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Medical research has always been one of the important tasks in the medical center. Along with the emphasis on the medical quality and the proposing of the concept of learning health systems, medical and medical quality researches that are driven by data are becoming more and more important. It is quite challenging for medical personnel to balance the research with the busy work.
The traditional approach requires browsing medical records and recording information one after another. With the implementation of Personal Information Protection Act, the traditional research method of reading through medical records will face more limitation. The electronic medical records used in our hospital have accumulated huge amount of digital data over a long period of time and new types of data continue to be added in.
The utilization of big data not only can speed up medical research but also provide a new vision and new prospective for research.
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SNOMED CT is used for all the disease diagnosis, allergy records, drug registration files, and pathological diagnosis in the electronic medical records at our hospital. It is lack of precision and is insufficient for clinical use and research purpose. SNOMED input is applicable to the diagnosis in outpatient, hospitalization and emergency appointment. It will also be automatically. The system provides data for retrospective study, instrument interfacing, and data acquisition, such as respirators.
It had been promoted after the successful research in quality control circle. Initial achievement in the integration of genetic precision medicine research and electronic medical records has been revealed.
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Various artificial intelligence analytical tools for big data are under exploration and development. There are still a lot of aspects for application in the future and it is anticipated to have further progress with dedicated organizations, tasks, and personnel in place.
Meanwhile, it offers the excellent innovative environment in the hospital and it is very valuable for promoting it. The experience of big data repository establishment in our hospital can be provided to other hospitals for reference. Research driven by data is an important part of learning health systems.
Even though the various tasks developed currently have strengthened the efficiency in providing and analyzing data, there are still a lot of important data to be collected and integrated in the future as well as there will be continuous sources of new data adding in, such as data related to gene, mobile health and internet of things. The continuous applying and developing various tools of big data, such as machine learning, natural language and AI analytical tools, and expanding big data repository are the efficient tools and key points of development for future researches.
Implementation benefits.
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Database inquiry application and achievement: The Clinical Information Research and Development Center has appointed dedicated personnel to be in charge of information-providing service since The total application numbers accumulated until December, were 3, There were applications for academic research and accounted for The accumulated successful publication was articles with SCI in 67 articles.
Research for quality control: It is to assist quality control circle and Symbol of National Quality SNQ and the number of cases assisted from to were Among them, 18 cases were involved with awards and certification marks. It will be provided to researchers to access for data identification in order to offer research data with higher quality and integration.
Image 5. Image 4. ICD10 will be automatically corresponded to search out subtype infection of Influenza A. All ICD10 are J Image 7. De- identified electronic medical record mechanism and inquiry system in the clinical research repository. Since the establishment, the hospital was under the outstanding leadership and supervision by Mr. Chao Chu-Yu at the council and the predecessor and successor of chairman as well as the careful planning and full engagement from Mr.
Lo Kuang-Jui and other superintendents.
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The medical quality and technology are fully recognized. The hospitalization focus on acute and critical care to provide a safe, warm, and high-quality medical service to the public. Our hospital also creates excellent teaching and training venue and presents outstanding research and development performance. C-cloud cardiac rehabilitation e-Cover: application of medical nursing smart caring clothing system Introduction of the award-winning work. The home exercise training with virtual coaching constructed by the combination with smart textile is the collaboration between our hospital and Taiwan Textile Research Institute.
The application of human subject research for the project was approved in , the reliability and validity of heart rate monitor sensor for the smart textile was then completed to confirm the safety and the availability of good reliability and validity, and the global pioneer smart medical system APP with the functions of home exercise coaching and heart rate monitoring is created. The clinical random test on patients with chronic diseases in the community was carried out between and Up to now, other than continuing recruit case subjects, the project is able to use the same pattern to the patient group with multiple chronic diseases all over the county through the preliminary feasible clinical test.
Besides, in order to face the era of super-aged society in our country, the smart exercise training and monitoring pattern for the patients with smart multiple chronic diseases. In responding to the health care demand of the senior citizens, our institute works with Tri-Service General Hospital to develop cardiac rehabilitation supporting smart textile system. Fabric-based ECG electrode in medical equipment level is developed to combine with sport functional fabric and clothing pattern creating wearable ECG electrode smart clothing system.
After evaluated by the physiatrist in the hospital, the patient can design the training procedure in APP. Through the dynamic monitoring of exercise strength on the smart textile and the verification and analysis of the exercise procedure, the feedback on training strength will be provided to the patient in real time to achieve the purpose of precision exercise.
