Amateka, ibikoresho byubuvuzi byashyizwe mu bwigunge, bifatirwa muri silos, buriwese ufite protocole yihariye yitumanaho, guhuza umubiri, igipimo cyo kuvugurura, hamwe na terminologiya, ariko iterambere ryingenzi ryashyize ibikoresho byubuvuzi kumurongo wibisimburanya byabayeho kuva mubishushanyo ninyandiko kugeza mugukurikirana abarwayi neza. no gutabara.
Bikurikiranwe binyuze mumakuru atandukanye, ahindagurika mugihe gito, abaganga barashobora gukoresha amakuru yamateka nigihe nyacyo kugirango borohereze ibyemezo byamavuriro mugihe nyacyo bishingiye kumahinduka no guhinduka.
Inganda zita ku buzima ninzira ndende yo kumenya imikoranire rusange yibikoresho byubuvuzi.Nubwo umurongo ngenderwaho nivugurura rya federasiyo, iterambere ryikoranabuhanga, societe yinganda, nimiryango isanzwe, hamwe ninganda zitandukanye nibisabwa mubucuruzi byashishikarije bamwe mubakora inganda gutera imbere, ibikoresho byinshi byubuvuzi biracyasaba ko imiterere yabyo ihindurwa mubintu bisanzwe kandi bihuriweho na sisitemu IT yubuzima, haba mubisobanuro no muburyo bwohererezanya ubutumwa.
Sisitemu yo kwifashisha ibikoresho byubuvuzi (MDDS) ibikoresho byo hagati bizakomeza kuba nkenerwa gukuramo amakuru mubyiciro bimwe byibikoresho byubuvuzi ukoresheje ibisobanuro byabacuruzi, hanyuma uhindure kandi ubimenyeshe inyandiko yubuzima bwa elegitoronike (EHR), ububiko bwamakuru, cyangwa ubundi buryo bwo gutanga amakuru kugirango ubishyigikire koresha imanza nkibishushanyo mbonera, inkunga yubuvuzi, nubushakashatsi.Ibyatanzwe mubikoresho byubuvuzi byahujwe nandi makuru mubyanditswe byabarwayi kugirango habeho ishusho yuzuye kandi yuzuye yimiterere yabarwayi.
Ubugari nubunini bwubushobozi bwa MDDS bwo hagati byorohereza uburyo ibitaro, sisitemu yubuzima n’indi miryango itanga serivisi bishobora kuvumbura uburyo bwo gukoresha amakuru ava mu gikoresho akajya muri sisitemu yo kwandika.Gukoresha amakuru kugirango utezimbere imicungire yubuvuzi no gufata ibyemezo byamavuriro uhita utekereza - ariko ibyo bishushanya gusa hejuru yibishoboka.
Ubushobozi bwo Kubona Data
Byibuze, MDDS yo hagati ikeneye gushobora gukura amakuru episodic mubikoresho byubuvuzi no kuyihindura muburyo busanzwe.Byongeye kandi, ibikoresho byo hagati bigomba gushobora kubona amakuru kumuvuduko uhindagurika kugirango byuzuze ibisabwa mubikorwa bitandukanye byubuvuzi (urugero, ibyumba byo gukoreramo n’ibice byita ku barwayi bakomeye hamwe n’ubuvuzi-bwo kubaga).
Imbonerahamwe ya Clinical intera iratandukanye bitewe nibisabwa kwa clinique kuva amasegonda 30 kugeza kumasaha menshi.Umuvuduko mwinshi, munsi yisegonda ya kabiri, urimo ibipimo byerekana imiyoboro ya monitor ya physiologique, umuvuduko w-umuvuduko uva mumashanyarazi, hamwe namakuru yo gutabaza yatanzwe mubikoresho byubuvuzi.
Gukoresha amakuru yo kwerekana no gusesengura, gusesengura guhanura, kimwe n'ubushobozi bwo gutunganya amakuru yakusanyirijwe aho yitaweho kugirango habeho amakuru mashya nabyo bitera igipimo cyo gukusanya amakuru.Ubushobozi bwo kugarura amakuru kubiciro bihindagurika, harimo kurwego rwamasegonda, bisaba ubushobozi bwa tekiniki kuruhande rwumucuruzi wo hagati, ariko kandi birasaba ubushobozi bwo kugenzura muburyo bwo gukuraho FDA, byerekana ko ibikoresho byo hagati bishobora kwerekana ko yagabanije ingaruka zijyanye no kumenyekanisha amakuru menshi yo gutabaza no gusesengura - ndetse no gukurikirana abarwayi no gutabara.
Ingaruka zo Kwinjira-Igihe
Ibikoresho byo hagati birashobora gukoreshwa kugirango bikuremo amakuru mubikoresho byubuvuzi hanyuma ubihuze nandi makuru ari mubitabo byabarwayi kugirango habeho ishusho yuzuye kandi yuzuye yuburwayi bwubu.Guhuza isesengura hamwe namakuru-nyayo mugihe cyo gukusanya akora igikoresho gikomeye cyo guhanura no gushyigikira ibyemezo.
Ibi bitera kwibaza ibibazo bikomeye bijyanye n'umutekano w'abarwayi n'urwego rw'ibyago byafashwe n'ibitaro.Nigute inyandiko zabarwayi zikeneye gutandukana nigihe gikenewe cyo gutabara abarwayi?Niki amakuru nyayo atemba kandi niki kitari?
