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Information technologies for the Physician 2020 #3

Published: 2017-01-13

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CONTENT OF THE ISSUE

    Regional informatizatian projects
  • The notification mechanism of notifying the district doctor in the medical information system upon receipt of a new medical document in the regional medical information system based

    The main task is to develop a mechanism in Regional medical information system (RMIS), which allows to promptly
    notify the district doctor about the receipt of a new electronic medical document in RMIS from outside medical organizations. As
    s result, the development and implementation of district doctor’s notifying service significantly optimizes and simplifies the work
    of medical personnel with electronic medical documents.

    Authors: Solonenko T. A. [1] Korogod M. A. [1] Yaluplin M. D. [1]

    Tags: electronic medical document3 notification service1 regional healthcare information systems1

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  • Medical information systems
  • The role of health information technology in promoting patient safety

    The paper reviews current scientific evidence on the impact of different health information technologies (HIT) on patient
    safety, as well as the potential negative consequences of HIT introduction, including systems of computerized physician order entry(CPOE), clinical decision support (CDSS), medication administration technologies, telemedicine and telemonitioring, electronic incident reporting and electronic medical records (EMR). It was concluded that the most convincing evidence of effectiveness inimproving patient safety, reducing the risk of medical errors and healthcare-related adverse events, have CDSS and technologies that incorporate decision support elements: CPOE, EMR and telemonitoring.

    Authors: Kleymenova E. B. [2] Yashina L. P. [2]

    Tags: clinical decision support systems1 health information technology1 medical errors1 patient safety1

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  • Artificial intelligence in health care
  • The first Russian breast pathology histologic images data set

    Data set of annotated histology images on breast pathology is provided, containing more than 40 thousand images
    from 104 microscopic slides and 92 patients and additional clinical data (age, TNM, grade, WHO type). The data set is prepared
    in compliance with relevant procedures for clinical research at Burnasyan Federal Medical Biophysical Center Of Federal
    Medical Biological Agency. The data set is accessible at GitHub for research and educational purposes.

    Authors: Borbat A. M. [1] Lishchuk S. V. [1]

    Tags: artificial intelligence8 data set1 diagnostics1 histology1 neural networks9 pathology1

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  • Decision support systems
  • Improving the quality of dispensary medical examination of the population in an outpatient clinic based on the use of information technologies

    Introduction. A special feature of the adult population’s dispensary medical examination (DME) is the wide range of new tasks for the primary health care system. DME leads to an increase in the number of patients subject to dispensary follow up (DFU), an increase in the load on specialists of outpatient hospitals. Thus, it is necessary to search for and implement new tools in the practice of outpatient hospitals that improve the quality of preventive medicine and ensure that doctors make informed and
    timely decisions. Information technologies are offered as such a tool. Material and methods of study. This article uses methods of descriptive statistics and programming. The source material for the development of software modules was the materials of questionnaires and clinical and instrumental examination of patients, statistical reports on DME, DFU of patients in need at the district outpatient hospital from 2013 to 2018. The technical task and development of the algorithm for programming were performed by the authors. Comprehensive monitoring of risk factors for non-communicable diseases among those who have undergone DME was carried out using the program module “Screening of modifiable risk factors for major chronic non-communicable human diseases”, integrated with the MIS (medical information system of the institution). On this basis, the database “Monitoring of risk factors for chronic diseases among the population of the territory covered by the district outpatient hospital” was created. Improving the quality and increasing the coverage of the population with dispensary follow up was carried out using a software module developed for this purpose, integrated with the institution’s MIS. Results and discussion. A continuous comprehensive monitoring of non-communicated diseases risk factors has been organized, and their structure and changes over a 6-year period have been described. The proposed efficiency coefficient indicates positive changes in the work of the medical network to reduce the impact of risk factors on health. It was found that the most modifiable risk factors include “Low physical activity”, “Eating disorders”, and “Hyperglycemia”. DME leads to an increase in the number of patients who need DFU, an increase in the load on the primary health care network. The use of a software module in the practice of the institution to improve the quality and coverage of those in need of DFU contributes to positive changes in this section of work, facilitates the work of healthcare providers. Expanding the range of information technologies used in the work of outpatient hospitals contributes to improving the quality of decisions taken in the prevention of public health disorders by doctors working in conditions of increased workload. Conclusion. DME statistics indicate an increase in the burden on specialists of outpatient hospitals due to the increase in the detection of patients, the need to perform work to eliminate risk factors for non-communicable diseases, and an increase in the number of people subject to dispensary follow up. The work of specialists of outpatient hospitals to eliminate the impact of modifiable risk factors of non-communicable diseases should be carried out on the basis of their comprehensive monitoring. In these conditions, there is a need to expand the range of information technologies used in the preventive work of institutions providing primary health care, aimed at improving the quality of work in this section, creating new working conditions for healthcare providers. These results of using the proposed IT‑tools in integration with the operated MIS allow to improve the quality of preventive work in an outpatient facility, demonstrate the emergence of new tools for doctors that contribute for informed and timely medical decision-making.

    Authors: Dubovoy I. I. [2] Antonov K. A. [1] Green M. S. [1]

    Tags: dispensary follow up1 dispensary medical examination of certain groups of the adult population1 information technologies5 medical information system17 risk factors for non-communicable diseases1

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  • Making diagnostic decisions with the help of neural networks for disorders of the functioning of the gastrointestinal tract caused by the influence of parasites

    The possibilities of using the processing and analysis method in medical research using an artificial neural network to improve the accuracy of diagnosing diseases of the gastrointestinal tract due to the influence of various parasites are considered.
    Symptoms and diseases associated with the influence of the main parasites in the gastrointestinal tract are highlighted. Based on
    this information, the implementation on the NeuroPro network emulator is carried out. The results of disease progression based
    on selected symptoms using a neural network are presented. For a specific disease, significant input parameters of the network
    are determined.

