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Mayelana nalolu hlelo lokusebenza

I-checker yokusebenzisana kwezidakamizwa - ukusebenza okuceliwe kakhulu odokotela baseYurophu - iyatholakala!

Iwukuphela kombuyekezi wokusebenzisana okusekela ngenkuthalo futhi okuqondise ekuxazululeni okufanele kokusebenzelana - okukunikeza ezinye izindlela ezingase zibe khona.

Kusho ukuthini lokhu ngempela? Ingabe unaso isiguli emithini eminingi futhi ufuna ukulungisa noma ukwengeza ukwelapha kwaso? Okubaluleke nakakhulu, uyafuna ukuqiniseka mayelana nokusebenzisana okungaba khona kanye nokuqina kwakho?

Manje ungabheka ukusebenzisana kwezidakamizwa ngqo kuhlelo lokusebenza. Faka izidakamizwa ezingafika kwezingu-20 noma izithako ezisebenzayo, khomba ukusebenzisana okungenzeka, hlola ubukhali bazo nokuthi ungakuqeda kanjani. Ngakho-ke imidiya inikeza ukwesekwa okusebenzayo, okukuvumela ukuba wenze izinqumo ezinolwazi.

Isibonelo esisebenzayo sibukeka kanje:

Welapha isiguli esinomfutho wegazi ophezulu kanye nesifo se-reflux ye-gastroesophageal esisanda kuba nenyumoniya engavamile. Isiguli sithatha i-perindopril, i-lercanidipine ne-pentoprazole. Ucabanga ukwengeza i-clarithromycin ye-pneumonia, kodwa awunaso isiqiniseko mayelana nokusebenzisana kwezidakamizwa okungenzeka.

Vele ungeze le mithi ohlelweni futhi ubone ukuthi i-clarithromycin inokusebenzisana okungaba kubi kakhulu ne-lercanidipine futhi kufanele kugwenywe. Uzothola ezinye izindlela ezinconyiwe futhi ungenza isinqumo mayelana nokunquma i-azithromycin. Nokho, ngemva kwezinsuku ezimbalwa isiguli kufanele sizizwe singcono kakhulu.

Uhlelo lokusebenza lunikeza ukusesha okulula okungaxhunyiwe ku-inthanethi kwerejista yezidakamizwa yezidakamizwa ezingaphezu kuka-11,000, kanye nokufinyelela okusheshayo kumathuluzi omtholampilo asebenzisanayo kanye nezibali zomthamo.

1. Ukuthola ulwazi ngemithi engaphezu kuka-11,000

Imininingwane enemininingwane iyatholakala ngomuthi ngamunye, okuhlanganisa:

* ulwazi oluyisisekelo mayelana nomuthi (isithako esisebenzayo, ukwakheka, ifomu lezemithi, isigaba, ukuhlukaniswa kwezidakamizwa ohlwini lwe-ZZZS);
* Ulwazi olubalulekile oluvela esifinyezweni sezici eziyinhloko zomuthi (izinkomba, umthamo, ukuphikisana, ukusebenzisana, imiphumela emibi, ukudlula ngokweqile, njll.);
* Ukuhlukaniswa kwe-ATC kanye nezidakamizwa ezifanayo;
* ukupakishwa namanani;
* Ukufinyelela isifinyezo esigcwele sezimpawu zomkhiqizo ngefomethi ye-PDF (kudingeka ukuxhumana kwe-inthanethi).

2. Sesha anhlobonhlobo amathuluzi okuxilonga asebenzisanayo

Ngokungeziwe kuyo yonke imininingwane egciniwe yezidakamizwa, uhlelo lokusebenza luqukethe uchungechunge lwamathuluzi omtholampilo asebenzisanayo kanye nezibali zemithamo eziwusizo ekusebenzeni kwakho kwansuku zonke:

I-BMI (inkomba yesisindo somzimba);
I-BSA (indawo yomzimba);
* CHA₂DS₂-VASc (i-stroke risk score ku-atrial fibrillation);
* I-GCS (Isikali se-Glasgow Coma);
* I-GFR (ifomula ye-MDRD);
I-HAS-BLED (ingozi yokopha okukhulu ezigulini ezine-AF);
I-MELD (imodeli yesifo sezinso sokuphela kwesigaba);
* I-PERC Score (imibandela yokukhishwa kwe-pulmonary embolism);
* Inqubo ye-Wells ye-pulmonary embolism.

Cabanga ngesimo esilandelayo:

Emtholampilo wangaphandle, udokotela welapha isiguli esinenyumoniya etholwa umphakathi. Unquma ukwelapha isiguli ngenhlanganisela ye-amoxicillin ne-clavulanic acid. Manje ubhekene nomsebenzi wokubala umthamo ofanele. Udokotela akudingeki ukuthi ayibale ngesandla noma ayilinganisele cishe. Esikhundleni salokho, ukhipha umakhalekhukhwini wakhe, achofoze ithuluzi lokubala umthamo we-amoxicillin/clavulanic acid ohlelweni lokusebenza, afake iminyaka yobudala nesisindo sesiguli, futhi athole umthamo onconywayo.

3. CME (Ezemfundo)

Thuthukisa amakhono akho futhi uthole amakhredithi e-CME ngokunethezeka kwekhaya lakho noma ihhovisi.

* Funda isihloko noma ubuke ividiyo oyithandayo.
* Izihloko zivuselelwa njalo futhi zikunikeza imininingwane ewusizo endaweni yakho yobungcweti.

4. Imikhawulo yokusetshenziswa kanye nokuhlukaniswa kwe-ICD-10

Isicelo sihlanganisa nokuhlukaniswa kwezifo kwe-ICD-10 kanye nohlelo lokuhlukaniswa kwe-ATC. Sibuyekeza uhlelo lokusebenza njalo, ngakho uzohlala unemininingwane yakamuva etholakalayo.

Sicela uqaphele: Izingxenye zalolu hlelo lokusebenza zenzelwe ukusetshenziswa ochwepheshe bezempilo njengethuluzi lokusekela izinqumo. Isicelo asiklanyelwe iziguli futhi asithathi indawo yeseluleko sikadokotela.