Hospital Management System Research Articles

Retrospective analysis of healthcare workers admitted to emergency department due to side effects of the inactivated COVID-19 vaccine

Objective: This study aimed to evaluate the clinical characteristics and outcomes of healthcare workers who presented to the emergency department with vaccine-related reactions following the first dose of the CoronaVac vaccine. Materials and Methods: A retrospective analysis was conducted in Ankara Bilkent City Hospital’s Emergency Department between 13.01.2021 and 13.02.2021, encompassing healthcare workers aged 18 and above who experienced Vaccine Adverse Effects after CoronaVac vaccination. Data regarding demographics, medical history, symptoms, treatments, and outcomes were extracted from the hospital management system and analyzed using SPSS Version 24. Results: Of the 43 healthcare workers presenting with Vaccine Adverse Effects, 76% were female. Known history of anaphylaxis/urticaria was recorded in 32.6% of the patients, while 11.6% had a prior history of COVID-19. Common presenting symptoms included chest pain (16.3%) and headache (14%). A majority (58.1%) required no treatment, though two patients received adrenaline for anaphylaxis, with one requiring hospitalization. The median time from vaccination to symptom onset was approximately 16 hours. Conclusion: The study demonstrates a higher incidence of Vaccine Adverse Effects among female healthcare workers and those with a history of anaphylaxis/urticaria, although most reactions were mild and did not necessitate treatment. This analysis sheds light on the CoronaVac vaccine’s safety profile among healthcare workers and provides a foundation for addressing vaccine-related concerns in preparation for future mass vaccination endeavors against emerging COVID-19 variants or new pandemics.

Conceptualizing a model for cloud-based hospital management systems for the South African public health sector

Background and Aim of Study: Real-time access of information in the healthcare environment is essential, as it not only helps medical personnel to have adequate and timely information, but it also assists patients to be served more easily. Hospitals in rural areas are operating at a low bandwidth and have poor IT infrastructure that causes intermittent networks leading to disruptions and slow service delivery. This necessitates the Hospital Management System (HMS) to be deployed in the cloud environment to reduce the challenges leading to poor service delivery. The aim of the study: to develop a model for cloud-based HMS for the South African public health sector. Material and Methods: This study identified three public district municipality hospitals in Gauteng Province, South Africa, that were already using HMS and used them for data collection. Each hospital had up to 50 healthcare workers, and this formed the population of 150 from the three hospitals, from which a sample size of 108 respondents was selected. Data were collected using a closed-ended questionnaire and analyzed quantitatively using SPSS v25. Results: The results demonstrated that the suggested model has a good prediction power of 60.9% (R2=0.609) and that with the exception of environmental aspects, the rest of the constructs has a significant contribution to the successful implementation of the cloud-based HMS. Social aspects had the highest prediction power of 60.0% (β=0.600) at p=0.001; followed by risk analysis and control with 41.3% (β=0.413) at p=0.009. On the other hand, environmental aspects had the least and non-significant prediction of 12.3%. Conclusions: This study contributes to the ongoing call to have seamless healthcare provision systems. The model developed in this study extends the research of modernizing healthcare provision by leveraging technological innovations.

Evaluation of Occupational Health Safety Management System in Hospitals in Banda Aceh City

The most dominant hospital activity actors at risk of occupational safety accidents (SMK3) are hospital employees such as nurses, cleaning services, patients and visitors. The purpose of this study was to evaluate the application and factors affecting the implementation of occupational health and environmental safety management systems at dr. Zainal Abidin Regional General Hospital, Meuraxa Hospital and Banda Aceh Mother and Child Hospital. The data collection technique uses a mix method that combines quantitative and qualitative data with sequential explanatory strategies. The legal basis is Permenkes No. 66 of 2016, and the data was analyzed using the Likert scale method points 1-5 through SPSS version 26. The results of research at RSUDZA, RSIA, and RSUDM Banda Aceh show that the application of SMK3 is good to very good. However, there are several inhibiting factors that need to be considered by the hospital in order to improve the implementation of the Occupational Safety and Health Management System (SMK3) at RSUDZA, RSIA, and RSUDM Banda Aceh, some improvements can be recommended. First, RSUDZA needs to ensure the stability of K3 field officers and improve the marking of K3 signs. In addition, the unification of the drug room with pharmacy employees must be separated to be more effective. RSIA needs to obtain budget for ceiling repairs so as to block various small dirt falling from roof gaps, avoid splashing rainwater falling through the roof insulators or regulators of heat and cold coming from the roof, roof frame covers to make the space neater and cleaner, sound dampers, both generated by rainwater and other sounds and rearrange the right material placement. RSUDM needs to overcome solid waste piles, improve the marking of K3 rooms, and improve the arrangement of parking areas. In addition, it is important to hire additional security personnel in the ER. All these improvements are expected to improve occupational safety and health conditions in hospitals.

