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Dental Chart for Dental Clinic
Kaláb, Dominik ; Herout, Adam (referee) ; Beran, Vítězslav (advisor)
Cílem této práce je navrhnout a vyvinout prototyp webové aplikace, která bude nabízet stomatologům praktické prostředí pro evidenci stomatologické dokumentace se speciálním zaměřením na interaktivní rozhraní zubního kříže. Tento prototyp je založen na studiu user experience, technologií pro tvorbu moderních webových aplikací, základů stomatologie, analýze existujících řešení a na informacích získaných konzultací s profesionálním stomatologem. Můj návrh je zaměřen na řešení často prováděných úkonů minimu krocích, zobrazování relevantních informací. Návrh byl inspirován uživatelskými rozhraními editorových aplikací. Prototyp je vyvinut za použití moderních webových technologií. Prototyp byl otestován profesionálním stomatologem, výsledky testů zaznamenány a na jejich základě byl navržen směr dalšího vývoje této aplikace.
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Medical documentation in pre-hospital care
SLUNEČKO, Karel
The topic of this bachelor thesis is Medical documentation in pre-hospital care. This work was divided into two parts. The first part was theoretical, the second practical research. In the theoretical part, the emergency medical service is described with its basic elements and history. Furthermore, the issue of medical documentation was described in general view with its most important aspects. In the last part, the pre-hospital medical documentation service was described by actual examples. Four goals were set in the practical part. The first was to find out the opinion of paramedics on the documentation they are filling and writing as a part of the prehospital care. The second goal was to find out the opinion of paramedics on this documentation in case of need to prove their lege artis procedure. The third goal was to find out the benefits of changes of the software that is used to manage medical documentation. The last goal was to find out how this documentation is subsequently used in the hospital after the handover. The method of qualitative research in the form of semi-structured interviews was chosen for the practical part. The research samples for the first two goals consisted of 12 paramedics, each of whom was asked 19 main questions, additional subquestions were asked in a case the interview led to them. For the third goal, the research sample consisted of 8 informants, who were asked 6 main questions, which were also developed appropriately by additional subquestions if needed. For the last goal there was research sample of 5 informants from the ranks of nurses in the hospitals. The goal of the research is to point out the most important matters of the pre-hospital documentation that is filled in by the paramedics and their opinion on the changes that were made during last year. The work can serve as a basis for possible changes in the management of medical documentation in the conditions of the emergency medical services.
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Dental Chart for Dental Clinic
Kaláb, Dominik ; Herout, Adam (referee) ; Beran, Vítězslav (advisor)
Cílem této práce je navrhnout a vyvinout prototyp webové aplikace, která bude nabízet stomatologům praktické prostředí pro evidenci stomatologické dokumentace se speciálním zaměřením na interaktivní rozhraní zubního kříže. Tento prototyp je založen na studiu user experience, technologií pro tvorbu moderních webových aplikací, základů stomatologie, analýze existujících řešení a na informacích získaných konzultací s profesionálním stomatologem. Můj návrh je zaměřen na řešení často prováděných úkonů minimu krocích, zobrazování relevantních informací. Návrh byl inspirován uživatelskými rozhraními editorových aplikací. Prototyp je vyvinut za použití moderních webových technologií. Prototyp byl otestován profesionálním stomatologem, výsledky testů zaznamenány a na jejich základě byl navržen směr dalšího vývoje této aplikace.
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Evaluation quality of the treatment of the most common injuries in medical first aid.
