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find Keyword "医院" 437 results
  • 新安全联动机制

    【摘要】随着医院的快速发展,传统的安全保卫工作模式也不能满足需求。为了适应新形势下的医院安全管理要求,我们需要积极建立新安全联动机制,即多部门安全联动、制式装和便装结合、定岗和游岗结合、人防和技防结合、建立防区互动预案,整合各方面力量,采取多种方式努力创建优良的就诊环境,保障患者与医务人员的人身财产安全。

    Release date:2016-09-08 09:50 Export PDF Favorites Scan
  • 民营医院应对新医改的对策探讨

    2009年事关全民就医这一大事的新医改方案中关于民营医院发展的规定引人注目。这些规定充分体现了国家积极鼓励社会办医,打破公立医院一统天下的格局,给整个医疗行业带来了竞争和活力。本文结合新医改中关于民营医院的相关规定、民营医院的发展现状,初步探讨在社会主义市场经济下的民营医院的应对之策。

    Release date:2016-09-08 10:02 Export PDF Favorites Scan
  • 医院感染非发酵革兰阴性杆菌的耐药研究

    摘要:目的: 监测综合性医院医院感染非发酵革兰阴性杆菌的分布和耐药状况。为临床用药和控制医院感染提供参考。 方法 : 收集我院2006年7月1日至2009年6月30日548株非重复的医院感染非发酵革兰阴性杆菌,复核后采用琼脂稀释法进行体外敏感试验,按照美国临床和实验室标准协会(CLSI)2007年的标准测定MIC,以MIC50 和MIC50 表示抗菌药物的抗菌活性,并计算出耐药率(R%),中介率(I%)和敏感率(S%)。 结果 : 14种抗菌药物对铜绿假单胞菌的抗菌活性敏感率从大到小依次为:美罗培南(81.5%),哌拉西林∕三唑巴坦(77.8%),亚胺培南(73.6%),阿米卡星(72.7%)。鲍曼不动杆菌对亚胺培南,美罗培南,左氧沙星,头孢吡肟敏感性最高,敏感率分别为:78.5%,72.4%,69.5%,62.8%。 结论 : 2种非发酵菌是一组多重耐药且耐药率较高的细菌,临床应根据药敏结果选用抗菌药物。

    Release date:2016-09-08 10:12 Export PDF Favorites Scan
  • Clinical pathway based management practices of central day surgery

    Due to optimizing medical service resources and improving service efficiency, day surgery has attracted the attention of medical and management experts worldwide. In 2019, day surgery was included as one of the performance assessment indicators of tertiary public hospitals. In recent years, hospital-based day surgery centers have begun to plan and build. Although the basic facilities have been perfectly improved, but how to efficiently and safely operate and manage the centralized day surgery has become the primary problem to clinicians and managers. The purpose of this paper is to introduce how the Day Surgery Center of West China Hospital of Sichuan University uses scientific management tools and establishes a professional multidisciplinary team, so as to carry out efficient operation management and control of medical quality and safety risks of the Day Surgery Center. And then provide practical experience guidance and suggestions with strong feasibility and operability for peers.

    Release date:2021-08-24 05:14 Export PDF Favorites Scan
  • Survey on Point Prevalence Rate of Nosocomial Infection in 363 Hospital of Chengdu in 2011

    目的 为贯彻落实卫生部《医院感染管理办法》、《抗菌药物合理应用指导原则》,了解成都三六三医院医院感染的现状,对医院感染控制工作进行评价,提高医务人员的感染控制意识。 方法 制定统一调查方案与措施,逐一查看2011年9月21日全院住院患者在架病历,对全院住院患者通过床旁询问和体检的方式进行调查。 结果 全院共有住院患者621例,实查621例,实查率100%。发生医院感染19例,现患率为3.06%。抗生素使用率46.38%。病原学送检率21.88%。 结论 加强医务人员医院感染知识的培训是提高其医院感染防控意识的重要手段;提高感染患者病原学送检率,减少经验性用药,依据药敏结果合理使用抗生素,达到有效减少耐药菌产生的目的。

