Organization and Implementation of Online Cytology Quality Assurance Program – Georgian Experience
DOI:
https://doi.org/10.1515/ecce-2017-0006Keywords:
Digital images, Medical information system, Quality assurance programAbstract
Medical information system (MIS) is at the heart of information technology (IT) implementation policies in healthcare systems around the world. Different architecture and application models of MIS are developed. Despite of obvious advantages and benefits, application of MIS in everyday practice is slow. On the background of analysis of the existing models of MIS in Georgia has been created a multi-user web-based approach. This article will present the architecture of the system and its application for cytology quality assurance programs. Five hundred Georgian language electronic medical records from the cervical screening activity illustrated by images were selected for quality assurance program. The primary goal of the MIS is patient management. However, the system can be used for quality assurance programs. The ideal of healthcare in the information age must be to create a situation where healthcare professionals spend more time creating knowledge from medical information and less time managing medical information. The application of easily available and adaptable technology and improvement of the infrastructure conditions is the basis for eHealth applications. The MIS is perspective and actual technology solution. It can be used for cytology quality assurance programs.References
S. Clamp and J. Keen, “Electronic health records: Is the evidence base any use?,” Medical Informatics and the Internet in Medicine, vol. 32, no. 1, pp. 5–10, Jan. 2007. https://doi.org/10.1080/14639230601097903
K. Hayrinen, K. Saranto, and P. Nykanen, “Definition, structure, content, use and impacts of electronic health records: A review of the research literature,” International Journal of Medical Informatics, vol. 77, no. 5, pp. 291–304, May 2008. https://doi.org/10.1016/j.ijmedinf.2007.09.001
A. M. van Ginneken, “The computerized patient record: balancing effort and benefit,” International Journal of Medical Informatics, vol. 65, no. 2, pp. 97–119, Jun. 2002. https://doi.org/10.1016/s1386-5056(02)00007-2
L. S. Liu, P. C. Shih, and G. R. Hayes, “Barriers to the adoption and use of personal health record systems,” Proceedings of the 2011 iConference on – iConference ’11, 2011. https://doi.org/10.1145/1940761.1940811
US Department of Health and Human Services, Office for Civil Rights. 2008, Dec. 15. Personal Health Records and the HIPAA Privacy Rule. [Online]. Available: http://www.hhs.gov/ocr/privacy/hipaa/understanding/special/healthit/phrs.pdf [Accessed 2014-05-29]
J. Bonander and S. Gates, “Public Health in an Era of Personal Health Records: Opportunities for Innovation and New Partnerships,” Journal of Medical Internet Research, vol. 12, no. 3, p. e33, Aug. 2010. https://doi.org/10.2196/jmir.1346
D. C. Kaelber, A. K. Jha, D. Johnston, B. Middleton, and D. W. Bates, “A Research Agenda for Personal Health Records (PHRs),” Journal of the American Medical Informatics Association, vol. 15, no. 6, pp. 729–736, Nov. 2008. https://doi.org/10.1197/jamia.m2547
G. Heidenreich and B. Blobel, “IT-Standards für telemedizinische Anwendungen,” Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz, vol. 52, no. 3, pp. 316–323, Feb. 2009. https://doi.org/10.1007/s00103-009-0788-6
B. Harnett, “Telemedicine systems and telecommunications,” Journal of Telemedicine and Telecare, vol. 12, no. 1, pp. 4–15, Jan. 2006. https://doi.org/10.1258/135763306775321416
