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Tvorba aplikace pro evidenci pacientů
Škrobáček, Miroslav
The work deals with the development of application for registration of clients in private medical practice. It also contains a description of the existing systems which are usually used in medical practice. The proposed application is composed of several collaborating modules. The main part is written in the programming language C++ with the use of Qt library. Because it is a registration system, it is necessary to properly store the data. To that end a relational database manage-ment system PostgreSQL is used.
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Administration and documentation of nursing care in the nursing career
NOVÁKOVÁ, Kateřina
Administration and documentation are inseparable and obligatory parts of nurse's everyday work. Documentation in healthcare serves to communication of necessary patient information. Medical documentation is kept by physicians. Nursing documentation is conducted in parallel with medical documentation. Nursing documentation records facts of the nursing care provided to a particular patient. Duly kept nursing documentation is a quality indicator of qualified nurse's work. It has to comply with applicable legislation and reflect the latest research results. Documentation has to be brief, clear, concise and factual. It should definitely not be extensive, time consuming, complicated and it should not contain useless information and duplicities. Nurses should not be overloaded by document keeping and should not spend more time on it than with patients. The aims of the thesis: Aim 1: To map the approach to documentation among nurses at selected hospital departments. Aim 2: To map how nurses perceive document keeping in terms of time, how much time they really spend on documentation within their working hours. Aim 3: To analyse nursing documentation at selected hospital departments. Research questions: Research question 1: Do nurses feel overloaded by nursing documentation keeping? Research question 2: How much time do nurses have to spend on documentation within their working hours? Research question 3: Is the time spent on documentation used effectively? Research question 4: Would nurses welcome changes in nursing documentation? Applied methods: The research part of the thesis was based on qualitative research method applied at selected departments of a regional type hospital.The research results from the interviews, document analysis and working hours scanning will be provided to the examined hospital management. They may help the hospital management with better insight into their documentation and lead to improvement of the document keeping in general and particularly ease the work of nurses as they are overloaded anyway.
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Nurse and nursing documentation
VČELOVÁ, Stanislava
This bachelor thesis deals with the issue of using nursery documentation and working with this documentation. The nursery documentation forms fundamental material contributing to the correct operation of the patients? hospital care. These documents should be unconditionally maintained about each hospitalized patient as this fact also arises from the Czech legislation. The nurse?s work with the nursery documents is based on its correct, faultless and legible maintenance. The nurse records quality, actual, complete and essential information regarding the patient?s health condition in this documentation and works with these data which she uses in the nursing process. The most used form of the maintenance of the nursery documentation is a written form. Nowadays a nurse meets also with an electronic form of the nursery documents which is to help her to get more time for communication and care for the patient. The aim of this bachelor thesis was to discover the use of the nursery documentation in the selected hospital facility. The research investigation was executed by quantitative method. Case interpretations were processed based on interviews and the most important data were put in categorization tables. The research investigation was executed with ten randomly selected sisters who work in a neurosurgical and cardio-surgical department in the hospital Na Homolce. A wide spectre of problems occurred with the maintenance of the nursery documents.
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Application of the law No.101/2000 Sb. about protection of name and description in practice
MAŘÍKOVÁ, Magdalena
The issue of protecting personal and sensitive datum belongs to one of the topics promoted in media in present. In diploma work I am dealing with protection name and description in health service in connection with the law No.101/2000 Sb. about protection name and description and further law and ethical questions which also concerns medical documentation and obligatory reticence for medical staff. The aim of experimental parts was to find out the informedness, attitudes and views of sample of Czech population about the protection name and description in health service in connection with the law No.101/2000 Sb. Partial the aim was to discover whether there are differences in this problem among laic and vocational public and younger and older generation of our population. I used a quantitative method of research to process experimental parts. To collect useful dates I used a method of questionnaire. This research was done from January to May 2008 and 225 informants from a laic and a vocational public took part in this research. Three defined hypothesis were checked. I think this dissertation could lead to wider discussion about other aspects of protection name and description in health service and help to improved services to informed laic and vocational public not only about the law No. 101/2000 Sb. but also about protection name and description and other questions related to medical documentation as basic sources of personal and sensitive datum of patients.
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Safe Drug Handling In Medical Facilities.
