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Objective: Hemoglobin A1c (HbA1c) is a glycosylated protein and shows the glycemic status for the last 2-3 months, and it is the most commonly used marker in routine practice. In this study we aimed to investigate the relationship between hemoglobin and HbA1c levels. Methods: In total, 4278 patients with type 2 diabetes mellitus included in this study. The study was cross-sectional, and the data of the patients were recorded by scanning the hospital automation system. Hemoglobin A1c levels of patients with and without anemia who had the same fasting blood glucose levels were compared. Results: At similar fasting blood glucose levels, HbA1c levels were found to be lower in patients with anemia than those without anemia Conclusion: Anemia status of the patients should be considered when evaluating HbA1c. [ABSTRACT FROM AUTHOR]

Copyright of Online Turkish Journal of Health Sciences (OTJHS) / Online Türk Sağlık Bilimleri Dergisi is the property of Oguz KARABAY and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

It is known that drinking and driving is an important factor causing traffic accidents and this situation affects every part of the society. The data for which ethyl alcohol was requested from the şırnak state hospital automation system between 01/01/2020 and 01/07/2022 will be analyzed statistically. Demographic characteristics and ethyl alcohol results of patients admitted to the emergency department were obtained from the hospital information management system. 90.8% of the 306 requests are male and 9.2% are female. 50.7% of the requests are from young people between the ages of 18--29 and 5.9% are under the age of 18. When the cases were evaluated according to age, traffic accidents took first place among individuals between the ages of 18-29. In the evaluation of the cases according to gender, traffic accidents were found to be higher in males, and we found it statistically significant (p=0.016). When the cases were evaluated according to their ethyl alcohol levels, it was seen that 284 out of 306 people were below 50 ml/dL. It was determined that 191 people applied as a result of a traffic accident, but they were not alcoholics, and it was found to be statistically significant (P<0.001). It is important that the study has the first remarkable findings for the province of Şırnak. We tried to make predictions by looking at the data we obtained from this study. In this study, the majority of which are traffic accident claims, young adults and men are in the majority. However, it is noteworthy that traffic accidents do not occur due to alcohol, but traffic rules are not followed. [ABSTRACT FROM AUTHOR]

Aim: Although vitamin D can be taken with nutrients, it is substantially synthesized in the skin tissue under the influence of the ultraviolet ray which comes from the sunlight. Therefore, the increase in the expression of vitamin D in the body during periods of increased sunlight can be expected. In this study, it was aimed to determine whether the change in the serum vitamin D levels of the patients who applied to Uşak Training and Research Hospital were significant according to age, gender and months of the year. Material and Methods: The serum vitamin D test results of the patients aged 0-80 who applied to the outpatient clinics of the hospital between 1 January and 31 December 2018 were retrospectively obtained from the hospital automation system. Data were analyzed using SPSS 21 software. p<0.05 was considered significant. Results: The largest population of 62.253 vitamin D requests is 18-65 age groups. Serum vitamin D levels were found to be 16.18±10.39 ng/ml in the whole population: 15.85±10.49 ng/ml in women and 17.18±10.03 ng/ml in men. The mean value for women was statistically lower than men (p <0.05). There was a statistically significant difference between vitamin D averages in months, the lowest mean value in January (10.74±8.58 ng / ml), the highest value in July (23.29 ±10.6 ng / ml). Conclusion: In this study, the mean levels of vitamin D were found to be insufficient even in the summer months when sunlight was the most effective. This may be due to the fact that the population may benefit from less sunlight or structural variations of the vitamin D-binding proteins in the body may affect the use of vitamin D. Therefore, extensive research is needed to determine the level of clinical effects of vitamin D deficiency. [ABSTRACT FROM AUTHOR]

The article is devoted to the development of digital technologies in the field of healthcare of Kazakhstan. The process of automation of a medical institution hospital is considered. The functionality of the developed information system and the prospects for the implementation of this system in this area are described. The developed information system allows it to accumulate the medical and statistical information in the databases of the hospital and use in practice, automates the management of the hospital workflow. The capabilities of the system consist in registering patients in a hospital, maintaining an electronic medical history and obtaining complete statistical reports. The patient’s electronic medical history contains his personal data, diagnoses, recommended procedures and medications. The introduction of information and communication technologies in the health sector will improve the quality of care and significantly speed up the work of staff.