FAKTOR-FAKTOR PENYEBAB KETIDAKLENGKAPAN PENGINPUTAN KODIFIKASI PADA KASUS RAWAT JALAN DI RSUD RAJA AHMAD TABIB MENGGUNAKAN METODE DIAGRAM FISHBONE

Community service at Raja Ahmad Tabib Regional General Hospital from August 14 to August 26, 2023 aims to improve the efficiency and accuracy of inputting outpatient data. This activity focused on socialization to health workers to better understand the constraints in the Raja Ahmad Tabib Regional General Hospital Management System Application. The results of observations and interviews showed several factors causing the problem. First, the number of coder personnel has not met the standard, causing data entry to be not optimal. Second, SOPs related to inputting outpatient data need to be more specific so that the process is more uniform. The literature study also shows the need for integration of information management systems to facilitate staff, but there is a gap between INA-CBGs and SIMRS at Raja Ahmad Tabib Hospital. Another problem is related to the incomplete medical record files of BPJS patients, where accident information is less specific. Emergency department assessments and history taking also did not always reflect the details of the accident. Financial constraints are the main obstacle, limiting the addition of personnel and updating the information management system which still uses a desktop. With limited budgets, resolving issues related to staffing, methods, and system integration is difficult. Special attention is needed to ensure that outpatient information management becomes more efficient and accurate.

The Hospital Management System

The Hospital Management System

Long-term outcomes of foreskin reconstruction in distal hypospadias; a cohort study spanning twenty years

Surgical correction of hypospadias aims to achieve normal functionality and appearance. This entails foreskin reconstruction (FR) in countries where the uncircumcised penis constitutes the norm. Long-term data are however scarce. To investigate the long-term outcome of FR in cohort of patients operated for distal hypospadias combined with approximately 20 years after surgery. The hospital management system was searched for patients operated for distal hypospadias in conjunction with FR between 1997 and 2004. Prospective participants were invited to participate in an online questionnaire. Signed consent allowed for extended medical chart review, with regards to hypospadias grade, surgical procedure and complications. Response rate of 44.6%. For 113 participants, median age at primary surgery was 5.2 (1.0-15.5) years. Two-thirds had a distal meatus while the remaining, meatus was mid to distal shaft. Urethroplasties performed were mainly glanular approximation procedures and meatal based flap procedures in 85%. Foreskin fistula developed in 15% of cases. There was no significant relationship between urethroplasty procedure or meatal position and risk of foreskin complications. Three layer closure of foreskin resulted in significantly less complications than two layer closure. Twenty years on 95% of the men still had an intact foreskin, of whom 16.8% had received treatment for phimosis. Foreskin was retractable in 92.5% and 74.7% in the flaccid and erect states respectively. Ninety intact men had had their sexual debut and in those 23.3% reported foreskin related issues with intercourse. Evolution of foreskin retractability can be seen in the figure. Current results show that three layer FR in conjunction with hypospadias surgery is feasible and that short-term complication rates were comparable with what has previously been published in the literature. Long-term results indicate that FR is durable with regards to anatomical reconstruction however foreskin function especially in relation to sexual function was compromised in about 25%. Foreskin retractability after surgery predicted retractability in adulthood for the flaccid but not erect penis. Limitations of this study include the retrospective nature of data collection, and that the questionnaire used was not validated. We however achieved a decent response rate and were able to capture important long-term data. FR has an acceptable complication rate. Long-term results two decades on are remarkably durable with regards to the anatomical preservation of the prepuce, however functionality was compromised with regards to retractability and sexual function in approximately 25%.

