Journal of the Thai Medical Informatics Association

The development of the Buddhachinaraj electronic medical record program, In-patient ward, Buddhachinaraj Hospital Phitsanulok

Sun, 10 Dec 2023 00:00:00 +0700

Buddhachinaraj Electronic Medical Record System “BH-PL Program” is a program that facilitates medical by saving the patient's history data directly into the computer system, collecting data completely according to standards, meet the needs of information users and data owner and supporting the development of patient services. It is a development of advances in information technology of Buddhachinaraj Hospital, Phitsanulok with the objectives 1) to develop electronic medical records (EMRs) 2) to test the system and study the satisfaction of using the BH-PL program 3) to bring the results of the study to expand the results of EMRs recording usage through the entire wards in our hospital. By using the concept of System Development Life Cycle: SDLC to develop electronic medical records (EMRs), from the trial of electronic outpatient medical records in 2016 to electronic medical records (EMRs) for inpatients in COVID-19 in 2020 and expanding the recording of in-patient EMRs covering all wards in the hospital since 2023. This is extending the development of in-patient EMRs recording to cover all wards. Opinions of doctors and nurses on the use of the BH-PL program of 388 copies of 18 wards between October 2022 to March 2023 in all 5 aspects, namely ease of use and record, ease of searching reduce recording time, ease of access to the program and overall satisfaction of users were 3.3 0.8, 3.5 0.9, 3.7 1.0, 3.4 1.0 and 3.3 0.9 respectively (from a full score of 5). Recording data through the BH-PL program in the part of nursing records, preoperative patient records, patient discharge summaries and health assessment at the reception were equal to 100, 100, 100, 88.9, respectively. The use of EMRs by doctors and nurses through the BH-PL program was 100 percent, including San Suk ward, MIS ward, neurosurgery intensive care unit. Satisfaction in recording EMRs through the BH-PL program was moderate. Nurses are the group that uses this program almost entirely. while other medical and interdisciplinary groups are still used relatively little. A clear policy formulation from the hospital leadership team and an understanding of how users can see the benefits of recording EMRs with BH-PL should be a successful way to record EMRs.

Online media suggesting exercise methods for improving physical fitness suitable for all ages of elderly in Thailand

Arnon Jankasem, Surasak Mungsing — Sun, 10 Dec 2023 00:00:00 +0700

The objective of this research is to create an online media guide on how to exercise for physical fitness development that is suitable for all ages of the elderly in Thailand, taking into account the elderly who can exercise at any age regardless of age. At what level of physical fitness, including the development of physical fitness in all 7 areas according to the physical fitness standards for Thai elderly people aged 60-89 years using delphi technique to collect exercise data from experts from the satisfaction measurement of 312 system users found that the satisfaction level was very good, the mean was 4.50, the standard deviation was 0.43, and the elderly aged 85-89 years had a fair level of satisfaction because of the lack of readiness to use digital devices.

Telementoring in laparoscopic colorectal surgery

Bhurithat Sirisut, Punnawat Chandrachamnong — Sun, 10 Dec 2023 00:00:00 +0700

Photharam Hospital It is a general hospital (M1) with a size of 340 beds. The main public health problem in Photharam district is colon cancer which requires prompt surgical treatment. Photharam Hospital has 4 surgeons, without any surgeons specializing in various fields (Subspecialist). As a result, advanced laparoscopic surgeries may be difficult to perform in general hospitals. causing people in the service area of Photharam District to Lose the opportunity to receive treatment that is equivalent to a more prepared hospital. Including support for surgeons to study more, It takes a lot of time and budget. Surgergical department, Therefore, the surgery was developed by providing guidelines for endoscopic surgery through the telemedicine system. Telementoring in Laparoscopic Colorectal Surgery in colorectal cancer patients To promote surgery that responds to patient health problems using the concept of patient safety under the supervision of a colorectal surgeon. Using technology, Conference Application Online, network storage, and digital media content management were used to design the process to make such surgery in Photharam Hospital.