A SMART HOSPITAL SYSTEM IS AN INFRASTRUCTURE COMPONENT THAT RELIES PROFOUNDLY ON THE ACTUAL RESOURCES MADE ACCESSIBLE TO IT FOR ITS PROPER FUNCTIONING, OPERATION AND MAINTENANCE. THE OBJECTIVE OF THIS PAPER IS TO PRESENT THE TECHNOLOGIES USED FOR A SMART HOSPITAL MANAGEMENT SYSTEM. IN FACT, THE EXTENSIVE USE OF INTERNET OF THINGS (IOT) PLAYS AN IMPORTANT ROLE IN IMPROVING THE QUALITY OF MEDICAL CARE, BRINGING CONVENIENCE FOR PATIENTS AND IMPROVING THE MANAGEMENT LEVEL OF HOSPITALS. THEN, A REVIEW ON SMART HOSPITAL SYSTEM AND SOME METHODS FOR THE ANALYSIS AND MODELING ARE PRESENTED. [ABSTRACT FROM AUTHOR]

Driven by the automation technologies and health informatics of Industry 4.0, hospitals in China have deployed a complete automation system/platform for healthcare services accessing. Without much more Internet knowledge, elderlies usually seek the third-party to assist them to get healthcare services from Web or APPs, it consequently results in an unexpected situation that scalpers could grab all healthcare services booking by unrighteous means in order to resell to elderlies for a much higher price. Moreover, it is hard for physicians to identify the scalpers due to the complexity, ad-hoc, and multiscenario nature of healthcare processes. In this paper, a novel method is proposed for the identification and creation of user groups of scalpers in mobile healthcare services. The approach utilizes and extends state of the art data analysis approaches in the event-logs of the mobile system to identify user groups. Based on the user groups, user profiles are extracted by identifying representative eventcases from hierarchical user-event clusters. A comprehensive evaluation is conducted in a selected test-set from the event-logs of a mobile healthcare APP. The result shows its accuracy and effectiveness in scalper detection in mobile healthcare APP. Further, a complete case study is deployed in a real word hospital to ensure its utility, efficacy, and reliability. [ABSTRACT FROM AUTHOR]

In specialty clinics, a staff physician is often required to direct patient flow through the clinic and performs all documentation for coding/billing. In response to the workload created by increased patient volume, many specialty clinics have implemented protocols for both disease treatment and coordination of clinic flow. In this article, we review the literature on using mobile technology to assist with patient care, clinic flow, disease treatment, and documentation/billing. We also describe the development and implementation of a mobile application in our pulmonary clinic designed to automate patient flow, assist the physician in documentation/billing, and gather research data including review of initial user data and lessons learned. [ABSTRACT FROM AUTHOR]

Nowadays, Internet of Things (IoT) have become very popular in every field. Even in hospitals, there are various instruments for diagnostic purposes that require accurate measurement along with proper monitoring. Automation is considered to be a way to achieve this. Smart Hospital is a concept of maintaining all the instruments through an online system, so that proper monitoring and accuracy could be obtained. There are various sensors that have been already developed to perform the same operation. All these sensors are connected to individual instruments, in order to achieve proper communication between them. In medical or healthcare system, data is considered to be more sensitive, so it is the main necessity of the system to provide security as well as privacy to the data. Since all the vital patient records and doctors' data are stored in the local mode, it is important to make both their data secure. The access control policy is based on the right to access medical data and privilege to an authorized entity, which is directly or indirectly connected with the patient's health. In this paper, the authors design a method to develop a Smart Hospital with low investment. [ABSTRACT FROM AUTHOR]

