Hospital Management System Research Articles

Hospital Waste Management During COVID-19

Any solid, liquid, or gas substance used will be immediately discarded. The substance waste dumped is conducted in every place, including hospitals. The hospital management system covers hospital waste management. This management allows the hospital to monitor the amount and variants of waste produced, which minimizes the harmful effects of waste. However, in this topic, systematic analytical mapping studies still have a lot of research limitations. This study aims to analyze Hospital Waste Management during the peak of COVID-19 which is presented as a systematic review. This research applied the qualitative method with a literature study approach. The hospital waste management articles identified from 2011-2021 amounted to 686 publication articles that Scopus indexed, indicating that hospital waste management studies have increased in recent years. The expansion in the study mainly was research on hospital waste management from the inner side of hospital management. Many studies on hospital waste management from processing, environmental impact, and the risk of spreading infections have been studied from the COVID-19 side since 2019. This finding has implications for further research by analyzing the problems related to the rapidly growing field of hospital waste management in detail or using a different perspective. Keywords: Hospital Waste, Waste Management, Hospital Waste Management, COVID-19, Systematic Review.

Cyclomatic Complexity dan Graph Matrix dalam Pengujian Sistem Informasi Manajemen Rumah Sakit

Information systems can assist hospital management in improving services at a hospital. The software development method used in making hospital management applications is using the waterfall method which one of the stages is testing. The problem in system development is that the testing process is not optimal and focuses more on system development so that errors can be found at the implementation stage. System testing is a permit for an error in the system being developed. The aim of the research is to check the design details, use the program design control structure procedurally and run the program to find errors. The method applied to carry out the testing phase in the hospital management system is the Whitebox method using the cyclomatic complexity and graph matrix approaches. Testing will be carried out on the process of managing inpatient data in the application. The results of the research from testing the hospital management system using the cyclomatic complexity approach are that it can provide information on the minimum number of tests and ensure that all program structure paths are used at least once. In addition, the results of the graph matrix test are the probability side that will be carried out.

A Framework for Securing Saudi Arabian Hospital Industry: Vision-2030 Perspective

Recent transformation of Saudi Arabian healthcare sector into a revenue producing one has signaled several advancements in healthcare in the country. Transforming healthcare management into Smart hospital systems is one of them. Secure hospital management systems which are breach-proof only can be termed as effective smart hospital systems. Given the perspective of Saudi Vision-2030, many practitioners are trying to achieve a cost-effective hospital management system by using smart ideas. In this row, the proposed framework posits the main objectives for creating smart hospital management systems that can only be acknowledged by managing the security of healthcare data and medical practices. Further, the proposed framework will also be helpful in gaining satisfactory revenue from the healthcare sector by reducing the cost and time involved in managing the smart hospital system. The framework is based on a hybrid approach of three key methods which include: employing the Internet of Medical Things (IoMT) and blockchain methodologies for maintaining the security and privacy of healthcare data and medical practices, and using big data analytics methodology for raising the funds and revenue by managing the bulk volume of healthcare data. Moreover, the framework will also be helpful for both the patients and the doctors, thus enabling the Kingdom of Saudi Arabia (KSA) to meet its goals of Vision-2030 by ensuring low cost, yet credible, healthcare services.

Auto JSON: An Automatic Transformation Model for Converting Relational Database to Non-relational Documents

In recent days, the demand for dealing large set of distributed data obsoletes the relational database and its structured query language (SQL) solutions in practice and paves the way for novel solutions in the name of non-relational database as not-only SQL (NoSQL). The NoSQL offers dynamic, flexible, scalable, highly available, greater performance and near real-time access to the distributed nature of voluminous data used for current industrial applications. Apart from these giant features of NoSQL, the SQL is still found to be in operation because of its popularity and standard. This paper projected an algorithm to convert the relational documents of MySQL into any document oriented NoSQL databases automatically without destructing the existing relational database setup and installing the NoSQL from scratch in the core machines. Java Script Object Notation (JSON) is a human readable data interchange format, being used in web development. The characteristics of JSON widened its use cases from web development to database storage. The Mongo DB, one of the most popular document oriented NoSQL adapts JSON format for its storage. The proposed algorithm is built based on its schema definition and the performance is captured through evaluating it against a sample database from hospital management system. The findings are discussed with great interest of addressing the challenges and revealing the scope for improvement.

