous ship intrusion detection and information management. Fuzzy logic has been combined with AI, providing a framework for handling uncertainty and imprecision in intelligent ship networks and effective decision-making. This work presents a method for detecting anomalies in risk data based on the collaborative control structure of the Ship Information System. Maintaining the network security of intelligent ships is the primary focus of this research, which mainly employed multi-sensor nodes to evaluate data containing information about malicious attacks and placed self-execution protection organize generating nodes into place to intercept and protect against attacks. The experimental outcomes demonstrate that the suggested AFL-VA-ISN model increases the data transmission rate by 99.2%, attack detection rate by 98.5%, risk assessment rate by 97.5%, and access control rate of 96.3%, and reduces the network latency rate of 11.4% compared to other existing models.

Impact of narcotics information management system on inappropriate benzodiazepine receptor agonist prescriptions: A quasi-experimental analysis in South Korea.

The South Korean government implemented the narcotics information management system (NIMS) on 18 May 2018 to manage benzodiazepine receptor agonists (BzRAs) and narcotics effectively and establish a reporting mechanism for these drugs. This study assessed the effects of NIMS on inappropriate use of BzRAs. Using national patient sample data from 2016 to 2020, we analysed adult outpatients who were prescribed oral BzRAs. We conducted a time series and segmented regression analysis using selected indicators to analyse the monthly variations related to the inappropriate use of these medications. The study revealed no significant changes in the indicators of inappropriate BzRA use following the NIMS implementation. Contrary to expectations, there was a significant increase in the proportion of patients exceeding defined daily dose (DDD) and in those receiving concurrent prescriptions of multiple BzRAs, following the implementation of NIMS. The immediate impact of the COVID-19 pandemic was an increase in DDD exceedance; however, overall, this did not significantly affect BzRA use. The introduction of NIMS did not significantly enhance the management of BzRA misuse. Additional measures, including continuous monitoring, system improvements and comprehensive education for prescribers and patients, are recommended to ensure the appropriate use of psychotropic medications.

Epidemiological characteristics and spatial aggregation of acute myocardial infarction in Shandong Province

Objective: To understand the characteristics and trends of acute myocardial infarction (AMI) in Shandong Province and to provide evidence for formulating prevention and control strategies. Methods: Data were derived from the AMI incidence reports of Shandong Province's Chronic Disease Surveillance Information Management System in 2012-2021. The crude and standardized incidence rates were used as indicators to describe the incidence level of AMI. Joinpoint regression analysis was used to analyze the trends in the incidence and age of onset over the years. The contribution of population aging to the increase in AMI incidence was assessed using the rate difference decomposition method. The incidence of AMI in each district (county) in Shandong Province was visualized using ArcGIS 10.8 software, and global and local spatial autocorrelation analysis was performed using DeoDa 1.12 software. Results: From 2012 to 2021, 198 233 cases of AMI were reported from 19 provincial monitoring sites in Shandong Province, of which 53.13% were males and 97.12% were ≥45 years old. The reported crude incidence increased from 90.12 per 100 000 in 2012 to 176.54 per 100 000 in 2021, with an average annual increase of 7.01% (Z=7.35, P<0.001). There was no significant upward trend in standardized incidence (Z=1.64, P=0.140), but the standardized incidence of male residents showed an increasing trend (Z=2.76, P=0.028). Before 2014, the reported crude incidence of males was similar to that of females, but after 2014, the reported crude incidence of males was continuously higher than that of females. However, males' standardized incidence was higher than females in all years. Both crude and standardized incidence rates were higher in rural residents than in urban areas. The median onset of AMI increased from 71.6 years old in 2012 to 73.5 years old in 2021. The median age of onset in males was lower than that in females in all years, and in most years, the median age of onset in urban residents was lower than that in rural residents. The incidence of AMI in males showed a trend in younger age groups. According to the seasonal decomposition, the incidence peak of AMI was in January, and the trough was in September. The contribution of aging population to the increase in crude incidence of AMI increased from 8.63% in 2013 to 52.58% in 2021. The global spatial autocorrelation analysis showed that the incidence of AMI presented an obvious spatial clustering distribution. Local spatial autocorrelation analysis found that the high-incidence areas (counties) were mainly concentrated in Liaocheng City and Dezhou City in the northwest region of Shandong Province and Heze City in the southwest. Conclusions: The incidence of AMI among residents in Shandong Province was rising, with spatial clustering and seasonal clustering characteristics. People aged 45 years and older, male residents, and rural residents were at high risk of developing AMI. There was a certain trend of younger age at onset among men. Targeted prevention and control measures should be taken for high-incidence seasons, high-risk groups, and high-incidence clustering areas in northwestern Shandong Province.

