UPDATE from Hospitals – MUST READ
Mr Ejaz Asi of Karachi arrived in Islamabad five days back and left for affected areas yesterday with a foreign team of volunteers. He is in touch with me since the calamity took place on October 08, 2005. Below I reproduce a few excerpts from his messages that concern every body with a request that, kindly, do the bit you can and prove your worth as human being.
Mr Ejaz Asi writes:
I have been called by some fine gentlemen as soon as the news of patient management system got spread. I was working as a volunteer to move patients in and out of these hospitals when I quickly had few meetings with surgeons and doctors at PIMS, RGH and DHQ... haven't tried CMH because of few reasons though. But I have gathered initial assessment of HR, data requirements and few specs which I would have loved to share with you guys right away but since there are so many other things going on and I am just trying to give my best not to let these IT initiatives be a shame of Management, Team Work and Optimized level of motivation.... I personally believe to request and work with Islamabad based developers, analysts and QA gentlemen and in this regard, I would greatly depend and count on the efforts of Taha Masood (Ex-Nustian), Asif Malik (Ex-Fastian, IBM) and Asma Mirza (IIU) and Iftikhar Ajmal who's been very helpful before my arrival here at ISB. I have yet to see both of strong contenders for Patient Management System and Missing People Database - Tsunami-tested Sohana http://sahana.sourceforge.net/ and THK's own systems.
I am insisting and coordinating with few web-savvy doctors to start writing their medi-blogs, diaries right from the hospitals where instead of existing capacity of 700, they are forced to manage 3000 and increasing no. of patients. These doctors can easily manage their blogs and daily diaries of incidents only they can tell. Ideally, I would have wishes podcasts. But in a country where the first collective serious blogging started no sooner than 14th Aug 2005 and now in this disaster, I think that might be little too cutting-edge for us. Though that'd be ideal in our case. I strongly urge islamabadians to visit these hospitals and meet the docs and improve their IT infrastructure as much as you guys can. Aside from few field hospitals which I visited only yesterday, thanks to army and UN teams, the local Pindi hospitals have doctors who can give you some time. Ultimately these doctors and NGOs would be reporting round the clock not the News Agencies (dont ask me why but that's how public media should and would work in the new economy, I strongly believe and advocate).
WHAT WE NEED:
a.Immedialty need volunteers to establish a help desk at MOITT or at PM RC.
b. Hardware equipment, preferably 15 laptops w digital cameras in the first phase to go out with inmar sat phones to the field hospitals.
c.15 2-3 kva Generators set for recharging the laptops and sat phones.
d. 15 low density scanners.
e. 2-3 dual processor intel servers to upgrade server farm at RMC.
Intel has been asked to provide the laptops and servers. Need assistance with the rest of the stuff.
How it is presently working
An Army Ambulance arrives at the gates of Hospital X (and it's been the same everywhere) with 6 patients lying
They drop them at the ground and run away to fetch more
The volunteers rush to attend the patient and bring them to Q & C (Information Desk or Sorting Place you can call)
The attendant hurriedly examines each patient and directs different volunteers to send each patient to different wards
Patient arrives at ward A*
If the patient is in critical situation, he/she is immediately taken to the surgery or emergency ward* If the patient is accompanied by someone, anyone who knows him/her is asked about the patient's name and whereabouts.
Data is entered into the hard-copy forms with at least these known fields - patient no.,
Check In Time, bed no. ward and hospital, we would assume it is not necessary in their case but IS in our case[ Some patients come in unconscious state, others are too young to tell about their whereabouts. Some patients don't even know what to say or they just refuse to say anything and some of them die before the Hospital fills in their name even. Hospitals consider such patients as Un-Attended patients. ]
The patient is treated for Orthopedic injuries and after two days sent to the Ward B.
The Ward A updates the record of patient with Check Out time.
Ward B. registers the patient with new bed no. and ward name.
Either Ward B. discharges the patient on grounds that he knows someone in Rawalpindi or around and can come back after 2 weeks for a re-checkup.
Or is sent to Gujranwala or Attock or any other place.
The record of which is maintained variably by different hospitals, CMS does it the best.
The last ward and only last ward has the record of Check Out date and the Hospital name where the patient A is shifted to.
Person A arrives at the hospital X
AFTER having enquired from various sources about the patient and asks about the patient A.
Person A is told that the patient A is in Gujranwala.
By the time Person A reaches Gujranwala, Patient A is transferred to Govt.'s Relief Homes.