Hospital Management System

Hospital Management System

BIoMT: A Blockchain-Enabled Healthcare Architecture for Information Security in the Internet of Medical Things

Rapid technological advancement has enabled modern healthcare systems to provide more sophisticated and real-time services on the Internet of Medical Things (IoMT). The existing cloud-based, centralized IoMT architectures are vulnerable to multiple security and privacy problems. The blockchain-enabled IoMT is an emerging paradigm that can ensure the security and trustworthiness of medical data sharing in the IoMT networks. This article presents a private and easily expandable blockchain-based framework for the IoMT. The proposed framework contains several participants, including private blockchain, hospital management systems, cloud service providers, doctors, and patients. Data security is ensured by incorporating an attribute-based encryption scheme. Furthermore, an IoT-friendly consensus algorithm is deployed to ensure fast block validation and high scalability in the IoMT network. The proposed framework can perform multiple healthcare-related services in a secure and trustworthy manner. The performance of blockchain read/write operations is evaluated in terms of transaction throughput and latency. Experimental outcomes indicate that the proposed scheme achieved an average throughput of 857 TPS and 151 TPS for read and write operations. The average latency is 61 ms and 16 ms for read and write operations, respectively.

The measurement of the performance of Medical Equipment Management System (MEMS) in public hospitals especially

The measurement of the performance of Medical Equipment Management System (MEMS) in public hospitals especially

Gambaran Umum Penggunaan Lean Six Sigma Pada Manajemen Obat di RS

The hospital pharmacy installation is an important unit in the hospital that is responsible for pharmaceutical activities. Pharmacy is the last unit and one of the important parts that determine patient satisfaction, to improve the service process in operations management, the method that can be used is lean six sigma to help improve service quality and patient satisfaction by minimizing errors and waiting times through organizing and managing the hospital management system. The purpose of this study is to identify an overview of the use of lean six sigma in drug management in hospitals. This research method is a literature review study with the search engine used in literature searches, namely google scholar according to the keywords of the topic to be studied, namely lean six sigma methods, hospital drug management, lean six sigma implementation, the criteria for articles used are based on publications published between 2019 and 2023. The results showed that there is waste in drug/pharmacy management in hospitals. The problems related to pharmacy include too long waiting times, overprocessing of drug prescriptions, and waste of motion in file searches. SIMRS error, lack of trained human resources, uncertainty of drug prices, still done manually are triggers for the occurrence of worthless processes. Waste reduction can be done with the lean six sigma method which can fix problems that often occur in pharmaceutical installations by being applied through standardized calculations.

A Study On Utility of Web-Based Drug Warehouse Management System (E-Aushadhi) In A Peripheral Hospital of Metropolitan City of Maharashtra

Introduction: An E-Aushadhi management system based on database was introduced in urban health centre for managing stock outs. This study was conducted to assess utility of web-based drug warehouse management system in a peripheral hospital. Objectives: The objectives of this study were to assess the perceived benefits and difficulties by health care providers expected in introducing a web-based Supply Chain Management System (E-aushadhi) and to identify the factors which will govern successful transition from current system of drug logistics management to web-based system. Methods and materials: In this study Focus Group Discussion was conducted with the staff members of an urban health centre who were working on a similar web-based platforms. There are four teams each comprising 3-5 members. Results: Themes and subthemes were made based on the transcripts analysed. It is perceived that with introduction of web-based drug warehouse system, accuracy of the data can be well assured as manual errors can be reduced a lot. Quality of stock maintenance will increase and will prevent stock outs Conclusion: The accuracy and transparency of drug stock maintenance will be increased while technical challenges such as internet availability, technician availability and training of personnel are perceived barriers.

