UBUYOBOZI
AI Guhanura Ibikomere
Ihanurwa ry’imitsi ya AI ikoresha imiterere ya EHR, ibyuma byo kuryama hamwe nisesengura ryamafoto yerekana ibikomere kugirango hamenyekane abarwayi bafite ibyago byo gukomeretsa umuvuduko, no gukurikirana ibikomere bihari, cyane cyane kuruta igipimo cya Braden cyonyine.
Kuriyi page4 min soma
Incamake
Nibyiza kuko ibikomere byatewe nibitaro birababaza, akenshi birashobora kwirindwa kandi bihenze. Iburira mbere cyangwa byinshi bigamije gufasha abaforomo intego yo guhindura gahunda, gushyigikira isura no kugenzura uruhu kubarwayi babakeneye cyane.
Kwibira cyane
Igipimo cya Braden, cyakozwe na Barbara Braden na Nancy Bergstrom mu myaka ya za 1980, gitanga amanota atandatu: imyumvire yo kumva, ubushuhe, ibikorwa, kugenda, imirire, hamwe no guterana amagambo. Igiteranyo kiva kuri 6 kugeza 23, kandi amanota yo hasi bivuze ibyago byinshi. Amanota ya 18 cyangwa munsi yayo asanzwe afatwa nkibyago. Igipimo kirihuta kandi kimenyerewe, ariko biterwa nu rutonde rushingiye ku bintu kandi birahanura neza. Irasiga kandi ibintu bifite akamaro kanini mubuvuzi bukaze, nka vasopressor, parufe nkeya, kubagwa igihe kirekire nibikoresho byubuvuzi. Mu mwaka wa 2016, Akanama Ngishwanama ku rwego rw’igihugu, ubu NPIAP, yahinduye ijambo kiva mu gisebe cy’umuvuduko kija no gukomeretsa igitutu, kubera ko ibyiciro byambere bishobora kuba birimo uruhu rudahwitse. Gutegura ibyiciro kuva ku cyiciro cya 1 kugeza ku cya 4, ibikomere bidahindagurika, hamwe n’imvune zikomeye z’imitsi, hamwe n’imvune ziterwa n’ibikoresho by’ubuvuzi nazo ziramenyekana. Imashini yiga imashini yatojwe kumibare ya EHR irashobora gukoresha dosiye ya vasopressor, guhumeka imashini, igihe cyo kubagwa, BMI, kudahuzagurika, indangagaciro za laboratoire, ibyimuka byanditse hamwe nububiko. Sensors yongeraho ibipimo bitaziguye. Scaneri ya Sub-epidermal (SEM), nka Scanner ya Provizio SEM, itahura impinduka zamazi munsi yuruhu zishobora kuza mbere yangirika kugaragara. Ibi ni ingirakamaro cyane kuko umutuku hakiri kare biragoye kubona kuruhu rwijimye. Ibyuma byambara nka sisitemu yamababi ikurikirana umwanya wumurwayi no guhindukira, hamwe na materi yerekana ikarita yerekana aho igitutu cyiyongera. Porogaramu zifoto zikomeretsa, nka Swift Medical's, zipima ingano y ibikomere kandi ugashyira mubice biva mumashusho ya terefone. Igitekerezo kimwe kitari cyo nuko porogaramu yifoto itera igikomere. Gutegura biracyasaba isuzuma ryamavuriro, harimo ubujyakuzimu, palpation na tissue bidashobora kugaragara. Ikindi nuko guhanura birinda ibikomere. Kwirinda biva mu guhinduranya, gushyigikira hejuru, gucunga neza, imirire no kugenzura ibikoresho. CMS ifata ibitaro byatewe nicyiciro cya 3 nicya 4 nkibikomere byatewe nibitaro, ibyo bikaba bibashyira imbere muri gahunda nziza.
Ingaruka z'Ingamba
Imirongo n'amategeko
Inganda zerekana niba ibitekerezo bya AI bikomeza guhura nukuri.
Kugenzura ubuziranenge
Imbogamizi za domeni zigira ingaruka zemewe namakosa yo kugenzura.
Kubaka amahitamo
Ibikorwa bigenda neza bihuza ubushobozi bwa tekiniki hamwe nakazi kambere.
Ejo hazaza h'ibikomere bya AI
Tegereza ubundi buryo bukomatanyije buhuza ibyago bya EHR hamwe namakuru ya sensor hamwe nifoto ikurikirana imbere yubuforomo. Agaciro kabo kazaterwa nuburyo buganisha ku gukumira hakiri kare, ntabwo ari ukumenyesha gusa. Ibimenyetso byigenga byerekana ko ibyo bikoresho bigabanya ibikomere byatewe n’ibitaro biracyatera imbere kandi biratandukana kubicuruzwa no kubishyiraho. Imikorere kurwego rwuruhu ikwiye kugenzurwa byumwihariko mugusuzuma. Kugeza ubu, ikoreshwa ryokwirindwa cyane nkiyongera mugusuzuma uruhu hamwe nigipimo cya Braden, ntabwo ari ugusimbuza umuforomokazi kwisuzumisha uruhu.