Report of the HIMSS-SIIM Enterprise Imaging Community Data Standards Evaluation Workgroup: Anatomic Ontology Assessment

AbstractPreviously, the lack of a standard body part ontology has been identified as a critical deficiency needed to enable enterprise imaging. This whitepaper aims to provide a comprehensive assessment of anatomical ontologies with the aim of facilitating enterprise imaging. It offers an overview of the process undertaken by the Health Information Management Systems Society (HIMSS) and Society for Imaging Informatics in medicine (SIIM) Enterprise Imaging Community Data Standards Evaluation workgroup to assess the viability of existing ontologies for supporting cross-disciplinary medical imaging workflows. The report analyzes the responses received from representatives of three significant ontologies: SNOMED CT, LOINC, and ICD, and delves into their suitability for the complex landscape of enterprise imaging. It highlights the strengths and limitations of each ontology, ultimately concluding that SNOMED CT is the most viable solution for standardizing anatomy terminology across the medical imaging community.

COPO - Managing sample metadata for biodiversity: considerations from the Darwin Tree of Life project

Large-scale reference genome sequencing projects for all of biodiversity are underway and common standards have been in place for some years to enable the understanding and sharing of sequence data. However, the metadata that describes the collection, processing and management of samples, and link to the associated sequencing and genome data, are not yet adequately developed and standardised for these projects. At the time of writing, the Darwin Tree of Life (DToL) Project is over two years into its ten-year ambition to sequence all described eukaryotic species in Britain and Ireland. We have sought consensus from a wide range of scientists across taxonomic domains to determine the minimal set of metadata that we collectively deem as critically important to accompany each sequenced specimen. These metadata are made available throughout the subsequent laboratory processes, and once collected, need to be adequately managed to fulfil the requirements of good data management practice. Due to the size and scale of management required, software tools are needed. These tools need to implement rigorous development pathways and change management procedures to ensure that effective research data management of key project and sample metadata is maintained. Tracking of sample properties through the sequencing process is handled by Lab Information Management Systems (LIMS), so publication of the sequenced data is achieved via technical integration of LIMS and data management tools. Discussions with community members on how metadata standards need to be managed within large-scale programmes is a priority in the planning process. Here we report on the standards we developed with respect to a robust and reusable mechanism of metadata collection, in the hopes that other projects forthcoming or underway will adopt these practices for metadata.

Health information management systems and practices in conflict-affected settings: the case of northwest Syria

BackgroundIn conflict settings, as it is the case in Syria, it is crucial to enhance health information management to facilitate an effective and sustainable approach to strengthening health systems in such contexts. In this study, we aim to provide a baseline understanding of the present state of health information management in Northwest Syria (NWS) to better plan for strengthening the health information system of the area that is transitioning to an early-recovery stage.MethodsA combination of questionnaires and subsequent interviews was used for data collection. Purposive sampling was used to select twenty-one respondents directly involved in managing and directing different domains of health information in the NWS who worked with local NGOs, INGOs, UN-agencies, or part of the Health Working Group. A scoring system for each public health domain was constructed based on the number and quality of the available datasets for these domains, which were established by Checci and others.Results & conclusionsReliable and aggregate health information in the NWS is limited, despite some improvements made over the past decade. The conflict restricted and challenged efforts to establish a concentrated and harmonized HIS in the NWS, which led to a lack of leadership, poor coordination, and duplication of key activities. Although the UN established the EWARN and HeRAMS as common data collection systems in the NWS, they are directed toward advocacy and managed by external experts with little participation or access from local stakeholders to these datasets.RecommendationsThere is a need for participatory approaches and the empowerment of local actors and local NGOs, cooperation between local and international stakeholders to increase access to data, and a central domain for planning, organization, and harmonizing the process. To enhance the humanitarian health response in Syria and other crisis areas, it is imperative to invest in data collection and utilisation, mHealth and eHealth technologies, capacity building, and robust technical and autonomous leadership.

ELECTRONIC DOCUMENT, INFORMATION, AND ARCHIVE MANAGEMENT SYSTEMS IN ECONOMIC INSTITUTIONS: A DESCRIPTIVE STUDY OF THE ONBASE SYSTEM

Objective: The study aims to familiarize readers with the Onbase system for electronic document management. To highlight its key features and operational methods,to elucidate its functionalities. Theoretical Framework: Data were meticulously collected through document and record searches related to the Onbase system by accessing Hyland's official website, the system's designer, and various online platforms that provide discussions about the system. Method: We employed the descriptive method based on analysis to elucidate the operational methods of the Onbase document management system and to accentuate its components and distinctive features. Results and Discussion: The study has conclusively demonstrated that the OnBase system facilitates: Efficient management of an extensive volume of documents, files, and archives, the system strategically supports the digitization of documents and archives, as well as the overall digitization of business processes; these capabilities ensure reliable document access within the institution and support remote work, thereby redefining modern business and administrative operations. Research Implications: The implementation of an Electronic Document Management (EDM) system is crucial for institutions aiming to advance their digital transformation. These systems render information instantly available, thereby facilitating the daily operations of employees through the use of an assortment of digital tools and methods for creating, digitizing, organizing, indexing, classifying, searching, and archiving documents. This structured approach to information management via the OnBase system contributes significantly to the efficiency of administration within institutions. In the study, we presented a successful experience of the Marine Studies Laboratory and the Algerian Total Company in adopting the OnBase system. Originality/Value: This study will contribute to the literature by enhancing our understanding of the use, key features, and functionality of document management, information management, and archival systems. This information will be valuable for individuals interested in improving document and information management systems in economic institutions. It may contribute to making better decisions and enhancing efficiency and effectiveness in document, information, and archival management.

