Tanyawat Saisongcroh

1)H1N1 Pandemic (Swine Flu) 2009
It was an unusual event of infection with a new strain of H1N1 at that time, starting from Mexico then spread quickly across the United States and the world. Some studies estimated that the real number of cases could be 11 -21% of global population at that time. The risk of serious illness was no higher than the…[Read more]

Back in a day, I was a representative of my institute for resident paper contest at Orthopaedic annual meeting. It was my first time that I had to present the project in English in front of 500 audiences including invited big-name international speakers and the expert judges. It was an unforgettable event in my life, not only the presentation but…[Read more]

The additional evaluation indicators that I would like to propose are usability and responsiveness.

1.Usability for system quality
According to the article, they run both SORMAS and conventional system in parallel. We can assess usability by reviewing the system and data input, checking number of usages by different level of users. From the user…[Read more]

According to steps of an outbreak investigation, there are several information technologies that could assist in each particular steps
1.Verification and preparation
The existing electronic reporting tools which its dashboard show information can help in early detect the new wave of disease outbreak. Starting from passive cases in the hospital,…[Read more]

1.How can surveillance help to detect and control the disease?
With a disease surveillance which including systematic data collection, data analysis, data sharing and action taken of ongoing event or disease, in case of Monkeypox, it can help us describe the current burden and epidemiology of the disease, monitor trends (number, etiology of cases)…[Read more]

Thank you for sharing. I totally agree with you. The information in outbreak is such a big data and we need timeliness monitor and management. Data visualization help reduce time and create a big picture for all of us whether you are one of an executive team or citizens.

During COVID19 outbreak in Thailand, digital technology that I think really useful and make an impact in our healthcare system is the data visualization/dashboard. Around April-May 2021 peak ripple in Bangkok, government by MOPH, with collaboration with GBDi of DEPA , developed and implemented the system called “Co-Link”system for allocating beds…[Read more]

Great example. In my hospital when there’s such an incident, we use conventional method. It’s like an emergency code if someone witness unconscious person in the hospital area then call an operator for activating the code. They will loudly repeat announce via intercom with a phrase “team CPR at….”. All nearby assigned staffs will approach to the scene.

1.Should you give the data out?
The answer is no. Disclosure of Protected Health Information (PHI) to the third party even in a good research project could violate Ethical informatics standards and also, has potentially risk for misused and violate the law as HIPAA violation.

2.How do you not violate any of the general principles of informatics…[Read more]

As a health information professional, who assigned duty and has authorized to check on patients EMR, we have to strictly follow the principle of ethical informatics of respect the subject, privacy and do no harm.
1.What should you do? Ignore the result and focus only on the relevant assigned duty on EMR
2.As a health information professional, can…[Read more]

Reflecting on the success of RamaEMR implementation, the example that I mentioned in topic 1, I think our project lead team had worked their best on the change management. To look at the detail in ADKAR model;

Awareness; Changing from paper-based medical record to EMR is a big deal in our practice but it is not actually new in terms of IT…[Read more]

My example is successful EMR implementation in my hospital, called RamaEMR. We currently use it in OPD and also in IPD alongside with CPOE-in patient. All potential aspects including data, design, operation, cost and people are factors that make the system successful.

Data issues; the data in the system is accurate, available and also timeliness.…[Read more]

Thank you for sharing. The intensive care unit itself is the most complicated scenario that could happen in one hospital with overwhelming data, laboratory, imaging, disease progression probably in hours. Data entering is excessive time-consuming for physician whom in charge. Re-design system with more accessibility, user friendly and integrated…[Read more]

I do agree that Pros over Cons of EMRs. Even though EMR at point of care is quite time-consuming and work loading, but all shared data that systematically stored in the system benefits to all stakeholders, for example, for improve quality of healthcare service or even when we conduct and use those data for research purpose or the further…[Read more]

According to the report provided, which conducted in the US and there’re also articles reporting EHR-related burnout worldwide, I do agree with the finding but I think it possibly depends on the country, its healthcare system and level, and its EHR system design and usage.

I had once experienced in EPIC software used in US healthcare, a s…[Read more]

As we known, the goals of standardization include achieving comparability, compatibility and interoperability between independent systems, ensure data compatibility and reduce duplication of effort and redundancies.
Without standard (ICD), health information communication between different systems will need a large number of interfaces. It will…[Read more]

Thank you for sharing. This Covid-19 tracing DSS is very useful for users and also community health in terms of disease control during the pandemic. I agree that implementation of the right particular DSS in the right time is one of the key success factors.

There are several examples of DSS that I experience in my practice;
(1)Medication alert box embedded in EMR
-Drug allergy history pop-up alert box at initial access to EMR of particular patient. It’s a must-read to continue accessing EMR
-Duplicate therapy pop-up alert box that need override at medication order page, for example, NSAIDs used in t…[Read more]

Thank you for the presentation and congratulations!. It’s such a huge and impactful healthcare project.

With all the values, the electronic-based system will improve overall quality of national healthcare system and also public health. All stakeholders can benefit from this change.

Thank you for sharing.
During the outbreak, people are living under the social distancing policy, however, not only those who have the corona viral infection but other specific disease and health condition are still need the treatment. This eHealth project developed in the right time. It provides different department consultants for patients who…[Read more]