Background: There is an increased demand in hospitals for tools, such as dedicated mobile device apps, that enable the recording of clinical information in an electronic format at the patient's bedside. Although the human-machine interface design on mobile devices strongly influences the accuracy and effectiveness of data recording, there is still a lack of evidence as to which interface design offers the best guarantee for ease of use and quality of recording. Therefore, interfaces need to be assessed both for usability and reliability because recording errors can seriously impact the overall level of quality of the data and affect the care provided. Objective: In this randomized crossover trial, we formally compared 6 handheld device interfaces for both speed of data entry and accuracy of recorded information. Three types of numerical data commonly recorded at the patient's bedside were used to evaluate the interfaces. Methods: In total, 150 health care professionals from the University Hospitals of Geneva volunteered to record a series of randomly generated data on each of the 6 interfaces provided on a smartphone. The interfaces were presented in a randomized order as part of fully automated data entry scenarios. During the data entry process, accuracy and effectiveness were automatically recorded by the software. Results: Various types of errors occurred, which ranged from 0.7% for the most reliable design to 18.5% for the least reliable one. The length of time needed for data recording ranged from 2.81 sec to 14.68 sec, depending on the interface. The numeric keyboard interface delivered the best performance for pulse data entry with a mean time of 3.08 sec (SD 0.06) and an accuracy of 99.3%. Conclusions: Our study highlights the critical impact the choice of an interface can have on the quality of recorded data. Selecting an interface should be driven less by the needs of specific end-user groups or the necessity to facilitate the developer's task (eg, by opting for default solutions provided by commercial platforms) than by the level of speed and accuracy an interface can provide for recording information. An important effort must be made to properly validate mobile device interfaces intended for use in the clinical setting. In this regard, our study identified the numeric keyboard, among the proposed designs, as the most accurate interface for entering specific numerical values. This is an important step toward providing clearer guidelines on which interface to choose for the appropriate use of handheld device interfaces in the health care setting. [ABSTRACT FROM AUTHOR]

This paper reports on an evaluation of the introduction of a blood bank automation system (Ortho AutoVue ® Innova) in a hospital blood bank by considering the performance and workflow as compared with manual methods. The turnaround time was found to be 45% faster than the manual method. The concordance rate was found to be 100% for both ABO/Rh(D) typing and antibody screening in both of the systems and there was no significant difference in detection sensitivity for clinically significant antibodies. The Ortho AutoVue ® Innova automated blood banking system streamlined the routine pre-transfusion testing in hospital blood bank with high throughput, equivalent sensitivity and reliability as compared with conventional manual method. [ABSTRACT FROM AUTHOR]

Objectives: To evaluate cryoprecipitate and platelet ordering practices after the implementation of real-time clinical decision support systems (CDSSs) in a computerized physician order entry (CPOE) system. Methods: Uniform platelet and cryoprecipitate transfusion thresholds were implemented at 11 hospitals in a regional health care system with a common CPOE system. Over 6 months, a variety of information was collected on the ordering physicians and the number of alerts generated by the CDSSs when these products were ordered outside of the institutional guidelines. Results: There were 1,889 orders for platelets and 152 orders for cryoprecipitate placed in 6 months. Of these, 1,102 (58.3%) platelet and 74 (48.7%) cryoprecipitate orders triggered an alert. The proportion of orders canceled after an alert was generated ranged from 13.5% to 17.9% for platelets and 0% to 50.0% for cryoprecipitate orders. Conclusions: CDSS alerts reduce, but do not eliminate, platelet and cryoprecipitate transfusions that do not meet institutional guidelines. [ABSTRACT FROM AUTHOR]

This paper introduces an automation of online multi hospital blood bank management system using selenium automation tool. [ABSTRACT FROM AUTHOR]