Prevalence of Class I Dental Caries in Children Treated Under General Anesthesia - A Retrospective Cohort Study`

Dental caries is a multifactorial disease. Microorganisms, flow and composition of saliva, type of food consumed, exposure to fluoride and preventive behaviours are the criteria for the intensity of the manifestation. Dental caries are classified into various types based on parameters such as site of caries, extent, duration, progression, tissue involvement, pathway of spread, number of teeth etc. G.V Black classified dental caries based on the type of tooth affected. Class I dental caries from G.V Blacks classification is defined as caries affecting the occlusal thirds of molars, premolars, and palatal/lingual aspect of anterior teeth. The aim of this study is to find the prevalence of class I dental caries in children treated under general anaesthesia in a private dental hospital. This is a single center day retrospective study done in a hospital setting. A total of 121 patient details were collected from the hospital management system. The details of children under the age of 10 who were treated under general anaesthesia was only considered. Statistical analysis (Chi-square) was done in the latest version of SPSS software. The results showed that out of the total 121 children who were treated under general anaesthesia 42.15% of the children had class I dental caries. It was also evident that the number of three-year-old children (16.53%) who had class I dental caries were more followed by four-year-olds and two-year-olds.

Breakthrough infection among healthcare personnel following exposure to COVID-19: Experience after one year of the world’s largest vaccination drive

ABSTRACT Context: The COVID-19 vaccination drive globally was supposedly a game-changing event. However, the emerging variants of the virus and waning immunity over time posed new challenges for breakthrough infections. Standing at the frontline of defense against COVID-19, healthcare personnel (HCP) were vulnerable to such infections. Aims: This study estimates i) the vaccine breakthrough infections (VBI) among HCP following exposure to COVID-19 cases, and ii) the mean interval between the second dose of vaccine and laboratory-confirmed SARS-CoV-2 infection Materials and Methods: A cross-sectional study was conducted including 385 HCP with a history of exposure to COVID-19 cases during January and February 2022. Demographic details and clinical and vaccination history were collected from the test forms and the Web-based hospital management system. Laboratory testing of COVID-19 was carried out by real-time RT-PCR test. Results: The majority of the HCP were males (262; 68.05%) and nurses (180; 46.75%) by occupation. Two doses of vaccines were received by 278 (87.7%) HCP. VBI was confirmed in 185 (66.55%) HCP. No significant difference in VBI between the COVAXIN and COVISHIELD recipients (P = 0.69) was observed. The interval between the second dose and confirmed SARS-CoV-2 infection was significantly higher (P < 0.00001) in COVAXIN recipients (median 228 days) than in COVISHIELD recipients (median 95 days). Conclusions: The incidence of VBI was very high among the HCP, but not statistically different among the COVAXIN and COVISHIELD-recipients. Waning immunity over time suggests boosting immunity with a third dose because of emerging variants.

Outcomes of heel ulcers in people with diabetes visiting tertiary care diabetes center of Karachi, Pakistan

Abstract Objective: To determine the outcome of heel ulcers in people with diabetes. Materials and Methods: This retrospective cohort study was conducted at the Diabetic Foot Department of Baqai Institute of Diabetology and Endocrinology (BIDE), Karachi. Ethical approval was obtained from the Institutional Review Board of BIDE. Relevant records of all patients of both genders with diabetes aged 18–80 years and ulcer over the heel visiting the Diabetic Foot Clinic from January 2016 to December 2020 were retrieved from the hospital management system of BIDE for evaluation. Pre-designed proformas were filled and Statistical Package for Social Science version 20 was used to analyze data. Results: Overall data of 1073 diabetic people with heel ulcers was retrieved, among them the mean age was 57.95 ± 11.96 years, and 715(66.6%) participants were male. Type 2 diabetes was found in 821 (97.9%) participants and 548 (65.6%) had >10 years duration of diabetes. In regard to type of ulcer, 876 (81.6%) were neuropathic ulcers, 91 (8.5%) were ischemic, and 89 (8.3%) were neuroischemic ulcers. According to university of Texas classification wound classification, 725 (67.6%) fell in stage B followed by 238 (22.2%) in stage A. Regarding heel ulcer outcome, a majority of 459 (95.8%) healed without amputation and only 15 (3.1%) healed with major amputation. Conclusion: We found that the majority of the people with heel ulcers had a favorable outcome and healed without an lower extremity amputation.

