Issues of drug circulation in a hospital: how to optimize work in a medical information system

Relevance. Currently, the  implementation of information systems in healthcare is an urgent task for every medical organization. The main directions of the introduction of a medical information system in a medical organization are the development of automatic workplaces for specialists, the development of specialized soft ware for decision-making; creation of an electronic medical record and automation of managerial and administrative functions. With the  right management approach to the operation of a medical information system (MIS), a medical organization can use all the possibilities of a MIS to reduce the labor costs of its employees in various areas, for example, in the case of the circulation of drugs. Objective. Show the possibilities of using MIS on the circulation of drugs in a multidisciplinary hospital. Methods. The work was carried out on the basis of the MIS of the North-Western State Medical University named after I. I. Mechnikov of the Ministry of Health of Russia through the introduction of a drug circulation system in a medical organization at various levels (clinical units, a pharmacy, the administration of a medical organization). Results. In the article, on the example of a multidisciplinary medical organization, the results of the implementation of accounting, planning and control over drug supply in the MIS are presented. Conclusion. The joint work of all departments involved in the circulation of drugs (pharmacy warehouse, purchasing department, clinical departments and clinical pharmacologist) allows improving the quality of drug supply and timely obtaining information about the costs and needs for medicines, which optimizes the financial costs of drugs in the hospital

Optimization of laboratory support costs in a multidisciplinary hospital: possible solutions. Emphasis on the medical information system

Relevance. Due to the constant improvement of the technical base for laboratory research, the number of laboratory tests, both necessary for the patient and secondary, is increasing everywhere, which cannot but affect the financial costs of laboratory support for a medical organization. The growth of costs requires the search for various ways to optimize costs. Given the widespread introduction of medical and laboratory information systems, it is necessary to develop algorithms for optimizing laboratory appointments and with their help. Goal. To show possible ways to optimize the costs of laboratory research, including using the integration of a medical information system and a laboratory information system. Results. The article describes the main possibilities for optimizing the costs of laboratory research in a multidisciplinary hospital, the feature of which is the territorial removal of clinical units and laboratories. The main optimization mechanisms are considered — an adequate ratio of centralization of laboratory research and decentralization (conducting analyzes at the patient’s treatment site — point of care testing), the creation of “specializations” for clinical diagnostic laboratories, depending on the profile of clinical units and the number of prescribed analyzes by profile. The principle of introduction into the medical information system of control over the appointments of laboratory tests is shown. The economic evaluation of the results of the integration of the medical information system and the laboratory information system was carried out. Conclusion. The joint use of all existing methods of optimizing laboratory service costs will reduce the financial costs of laboratory support while maintaining the quality of medical care