MUSILOVÁ, Marie
Translation Czech ? English Abstract: Safe Drug Handling in Medical Facilities The issue of safety in drug handling in medical facilities creates a significant priority in maintaining and increasing the quality of care. The presented bachelor?s work deals with such problems both in theoretical and practical level. In the theoretical part it explains the methods of safe drug handling in all levels of that process, starting from the delivery of drugs from the hospital?s pharmacy, till their liquidation. In the research part it examines the knowledge level of the above problems of nurses in surgery or internal departments of a smaller, however an accredited hospital. The research has been outlined as a quantitative research through questioning ? a questionnaire. There were two objectives set up. Objective 1: To get an overall picture of the nurses? knowledge of handling, distributing and keeping drugs and Objective 2: To get an overall picture whether the nurses are acquainted with the principles of handling opiates. Both objectives have been fulfilled. Based on the objectives 8 hypotheses (H) have been set up: H 1: The nurses are acquainted with correct safeguarding of drugs ? confirmed; 96 percent of respondents master the principles of correct safeguarding of drugs. H 2: The nurses are acquainted with correct storing of drugs ? confirmed. 76 percent of them master the principles of correct storing. H 3: The nurses are acquainted with correct designation of drugs ? confirmed. 97 percent of them master the correct designation of drugs. H 4: The nurses are acquainted with the preparation of drugs ? confirmed. 88 percent of nurses master the correct preparation of drugs. H 5: The nurses are acquainted with the correct administration of drugs ? confirmed. 83 percent of nurses master the principles of correct drug administration. H 6: The nurses are acquainted with correct documentation maintenance when administrating drugs ? confirmed. 97 percent of respondents master the documentation agenda when handling drugs. H 7: The nurses are acquainted with the correct liquidation of drugs ? confirmed. 83 percent of nurses master the principles of correct liquidation of drugs. H 8: The nurses are acquainted with correct opiate handling ? confirmed. 94 percent of nurses are acquainted with the correct opiate handling. All 8 hypotheses have been confirmed. The results of the research will be granted to the Hospital in Pelhrimov, p. o., as a possible contribution to the continuous process of quality improvements. It is possible to find certain sections in the detailed text and the graphic part of the processing of answers to individual questions of the test, where the answers of nurses appeared slightly worse (although in total very good) and the proposal is to support training of employees, internal seminars and a creation of standards. The research presented the knowledge of a selected group of nurses in the Hospital in Pelhrimov, p.o., in the area of drug handling at a high level of quality. There is a possibility of further examination of possible mutual differences in the knowledge of the safe drug handling problems, between nurses in accredited and non-accredited health facilities.
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Analysis and inovation selected nursing documentation used in the workplace intenzive medicine
KŘÍŽOVÁ, Radmila
The thesis topic: ?Analysis and Innovations of Selected Nursing Documentation Used in Intensive Care? was chosen deliberately for its topicality. Documentation is an important and integral part of treatment of patients. It is very important that nursing documentation suit nurses who work with it. Data should be clear and their recording easy and convenient for nurses. Duly managed nursing documentation should be beneficial for physicians as well. For the research, the anaesthetic resuscitation department in Jihlava was chosen. The thesis contained six defined objectives that have been met and resulting 6 research questions. Qualitative research was carried out in 3 stages. One research group consisted of nurses at the anaesthetic resuscitation department in Jihlava, the other research group consisted of doctors at the anaesthetic resuscitation department in Jihlava. In the first stage, an analysis of nursing documentation used at the anaesthetic resuscitation department in Jihlava was carried out and, subsequently, interviews with the nurses and doctors from this department were conducted. In the second phase, innovations of nursing documentation were made and the documentation was put into practice. The final stage of the thesis consisted of interviews with the same questions for the doctors and nurses at the anaesthetic resuscitation department in Jihlava, in which opinions of the nurses and doctors on the innovated documentation and its application in practice were surveyed. The objective was to analyze the existing nursing documentation, to innovate it on the basis of the interview results, to implement it, and then to find out whether it could be used in practice. Based on the interviews conducted, we found out that nurses do not like the nursing diagnoses and also record sheets, which are common for doctors and nurses, used their department. Based on these results, innovation of the nursing diagnoses was made and, at the same time, the department made an innovation of the recording sheet, and medical and nursing documentation was separated. After the documentation was introduced into practice, we interviewed the nurses and doctors again to find out whether the innovated documentation was better and whether it could be improved more. We found out that the documentation was better, more suitable for the respondents. The innovated documentation can be used in practice and is currently so at the anaesthetic resuscitation department in Jihlava.