Evaluation of hospital management information systems using the HOT-Fit Method: A literature review

The Hospital Management Information System is part of the Health Information System and is considered very important because it is able to integrate the entire process flow of Hospital services in several form. Objectives: Updating the literature review regarding the evaluation of Hospital Management Information Systems using the HOT-Fit method. Methods: Article searches were conducted using two languages through three database sources ScienceDirect, PubMed, and Google Scholar using the keywords “evaluating” AND “hot-fit” AND “hospital information system”. There were a total of 68 article findings, but only 6 articles met the inclusion criteria. Results: There are four total studies that comprehensively discuss each aspect of the human, organization, technology, and net benefit components, while the other two studies have aspects that are not the focus of evaluating the hospital management system. From the results found that each aspect is interconnected with each other, both positive and negative. Conclusion: The implementation of aspects of each HOT-Fit component does not have to be carried out entirely because it takes into account the needs and conditions of the hospital, but the more complete the aspects that are the focus of the evaluation, the more detailed the results obtained regarding the implementation of the hospital management information system.

The Effect Of Compensation, Work Environment, Career Development On Job Satisfaction With Employee Work Motivation As An Intervening Variable In Rs X

Hospitals are HR-intensive organizations because of the many kinds of professions and the number of workers engaged in them. Human resources in a hospital consist of health workers (including doctors, nurses, pharmacists, analysts, nutritionists, physiotherapists, radiographers, medical recorders) and non-health personnel (finance, administration, personnel, security, and so on). In the hospital management system, a strategy is needed to manage human resources. This study used quantitative descriptive research methods using linear regression tests, Pearson correlation tests, and path analysis. The study used 93 respondents. The results of this study show that there is a significant influence between compensation, work environment, and career development stimultan on job satisfaction through employee work motivation. The results of the linear regression test showed the t value for compensation was 1.050, the work environment was 10.960, career development was 5.205, work motivation was 3.654. The results of the Pearson correlation test to work motivation for compensation variables were 0.283, work environment was 0.724, career development was 0.386. The results of the Pearson correlation test to job satisfaction for compensation variables were 0.312, work environment was 0.734, career development was 0.415, work motivation was 0.791. Hospital management is expected to improve and improve factors related to compensation, work environment, career development in order to increase work motivation so as to increase job satisfaction.

Swot Analysis of Pharmacy Department Development Strategy in X Hospital in East Kalimantan Province

The hospital is an institution that provides health services and is an institution that cannot be separated from the influence of the internal and external environment. The growth and development of the hospital can be influenced by the organizational environment where the hospital is located. Therefore, a hospital management system is needed that considers strategic aspects so that the hospital can adapt and control the factors that influence and continue to change, both internal and external factors. The purpose of this study was to determine the position of the X Hospital Pharmacy Installation in the province of East Kalimantan towards the internal and external environment through a SWOT analysis and identify alternative strategies for development with the SWOT method. Research using a qualitative descriptive design using a questionnaire. Data on the strengths, weaknesses, opportunities, and threats of the Pharmacy Installation were obtained by observation and in-depth interviews. From the SWOT analysis, a SWOT matrix is obtained based on the External Factor Analysis Summary (EFAS) and the Internal Factor Analysis Summary (IFAS). The results of the study show that the Pharmacy Installation of X Hospital is in quadrant two with a diversification strategy to implement its development strategy. The RS X's internal strength factor is 1.11 times greater than its weakness and the results are opportunities that are smaller than the threats.