Developmental model of care system for sepsis patients Nonsuwan Hospital Buriram Province

Oraphat Viriyaudomsiri — Sun, 10 Dec 2023 00:00:00 +0700

The objective of this research was to develop a care model for patients with bloodstream infections in Nonsuwan Hospital. Use an action research model based on the concept of quality cycle Deming: PDCA (Plan-Do-Check-Act). The sample was a multidisciplinary team of 23 people who participated in the research process in 4 steps as follows:1) Analyze the care situation of sepsis patients. 2) Development of care systems for patients with sepsis Non Suwan Hospital Buriram Province. 3) Evaluate the effect of using the care model for sepsis patients. 4) This is a follow-up period to maintain quality. Data were collected by questionnaires and interview forms. Data were analyzed using statistics, percentage, mean and standard deviation. The results showed that the process 1) Quick access to services, first-time septic shock patient rate <20%, service visits tend to improve. 2) Fast, accurate diagnosis, the rate of late diagnosis, target <50% in 2021, 63.63% late, and 2022, 27.27 percent late. 3) Appropriate treatment, timely, H/C penetration rate before ATB, ATB rate within 1 hour, IVF rate 30 ml/kg within 1 hr, patient rate at MAP >65 within 6 hr, rate Patient urine >0.5 ml/kg/hr within 6 hr. 4) Referral appropriately, safe, mortal ity rate within 24 hours, sepsis patients who refer <10% met the target criteria. Therefore, the care model for patients with bloodstream infections can be used as a model for further development of other works

Sentiment analysis for patient feedback after treatment in hospital

Weerada Trongtranonth — Sun, 10 Dec 2023 00:00:00 +0700

Developing and improving hospital services, with a focus on meeting the needs of patients, is crucial. Therefore, feedback or comments related to the hospital, both positive and negative, are particularly beneficial for de velopment and improvement. To facilitate the reading of messages by hospital staff and to quickly address negative feedback, we analyzed the sentiment of feedback or comments. The research methodology involved analyzing data using the pyThaiNLP library in Python and evaluating the results in terms of accuracy, precision, recall, and F1-score. The research results indicate that the SVM (Support Vector Machine) model outperformed Naïve Bayes in the test dataset, achieving 86% accuracy compared to 80% accuracy. Both models achieved the same accuracy, which is 76%, in the test dataset.

Risk assessment using machine learning in Duchenne muscular dystrophy

Boonsit Yimwadsana — Sun, 10 Dec 2023 00:00:00 +0700

Risk assessment is an essential component of prognosis and treatment for genetic diseases. In the past, Mendelian inheritance analysis plays a key role in genetic risk assessment. Recently, machine learning has been widely used in data analysis with notable success. However, most of the machine learning techniques do not allow physicians to understand how data features are related to each other because the data collected by
doctors are often unbalanced or bias towards patient data only. People who do not have a specific disease (healthy people or people with different diseases who may have similar symptoms), were often not followed up by physicians. Due to the data unbalance, the results of the risk assessment analysis performed by machine learning techniques are often not effective in the real-world situation. This work aims to introduce additional pedigree data to improve the accuracy of the genetic risk assessment. We tested our concept with Duchenne muscular dystrophy (DMD) disease and show that our proposed use of pedigree information help improve the accuracy even in the situation of the unbalanced data.

The benefits of using software applications to assist in managing the outpatient department

Sakkarin Thanakeatsakul, Kanittha Naokaew, Thitirat Muensrichai — Sun, 10 Dec 2023 00:00:00 +0700

The waiting time reflects the efficiency and quality of healthcare services provided by hospital and public health staff. Efforts are being made to design, innovate, and develop the use of technology as a tool to reduce waiting times.
Objective: This pioneering study explores the results of using the application in the outpatient department to reduce waiting times.
Methods: Experimental study conducted between August 15 and December 12, 2022. The control group consisted of 65 patients, while the experimental group had 8 patients. Data were collected through recording and extracting information on waiting times and service
durations from the database using the application. Patient tracking records were used throughout the service.
Results: The application was unable to connect to the HOSxP operating system. However, it was found that if the application could be used, patients would pass through the medical history step and other processes, reducing the overall service time by 88 minutes (1 hour and 28 minutes), from 249 minutes (4 hours and 9 minutes) to 161 minutes (2 hours and 41 minutes), thereby reducing the wait time for medical history by 66 minutes.

Hospital process mining

Wansa Paoin — Sun, 10 Dec 2023 00:00:00 +0700

Process mining is the analysis of processes using event data, and it involves the use of specialized software to create and display process models, showing whether the real processes occurring at a workplace align with the established systems. If the actual processes align with the predefined systems, it provides confidence to management that the processes follow the specified standards. However, if the results indicate discrepancies
between the actual and predefined processes, further analysis is required to understand where and why these deviations occur. This analysis helps in considering improvements to ensure alignment with future standards.