|
|
Protection of personal data in the course of rendering health care
Zeman, Marek ; Šustek, Petr (advisor) ; Hendrychová, Michaela (referee)
Health care services is an area, in which is, with regard to specific nature of processed information, needed to pay special attention to personal data protection of patients. Act that used to regulate this kind of relations for more than 40 years was the Act on Care and Health of Nation. Taking into consideration its historic time of origin and paternalistic theory, on which it was based upon, and despite passage of Convention on Human Rights and Biomedicine meaning significant deviation from up to now paternalistic theory, this Act was not able stand under the Czech republic international obligations, principles of democratic legal state and last but not least rapid technological progress,. Therefore it was replaced by Medical Services Act, which is in full compliance with approach that sees relation between physician and patient as equal. One of cornerstones in area of personal data protection in health care services is concept of rule of secrecy, to which is obliged mainly provider of health care, but also other persons stated in the Act. Violation of rule of secrecy is punished. Threat of penal sancion for violation of rule of secrecy highlights the importance of protection of presonal data in health care area. Although under circumstances specified by the law is possible to unveil rule of...
|
|
|
The Duty of Confidentiality in Health Care (Section 99 of Czech Criminal Procedure Code and other provisions)
Pilcová, Kateřina ; Sovová, Olga (advisor) ; Císařová, Dagmar (referee)
The Duty of Confidentiality in Health Care (Section 99 of Czech Criminal Procedure Code and other provisions) The aim of the thesis is to introduce the issue of medical confidentiality in Czech Republic. Although most stress is put on the connection with criminal law, the work also explains what medical confidentiality is and outlines some disputable points in this field as well as it further on mentions international treaties, statutes and other sources where the duty of confidentiality is incorporated. The thesis then shows medical confidentiality in connection with the matter of medical records and afterwards focuses on the exceptions when duty of confidentiality can legally be broken and finally a chapter is given to describe the questions of lability for breaching the duty of cofidentiality in health care where criminal law consequences and disciplinary consequences are described. All the matters are discussed in the light of the Health Services Act (372/2011 Coll.) which came into force on April 1, 2012.
|
|
|
Security of Electronic Documentation in Medical Environment
Hauserová, Markéta ; Malinka, Kamil (referee) ; Barabas, Maroš (advisor)
Thesis is analyzing czech laws which are related to medical documentation. Describes the points which are mandatory for information system, so the medical documentation can be stored electronically. Includes various algorithms for implementation of certain electronic signature and for identification of person. This thesis deals with asymmetric cryptography, specifically RSA, DSA, and ECDSA. Describes the hash functions and their functions and their characteristics. Describes the principle of the certificate, ways of its obtaining, invalidation and their formats. Analyzes medical information system and suggests ways to create a program for signing medical records. Then based on that analysis, the program is implemented. At the conclusion of the work is discussed, if created program meets the criteria.
|
|
|
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.
|
|
|
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.
|
|
|
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.
|
|
|
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.
|
|
| |
|
|
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.
|
|
|
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.
|
guest ::