Build Hospital Management System using PHP framework

Service institutions are considered one of the most important institutions in our time, and they have become a great place in our lives The health institutions are considered the most important, because they provide many types of necessary health services And related to the safety of the health of individuals, and through cooperation between the academic study and the health sector, which was represented by Khanaqeen General Hospital, where this research paper presented a proposal hospital management system project is primarily focused on managing medical-related records within a hospital. More precisely, this system helps track medical reports. The system also displays all available employees and patients. In additionally, the system can aggregate inventory and pharmacy records, this system consists of two major sections: database structure, and GUI (Graphical User Interface) frames (created in environments utilizing PHP, HTML, and CSS). The database constructed with MYSQL and the GUI frame make it easier for novice users to utilize the suggested system. at the latest this paper describes a hospital management system that can be used to manage and analyze hospital information related to patients, treatments, and sales. The practical implications of this system are: It can help hospitals to manage their operations more efficiently by providing a centralized system for managing patient information, treatment records, The system can be of assistance hospital administrators to make data-driven decisions by providing them with real-time information about hospital operations, and improve patient care by providing doctors and nurses with easy access to patient information and treatment records, The system can be beneficial to reduce errors and improve accuracy by automating many of the manual processes involved in managing hospital information. Overall, the HMS described in this paper has the ability to increase efficiency, accuracy, and quality of hospital operations, which can ultimately lead to better patient outcomes.

QR-PUF: Design and Implementation of a RFID-Based Secure Inpatient Management System Using XOR-Arbiter-PUF and QR-Code

In recent years, Physical Unclonable Functions (PUFs) have played a major role in providing low-cost physical security for IoT devices such as Radio Frequency Identification (RFID) tags. PUFs take advantage of the physical properties of the device to build unique security primitives that can be used by authentication mechanisms. Meanwhile, the security and convenience of QR codes for device authentication on mobile devices has been widely recognized. The point-to-point communication makes it less vulnerable to interception and analysis by adversaries. In this article, we propose a <i>new</i> RFID-based secure inpatient management system for identifying a legitimate patient. Our proposed system uses an XOR Arbiter PUF to generate a secret key-stream and then uses the key-stream to construct a secure QR code for secure identification. Also, since PUFs are vulnerable to machine learning attacks, we propose a modeling attack resilience obfuscation framework to enhance the security of the proposed protocol. Security analysis of the proposed scheme using ProVerif shows that the scheme is effective against a variety of imperative attacks on RFID devices. To show the applicability of the proposed scheme, we also provide a case study of an inpatient management system in hospitals.

What Makes a Hospital Excellent? A Qualitative Study on the Organization and Management of Five Leading Public Hospitals in China.

To summarize the organizational and management experiences and explore the organizational theoretical model of five leading public hospitals in China. Purposive sampling was used to select five leading hospitals in different regions of China under the National Health Commission and Provincial Health Commission as study hospitals for the study. From August 2021 to March 2022, 8 leaders and 39 managers from these hospitals were surveyed using semi-structured interviews. The data and information were analyzed in four dimensions using thematic analysis and grounded theory, focused on summarizing the experiences and practices of China's leading hospitals in organizational system, culture, operations and performance management, and employee development. This study complied with the COREQ guidelines for reporting qualitative research. An organizational system model of the characteristics of hospital excellence was developed using four core attributes: organizational system, organizational culture, operations and performance management, and employee development; the model was named the System-Culture-Operation-Performance-Employee (SCOPE) model. Organization and management among leaders and managers in China's leading hospitals are based on the SCOPE process, resulting in employees' well-being, patients' positive outcomes, and organizational excellence. In terms of hospital culture, while adhering to the Hippocratic Oath, the hospital is deeply influenced by traditional Chinese culture, which emphasizes "benevolence" and "love", leading all staff to adhere to "patient-centered care and service." In terms of operations management, a separate operations management department is responsible for hospital operations and performance assessment. As for employee development, the staff's sense of reverence for their profession is emphasized and a reasonable salary system and good practice environment are established to promote staff motivation. The SCOPE model reveals the perspectives of leaders and managers in China's leading hospitals regarding organization and management under a Chinese cultural background. These findings can complement the existing literature on hospital management systems.