    Release date:2016-09-08 09:18 Export PDF Favorites Scan
  • Exploration and practice of non-directly affiliated hospitals under the background of medical reform: a case study of Shenzhen Luohu Hospital Group

    Non-directly affiliated hospitals are an important supplement to directly affiliated hospitals of medical colleges in China. Considering the problems of teaching consciousness, school running form and teachers construction in non-directly affiliated hospitals, this paper takes the medical personnel training of a non-directly affiliated hospital which is subordinate to Shenzhen Luohu Hospital Group as an example, in order to analyze the related exploration methods of non-directly affiliated hospitals under the development of hospital collectivization, and put forward a trinity training mode of general practitioners, which is “medical college-non-directly affiliated hospital-community health center”. This paper further discusses the challenges and possible solutions faced by non-directly affiliated hospitals in the new era.

    Release date:2021-01-26 04:34 Export PDF Favorites Scan
  • Perfects the Management’s Ponder of Hospital Internal Control

    With the development of economic globalization and the complication of enterprise management, the level of internal control has become an important part for measuring the quality of management, risk prevention, competitiveness and operational efficiency of modern enterprises. As a special economic organization, hospitals have some defects in terms of internal control environment, organization of control system, risk management and implementation system, supervision, control and evaluation system. Based on the “Medical Institutions Internal Control Provisions of Finance and Accounting (Trial)” and “A Lecture on Medical Institutions Internal Control of Finance and Accounting”, this article gives some suggestions on how to improve the management of hospital internal control.

    Release date:2016-09-07 02:12 Export PDF Favorites Scan
  • How to Use Evidence-Based Guideline to Improve the Control on Asthma Exacerbation

    The number of clinical guidelines developed and published in different countries is increasing worldwide. Too many guidelines do not remain in regular use, even though the aim is to implement them in clinical practice. The scientific validity and reliability of the guidelines need to be reviewed. Here is a case presented to show how to optimally use the evidence-based guideline to improve clinical decision making.

    Release date:2016-09-07 02:27 Export PDF Favorites Scan
  • Analysis the disease constitution and costs of inpatients in Karamay Central Hospital in 2014

    Objective To investigate inpatients disease constitution, costs and rational drug use in the Karamay Central Hospital in 2014 and provide baseline data for further evidence-based study. Methods The information of disease classification, single disease drug use and expenditure of inpatients in 2014 were collected from the Hospital Information System (HIS) of Karamay Central Hospital. We classified the diseases according to the international classification of diseases coding (ICD-10), and analyzed the data by Microsoft Excel 2007 software including frequency, proportion, cumulative proportion and sample average. Results ① A total of 24 936 inpatients in 2014 were included, with male to female ratio being 0.96 to 1 and minority rate being 22.95%. The top three systematic diseases were respiratory diseases, diseases concerning pregnancy, child birth and puerperium and circulatory system diseases respectively; ② The top three age groups were 25 to 59, ≥60 and 0 to 4 respectively; ③ The top three costs per capita of single disease were pulmonary infectious, tumor chemotherapy and symptomatic treatment respectively; the top three western medicine costs per capita were tumor chemotherapy, symptomatic treatment and pulmonary infection; the top three Chinese medicine costs per capita were chronic kidney disease (CKD), angina and ischemic stroke. Conclusion The single diseases ranking and percentage of inpatients in 2014 of Karamay Central Hospital were different from the disease burden of Xinjiang Uygur Autonomous Region, the country and even the whole world. Based on the above results, the respiratory diseases and circulatory diseases were selected as the systematic evidence-based pharmacy study goal.

    Release date:2017-04-24 03:30 Export PDF Favorites Scan
  • 医疗纠纷调解处置对策与方法

    医疗纠纷是医院运行发展中一个难以回避的问题,军队医院也不例外。为防范疗纠纷,应从加强管理组织体系、强化医务人员法制观念、健全医疗规章制度、强化环节质量管理控制、实施责任追究制等方面采取一系列对策与措施,使医疗差错和医疗纠纷得以控制和降低;纠纷事件也可得到科学妥善处置,有力的促进了医院的建设发展和核心保障能力的提升。

    Release date:2021-06-23 07:35 Export PDF Favorites Scan
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