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Smart textile system almost has no difference in the tolerance of hospital system standard , and it is with good validity. In addition, the walking activity levels every week as well as the medium strength and high strength physical activity levels all present outstanding improvement. Life quality is improved as well. The real-time feedback and safety monitoring efficiency for the case management are enhanced to achieve seamless medical care as well as understand the insufficient strength of home exercise training implemented by patients with multiple chronic diseases in the real practice.
It reveals the recognition on exercise training among the public in the community should be carried out and educated continuously. Product photo. Tri-Service General Hospital is the only medical center among armed forces hospitals. The hospital includes Neihu main hospital, Tingzhou branch, Keelung branch, Penghu branch, and armed forces outpatient center. It is with easy access link by land, sea and air as well as is close to Neihu and Nangang science and technology parks. Total number of employees in the main hospital is around 4, people, attending physicians and total number of bed is 1, Establishment of virtual reality simulation training environment for first-aid treatment to patients with multiple traumas ATLS VR simulation Introduction of the award-winning work.
In order to enhance the learning effects on students and meet the actual situation, scenario simulation teaching is used for students to experience the simulated clinical care situation through interactive learning during their studying. Through the interactive and instructor-aided response system applied to various procedures, it will be able to reach double results with only efforts.
The main target in our hospital is to introduce the teaching material to other departments afterwards through the successful establishment of the teaching material so that the learning will be able to achieve horizontal expansion continuously. The editor is able to provide 3D basic model material database, storyboard editing function, 3D material editing function, and interactive setting function as well as to output and support VR head-mounted device.
The project is implemented step by step through step 1: demand analysis of virtual reality and cloud service; step 2: MAGIC VR editor design and development as well as model establishment of 3D material database; step 3: demonstration and course presentation; step 4: launched formally and establishment of experience camp. System utilization analysis should be carried out after the completion of system establishment: 1 Lesson plan feasibility investigation: Its level of importance and testability should both achieve more than 4 points.
After being experienced by examiners, they all provide highly positive feedback towards the increase of the pleasure in teaching and the reduction of loading in teaching. In , the hospital was rated as the qualified medical center and class I teaching hospital for the 8th time. We have good reputation and recognition among the social public since establishment. In responding to the demand and keeping up with time, our hospital established Center for Geriatrics and Gerontology and its building was completed and open to the public in November, to deal with excellent and delicate service of geriatrics integrating with outpatient and hospitalization as well as development of long-term care business step by step.
Moreover, Ministry of Health and Welfare also appoints our hospital to establish Emergency Medical Operation Center for Kaohsiung and Pingtung areas at the Emergency Department in our hospital to strengthen the emergency medical service standard in Kaohsiung and Pingtung areas. Environment monitoring real-time notification; total management for repairing and maintenance Introduction of the award-winning work. It achieves the operational management of medical buildings through centralized management method and the smart medical environment is achieved by the specific target.
Central management system integrates the functions of Intouch and Honeywell graphic control software, energy data concentrator and DDC controller as well as the intervention of environmental monitoring factors such as CO emission and CO2 concentration to construct the central monitoring mechanism required for smart energy saving. When the 3rd medical building was planned in , the engineering section considered 1 the effective operation of engineering manpower under the limited condition, 2 huge amount of equipment management, and 3 effective safety management while cooperating with the policies in the hospital.
To reduce the cost of installation and maintenance cost: Other than the outstanding reduction on the cost of equipment installation, the personnel cost does not increase due to the number of buildings managed and double grow of the equipment number. It means the operation of the system is able to achieve the performance with less effort. To increase operational and maintenance efficiency: The status of system that is control by the monitoring center can be analyzed the abnormal situation immediately. It has obvious reduction on manpower attendance reduce from people to people in terms of manpower dispatching and it achieves correct and better handling performance.
Under the circumstance of cooperating with building planning space in the hospital, a smart, networking and efficient medical environment is successfully created through ICT information and communication technology smart module equipment in order to save labor expenditure, save energy consumption, and further reduce operational cost.
It not only can assist in reducing the load of engineering work but also enhance medical service quality. Currently, it has acute bed and the total number of beds is 1, It has 37 departments, including medical departments, medical center, nursing, medical technology and teaching research departments as well as 13 administrative departments, 44 committees related to medical affairs and hospital affairs, and 3, employees.