Automated hospital management system: A study of Kogi State Specialist Hospital, Idah

Automatic Hospital Management System (AHMS) is health care service software which is built to digitalize the various services rendered by a hospital. In this paper, the Kogi State Specialist Hospital, Idah, is used as the case study for the hospital management system. The software functions are divided into three modules: administrative, medical and security modules. The aim of the AHMS is to save, retrieve, update and control the numerous activities that play out in the hospital on a daily basis. It is a web application which runs on the App Platform of Digital Ocean server, and built based on the agile software methodology. It is made of frontend, middleware and backend. Various programming languages were employed in the implementation of this work. Data transmission on the system is secured by a Cross Site Request Forgery (CSRF) token for each stream of data. Demonstrations carried out with the system showed high efficiency.

A computer architecture based on disruptive information technologies for drug management in hospitals.

The drug management currently carried out in hospitals is inadequate due to several factors, such as processes carried out manually, the lack of visibility of the hospital supply chain, the lack of standardized identification of medicines, inefficient stock management, an inability to follow the traceability of medicines, and poor data exploitation. Disruptive information technologies could be used to develop and implement a drug management system in hospitals that is innovative in all its phases and allows these problems to be overcome. However, there are no examples in the literature that show how these technologies can be used and combined for efficient drug management in hospitals. To help solve this research gap in the literature, this article proposes a computer architecture for the whole drug management process in hospitals that uses and combines different disruptive computer technologies such as blockchain, radio frequency identification (RFID), quick response code (QR), Internet of Things (IoT), artificial intelligence and big data, for data capture, data storage and data exploitation throughout the whole drug management process, from the moment the drug enters the hospital until it is dispensed and eliminated.

Innovation, Automation and Informatics Improves Quality in Lerdsin Hospital, Thailand.

This paper describes a planned, continuous improvement journey, of a laboratory that has installed a system with a single sample touch from blood draw to result. To achieve this, physical connectivity of systems from phlebotomy through pre-analytical to the analytical phase were paired with informatics connectivity from the patient's national identity card to the hospital and laboratory informatics management systems (LIMS) and associated middleware. This allowed accurate time stamps to track turnaround time (TAT). TAT metrics were collected from the LIMS for inpatient, emergency room and outpatient samples and tests over a period of 7months. This time span incorporated the 2-month period before automation was implemented. The results for all tests and specific tests are shown and the results of an analysis of the outpatient phlebotomy workflow are given. The implemented solution has improved outpatient TAT by over 54% and has shown that samples can be collected, and results obtained without touching the sample. Improving intra-laboratory TAT is an important quality goal for all laboratories. The implementation of automation is important in achieving this albeit more about obtaining predictable TAT. Automation does not necessarily improve TAT it removes variation which leads to predictable TAT (PTAT). Automation should only be considered with a strategic vision for the future as it is important to have clear goals and objectives based on the individual laboratories process and needs. Automating a poor process leads to an automated poor process. Here, an innovative use of automation, hardware and software has resulted in marked improvement in TAT across all samples processed in the central laboratory.

Studi Kasus: Analisis Pengendalian dan Manajemen Risiko Kesehatan dan Keselamatan Kerja di Rumah Sakit (K3RS)

Risk management as a process for analysis, identification, evaluation, control, and overcoming risks faced by organizations or Hospital Agencies. This control is carried out by implementing Hospital Work Safety Health (HWSH). The purpose of this case study is to find out the analysis of occupational health and safety risk control and management in hospitals. The method in the case study is by implementing the Hospital Occupational Health Safety Risk Management system (HOH SRMS). Hospital management system as a whole which includes the organizational structure, planning, responsibilities, implementation, procedures, processes and resources needed for the development, implementation, achievement and maintenance of occupational health and safety policies. The results of the analysis state that the Occupational Safety &amp; Health (OSH) plan in the hospital is the key as a reference for performance in health worker safety with risk identification, risk analysis, risk assessment, implemented solutions, and risk monitoring. It can be concluded that risk management in hospitals is a comprehensive control activity in the form of identification and evaluation to reduce the risk of injury and loss to patients, hospital employees and to improve the quality of health services. Hospital Agencies have the duty and obligation to identify and control thoroughly both in the service area, infectious area and hospital environment area. HOH SMRS as an important aspect designed to prevent negative impacts on business processes or minimize financial loss. It is hoped that the hospital will carry out risk management by identifying weaknesses in the system and correcting these weaknesses.&#x0D;

Hospital Billing and Management System

Hospital Billing and Management System