Kuberako amakuru akoreshwa mugihe nyacyo cyo gutabara, nkibimenyesha amavuriro, bigira ingaruka kumutekano wumurwayi, gutinda kwabo kugemura kubantu nyabo birashobora kugira ingaruka zidasanzwe.Niyo mpamvu, ni ngombwa gusobanukirwa ningaruka zisabwa mubukererwe bwamakuru, igisubizo, nubunyangamugayo.
Ubushobozi bwibisubizo bitandukanye byo hagati biruzuzanya, ariko haribintu byibanze byububiko nubuyobozi bigomba gutekerezwa, hanze yihariye ya software cyangwa uburyo bwo kubona amakuru.
FDA
Mu mwanya w’ubuzima IT, FDA 510 (k) itunganya igenga guhuza ibikoresho byubuvuzi no gutumanaho sisitemu yamakuru yubuvuzi.Imwe mu itandukaniro riri hagati yububiko bwibikoresho byubuvuzi bigamije gukoresha imbonerahamwe no kugenzura neza ni uko ubwo buryo bwakuweho kugira ngo bugenzurwe neza bwerekanye ubushobozi bwo kumenyekanisha byimazeyo amakuru n’impuruza zisabwa mu gusuzuma no gutabara abarwayi.
Ubushobozi bwo gukuramo amakuru no kuyahindura muri sisitemu yo kwandika ni kimwe mubyo FDA ibona ko ari MDDS.FDA isaba ko MDDS ibisubizo bitwara FDA Icyiciro cya mbere cyinyandiko rusange.Ibindi bice, nkibimenyesha no gukurikirana abarwayi bikora, birenze urugero - kwimura, kubika, guhindura no kwerekana-ubushobozi busanzwe bwa MDSS.Ukurikije iryo tegeko, niba MDDS ikoreshwa birenze ibyo yagenewe, ibi bihindura umutwaro wo kugenzura no kubahiriza ibitaro bizajya bishyirwa mubikorwa.
Icyiciro cya II gishobora kugerwaho nu mucuruzi wo hagati yerekana ibicuruzwa byerekana ko byagabanije neza ingaruka zamakuru kugirango akoreshwe mubikorwa bizima, byaba bihuye nogutumanaho gutabaza cyangwa gushiraho amakuru mashya avuye mumibare fatizo yakusanyijwe kuva ibikoresho by'ubuvuzi.
Kugirango umucuruzi wo hagati asabe uruhushya rwo gukurikirana abarwayi, bagomba kuba bafite igenzura ryuzuye hamwe n’impirimbanyi kugira ngo bakire kandi batange amakuru yose y’abarwayi bakora kugira ngo batabare kuva ku ndunduro - kuva aho bakusanyiriza (ibikoresho by’ubuvuzi) kugeza kubyara ingingo (umuganga).Na none kandi, ubushobozi bwo gutanga ku gihe no kwakira amakuru akenewe mu gutabara no gukurikirana abarwayi neza, ni itandukaniro rikomeye.
Gutanga amakuru, Itumanaho, n'Ubunyangamugayo
Kugirango ushyigikire kugenzura abarwayi no kugenzura itangwa ryamakuru, inzira yitumanaho kuva mubikoresho byubuvuzi byigitanda kugeza kubakira igomba kwemeza gutanga amakuru mugihe cyagenwe.Kugirango yemeze gutanga, sisitemu igomba guhora ikurikirana iyo nzira yitumanaho ikanatanga raporo niba nigihe amakuru abangamiwe cyangwa ubundi yatinze kurenza urugero ntarengwa rwemewe rwo gutinda no kwinjiza.
Itumanaho ryuburyo bubiri ryamakuru yemeza ko gutanga amakuru no kugenzura bitabangamira cyangwa ngo bibangamire imikorere yubuvuzi.Ibi bifite akamaro kanini mugihe ushakisha kugenzura ibikoresho byubuvuzi cyangwa mugihe amakuru yo gutabaza amenyeshejwe umurwayi ukora.
Muri sisitemu yo hagati yakuweho kugirango igenzure neza abarwayi, ubushobozi bwo guhindura amakuru burashoboka.Algorithms yo gukora impinduka, kubara ibisubizo bya kaminuza, naho ubundi gusobanura amakuru bigomba gutambuka kandi bikemezwa kubintu byose bigenewe ibikorwa byubuvuzi, harimo nuburyo bwo kunanirwa.Umutekano wamakuru, ibitero byanga amakuru, ibikoresho byubuvuzi, no guhakana serivisi, hamwe nincungu zose zifite ubushobozi bwo kugira ingaruka ku busugire bwamakuru kandi ibyo bisabwa bigomba gukemurwa hifashishijwe ibintu byihariye kandi bikemezwa hakoreshejwe ibizamini.
Ibipimo byubuvuzi rusange ntibizabaho nijoro, nubwo byashimishije kumenya kwimuka gahoro gahoro muburyo busanzwe.Ibikoresho n'ibikorwa bigenga umunsi ku isi hamwe n'ibiciro byinshi mu ishoramari, iterambere, kugura, no kugenzura.Ibi bishimangira icyifuzo cyo kugira uburyo bwuzuye kandi butera imbere muguhitamo ibikoresho byubuvuzi hamwe nogutanga ibikoresho byo hagati bishobora gufasha tekiniki nubuvuzi bikenewe mumuryango wawe wita kubuzima.
Igihe cyo kohereza: Mutarama-12-2017