ABSTRACT
This study investigated online hospital management system as
a tool to revolutionize medical profession. With many writers decrying how
patients queue up for hours in order to receive medical treatment, and some
end-up being attended to as „spillover‟, the analyst investigated the manual
system in detail with a view to finding out the need to automate the system.
Subsequently, a computer-aided program was designed to bring about improvement
in the care of individual patients, taking the advantage of computer speed,
storage and retrieved facilities. The software designed will take care of
patient‟s registration, IP Based Monitoring, treatment and payments.
The
programming language employed in this work was Microsoft C#.
CHAPTER ONE
INTRODUCTION
1.1 Background
of the Study
The goal of any system development is to develop and
implement the system cost effectively; user-friendly and most suited to the
user‟s analysis is the heart of the process. Analysis is the study of the
various operations performed by the system and their relationship within and
outside of the system. During analysis, data collected on the files, decision
points and transactions handled by the present system. Krishna medical center,
luck now (K. M. C.) is a prestigious hospital situated in the heart of Hazrat
Genj with a very large patient capacity. This number is increasing at a rapid
pace with each passing day. The management of the hospital is concerned with
the increasing effort in keeping records of the patient and recording their
activities. Health is generally said to be wealth. It takes healthy people to
generate the wealth the nation requires for the general well-being of its
people. There is therefore the need for adequate Medicare especially in the
area of diagnosis and treatment of diseases. Since there is a good relationship
between the job output and health of the workers, a good Medicare is vital.
Unfortunately, in most developing nation (including
Nigeria), this adequate Medicare is lacking due to how standard of
technological know-how and manual handling of most medical problems. As
observed by Lyiama H.C. and D.C. Chukwu, “very often, people in developing
countries who are critically ill are rushed abroad for special treatment
because it is felt that Medicare facilities at home are inadequate. This is
partly because computer – aided Medicare has become a reality in many developed
countries”. It is also a known fact that the production of qualified medical
doctors and other medical personnel and
1
consultants in on the increase, but his is not enough to
meet the health needs of the increasing population. The ratio of patients to a
doctor is still high.
This situation creates problems, because proper and adequate
medical attention of patients is far-fetched. Nowadays, the low-income class is
mostly affected. Doctors hurry over their duties in order to attend to all the
patients. At the end of the day, they are tired and over worked.
Considering the rate of population growth the medical care
and facilities available, and the health needs of the people, computer-aided
Medicare is in evitable for more accurate. Furthermore with the present shift
to an information society, it is necessary to anticipate the future use of a
sophisticated electronic machine the computer. This is necessary because the
computer is rapidly finding its way into every field of human endeavor,
including medicine. Its application includes patient care and protection,
clinical administration, intensive monitoring during emergencies, surgical
operations, diagnosis and automation of medical records. For instance, during a
complex surgical operation as exemplified by Lyiama and Chukwu, “the computer
monitors person being operated on, revealing all vital signs (pulse, blood
pressure, breathing rate, etc) of interest to the doctors in the theatre, thus
helping them to be more accurate and effective in what they are doing. Such a
patient monitoring system can be with a video Display Unit (VDU), a keyboard
for interactive inputs and an alarm”. The wide range of the use of computer is
due to its versatility as a data processing machine and its ability to do
things including complicated tasks faster, better and more accurately than
human beings would.
2
1.2 STATEMENT OF
THE PROBLEM
It has been observed that to receive medical treatment in
most of our hospitals, the patients queue up for several hours from one unit of
the hospital to another starting from obtaining a new hospital folder, or
retrieving an old one before consulting a doctor, to the laboratory unit for
lab test then to the pharmacy to get the prescribed drugs and so on. With the
manual processes involved in handling the patient most of them waste the whole
day in the hospital. Very often, patients leave their homes very early in the
morning in order to be among the first group to see the doctor. Otherwise, they
may end up wasting the whole day without due attention.
This situation is discouraging
to most patients and sometimes forces them to turn to non-professionals or even
resort to self-medication for quick recovery.
Moreover, the volume of work for the hospital personnel is
much. Patients outnumber the doctors, nurses and other medical personnel that
too much are required from them. In this regard, to examine all his patients
for the day the doctor hurries over his work without adequate attention and
expertise to his clients. Still, at the end of the day he is exhausted.
In addition to this, the diagnosis and prescription depend
on the doctor‟s memory and drug of choice. Their brains are often loaded with
different diseases, signs and symptoms, complications and various drugs for
their treatment and so on. Some of which are very similar. To remember and
process these huge information in his clinical work is very tasking. For this
reason accurate diagnosis and prescription may not always be obtained.
3
The keeping and retrieval of accurate records on patients
are poorly carried out in most of our hospitals. Files may be misplaced; the
record in them may be wrongly filled. Hence, it is not easy to obtain accurate
and timely information or data.
This is also the case with obtaining other medical
information and data especially when new folders and numbers are obtained each
year.
Finally, the keeping of folder for each patient manually
takes a lot of time and money and some of the information are redundant. All
these have net effect of loss of lives and inefficiency on the part of
management.
1.3 OBJECTIVES
OF THE STUDY
This
study is centered on the following objectives.
1.
To examine the current procedures
employed in our hospitals with regards to patients admission, diagnosis and
treatment.
2.
To examine the associated problem(s) or flaws in the current
system
3.
To improve on the already existing
system by designing an efficient practical IP Based Patience Monitoring
software, this is aimed at an accurate, faster and reliable patient‟s
information system.
4
1.4 SCOPE OF THE
STUDY
This research work is limited to patient‟s admission
information system including treatments, bills and payments. The software
developed will be carried out using Microsoft C# to manage the database.
1.5 LIMITATIONS
This project covers all aspect of Medical system with
regards to patient‟s information. Due to time and financial constraint, the
software developed excluded laboratory units.