Patient A, after having been treated is still mentally stressed and leaves relief home.
Person A gets into the loop and gives up after some time....
Mr Ejaz Asi writes:
I have been called by some fine gentlemen as soon as the news of patient management system got spread. I was working as a volunteer to move patients in and out of these hospitals when I quickly had few meetings with surgeons and doctors at PIMS, RGH and DHQ... haven't tried CMH because of few reasons though. But I have gathered initial assessment of HR, data requirements and few specs which I would have loved to share with you guys right away but since there are so many other things going on and I am just trying to give my best not to let these IT initiatives be a shame of Management, Team Work and Optimized level of motivation.... I personally believe to request and work with Islamabad based developers, analysts and QA gentlemen and in this regard, I would greatly depend and count on the efforts of Taha Masood (Ex-Nustian), Asif Malik (Ex-Fastian, IBM) and Asma Mirza (IIU) and Iftikhar Ajmal who's been very helpful before my arrival here at ISB. I have yet to see both of strong contenders for Patient Management System and Missing People Database - Tsunami-tested Sohana http://sahana.sourceforge.net/ and THK's own systems.
I am insisting and coordinating with few web-savvy doctors to start writing their medi-blogs, diaries right from the hospitals where instead of existing capacity of 700, they are forced to manage 3000 and increasing no. of patients. These doctors can easily manage their blogs and daily diaries of incidents only they can tell. Ideally, I would have wishes podcasts. But in a country where the first collective serious blogging started no sooner than 14th Aug 2005 and now in this disaster, I think that might be little too cutting-edge for us. Though that'd be ideal in our case. I strongly urge islamabadians to visit these hospitals and meet the docs and improve their IT infrastructure as much as you guys can. Aside from few field hospitals which I visited only yesterday, thanks to army and UN teams, the local Pindi hospitals have doctors who can give you some time. Ultimately these doctors and NGOs would be reporting round the clock not the News Agencies (dont ask me why but that's how public media should and would work in the new economy, I strongly believe and advocate).
WHAT WE NEED:
a.Immedialty need volunteers to establish a help desk at MOITT or at PM RC.
b. Hardware equipment, preferably 15 laptops w digital cameras in the first phase to go out with inmar sat phones to the field hospitals.
c.15 2-3 kva Generators set for recharging the laptops and sat phones.
d. 15 low density scanners.
e. 2-3 dual processor intel servers to upgrade server farm at RMC.
Intel has been asked to provide the laptops and servers. Need assistance with the rest of the stuff.
How it is presently working
An Army Ambulance arrives at the gates of Hospital X (and it's been the same everywhere) with 6 patients lying
They drop them at the ground and run away to fetch more
The volunteers rush to attend the patient and bring them to Q & C (Information Desk or Sorting Place you can call)
The attendant hurriedly examines each patient and directs different volunteers to send each patient to different wards
Patient arrives at ward A*
If the patient is in critical situation, he/she is immediately taken to the surgery or emergency ward* If the patient is accompanied by someone, anyone who knows him/her is asked about the patient's name and whereabouts.
Data is entered into the hard-copy forms with at least these known fields - patient no.,
Check In Time, bed no. ward and hospital, we would assume it is not necessary in their case but IS in our case[ Some patients come in unconscious state, others are too young to tell about their whereabouts. Some patients don't even know what to say or they just refuse to say anything and some of them die before the Hospital fills in their name even. Hospitals consider such patients as Un-Attended patients. ]
The patient is treated for Orthopedic injuries and after two days sent to the Ward B.
The Ward A updates the record of patient with Check Out time.
Ward B. registers the patient with new bed no. and ward name.
Either Ward B. discharges the patient on grounds that he knows someone in Rawalpindi or around and can come back after 2 weeks for a re-checkup.
Or is sent to Gujranwala or Attock or any other place.
The record of which is maintained variably by different hospitals, CMS does it the best.
The last ward and only last ward has the record of Check Out date and the Hospital name where the patient A is shifted to.
Person A arrives at the hospital X
AFTER having enquired from various sources about the patient and asks about the patient A.
Person A is told that the patient A is in Gujranwala.
By the time Person A reaches Gujranwala, Patient A is transferred to Govt.'s Relief Homes.
Patient A, after having been treated is still mentally stressed and leaves relief home.
Person A gets into the loop and gives up after some time....
posted by افتخار اجمل بھوپال @ 7:52 am
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