An Improved Bi-LSTM-Based Missing Value Imputation Approach for Pregnancy Examination Data

In recent years, the development of computer technology has promoted the informatization and intelligentization of hospital management systems and thus produced a large amount of medical data. These medical data are valuable resources for research. We can obtain inducers and unknown symptoms that can help discover diseases and make earlier diagnoses. Hypertensive disorder in pregnancy (HDP) is a common obstetric complication in pregnant women, which has severe adverse effects on the life safety of pregnant women and fetuses. However, the early and mid-term symptoms of HDP are not obvious, and there is no effective solution for it except for terminating the pregnancy. Therefore, detecting and preventing HDP is of great importance. This study aims at the preprocessing of pregnancy examination data, which serves as a part of HDP prediction. We found that the problem of missing data has a large impact on HDP prediction. Unlike general data, pregnancy examination data have high dimension and a high missing rate, are in a time series, and often have many non-linear relations. Current methods are not able to process the data effectively. To this end, we propose an improved bi-LSTM-based missing value imputation approach. It combines traditional machine learning and bidirectional LSTM to deal with missing data of pregnancy examination data. Our missing value imputation method obtains a good effect and improves the accuracy of the later prediction of HDP using examination data.

Prevalence of Class V caries in maxillary and mandibular canines of 3-5-year-old children: A retrospective study.

Caries in primary teeth are a major health concern in socially disadvantaged populations and may alter the eruption pattern and function of their successor. The aim of the study is to find the prevalence of Class V caries in maxillary and mandibular canines in 3-5-year-old children. A single-centered retrospective study was conducted in a private dental institution, Chennai. The data were collected from the Dental Hospital Management System of Saveetha Dental College (DIAS). A test for significance was done with the help of the Chi-square test. The most prevalent caries in canines of children between the age group of 3 and 5 years were cervical caries or Class V caries. 5, 35,951 patient details that were available in DIAS, and 2,35,841 were details of pedodontic patients, 200 patients who fulfilled the inclusion criteria were analyzed. It was observed that the prevalence of caries on the right maxillary and mandibular canines (80.00%) was higher than the left counterpart (20.00%) of the same arch. Maxillary canines (70.00%) had more prevalence of caries as compared to mandibular canines (30.00%). Caries prevalence on the right maxillary and right mandibular primary canine was higher than their left counterparts. Maxillary primary canines had more prevalence of caries as compared to mandibular primary canines.

Consolidate the foundation, steadily promote and comprehensively improve the quality control in prevention and management of venous thromboembolism in China

Hospital-associated venous thromboembolism (HA-VTE) has become a public health problem that seriously affects the quality of medical care and patient safety. Many countries regarded VTE prevention as a key element of medical quality management, carried out quality improvement work in VTE prevention and achieved remarkable results. In China, there is also unremitting efforts and explorations in the field of VTE prevention and management. The national program for prevention and management of pulmonary embolism and deep vein thrombosis was officially launched. Through a series of measures such as excellent center construction, regional alliance, and strengthening of quality control and informatization, the national program has greatly promoted the construction of VTE prevention and management system in hospitals across the country. Strengthening the prevention and treatment of VTE has become the common will of the government, hospital administrators, clinical medical staff and the public. In the future, we need to continue to steadily promote the prevention and management of VTE, and comprehensively improve the quality control management level of VTE prevention and management in hospitals.

Design and Implementation of an Automated Hospital Management System with MERN Stack

A hospital is a place that needs more effective and efficient management of information, people, and assets. This paper demonstrates the design and implementation of an autonomous system with mern stack that can manage doctor information, patient information, inventory information, and administrative functionalities in a hospital environment. This was written with the intention of eliminating the problems of manual hospital management systems such as data redundancy, data inaccuracy, poor accesibility and lack of data security. The paper addressed the problems of time consumption of storing, retrieving, updating, and processing hospital data, generating ambiguous and inaccurate reports, and poor access control to sensitive information in manual paper-based hospital management systems and provides an intuitive and modern approach to solving those problems using an autonomous web application to improve the overall efficiency of a hospital environment. The tools used to implement the proposed system are reactjs library with redux, expressjs, nodejs, and mongodb as the online cloud database. Google oauth 2.0 is used as the authorization protocol. This proposed solution provides an excellent way of authentication and authorization, generating reports for statistical and information gathering purposes, managing administrative tasks, and improving information storing, manipulating and retrieving infrastructure.