LEVKO, Marina
The theoretical part of this bachelor thesis deals with the medical first aid service (emergency) and its current status in the Czech Republic with a focus on the South Bohemian region. I also describe the difference between the ambulance and the emergency because patients often mislead those two terms. The theoretical part focuses too on the trauma issue. Children and teenagers are the most endangered by suffering a trauma. That is why I describe the problematic of children in premedical care. The objective of the thesis was to find out the number of the most common children traumas on the three departments of the medical first aid service in the South Bohemian region and evaluate the quality of treatment. I was trying to meet the goals through a data collection from the three departments of the emergency service in the South Bohemian region from 2013 to 2014. The research was conducted through qualitative and quantitative data analysis. Based on the available documentation on emergency, I was retrospectively finding out the number of all patients treated on the emergency. From this data I subsequently learned the numbers of treated children with a trauma in years 2013 and 2014. All the data learned are worked out into charts to make them more transparent. The qualitative form of the research was done by the method of casuistry analysis. By analysing the casuistries I was also finding out what were the most common children traumas treated on the emergency, its diagnosis and the process of the treatment of each of the children patients in years 2013 and 2014. Two research questions were stated for this thesis. What are the most common traumas which are treated on emergencies and what is the way to treat such traumas and whether it corresponds with lege artis. For better orientation, the data learned about the most frequent children traumas treated on the emergency are put into graphs. After the evaluation of results I found out that the most common children traumas on all three departments of the emergency in years 2013 and 2014 were: injury caused by a sharp object then fall or a blunt impact to an object and burns of I. and II. degree burns. Those results matches with the results presented in other works dealing with the most frequent children traumas. The casuistry analysis implies that all the three departments of the emergency treat the most common types of a light injury the same way, in comparison with the reference literature in all the cases the procedure of treatment was correct. In cases when the trauma was not possible to be solved on the emergency, because of need of a laboratory or projecting medical examination which are not available on emergency, the ambulance was called to a patient, or the patient was redirected to another specialised department to be provided with safe and lege artis diagnosis. While evaluating the quality of the treatment I also focused on the evaluation of the medical documentation which is, on the emergency, represented by the book of daily records. On the emergency 1 and 2 I have met a serious failure with managing this book. Those failures were recorded only within the casuistries dealing with the treatment of adults. When evaluating the quality of treatment of children patients I have not met any wrong or partly filled documentation. To make the transparency better and have the unified form it would be adequate to keep the books in an electronic way at all three emergencies. This is where we are confronted by financial background of the emergency services. In the Czech republic there have not been institutionalized the form of the emergency, its function neither the network of emergencies, have not been specified by any law yet. If the function, provision, availability and the financial background of the emergency is united it would have a positive impact even to patients who this service is meant for.
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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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Medical documentation and personal electronic health card
JANOCHOVÁ, Jiřina
Medical records are being adjusted to match the practical way of understanding an illness as a disorder in the balanced state of the organism. This approach has also modified opinions regarding the form of medical documentation, the determination of necessary examinations and treatment. The progress in medicine along with the growing need for specific medical information made it necessary to look for new ways of making medical information available. One of these ways is to make the system of health care documentation electronic. The main tool of this system is an electronic health card. The objective of my work was to find out the following: the extent of utilization of electronic health cards; doctors´ opinions regarding the use of electronic medical documentation; the attitude of patients to medical documentation and the willingness of doctors to join the IZIP project of electronic health cards. Two hypotheses were checked for the purpose of the graduation work. Hypothesis no. 1 {--} Medical personnel expect that the project of electronic health cards will speed up the process of providing information about patients´ state of health. Hypothesis no. 2 {--} Health care facilities are willing to keep electronic documentation only if they receive compensation for increased administrative activities. To check the hypotheses, the author used the method of quantitative research. Data was collected by means of a questionnaire. The research was carried out between January and March 2009. The research was performed in health care facilities in South Bohemia represented by private doctors. 200 questionnaires were printed out. 152 of these could be fully used for the research. Hypothesis no. 1 was confirmed since 58% of the people who filled out the questionnaire agreed with the statement that the project of electronic health cards would accelerate the process of sharing information about patients´ state of health. Hypothesis no. 2 was not confirmed. There are two main problems preventing the use of IZIP; one of them is that patients are not interested and the other that doctors do not trust the system. That is why the necessary information is not always found in the IZIP since some health care facilities do not work with the system. Doctors would have to be forced or sufficiently motivated to transfer to the use of electronic medical documentation and they would have to change their negative attitude to modern technologies. This work could extend the information about medical documentation and electronic health cards among health care providers and the broader public and give feedback to people working in health care facilities.
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