فهرست مطالب taha samad

Success of infection treatment depends on the availability of accurate, reliable, and comprehensive data, information, and knowledge at the point of therapeutic decision-making. The identification of a national minimum data set will support the development and implementation of an effective surveillance system. The goal of this study was to develop a national antimicrobial resistance surveillance minimum data set. In this cross-sectional and descriptive study, data were collected from selected pioneering countries and organizations which have national or international antimicrobial resistance surveillance systems. A minimum data set checklist was extracted and validated. The ultimate data elements of the minimum data set were determined by applying the Delphi technique. Through the Delphi technique, we obtained 80 data elements in 8 axes. The resistance data categories comprised basic, clinical, electronic reporting, infection control, microbiology, pharmacy, World Health Organization-derived, and expert-recommended data. Relevance coding was extracted based on the Iranian electronic health record coding system. This study provides a set of data elements and a schematic framework for the implementation of an antimicrobial resistance surveillance system. A uniform minimum data set was created based on key informants’ opinions to cover essential needs in the early implementation of a global antimicrobial resistance surveillance system in Iran.

Developing an accurate and comprehensive electronic database which can capture and store adequate, accurate and timely data related to infants is an essential step. The aim of this study was to design an electronic medical record system for infants hospitalized in neonatal intensive care unit at the Hospitals of Tabriz University of Medical Sciences.
This was an applied-developmental study. At first, current status of a data recording process in hospitals was studied. Then data elements were determined and the new system was modeled. The proposed architecture is based on three-tier architecture. Services such as reporting and user access control levels were implemented. Design of the user interface layer was performed by using Asp.net framework and HTML. This system is available in private network of Tabriz University of Medical Sciences for authorized users since 2014.
In data access layer, the minimum data elements determined at the seven categories of information. To design a data model, 65 entities were defined with their attributes and relationships. In business layer, the key processes of the system were designed as system use cases. This system provides the real time and online data storage and retrieval for users at the point of care.
The design and implementation of electronic medical records is an effective step in managing infant’s health data. Using the appropriate architecture and standard templates lead to enhanced efficient performance, function, and storage and retrieval of health data.