Analysis of the effect of digital hospital efforts on paper savings in inpatient procedures and on the duration of nursing care services.

This study has two primary objectives. Firstly, it aims to measure the time savings achieved through the digitization of paper forms filled out by nurses in the inpatient care process. Secondly, it seeks to reveal the financial savings resulting from reduced paper consumption due to the digitalization. The Health Information Management System Society (HIMSS)-Electronic Medical Record Adaption Model (EMRAM), which makes stage-based (0-7) evaluations, serves as a tool to measure the rate of technology utilization in public hospitals in Turkey. The study is based on the HIMSS EMRAM criteria for 2018. Bahçelievler State Hospital, a public hospital in Turkey, was chosen as the research facility. In 2017, it was accredited as Stage 6 with HIMSS EMRAM. However, not all its wards have been digitalized. Initially, pilot selected wards were digitized. Therefore, digital and non-digital wards serve together. In this context, 4 wards were randomly selected and time, paper and toner savings before and after digitalization were measured. A table was created in Microsoft Excel,listing the forms used by nurses in inpatient care and the time required to fill them out.The time spent for filling paper-based forms and digital-based forms was measured in randomly selected wards. The analysis showed that digital forms saved more time, paper and toner. For example, filling out the patient history form took 45 min when using paper, compared to 12 min in digital environment. Approximately 27% time savings are achieved only for the patient history form. The total time savings delivered by digitalization for 1,153 inpatients during the year were found as 117 care days, and the savings on total paper consumption was 41.289 pages. For 1,153 inpatients throughout the year, the total time savings from digitalization was 117 care days and the total paper consumption savings was 41,289 pages. In addition, in 4 wards with a total bed capacity of 25, annual paper savings of $1,705.86 and toner savings of $283,736 were achieved. This study reveals the benefits of digitalisation in hospitals for nurses. It saves the time that nurses allocate for filling out paper forms with digitalised forms. Thus, it is a good practice example in terms of using the time allocated for form filling for patient care.When we extend this study to Turkey in general, it can be considered that the time savings achieved by nurses by digitizing inpatient forms varies between 10.8% and 13%. The number of nurses working in public hospitals in Turkey is approximately 160,000. Assuming that 60% of the nurses work in the inpatient ward, it is understood that the annual savings achieved by digitizing the forms corresponds to a range of 398-559 nursing hours.

MULTIDISCIPLINARY APPROACH IN THORACIC SURGERY: A 10 - YEAR STUDY

OBJECTIVE: The multidisciplinary approach is extremely important in the thoracic surgery department, as it is in every medical department. The aim of this study was to reveal the place of the department of thoracic surgery in the multidisciplinary approach and its relations with other departments through consultation records. MATERIAL AND METHODS: Consultations requested from the other departments (inbound) and by the thoracic surgery department (outbound) in a period of 10 years (January 1, 2013 and December 31, 2022) were obtained from the hospital information management system and analyzed by descriptive statistical methods. RESULTS: In the 10-year period, the department that requested the most consultations from thoracic surgeons was the emergency department, with 2793 (38.78%) consultations. In this period, thoracic surgery mostly requested consultation from the anesthesiology and infectious diseases departments (n = 1638 (29.97%) and 1104 (17.42%), respectively). CONCLUSIONS: Thoracic surgery is a part of the trauma team and is also the department that treats surgical diseases of the lung. Therefore, thoracic surgery consultation is requested especially by emergency services and chest diseases departments. The thoracic surgery department is in close contact with the anesthesiology, pulmonology, and cardiology departments and frequently requests consultation from these departments, especially for preoperative evaluation. With COVID-19, infectious diseases were also added to this preoperative team.

Strategi Humas Dinas Komunikasi dan Informatika Kabupaten Maluku Tenggara dalam Pengelolaan Informasi Publik

The Department of Communication and Informatics (Diskominfo) of Southeast Maluku Regency plays a crucial role in supporting local governance and development. They focus on ensuring easy access to information for the public, especially in areas with limited internet coverage or low literacy rates. Diskominfo employs various strategies, including social media, digital platforms, as well as subscription-based radio and television stations. They are also responsible for providing public information services through various online platforms and seven public service applications. The information management process involves stages of collection, clarification, documentation, and distribution with principles of accurate news writing. Despite efforts to improve information access and public services, Diskominfo still faces several challenges such as telecommunication network blank spots, limited infrastructure, and the public's lack of knowledge about government information. To address these challenges, strategic issues such as expanding networks in blank spot areas, enhancing monitoring and evaluation, implementing electronic-based public service systems, and improving human resource capacity must be considered. Diskominfo of Southeast Maluku Regency continues to strive to ensure relevant and accurate information is available to the public, with the hope of supporting the development and empowerment of all layers of society in the region. Keywords: Strategies, Information Management System, Online, Diskominfo.