The Hospital Management System

The hospital's management system includes improved profitability, improved administration, and better patient care. The goal of this study is to create a digital management system that will boost the hospital's effectiveness and systems integration standards. It was able to produce a module that would provide some facilities, like booking doctors, booking lab test slots, pharmacy services, and getting health programs. This system consists of an admin handling part, which means admin can manage users, pharmacy systems, health program management, and manage booking of doctor's appointments and lab tests. And through this system, the admin can generate multiple reports according to his needs[7]. A module that would manage the admission bills and pharmaceutical payments; and a module that could monitor the medicine inventory of the hospital pharmacy. Problem statement because hospitals are associated with ordinary people's lives and daily routines the manual handling of the record is time-consuming and highly prone to error. The purpose of this project is to automate, or make online, the process of day-to-day activities. Each phase guided the researchers in the development of the study and helped them organize the workflow of each task. In conclusion, the researchers found that the system could speed up the working progress and productivity of hospital employees. It could also generate hospital reports that could help the users to provide an overview of the hospital transaction within specific date. It also provided the facility for searching for the details of the inquiring patient in the receptionist module. The system could reduce the workloads in the hospital, resulting in better management and working performance. In general, the study resulted in a better improvement of hospital transactions. It has been recommended that there is a need to enhance the frontend design of the system.

Job satisfaction and associated factors in Greek public hospitals.

To investigate the level of job satisfaction of health care professionals in the public hospitals of the 1st Regional Health Authority of Attica and further to assess its determining factors. The Job Satisfaction Survey questionnaire was administered to health professionals in thirteen hospitals. The 36 items of the questionnaire are expressed on a Likert scale and are divided into nine dimensions. Additional questions were added covering the demographic and socio-economic characteristics. The reliability of the tool was: α Cronbach = 0.89. The response rate was 81.95%, 3,278 questionnaires were collected overall, of which 52,96% (n=1,736) originated from the nursing staff, 24.50% (n=803) from the medical staff and 22.54% (n=739) from other health employees. The average overall job satisfaction is moderate (3.33 out of 6). The category with the lowest score in job satisfaction was that concerning salaries (2.12). Questions related to promotion (2.45), additional benefits (2.67), operating procedures (2.82) received low job satisfaction rates. Instead, the categories that garnered positive job satisfaction concerned questions related to the supervision (4.66), the nature of work (4.34), and co-workers (4.25). Questions related to communication received 3.79. The findings showed lowest satisfaction levels in pay, fringe benefits, contingent rewards, promotion and operating procedures dimensions of job satisfaction. Participants were more satisfied with the nature of work, supervision and co-workers. The findings can be used as a set of reference levels and indicators for the human resources development component of the quality management system in the public hospitals.

The effect of primary tumour resection on patients with synchronous metastatic colorectal cancer treated with cetuximab-containing regimens.

This study aims to assess the effect of primary tumour resection (PTR) on patients with metastatic colorectal cancer (mCRC) treated with cetuximab. This retrospective cohort study was conducted in a tertiary cancer center in Turkey. Patients with mCRC between January 2009 and December 2020 were extracted from the electronic hospital management system. Patients with RAS wild-type synchronous metastatic left-sided colon or rectum cancer who had cetuximab-containing treatment protocol were included in the study. The primary outcomes were overall survival (OS) and progression-free survival (PFS). The secondary outcome was response rates. A total of 111 patients with mCRC were included in this study. PTR was performed in 57.7% of all patients. Fifty-nine (53.2%) and 52 (46.8%) patients had rectal and left colon tumours, respectively. The combination treatment with cetuximab was FOLFIRI in 62.2% and FOLFOX in 29.7% of all patients. In subgroup analysis, the median PFS was 7.9 and 9months in PTR (+) and PTR (-) patients, respectively. The difference between the groups was not statistically significant (P= 0.3). The median OS was 33 months in all patients. In subgroup analysis, the median OS was 39 and 27.9months in PTR (+) and PTR (-) patients, respectively. The difference between the groups was statistically significant (P= 0.002). After adjusting for confounding factors, PTR and ECOG performance score were the independent prognostic factors for OS. PTR improved the OS in patients with RAS wild-type synchronous left-sided colon or rectum cancer treated with cetuximab-containing chemotherapy regimens.

