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  1. Article ; Online: Development of Ward Visitor Management System in the COVID-19 Epidemic.

    Bi, Yongdong / Liu, Siru / Liu, Jialin

    Studies in health technology and informatics

    2024  Volume 310, Page(s) 1081–1085

    Abstract: The purpose of this study was to design, develop, and deploy a visitor management system (VMS) to effectively manage visitors during COVID-19. The VMS was designed using the User-Centered Design (UCD) methodology. The iterative process of UCD includes 3 ... ...

    Abstract The purpose of this study was to design, develop, and deploy a visitor management system (VMS) to effectively manage visitors during COVID-19. The VMS was designed using the User-Centered Design (UCD) methodology. The iterative process of UCD includes 3 interviews and 5 usability tests and cognitive walkthrough cycles. This system comprised six parts: the WEB server provides visit scheduling service; the database server stores visit data and provides visit data services; the mobile application server provides security checks and scanning services; the electronic medical record (EMR) server provides ward data service; the Internet application gateway provides health code data service and exchanges health code data with the Sichuan Tianfu Health Code platform, and the service bus enables the centralized exchange and integration of visit data. The visit management system optimizes the workflow of ward visitors, improves staff productivity, and reduces the risk of infection transmission.
    MeSH term(s) Humans ; COVID-19/prevention & control ; Epidemics ; Databases, Factual ; Electronic Health Records ; Hospitals
    Language English
    Publishing date 2024-01-25
    Publishing country Netherlands
    Document type Journal Article
    ISSN 1879-8365
    ISSN (online) 1879-8365
    DOI 10.3233/SHTI231131
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Comparison of 30-day planned and unplanned readmissions in a tertiary teaching hospital in China.

    Zhang, Mengjiao / Liu, Siru / Bi, Yongdong / Liu, Jialin

    BMC health services research

    2023  Volume 23, Issue 1, Page(s) 213

    Abstract: Purpose: The purpose of this study was to analyze and compare the clinical characteristics of patients with 30-day planned and unplanned readmissions and to identify patients at high risk for unplanned readmissions. This will facilitate a better ... ...

    Abstract Purpose: The purpose of this study was to analyze and compare the clinical characteristics of patients with 30-day planned and unplanned readmissions and to identify patients at high risk for unplanned readmissions. This will facilitate a better understanding of these readmissions and improve and optimize resource utilization for this patient population.
    Methods: A retrospective cohort descriptive study was conducted at the West China Hospital (WCH), Sichuan University from January 1, 2015, to December 31, 2020. Discharged patients (≥ 18 years old) were divided into unplanned readmission and planned readmission groups according to 30-day readmission status. Demographic and related information was collected for each patient. Logistic regression analysis was used to assess the association between unplanned patient characteristics and the risk of readmission.
    Results: We identified 1,118,437 patients from 1,242,496 discharged patients, including 74,494 (6.7%) 30-day planned readmissions and 9,895 (0.9%) unplanned readmissions. The most common diseases of planned readmissions were antineoplastic chemotherapy (62,756/177,749; 35.3%), radiotherapy sessions for malignancy (919/8,229; 11.2%), and systemic lupus erythematosus (607/4,620; 13.1%). The most common diseases of unplanned readmissions were antineoplastic chemotherapy (2038/177,747; 1.1%), age-related cataract (1061/21,255; 5.0%), and unspecified disorder of refraction (544/5,134; 10.6%). There were statistically significant differences between planned and unplanned readmissions in terms of patient sex, marital status, age, length of initial stay, the time between discharge, ICU stay, surgery, and health insurance.
    Conclusion: Accurate information on 30-day planned and unplanned readmissions facilitates effective planning of healthcare resource allocation. Identifying risk factors for 30-day unplanned readmissions can help develop interventions to reduce readmission rates.
    MeSH term(s) Humans ; Adolescent ; Patient Readmission ; Retrospective Studies ; Hospitals, Teaching ; Tertiary Care Centers ; China/epidemiology
    Language English
    Publishing date 2023-03-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 2050434-2
    ISSN 1472-6963 ; 1472-6963
    ISSN (online) 1472-6963
    ISSN 1472-6963
    DOI 10.1186/s12913-023-09193-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Physicians' Perspectives of Telemedicine During the COVID-19 Pandemic in China: Qualitative Survey Study.

    Liu, Jialin / Liu, Siru / Zheng, Tao / Bi, Yongdong

    JMIR medical informatics

    2021  Volume 9, Issue 6, Page(s) e26463

    Abstract: Background: Generalized restriction of movement due to the COVID-19 pandemic, together with unprecedented pressure on the health system, has disrupted routine care for non-COVID-19 patients. Telemedicine should be vigorously promoted to reduce the risk ... ...

