In confronting the sudden epidemic of COVID-19, China and other countries have been under great deal of pressure to block virus transmission and reduce death cases. Fangcang shelter hospital, which is converted from large-scale public venue, is proposed and proven to be an effective way for administering medical care and social isolation. This paper presents the practice in information technology support for a Fangcang shelter hospital in Wuhan, China. The experiences include the deployment strategy of IT infrastructure, the redesign of function modules in the hospital information system (HIS), equipment maintenance and medical staff training. The deployment strategy and HIS modules have ensured smoothness and efficiency of clinical work. The team established a quick response mechanism and adhered to the principle of nosocomial infection control. Deployment of network and modification of HIS was finished in the 48 hours before patient admittance. A repair hotline and remote support for equipment and software were available whenever medical workers met with any questions. No engineer ever entered the contaminated areas and no one was infected by the coronavirus during the hospital operation. Up to now, Fangcang shelter hospital is adopted by many regions around the world facing the collapse of their medical systems. This valuable experience in informatization construction and service in Wuhan may help participators involving in Fangcang shelter hospital get better information technology support, and find more practical interventions to fight the epidemic.
Acute coronary syndrome (ACS) is a set of symptoms and signs which define a range of conditions related with the unexpected reduced blood flow to the heart. In ACS, the heart muscles cannot function properly due to the decrease of blood flow. Myocardial infarction (MI) is a condition which comes under the umbrella of acute coronary syndrome. The aim of risk stratification (RS) in ACS is to recognize patients at high risk of ischemic events. Yet, no investigative study is available to identify the patients at high risk. Therefore, to facilitate this process, it would be ideal to have a reliable and trustworthy method by the help of which the doctors can make early and easy decisions for the patient and for detecting the related disease. This research used the features of GRACE Score to RS in the ACS and presented decision support system (DSS). The concept of probabilistic approach has been used as a tool to model the identified features for decision-making (DM). This technique can be further used for DM purposes to RS in the ACS in healthcare. Furthermore, the result of the proposed method has proved closer and more reliable DM of patient and then eventually can be used for advice of medicine and rest accordingly by the doctors.
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