The increase in demand for the management, control and monitoring of information in hospitals has promoted a greater volume of research that induces the process of technological innovation in healthcare. In this context, an important aspect to consider in the automation of patient monitoring is the efficiency to detect and report anomalies in patients' vital signs in a timely manner. The procedure for notifying the medical staff of these anomalies can be implemented by generating and sending alerts (either audible or visual). Noting the relevance of this demand in the hospital environment, this paper describes an architecture based on the generation and transmission of alerts, whose data are coming from patients hospitalized in intensive care units (ICU). The premise was therefore to optimize the procedure for reporting deficiencies so that the medical staff in charge is notified of such events more efficiently. The communication architecture in hospitals, used in this paper, was based on studies conducted at the ICU of the University Hospital Onofre Lopes (HUOL). These studies allowed an analysis of requirements that lead to the definition of a generator of custom alerts, and the sending of these alerts to mobile devices kept by medical staff. The process of sending those alerts was based on a real time scheduling algorithm making use of a middleware and both mobile and distributed computing, which are the innovative aspects of this architecture. [ABSTRACT FROM AUTHOR]

This article gives an outlook of notification and incident report systems, focusing on problems for the development and application thereof. The fundamental components of databases generated, phases for their implementation, their scope, limitations and motivation for doctor participation are analyzed. An ideal system is presented as one that records all incidents that cause harm to the patient or adverse events, such as those which do not cause harm or "near misses", since these are most frequent and practically reveal the same care system errors as are found in the former, the analysis of which can help in prevention. Therefore, if hospitals only collect information on adverse events, they will be losing the most valuable source of information for identifying patient safety priorities, as well as the chance to measure progress in solving problems that they are trying to correct. Confidentiality and ease of system use are important stimuli for reporting. Report systems must be linked to the safety programs of health institutions and solutions must be focused towards changing the cultural environment of these institutions. Additionally, they must support the process in order to find, control and correct deviations that determine safety incidents since it has been demonstrated that they do not only express active personnel failures but also, and in particular, care system failures. Notification and report systems are useful components in improving quality and patient safety in health services and must be used as part of hospital routine. [ABSTRACT FROM AUTHOR]

Introduction. Many hospitals internationally have introduced systems for reporting patient safety incidents. However, it has not been possible to use them suitably for learning purposes. Study's objective was to identify how patient safety incident types are distributed in reports made by 22 hospitals. Material and methods. 706 patient safety voluntary reports by 22 hospitals were reviewed by using the Automated Health Incidents System (known as SIRAIS by its Spanish initials) based on the WHO International Classification for Patient Safety. Results. A total of 781 patient safety incidents were notified, in 706 reports following this distribution: health-care associated infection 280 (35.9%), clinical process/ procedure 225 (28.8%), medication/IV fluids 98 (12.5%), falls 72 (9.2%) and other incidents 106 (13.6%). Conclusions. The WHO International Classification for Patient Safety is a useful instrument for identifying and recording patient safety incidents. Their incorporation into an automated system significantly facilitates the entry and recovery of information, generating information in a timely manner that enables decision making and improves the quality of health care. [ABSTRACT FROM AUTHOR]

Hospital laboratory automation improves itself, with the emergence of new organizational concepts. Nevertheless, the pre-analytical phase often remains manual, whereas the industrial supply is important and now covers all the preparatory steps to analysis. The selection of a pre-analytical robot must fulfill specific requirements, considering the development of instruments, biological subjects and working methods. Within a context of biological core laboratories reorganization and concentration, it seems judicious to draw up an inventory of the various available systems. [Copyright &y& Elsevier]

The article explains the need to improve laboratory test ordering practices in U.S. military medical centers in 2013. According to the authors, the improvement is needed because of pressures to reduce expenses related to medical testing and procedures and to maintain high quality of care. They suggest the establishment of laboratory testing control measures in the facilities. The use of automated computer systems and health care guidelines are also recommended for regulating ordering practices.

In this article, the authors focus on researches related to patient safety issues in the intensive care unit (ICU). They inform that there are several challenges raised by patient safety including visibility, complexity and autonomy and mention that hospital systems can use computerized physician order entry, smart infusion pumps and barcode systems in the ICU. They also mention that medical errors should be minimized in the ICU in order to increase patient safety.