Construction of scientific research management system of West China Hospital under the background of high quality development of public hospitals

<p indent="0mm">The high-quality development of public hospitals requires the construction of high-quality and efficient operation and management mechanism, and the innovation drive can be accelerated by improving service quality and efficiency. The current scientific research management mode of most hospitals has been unable to adapt to and meet the current development of scientific and technological innovation, and there is a general situation that scientific research management lags behind the development of scientific research business. By strengthening system innovation, model innovation and management innovation, and constructing a scientific research management innovation system covering all aspects from basic research to clinical demand-oriented translational research, significant scientific research results can be achieved and the high-quality development of public hospitals can be promoted.

COMPARISON OF MAXILLARY AND MANDIBULAR ARCH FORM IN CLASS I, CLASS II AND CLASS III PATIENTS REPORTING FOR TREATMENT

Background: - Archforms play an important role in orthodontic diagnosis and treatment planning. Limitations for tooth movement, especially for incisor retraction arise from the basal bone where teeth are rooted. If teeth move excessively over the alveolar bone, periodontal complications and unstable treatment effects, even the tooth exfoliation may occur. The aim of this study is to compare the maxillary and mandibular arch forms of class I, class II, class III patients reporting for treatment in Saveetha dental college and hospitals, Chennai, Tamil nadu from June 2019 to January 2021.Materials and method: - It is a single centered retrospective study conducted in a private dental institution, Chennai. The data of patients reporting was collected from the dental hospital management system and the arch form was compared. Ethical clearance for this study was obtained from the Institutional review board. Statistical analysis was obtained using SPSS version 20.Results:-The results showed that there is no significant correlation in maxillary and mandibular arch forms among Angle’s Class I, Class II, and Class III malocclusion. Class I occlusal relationship was the most common class of malocclusion followed by Class II malocclusion. Ovoid arch was more common in class I, Class II, Class III malocclusion. Conclusion: - Within the study limits, it was concluded that Class I occlusal relationship was the most common class of malocclusion followed by Class II. Ovoid arch was more common in class I, Class II, Class III malocclusion followed by v-shaped and square arch forms in class I and class III and V-shaped arch was more prominent in class II patients.

Smart health costing system

Smart Health Costing provides the benefits of streamlined operations, improved management and control, superior patient care, strict cost control and improved productivity. HMS is powerful, flexible and easy to use and has been designed and developed to deliver real, conceivable benefits to hospitals. Most importantly, it is backed by reliable and dependable support. The Hospital Management System project is based on database, oriented and networking techniques. Because there are many areas where we keep records in the database we use SQL SERVER which is one of the best and easiest software to keep our information. This project uses C# as a front-end program which is object oriented programming and has a connection to SQL SERVER. The smart health costing system is specifically designed to meet the specific requirements of medium and large sized hospitals around the world. All required modules and features are specifically designed to suit your requirements. It covers all required modules right from patient registration, medicine details, doctor, wards, administrator, patient appointment, bill payment, discharge details etc. The human body is a very complex and developed structure consisting of millions of tasks. Man has understood all these complex functions, part by part from their research and experiments. With the advancement of science and technology, medicine has become an integral part of research. Gradually, medical sciences became a completely new branch of science. As of today, the health sector consists of medical institutions, such as hospitals, hospitals, etc., research and development institutions and medical colleges. Thus the health sector aims to provide the best medical facilities to the general public.

Blockchain integration for hospital information system management

Introduction: A lot of hospital management systems, especially open-source ones, still lack interoperability which is holding back the effectiveness of administration. This happens due to different regulations from hospital organizations. Therefore, there must be a system that facilitates interoperability. Blockchain is a decentralized ledger system, to insert the data from the blockchain all parties must agree that the data is valid thus the data can be inserted so, all the data are immutable thus every change can be audited. Methods: We integrate the Hyperledger fabric network, an open-source modular blockchain platform, into an open-source hospital management system, openEMR. We take the changed data using debezium connect and Kafka and inserted it into the blockchain. Results: Based on our test, we managed to get average read latency at 27ms, average read throughput at 36 Read per Second, average transaction latency at 45ms, average transaction throughput at 22 Transaction per Second, and average integrated system data transfer at 111.36ms. Conclusions: All services deployed successfully at the Kubernetes without any error. All services work as they should be. One service can integrate through the internal network of the Kubernetes and from the outside cluster using ingress. OpenEMR can be used normally as indicated in the official documentation and the data change is stored in the blockchain.