Gushyira mu bikorwa Isi
Icyitegererezo cya ICU cyerekana umurwayi kuri vasopressors ebyiri nyuma yo kubagwa igihe kirekire nkibyago byinshi nubwo amanota ya Braden ari imbibi. Ikipe yimurira umurwayi hejuru yubufasha bwihariye kandi ikongeramo gukuramo agatsinsino.
Umuforomokazi akoresha icyuma cyitwa epidermal scanner kuri sakrum no mumatako yumurwayi ufite uruhu rwijimye, aho gutukura hakiri kare bigoye kubona. Gusoma kuzamuka bitera kwimurwa mbere.
Imyambarire yimyanya yerekana yerekana ko umurwayi yagumye kuruhande rumwe amasaha arenga atatu. Sisitemu yibutsa abakozi ko intera yo guhinduka yarangiye.
Umuforomokazi wakomeretse afotora igikomere cya sakrale hamwe na kalibrasi yerekana buri cyumweru. Porogaramu ipima ahantu hakomeretse nubwoko bwimyenda kugirango inzira zo gukira zishobora kugereranywa kuva icyumweru nicyumweru.
Ingaruka & Kurinda
Ibisabwa kugenzurwa birashobora gutesha agaciro ubundi prototypes ikomeye.
Amakuru yamateka arashobora gushiramo kubogama byangiza abaturage.
Sisitemu yumurage irashobora gushiraho uburyo bwo kwishyira hamwe nibiciro byihishe.
Igishushanyo mbonera
Shyiramo abahanga ba domaine kuva ibibazo bitegura gusuzuma.
Shushanya inzira y'ubugenzuzi n'inyandiko mbere yo gutangira.
Emeza kubahiriza inshingano z'umutekano hakiri kare.
Kuzenguruka mu byiciro hamwe no guhagarara neza no kugaruka.
Komeza Ubushakashatsi
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Ibibazo bikunze kubazwa
Ubuhanuzi bwo gukomeretsa AI ni iki?
Ihanurwa ry’imitsi ya AI ikoresha imiterere ya EHR, ibyuma byo kuryama hamwe nisesengura ryamafoto yerekana ibikomere kugirango hamenyekane abarwayi bafite ibyago byo gukomeretsa umuvuduko, no gukurikirana ibikomere bihari, cyane cyane kuruta igipimo cya Braden cyonyine. Nibyiza kuko ibikomere byatewe nibitaro birababaza, akenshi birashobora kwirindwa kandi bihenze. Iburira mbere cyangwa byinshi bigamije gufasha abaforomo intego yo guhindura gahunda, gushyigikira isura no kugenzura uruhu kubarwayi babakeneye cyane.
Ku gipimo cya Braden, amanota yo hasi yerekana iki?
Braden yose hamwe iri hagati ya 6 na 23, kandi amanota yo hasi asobanura ibyago byinshi. Amanota ya 18 cyangwa munsi yayo asanzwe afatwa nkibyago.
Ninde muribi utari umwe muri batandatu ya Braden?
Ibice bitandatu ni imyumvire yimyumvire, ubushuhe, ibikorwa, kugenda, imirire, hamwe no guterana amagambo. Umuvuduko wamaraso ntabwo watsinzwe, nimwe mumpamvu igipimo kibura ibintu nka parufe nkeya.
Ni ukubera iki scaneri ya sub-epidermal ifite akamaro kanini kubarwayi bafite uruhu rwijimye?
SEM ipima impinduka munsi yuruhu rushobora kuza mbere yimvune igaragara. Ibyo bifasha aho gutukura hakiri kare bigoye kubona kuruhu rwijimye.
Ni ubuhe buryo bwo kumeneka by'agateganyo muburyo bwo guhanura imvune?
Ibiranga bigaragara nyuma yimvune itangiye bituma icyitegererezo gisa neza mugupima ariko kidafite akamaro mugukoresha nyacyo. Ibiranga bigomba kugarukira kumibare iboneka mbere yigihe cyo guhanura.
Niyihe ntego ya kalibrasi yerekana ifoto yakomeretse?
Ikimenyetso kireka porogaramu igapima ibipimo nyabyo bikomeretsa hamwe nibara ryukuri, bigatuma igereranya ryicyumweru nicyumweru.
Komeza wige
Kuyobora
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