Old COTDS programming.

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Most surgeries were performed under Spinal Anesthesia (1369, or 15.43 ... Anesthesia with IPPV constituted 1311 or 14.77% General Anesthesia ...
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Old COTDS programming Installed on individual PCs. Need Microsoft Access introduced (adaptation particular) Not extremely valuable in an arranged situation Updates – singular PCs Data – on various PCs and must be coordinated before examination can be made

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Old COTDS programming Same client name and secret word for all clients Single client needs to enter patient\'s information and in addition operation information. Inclined for incessant accidents. Database – restricted to 10,000 records and turns out to be moderate. Specialist and Anesthetist need to enter information at same sitting.

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New COTDS programming Web construct No compelling reason to introduce in light of individual PCs Updates at focal server. Straightforward to client. Need web association. Each client is logged. Review trail to beware of cancellations

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New COTDS programming Report in exceed expectations organize naturally produced at end of month. Medical caretaker enters patient\'s points of interest. Specialists enter operation information as it were. Specialist and Anesthetist can enter information at various times.

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1.0 General Information 2.0 Patient Demographics 2.1 Gender 2.2 Race 2.3 Age 3.0 Patient Movement 3.1 Arrival From 3.2 Ward Breakdown 3.3 Discharged To 4.0 Hospital Statistics 4.1 Paying Status 4.2 Class 5.0 Operation Status 6.0 Surgical Data 6.1 Discipline 6.2 Operation Status & Discipline 6.3 Operation Status & Fee Type 6.4 Duration of Surgery 7.0 Anesthetic Data 7.1 Anesthetic Technique 7.2 Duration of Anesthesia 7.3 ASA Status 7.4 Location of Pre-operation Assessment 7.5 Intra-Op Complications 7.6 Recovery Room Complications Data Analysis for Hospital Seremban 1 July 2004 – 15 June 2005

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8.0 Procedure Coding System 8.1 Organ Top 20 8.2 Organ & Procedure Top 20 8.3 Organ & Pathology Top 20 9.0 Personnel 9.1 System Users 9.2 Surgeons & their Disciplines 9.3 Roles in Surgery 9.4 Surgeons\' Roles in Surgery 9.5 Anesthetists\' Roles in Surgery 9.6 Nurses\' Roles in Surgery Data Analysis for Hospital Seremban 1 July 2004 – 15 June 2005

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Between the time of 1 July 2004 to 15 June 2005 , An aggregate of 8875 patients were enrolled for surgery, and a sum of 8252 methods * were performed at Hospital Seremban. Mean number of patients enlisted every month: 772 Mean number of methods every month: 718 *Note – This inconsistency is because of surgeries not performed on enrolled patients upon the arrival of booked surgery

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Gender 5419 Female patients (60.11%) 3453 male patients (38.91%) 3 patients of obscure sexual orientation Patient Demographics (Gender)

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Patient Demographics (Race) Race Malay (4955 or 55.83% of all patients) Indian (2152 or 24.25%) Chinese (1535 or 17.29%)

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Patient Demographics (Age) 26-30yrs age gathering is the commonest (767 cases or 8.64% of all patients) 2 nd , 31-35yrs with 674 cases (7.59%) 3 rd , 21-25yrs with 651 cases (7.34%) Youngest patients: under 2 months old (27 cases or 0.30%) Oldest patient: 96-100yrs (3 cases) Birth date was not entered in 2609 cases (29.39%)

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Operation Status 3847 (49.18%) Elective Cases 3976 (50.82%) Emergency Cases

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General Surgery performed 1962 surgeries (25.08%) Orthopedics 1566 (20.02%) Gynecology 1385 (17.70%) Surgical Data (Discipline)

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Surgical Data (Operation Status & Discipline) Out of a sum of 7823 surgeries, Department of General Surgery directed the most elevated number of surgeries, adding up to 1962, which is 25.08% Dept of General Surgery likewise led the most number of crisis surgeries, adding up to 1172, which is 29.48% of all crisis surgeries (3976) Dept of Orthopedics led the most astounding number of elective surgeries, adding up to 835, which is 21.71% of all elective surgeries (3847)

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Anesthetic Data (Anesthesia Technique)

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Most surgeries were performed under Spinal Anesthesia (1369, or 15.43%) General Anesthesia with IPPV constituted 1311 or 14.77% General Anesthesia with Spontaneous Respiration constituted 569 or 6.4% Local Anesthesia constituted 8 or 0.01% The accompanying sedative strategies were not performed: Intravenous Regional Anesthesia (Bier\'s Block) 5479 were unspecified

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Procedure Coding System The COTDS 2004 catches strategy information by means of a 3-layered methodology coding framework acquired by the past framework The 3 levels are: Organ Pathology Procedure There is a one-to-numerous various leveled relationship between every level to expand ease of use in method determination This configuration additionally empowers the COTDS 2004 to bore all over the 3 levels

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Procedure Coding System Lower Segment Cesarean Section (LSCS) was the commonest technique, with 1389 cases (16.83%) This was trailed by Cataract extraction with Intra-Ocular Lens (IOL) Implant, with 419 (5.08%) 3 rd most elevated was Appendicectomies, with 415 or 5.03% Total Cesarean Sections (comprehensive of LSCS, LSCS + Bilateral Tubal Ligation, and Classical Cesarean Sections) sums 1602, which is 19.41% of all surgeries performed, and shapes 72.19% of all surgeries performed on the pregnant uterus

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Personnel (System Users) Each client of COTDS 2004 should be enrolled in the framework and the framework appoints access rights in view of their employment capacities There were a sum of 227 enrolled clients in the COTDS framework amid the study time frame 28 of them were anesthetists 6 medical attendants (3 anesthesia attendants, and 3 unspecified) 193 Surgeons

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63 Surgeons from General Surgery (32.64% of all specialists) 55 from Orthopedics & Traumatology 46 from Gynecology Personnel (Surgeons & their orders)

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Personnel (Roles in Surgery) COTDS 2004 tracks surgical groups required in every surgery, these groups are isolated into Surgeon, Anesthetist, and Nurse These staff are further subdivided into parts amid surgery Roles for Surgeons: Supervisor Surgeon 1 st , 2 nd , & third Assistant Roles for Anesthetists: Supervisor & Relief Supervisor 1 st & 2 nd anesthetist Anesthetic Assistant Relief Anesthetist

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Personnel (Roles in Surgery) Roles for Nurses: 1 st Scrub Nurse 2 nd Scrub Nurse Circulating Nurse Relief Circulating Nurse Relief Scrub Nurse

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