K. J. Kaplan, J. R. Burgess, G. D. Sandberg, C. P. Myers, T. R. Bigott, and R. B. Greenspan, “Use of Robotic Telepathology for Frozen-Section Diagnosis: A Retrospective Trial of a Telepathology System for Intraoperative Consultation,” Modern Pathology, vol. 15, no. 11, pp. 1197–1204, Nov. 2002. https://doi.org/10.1097/01.mp.0000033928.11585.42
K. Brauchli and M. Oberholzer, “Comparison of telepathology services,” Journal of Telemedicine and Telecare, vol. 10, no. 5, pp. 307–308, Oct. 2004. https://doi.org/10.1258/1357633042026350
A. Abdirad, B. Sarrafpour, and S. Ghaderi-Sohi, “Static telepathology in cancer institute of Tehran university: Report of the first academic experience in Iran,” Diagnostic Pathology, vol. 1, no. 1, p. 33, 2006. https://doi.org/10.1186/1746-1596-1-33
K. Brauchli, H. Oberli, N. Hurwitz, K.-D. Kunze, G. Haroske, G. Jundt, G. Stauch, L. Banach, M. Wirdnam, M. Mihatsch, and M. Oberholzer, “Diagnostic telepathology: long-term experience of a single institution,” Virchows Archiv, vol. 444, no. 5, pp. 403–409, May 2004. https://doi.org/10.1007/s00428-004-0980-x
B. H. Williams, F. G. Mullick, D. R. Butler, R. F. Herring, and T. J. O’Leary, “Clinical evaluation of an international static image–based telepathology service,” Human Pathology, vol. 32, no. 12, pp. 1309–1317, Dec. 2001. https://doi.org/10.1053/hupa.2001.29649
Kldiashvili E, et al. “Application of Digital Imaging for Cytopathology under Conditions of Georgia” AIMS Medical Science, 2015, 2(3): 186-199. https://doi.org/10.3934/medsci.2015.3.186
P. N. Furness, “The use of digital images in pathology,” The journal of Pathology, vol. 183, issue 3, pp. 15–24, Nov. 1997. https://doi.org/10.1002/(sici)1096-9896(199711)183:3<253::aid-path927>3.0.co;2-p
S. S. Raab, M. Sue Zaleski, P. A. Thomas, T. H. Niemann, C. Isacson, and C. S. Jensen, “Telecytology:Diagnostic Accuracy in Cervical-Vaginal Smears,” American Journal of Clinical Pathology, vol. 105, no. 5, pp. 599–603, May 1996. https://doi.org/10.1093/ajcp/105.5.599
D. S. Weinberg, F. A. Allaert, P. Dusserre, F. Drouot, B. Retailliau, W. R. Welch, J. Longtine, G. Brodsky, R. Folkerth, and M. Doolittle, “Telepathology diagnosis by means of digital still images: An international validation study,” Human Pathology, vol. 27, no. 2, pp. 111–118, Feb. 1996. https://doi.org/10.1016/s0046-8177(96)90363-9
F. J. W.-M. Leong and J. O. McGee, “Automated complete slide digitization: a medium for simultaneous viewing by multiple pathologists,” The Journal of Pathology, vol. 195, no. 4, pp. 508–514, 2001. https://doi.org/10.1002/path.972
B. E. Halliday, A. Bhattacharyya, A. R. Graham, J. R. Davis, S. A. Leavitt, R. B. Nagle, W. J. Mclaughlin, R. A. Rivas, R. Martinez, E. A. Krupinski, and R. S. Weinstein, “Diagnostic accuracy of an international static-imaging telepathology consultation service,” Human Pathology, vol. 28, no. 1, pp. 17–21, Jan. 1997. https://doi.org/10.1016/s0046-8177(97)90273-2
M. H. Weinstein and J. I. Epstein, “Telepathology diagnosis of prostate needle biopsies,” Human Pathology, vol. 28, no. 1, pp. 22–29, Jan. 1997. https://doi.org/10.1016/s0046-8177(97)90274-4
C. A. Wells and C. Sowter, “Telepathology: A diagnostic tool for the millennium?” The journal of Pathology, vol. 191, issue 1, pp. 1–7, May 2000. https://doi.org/10.1002/(sici)1096-9896(200005)191:1<1::aid-path624>3.0.co;2-s
Downloads
Published
Issue
Section
License
Copyright (c) 2017 Ekaterina Kldiashvili, Andrejs Romānovs, Nikoloz Shakulashvili, Archil Burduli, Gocha Ghortlishvili, Dodo Agladze (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
How to Cite