    Abstract Background: Generalized restriction of movement due to the COVID-19 pandemic, together with unprecedented pressure on the health system, has disrupted routine care for non-COVID-19 patients. Telemedicine should be vigorously promoted to reduce the risk of infections and to offer medical assistance to restricted patients.
    Objective: The purpose of this study was to understand physicians' attitudes toward and perspectives of telemedicine during and after the COVID-19 pandemic, in order to provide support for better implementation of telemedicine.
    Methods: We surveyed all physicians (N=148), from October 17 to 25, 2020, who attended the clinical informatics PhD program at West China Medical School, Sichuan University, China. The physicians came from 57 hospitals in 16 provinces (ie, municipalities) across China, 54 of which are 3A-level hospitals, two are 3B-level hospitals, and one is a 2A-level hospital.
    Results: Among 148 physicians, a survey response rate of 87.2% (129/148) was attained. The average age of the respondents was 35.6 (SD 3.9) years (range 23-48 years) and 67 out of 129 respondents (51.9%) were female. The respondents come from 37 clinical specialties in 55 hospitals located in 14 provinces (ie, municipalities) across Eastern, Central, and Western China. A total of 94.6% (122/129) of respondents' hospitals had adopted a telemedicine system; however, 34.1% (44/129) of the physicians had never used a telemedicine system and only 9.3% (12/129) used one frequently (≥1 time/week). A total of 91.5% (118/129) and 88.4% (114/129) of physicians were willing to use telemedicine during and after the COVID-19 pandemic, respectively. Physicians considered the inability to examine patients in person to be the biggest concern (101/129, 78.3%) and the biggest barrier (76/129, 58.9%) to implementing telemedicine.
    Conclusions: Telemedicine is not yet universally available for all health care needs and has not been used frequently by physicians in this study. However, the willingness of physicians to use telemedicine was high. Telemedicine still has many problems to overcome.
    Language English
    Publishing date 2021-06-01
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2798261-0
    ISSN 2291-9694
    ISSN 2291-9694
    DOI 10.2196/26463
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Physicians’ Perspectives of Telemedicine During the COVID-19 Pandemic in China

    Liu, Jialin / Liu, Siru / Zheng, Tao / Bi, Yongdong

    JMIR Medical Informatics, Vol 9, Iss 6, p e

    Qualitative Survey Study

    2021  Volume 26463

    Abstract: BackgroundGeneralized restriction of movement due to the COVID-19 pandemic, together with unprecedented pressure on the health system, has disrupted routine care for non–COVID-19 patients. Telemedicine should be vigorously promoted to reduce the risk of ... ...

    Abstract BackgroundGeneralized restriction of movement due to the COVID-19 pandemic, together with unprecedented pressure on the health system, has disrupted routine care for non–COVID-19 patients. Telemedicine should be vigorously promoted to reduce the risk of infections and to offer medical assistance to restricted patients. ObjectiveThe purpose of this study was to understand physicians’ attitudes toward and perspectives of telemedicine during and after the COVID-19 pandemic, in order to provide support for better implementation of telemedicine. MethodsWe surveyed all physicians (N=148), from October 17 to 25, 2020, who attended the clinical informatics PhD program at West China Medical School, Sichuan University, China. The physicians came from 57 hospitals in 16 provinces (ie, municipalities) across China, 54 of which are 3A-level hospitals, two are 3B-level hospitals, and one is a 2A-level hospital. ResultsAmong 148 physicians, a survey response rate of 87.2% (129/148) was attained. The average age of the respondents was 35.6 (SD 3.9) years (range 23-48 years) and 67 out of 129 respondents (51.9%) were female. The respondents come from 37 clinical specialties in 55 hospitals located in 14 provinces (ie, municipalities) across Eastern, Central, and Western China. A total of 94.6% (122/129) of respondents’ hospitals had adopted a telemedicine system; however, 34.1% (44/129) of the physicians had never used a telemedicine system and only 9.3% (12/129) used one frequently (≥1 time/week). A total of 91.5% (118/129) and 88.4% (114/129) of physicians were willing to use telemedicine during and after the COVID-19 pandemic, respectively. Physicians considered the inability to examine patients in person to be the biggest concern (101/129, 78.3%) and the biggest barrier (76/129, 58.9%) to implementing telemedicine. ConclusionsTelemedicine is not yet universally available for all health care needs and has not been used frequently by physicians in this study. However, the willingness of physicians to use telemedicine was high. ...
    Keywords Computer applications to medicine. Medical informatics ; R858-859.7
    Subject code 950
    Language English
    Publishing date 2021-06-01T00:00:00Z
    Publisher JMIR Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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