Developing an eBoard for resource management in the Image Guided Therapy Department
Notice bibliographique
Résumé
The health care sphere presently faces a number of challenges.There is a steady necessity to improve the quality of services and to reduce their cost.Information technologies are an important factor in responding to these challenges.Health information systems are aimed to capture, store, manage and communicate information related to health at individual and population levels or the activities of organizations working within the health sector.The unique features of the e-health systems are rooted in the inherent confidentiality issues and diversity of the stakeholders involved in both development and utilization of the systems comprising of patients, doctors, nurses, administrators, scientists, payers, and regulators.Because of this diversity, health informatics is a multi-disciplinary field combining information science, computer science, economics, social science, epidemiology, behavioral science, public health and medicine.Operations of the Image Guided Therapy (IGT) Department of the Hospital for Sick Children ("SickKids"), Toronto, Canada have been investigated in the study.IGT provides valuable diagnostic and therapeutic data using procedures that involve different forms of anesthesia or sedation administered to the patients.Procedures done at the IGT can be divided into three major groups: (1) general anesthetic (GA) cases, which require complete anesthesia of the patient; (2) registered nurse (RN)-sedation or non-GA cases, which do not require complete anesthesia; and (3) local cases done under local anesthesia.The department works with three main groups of patients: inpatients, outpatients and emergency cases.There are also different types of imaging produced: ultrasound, fluoroscopy/digital subtraction angiography and computerized axial tomography (CT/CAT scan).The coordination of departmental resources and scheduling procedures is a necessary step in improving the efficiency of the department's operation.At present, IGT utilizes a manual version of the operation board to facilitate communications and coordination of all the resources, including radiologists and fellows, anaesthesiologists, technologists and nurses as well as operation, observation and consultation rooms, etc.A computer-based application called "eBoard" implementing board functions is suggested.It can be considered as a transaction processing system which stores and updates necessary data and delivers them in an organized form on request.The application does not require complex computational algorithms for data processing.The data manipulation operations include capturing and entering the data stored in a database, retrieving the data and organizing them in a predefined format.For such types of data processing activities, the utilization of CASE tools is warranted and can be very beneficial.Given that this system should be integrated with other departmental and hospital information systems, the principles of modularity and extensibility of software components become essential.The object-oriented approach (OOA) in combination with the Unified Modeling Language (UML) have been applied in the development of the eBoard information system for the IGT department.An obvious advantage of the UML is the availability of multiple commercial and free code-generating and round-trip engineering CASE-tools.As a comprehensive design, modeling and development CASE tool supporting the OOA and integrated with the UML, IBM® Rational® Software Architect was selected.Although many IT projects in health care do utilize the UML, it is possible to conclude that a common methodology or standardized framework to do so is still lacking.This issue needs a further elaboration and will be addressed in the presentation.The paper is intended to inspire and shape the discussion within the session on "Health Information Systems: Challenges and Solutions".
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,006 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,002 | 0,001 |
| Communication savante | 0,004 | 0,003 |
| Science ouverte | 0,002 | 0,004 |
| Intégrité de la recherche | 0,002 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,015 | 0,006 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».