Oliaei Shahram, Karimi Amirali, Shamsabadi Ahmadreza, Mirzapour Pegah, Mojdeganlou Hengameh, Nazeri Zahra, Bagheri Amir B, Nazarian Newsha, Jashaninejad Reyhaneh, Qodrati Mohammad, Amiri Fard Iman, Ghanadinezhad Farzaneh, Afzalian Arian, Heydari Mohammad, Mehraeen Esmaeil, SeyedAlinaghi SeyedAhmad
HBOT Research Center, Golestan Hospital, Islamic Republic of Iran Navy and AJA Medical University Tehran Iran.
School of Medicine Tehran University of Medical Sciences Tehran Iran.
Health Sci Rep. 2022 Aug 8;5(5):e768. doi: 10.1002/hsr2.768. eCollection 2022 Sep.
Hyperbaric oxygen therapy (HBOT), utilizes 100% oxygen at pressures greater than sea-level atmospheric pressure, for the treatment of conditions in which the tissues starve for oxygen. The Undersea and Hyperbaric Medical Society (UHMS) has granted HBOT approval for the treatment of various conditions. On the other hand, applying informatics registry systems can improve care delivery, ameliorate outcomes, and reduce the costs and medical errors for the patients receiving HBOT treatment. Therefore, we aimed to design, develop, and evaluate a registry system for patients undergoing HBOT.
In the first phase, the conceptual and logical models were designed after conducting symposiums with experts and having other experts review the models. In the second phase, the system was developed on the web using ASP.NET and C# programming languages frameworks. The last phase involved Nielsen's heuristic evaluation method for the system's usability. Five experts evaluated the system, including three health information management specialists and two medical informatics specialists.
The hyperbaric patient information registry system (HPIRS) interacts with three types of users-a specialist physician, a nurse, and a system administrator. A scenario for each predefined activity was designed, and all the information was stored in the SQL servers. The five experts independently found 152 issues, of which 84 were duplicates. The 68 distinct issues of the system were then resolved.
The design and development of such registry systems can make data available and stored carefully to improve clinical care and medical research and decrease costs and errors. These registries can provide the healthcare systems with E-health applications, improved data management, more secure data transfer, and support for statistical reporting. The implemented heuristic evaluation method can also provide a low-cost and readily available system to fix the issues of the designed systems.
高压氧疗法（HBOT）是在高于海平面大气压的压力下使用100%的氧气，用于治疗组织缺氧的病症。水下与高压医学会（UHMS）已批准将HBOT用于治疗多种病症。另一方面，应用信息学注册系统可以改善护理服务、提高治疗效果，并降低接受HBOT治疗患者的成本和医疗差错。因此，我们旨在设计、开发和评估一个针对接受HBOT治疗患者的注册系统。
在第一阶段，通过与专家召开研讨会并让其他专家审查模型，设计了概念模型和逻辑模型。在第二阶段，使用ASP.NET和C#编程语言框架在网络上开发了该系统。最后阶段采用尼尔森启发式评估方法对系统的可用性进行评估。五名专家对该系统进行了评估，其中包括三名健康信息管理专家和两名医学信息学专家。
高压患者信息注册系统（HPIRS）与三种类型的用户进行交互，即专科医生、护士和系统管理员。针对每个预定义活动设计了一个场景，所有信息都存储在SQL服务器中。五名专家独立发现了152个问题，其中84个是重复的。然后解决了该系统68个不同的问题。
此类注册系统的设计和开发可以使数据可用并得到妥善存储，以改善临床护理和医学研究，并降低成本和差错。这些注册系统可以为医疗保健系统提供电子健康应用程序、改进数据管理、实现更安全的数据传输，并支持统计报告。所实施的启发式评估方法还可以提供一个低成本且易于使用的系统来解决所设计系统的问题。