    Authors: Abdullaev N. T. [1] K. Sh. Pashaeva [1] Musevi U. N. [1]

    Tags: diagnosis4 disease symptoms1 gastrointestinal tract1 neural network1 parasites1 significant parameters1

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  • Telemedicine
  • Procedure for conducting telemedicine consultations in the subjects of the Russian Federation

    In the article, the authors analyze trends in the development of telemedicine in the subjects of the Russian Federation,
    and also conclude that the formation of the system is carried out at different rates. Determine that one of the main stages of development is the formation of a legal framework dedicated to this area. Based on the analysis of legal acts of the subjects of the Russian Federation on the implementation of telemedicine consultations, the authors present a General algorithm for conducting telemedicine consultations, as well as reflect current problems and form proposals for their solution.

    Authors: Akulin I. M. [1] Chesnokova E. A. [1] Presnyakov R. A. [1] Pryadko A. E. [1] Zimina Е. I. [1] Guryanova N. Е. [1]

    Tags: e-health6 medical law1 telemedicine17 unified state information system in the field of health1

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  • Economic aspects of providing medical care using telemedicine technologies

    The aim of the research is to study the economic aspects of telemedicine technologies application, taking into account
    the experience of other countries; to develop methodological approaches to evaluating the effectiveness of telemedicine technologies; to analyze the features of evaluating the effectiveness of telemedicine technologies in the conditions of COVID‑19 coronavirus spread. Methodological approaches to evaluating the effectiveness of telemedicine technologies are proposed.
    The additional costs and benefits of using telemedicine technologies are analyzed in the context of the main participants: the state, medical organizations, doctors, and patients. The additional costs of introducing telemedicine technologies are estimated in terms of their belonging to the so-called “necessary costs” or investments that have different economic content . The proposals developed by the authors allow us to more correctly assess the effectiveness of investments in the provision of telemedicine services and, thus, choose the most optimal options.

    Authors: Starodubov V. I. [4] Kurakova N. G. [4] Kadyrov F. N. [2] Chililov A. M. [2] Kobyakova О. S. [1]

    Tags: benefits1 economic efficiency1 investments1 medical care3 savings1 telemedicine technologies3

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  • Information technologies in education
  • Opinion of medical students on the use of simulators in the classes

    The aim of this work was studying the opinions of students of a medical institute about the use of simulators and simulators
    in practical classes. Methods: a questionnaire consisting of 24 points was compiled. The survey was conducted among 150 students from 2 to 6 courses of 30 people from each course at the Medical Institute of the Belgorod State National Research
    University. Statistical analysis was carried out using the program Statistica 6.0. Results: The respondents believed that simulators
    should be used for training in the following way: 92% of respondents answered «must constantly», “-«did not need» – 2%, «did
    not answer» – 6%. Moreover, this percentage did not have significant differences in courses and sex. 89.3% of respondents considered it necessary to use mannequins (simulators) for teaching technical skills, 82.6% considered it important to use simulators to improve these skills. Most of the students in our study (96%) believed that the use of simulators should begin with a 2–3 year course. By training format, 64.7% of students believed that from 3 to 5 students per simulator were acceptable and the ratio of teacher to student 1:6–8. The respondents answered to the question «What is your motivation for using simulators?»: «skill development » – 89.3%; «good mark» – 59.3%; «learn about a rare pathology» – 47.3%; «feedback» – 31.3%; «training for accreditation» for students of all courses – 30.7%, while 100% of 6th year students gave a positive answer. Conclusions: Students appreciate simulator training in the form of small group classes. Most students believed that the use of simulators should begin from an early stage of training. Students are ready to use simulation equipment, but only as part of practical exercises in various disciplines.

    Authors: Kamyshnikova L. A. [1] Efremova O. A. [1] Ivakhno E. N. [1] Dubrova V. A. [1]

    Tags: medical students1 medical education3 simulation’s technology1 virtual simulators1

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  • Special opinion
  • Digitalization of healthcare in the Russian Federation: myth or reality?

    “Digitalization of society” is a completely new way to describe the modern state of affairs within the global trend of
    creating a digital world. “Issues, concerning digitalization are to be considered strategically important for the country” – pointed
    out in the messages of the President Vladimir Putin to the Federal Assembly. In November 2016 President of the Russian Federation proposed “to launch a large-scale system for the developing new kind of the economy for a new technological generation– the digital economy”. Consequentially, the “strategy of development of information society in 2017–2030” was introduced in accordance with the law. The overall aim of the healthcare digitalization is to provide the maximum number of residents with medical services, to ensure the availability of medical care in any conditions in any region. The development and implementation of digital technologies, as well as their promotion in various areas of clinical practice are important tasks as well. The article reports the results of a review of scientific publications, regulatory documents, as well as other information sources (including foreign sources). Following digital healthcare tools are considered: telemedicine technologies, mobile applications, websites and information platforms of medical organizations.

    Authors: Batsina E. A. [1] Popsuyko A. N. [1] Artamonova G. V. [1]

    Tags: digital economy3 digital medicine1 digital transformation in healthcare1 digitalization1 digitalization in healthcare1 telemedicine17

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