如何更好地发挥病案在医院信息统计中的作用

病案是医院信息宝库，也是医院统计最主要的信息资源，在信息技术高度发达的今天，医院信息工作在医院的生存和发展中起着越来越关键的作用，而病案管理和统计是医院信息工作的重中之重，为了更好发挥病案在医院信息统计的作用，本文阐述了实行统计、病案管理一体化管理，是保证统计数据一致性和真实性要求。病案回收是统计工作及时性、完整性的要求，这就要建立相应的规章制度层层把关，以确保病案资料的及时性归档。质量问题，永远是一个关键问题。加强病案统计的网络化、现代化管理，设计出一整套完整的病案统计软件。     

医院信息管理网络系统下统计工作的任务

本文介绍了由于医院信息管理网络系统的建成和使用，统计工作模式发生了改变，资料的收集和整理过程简化了，传统的统计报表制作变得简单易行。信息管理网络系统下统计人员的工作任务主要是对录入信息进行质控，保证基础统计信息的质量，对医院信息管理网络系统的数据库进行分析，提取各种信息，加强资料统计分析和预测，为医院管理和领导的决策提供科学依据，促进医院的发展。     

发挥统计职能在医院管理中的作用

医院统计工作是医院管理工作的重要组成部分，随着医学科学现代化的迅速发展，社会对医疗单位提出了更新、更高的要求，这说明医院管理也应适应社会发展的需要。医院统计工作的主要任务收集、整理医院各项活动的数据，运用科学的分析方法和先进的技术手段，深入开展综合分析和专题研究，计算相关统计指标，分析医院科学管理和评价服务质量与效益服务。为科学决策和管理提供各种可供选择的咨询建议和对策方案。统计工作的主要日的包括为领导决策提供数据信息，以有利于医院的科学管理；定期向各科室反馈数据信息，以利于医疗技术的再提高实行统计资料的分析，     

医院全面质量管理中卫生统计的应用体会

医院全面质量管理中卫生统计的应用体会倪祥平湖南省邵阳市中心医院医疗卫生统计为卫生领导部门提供决策、评价、调整卫生工作可靠依据，医院统计信息部门怎样引导医院在市场经济的激烈竞争中得以生存和发展？是医院进行科学管理的必要资料。我院统计信息科开发利用统计信...     

军队医院统计工作现状调查分析

本文描述了军队医院统计工作现状调查的结果，并针对调查结果进行了问题分析，提出了增强医院各级管理者对统计工作的重视，提高统计人员的业务素质，加强网络条件下医院统计工作模式研究等改进现行医院统计工作现状的几点建议。     

信息统计在医院管理中的重要作用

旨在阐明信息统计工作在现代医院管理中的突出作用,通过论述统计的三大职能,即信息、咨询、监督功能,来说明信息统计工作对医院管理的影响。只要重视信息统计工作,让统计参与到医院管理当中,为领导提供决策,为医院制定各项计划服务,以便提高医疗质量,深化医院改革,才能提高医院的经济效益和社会效益,从而促进医院的全面发展。     

Excel在医院信息系统统计信息处理中的应用

医院信息系统（HIS）建设，为医院改革提供了科学的统计信息，目前，医院信息系统中所产生的统计报表，沿不能完全满足医院改革与发展的需要，为了方便、快捷地为医院各级管理者提供相关方面的数据信息，网络管理员借鉴了Excel软件的方法。本文介绍了把在医院信息系统前台、后台数据库所查询的信息导入Excel软件的步骤，并通过具体操作对如何发挥Excel强大的统计功能予以介绍，阐明了Excel在医院信息系统（HIS）统计信息处理工作中可发挥很好作用。     

建立病案统计指标体系促进病案管理

在现代医院管理中,病案统计信息广泛涉及医院经营管理、监督和评价医疗服务质量、疾病预防和控制、医疗政策的制定调整、临床医疗、教学、科研等。病案统计信息在日益扩展的信息需求以及高新技术的应用中成熟发展,越来越受到管理决策层的重视。利用指标体系评价医院工作,可对医院某一方面工作的数量特征有一综合认识,为各级管理者提供了有参考价值的信息,发挥了病案在医院管理中的功能,还可对不同医院、不同工作内容之间的综合评价结果进行比较和排序。用统计指标评价医院的工作虽是事后的检查和评价,但它能起到信息反馈和质量控制的作用,符合现代化医院管理的思想。     

新形势下如何做好医院统计工作

随着我国加入、WTO以及卫生体制改革的不断深化，传统的统计加加减减已不能适应新的医疗活动和医院管理的需要，医院各个方面的工作都已进入一个新的历史时期，在新形势下，如何做好医院统计工作，发挥其在医院管理中的效能与决策中的作用，是摆在我们每一位统计工作者面前的亟待解决的问题，如何去收集、筛选对医院管理有用的信息，确保原始数据按规范化要求进行及时、准确、完整的收集、登记、传输，我认为，新时期医院统计工作应做好以下几个方面。     

