Implementation of Consolidated HIS: Improving Quality and Efficiency of Healthcare

Abstract

ObjectivesAdoption of hospital information systems offers distinctive advantages in healthcare delivery. First, implementation of consolidated hospital information system in Seoul National University Hospital led to significant improvements in quality of healthcare and efficiency of hospital management.MethodsThe hospital information system in Seoul National University Hospital consists of component applications: clinical information systems, clinical research support systems, administrative information systems, management information systems, education support systems, and referral systems that operate to generate utmost performance when delivering healthcare services.ResultsClinical information systems, which consist of such applications as electronic medical records, picture archiving and communication systems, primarily support clinical activities. Clinical research support system provides valuable resources supporting various aspects of clinical activities, ranging from management of clinical laboratory tests to establishing care-giving procedures.ConclusionsSeoul National University Hospital strives to move its hospital information system to a whole new level, which enables customized healthcare service and fulfills individual requirements. The current information strategy is being formulated as an initial step of development, promoting the establishment of next-generation hospital information system.

Prediction of risk for hepatocellular carcinoma by response of serum α‐fetoprotein to entecavir therapy

“…The study cohort was composed of all nucleos(t)ide‐naïve CHB patients who started ETV therapy between March 2007 and February 2009. The patients who met the enrollment criteria were identified from a structured chronic liver disease database, which has been maintained as a part of our hospital's electronic medical record system (BESTCare) . Patients who were found to have HCC during initial screening or who were lost to follow‐up within 6 months were excluded from the cohort.…”

“…The patients who met the enrollment criteria were identified from a structured chronic liver disease database, which has been maintained as a part of our hospital's electronic medical record system (BESTCare). 16,17 Patients who were found to have HCC during initial screening or who were lost to follow-up within 6 months were excluded from the cohort. The indications for ETV treatment were hepatitis B e antigen (HBeAg)-positive CHB patients with HBV-DNA titers > 20 000 IU/mL or HBeAg-negative CHB patients with HBV-DNA titers > 2000 IU/mL and elevated alanine aminotransferase (ALT) levels > 80 IU/L; HBV-associated compensated liver cirrhosis patients with HBV-DNA titers > 2000 IU/ mL; and HBV-associated decompensated liver cirrhosis patients with detectable HBV-DNA levels.…”

Development of a nomogram for screening of hepatitis B virus-associated hepatocellular carcinoma

“…The main limitation of our study is retrospective design in single center. Consecutive patient was recruited from the comprehensive electronic registry [ 39 – 41 ] to reduce selection bias, and we adopted a split-sample approach with bootstrapping to reduce the possibility of overfitting. Nevertheless, our findings need further external validation in prospective settings.…”

Development of Mobile Electronic Health Records Application in a Secondary General Hospital in Korea

“…The large volume and slow performance of commercial applications are inappropriate for a hospital setting. Therefore, the mobile TFT considered the practices of other hospitals and decided to develop an application on our own [ 7 , 8 ]. We also thought about an application suitable for quick information sharing between every healthcare provider.…”