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Photographic documentation, its use and benefits for the branch of nursing.
VINCOUROVÁ, Barbora
The Bachelor Thesis ``Photographic documentation, its use and benefits for the branch of nursing`` focuses on the use of this method in the nursing practice. The theoretical part characterises the nursing process and the medical documentation within the scope of which the photographic documentation would be used. Another part of the present state focuses on the photographic documentation method and its benefits in practice, describes terms and aids for the suitable keeping of photographic documentation. Further, it lists possibilities of use and knowledge obtained from foreign literature. An interesting aspect in the keeping of photographic documentation is using the informed consent. Examples of the practical use of photographic documentation are presented in the last chapter of the theoretical part. Three objectives are set for the research part. The first one concerns the use of photographic documentation in the branch of nursing, the second objective is to find out nurses{\crq} opinions of incorporating about photographic documentation in the branch of nursing, and the third objective of the thesis focuses on clients{\crq} opinions in the keeping of photographic documentation. To evaluate the objectives, five research hypotheses were created that focus on the benefits of the use of photographic documentation in the nursing process, whether nurses have met with this method in professional journals and whether photographic documentation is used as a motivation means for the nursing practice. Hypotheses laid down for clients focus on the agreement with creating photographic documentation and whether they see benefits of keeping this method. The methodology was laid down by means a quantitative research investigation, which consists in handing out anonymous questionnaires for nurses and inquiries for clients in selected surgery, intern and dermatology departments in the Czech Republic. The evaluation of the research investigation was conducted in the Microsoft Excel 2007 programme in the form of graphs that were used in the results. After evaluating the results, the proposals for practice consist in the technical training of nurses - specialists on the photographic documentation and in the education of the broad medical and non-professional public on this method.
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XML specification proposal of electronically signed documents with timestamp.
Dvořák, Martin ; Svatá, Vlasta (advisor) ; Dostálek, Libor (referee)
Cílem diplomové práce bylo vypracovat návrh XML specifikace elektronicky podepsané zdravotnické dokumentace s časovým razítkem. V úvodu práce jsou definovány základní pojmy a principy digitálního podpisu. Následující kapitola obsahuje popis klasického obecného archivu. Archiv zdravotnické dokumentace se však od toho klasického liší. Dokumenty nejsou archivovány natrvalo avšak pouze po dobu specifikovanou legislativou. To je základní specifikum. Zdravotnická dokumentace má však další specifika, ze kterých je nutné vycházet. Dokumenty budou do archivační skupiny neustále přibývat, bude proměnlivá doba archivace zdravotnické dokumentace v závislosti na událostech v pacientově životě a dalším problémem je i fakt, že neexistuje závazná specifikace formální podoby zdravotnické dokumentace. Navrhovaná XML specifikace vychází z rozšířené základní syntaxe XML podpisu o elementy pro oblast archivace (XAdES-A) a ze specifikace základních metadat popsané ve standardu Dublin Core. Specifikace byla tvořena s cílem maximální univerzálnosti pro použití v oblasti zdravotnictví.
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Ochrana osobních údajů ve zdravotnické dokumentavi ČR
Křivánková, Jana ; Toman, Prokop (advisor) ; Blechlerová, Dagmar (referee)
Cílem této práce je osvětlit situaci a problematiku v oblasti Ochrany osobních údajů ve zdravotnické dokumentaci. Prvotně je zde popisován legislativní rámec Ochrany osobních údajů. Dále je práce zaměřena na zdravotnickou dokumentaci, jaké jsou formy zdravotnické dokumentace, jakým způsobem se do dokumentace zaznamenává a jak na tuto problematiku nahlíží zákony. V závěru je popisován zápis a vedení zdravotnické dokumentace v praxi a přínos elektronických zdravotnických knížek. Zda je to dobrý krok do budoucna či nikoli.
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