Inventory reference ISSN 1812-7231 Klin.inform.telemed. Volume 11, Issue 12, 2015, Pages 73–79
Author(s) I. D. Duzhyi1, V. V. Gorokh2, O. V. Trubilko3, S. V. Kharchenko1
Institution(s) 1Medical Institute, Sumy State University, Ukraine 2Sumy Regional Clinical Hospital, Ukraine 3Faculty of Radiotechnical Aircraft Systems (№ 5), National Aerospace University — Kharkiv Aviation Institute named after M. Ye. Zhukovsky, Ukraine
Article title Software for medical information system for audit and analysis of patients with gastrointestinal bleedings
Introduction. The gastrointestinal bleeding remains still a remarkable interdisciplinary problem. A population-based and cohort research of this pathology can be realized under a qualitative collecting, stocking and processing of data.
Purpose. To develop/implement a hospital-based medical information system for outcome research of patients with gastrointestinal bleedings.
Study Methodology and Results. During development of the system we constructed a local medical information system for audit and analysis of patients with gastrointestinal bleedings using principles of depersonification data collection and a relational database Microsoft SQL Server Compact Edition 4.0. According to its functions the outcome reporting is possible by simple lists with bleeding descriptions or by a calculation of surgical activity (mortality and hospital day rates).
Conclusion. The presented medical information system is oriented towards a data analysis for gastrointestinal bleedings in a single-center research and implementation in a specialized medical center.
Keywords Gastrointestinal bleeding; Medical information system; Software; Outcomes.
1. Embi P. J., Kaufman S. E., Payne P. R. Biomedical informatics and outcomes research: enabling knowledge-driven health care. Circulation, 2009, vol. 120, iss. 23, pp. 2393–2399.
2. Aabakken L., Barkun A. N., Cotton P. B. et al. Standardized endoscopic reporting. J. Gastroenterol. Hepatol., 2014, iss. 2, pp. 234–240.
3. Peura D. A., Lanza F. L., Gostout C. J., Foutch P. G. The American College of Gastroenterology Bleeding Registry: preliminary findings. Am. J. Gastroenterol., 1997, vol. 92, iss. 6, pp. 924–928.
4. Barkun A., Sabbah S., Enns R. et al. The Canadian Registry on Nonvariceal Upper Gastrointestinal Bleeding and Endoscopy (RUGBE): Endoscopic hemostasis and proton pump inhibition are associated with improved outcomes in a real-life setting. Am. J. Gastroenterol., 2004, vol. 99, iss. 7, pp. 1238–1246.
5. Crooks C. J., Card T. R., West J. Excess long-term mortality following non-variceal upper gastrointestinal bleeding: a population-based cohort study. PLoS Med, 2013, vol. 10, iss. 4, e1001437.
6. Association of Clinical Registries, Malaysia (Electronic resource). Mode of access: http://www.acrm.org.my
7. Ludvigsson J. F., Andersson E., Ekbom A. et al. External review and validation of the Swedish national inpatient register. B.M.C. Public Health, 2011, vol. 11, iss. 450, pp. 1–16.
8. Proekt Svitovogho banku "Polipshennja okhorony zdorov’ja na sluzhbi u ljudej", Komponent 2. Centraljni subproekty. Elektronna okhorona zdorov’ja (eHealth) [World Bank Project "Serving people, improving health", Component 2. Central Sub-Porjects. Electronic health care (eHealth)] [Electronic Resource]. Mode of access: http://wb.moz.gov.ua (In Ukr.).
9. Scottish Audit of Surgical Mortality (Electronic resource). Mode of access: http://www.sasm.org.uk
10. Rosenstock S. J., Mшller M. H., Larsson H. et al. Improving quality of care in peptic ulcer bleeding: nationwide cohort study of 13,498 consecutive patients in the Danish Clinical Register of Emergency Surgery. Am. J. Gastroenterol., 2013, vol. 108, iss. 9, рр. 1449–14457.
11. Australian and New Zealand Audit of Surgical Mortality (Electronic resource). Mode of access: http://www.surgeons.org/for-health-professionals/audits-and-surgical-research/anzasm/
12. The Clinical Outcomes Research Initiative, National Endoscopic Database (Electronic resource). Mode of access: http://www.cori.org
13. The Canadian Institute of Health information, British Columbia Discharge Abstracts Database (Hospital Separations file) (Electronic resource). Mode of access: http://www.popdata.bc.ca/data/internal/health/dad
14. Chesnokov Ye.V., Sannikov A.G., Sharapova L.P. et al. Svidetelstvo o gosregistratsii programmy dlya EVM 2010611876, Rossiyskaya Federatsiya. Avtomatizirovannaya sistema "Formirovanie registra bolnykh yazvennoy boleznyu zheludka" [Certificate of State Registration for the IBM Software 2010611876, Russian Federation, Autonomic System "Formation of register for patients with stomach ulcer disease"]. № 2010610364. Received 22.01.2010. Registered 11.03.2010. (in Russ.)
15. Gastrointestinal bleeding database, Institute of Applied Health Sciences, University of Aberdeen (Electronic resource). 2001. pp. 1–9. Mode of access: http://www.abdn.ac.uk/iahs/uploads/files/GIB.pdf
16. Wyatt J. C., Sullivan F. eHealth and the future: promise or peril? B.M.J., 2005, vol. 331, iss. 7529, pp. 1391–1393.
17. Groenen M. J., Ajodhia S., Wynstra J. Y. et al. A cost-benefit analysis of endoscopy reporting methods: handwritten, dictated and computerized. Endoscopy, 2009, vol. 41, iss. 7, pp. 603–609.
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