如何在新时期当好医院的信息主管

本文根据新时期医院信息系统发展建设现状以及各级管理者对信息资源利用的迫切需求，结合工作实际，从把握机遇、解放思想、突出重点、大胆创新四个方面阐述了网络环境下当好医院信息主管的认识和做法。     

Topical organization of the projections of neurons of the substantia nigra and the ventral field of the tegmentum of the midbrain to the head of the caudate nucleus of the cat

Neuroscience and Behavioral Physiology -     

Asymmetry of the internal connections of the striate cortex of the cat in the projection zone of the center of the field of vision

Studies were carried out on the organization of the internal connections of the striate cortex in cats in the projection zone of the center (0–5°) of the field of vision by microintophoretic application of horseradish peroxidase to electrophysiologically identified orientational columns. The area containing neurons showing retrograde labeling in most cases extended in the mediolateral direction. Labeled cells were located in the upper (II, III) and lower (V, VI) layers of the cortex, and the shapes and orientations of the areas containing labeled neurons in these layers coincided. Spatial asymmetry was detected in the distribution of labeled neurons relative to the orientational column studied. Labeled cells were located predominantly medial to the columns, regardless of the distance from the projection of the area centralis. Considering the visuotopical map of field 17, the asymmetry detected here provides evidence that neurons in orientational columns have more extensive connections with neurons of the peripheral part of the cortex. An asymmetrical distribution of “silent” zones around the receptive fields of neurons in orientational columns is suggested, and that these appear to receive influences from the periphery of the visual field. Laboratory of Visual Physiology and Laboratory of Central Nervous System Morphology, I. P. Pavlov Institute of Physiology, Russian Academy of Sciences, 6 Makarov Bank, 199034 St. Petersburg, Russia. Translated from Fiziologicheskii Zhurnal imeni I. M. Sechenova, Vol. 82, No. 12, pp. 23–29, December, 1996.     

Effects of the lesion of the postcommissural part of the septum on the behavior of the rat.

The effects of the lesion of the postcommissural part of the septum on behavior of the rat has been studied. Results may be summarized as follows. An increase in the exploratory behavior in the open field which decreases rapidly; a decrease in the number of defecations in this test and a decrease in time leaving a dark environment for exploration. In the shuttle box test, no facilitation of the acquisition, but a permanent and quite significant increase in the intertrial activity has been found. We conclude that the lesions tend to decrease the emotivity of the subjects. An interpretation on the basis of the species -- specific defensive reactions explains the transitory and permanent effects of the lesions on the spontaneous activity.     

Characteristics of the topographic interrelation of the head of the pancreas and the duodenum and pathology of the organs of the pancreatoduodenal area

Seventy pancreatoduodenal complexes of 55 patients with chronic pancreatitis and tumours of this zone and 15 patients died from other diseases are studies histotopographically . The pieces of the pancreatic head tissue in the medial wall of the duodenum were found in 12 cases of the first group and in 4 control cases. The pancreatic tissue consisted either of all elements of this organ or cystically dilated ducts and seemed to infiltrate different layers of the duodenum wall. Three variants of the pancreatic head structure are suggested on the basis of anatomo-topographical interrelationships of the pancreatic head and duodenum. In 12 out of 14 cases chronic pancreatitis and carcinoma of organs of this zone were combined with the variants of the pancreatic head structure, in 2 cases there was a true heterotopy . Pathogenetic significance of these variants for the development of chronic pancreatitis is discussed.     

Effect of the conditions of adaptation of the optic analyzer to the function of the thermoreceptors of the human skin

Summary A discussion is presented of the effect produced by light stimulation applied to the optic analyzer alone on the function of the temperature analyzer. The cutaneous-temperature analyzer was kept on constant illumination and temperature. The light effects from the retinal photoreceptors on the cutaneous thermoceptor system led to reflex changes of the functional rate of the latter. Conditions of the optic analyzer of light adaptation caused reflex adjustment of cold receptors as to heating. Dark adaptation of the eyes changed the functional state of the cold receptors, corresponding to their adjustment to low temperatures.(Presented by Active Member AMN SSSR V. V. Parin) Translated from Byulleten' Éksperimental'noi Biologii i Meditsiny, Vol. 57, No. 3, pp. 3–6, March, 1964     

Influence of the level of the transmembrane potential on the dynamics of the extinction of the amplitude of the synaptic reactions of the snail under voltage clamping conditions

The influence of the level of the transmembrane potential on the dynamics of the extinction of the amplitudes of summary excitatory postsynaptic currents arising in identified giant parietal neurons in response to rhythmic stimulation of the intestinal nerve was investigated in a preparation of the isolated CNS of the common snail in order to identify the possibility of the participation of the postsynaptic element in synaptic plasticity. It was demonstrated that, at a greater value of the transmembrane potential, the decrease in the amplitudes of the postsynaptic currents which have been induced by rhythmic stimulation takes place more rapidly. It was also demonstrated that at a higher frequency of stimulation of the nerve, the effect of the influence of the membrane potential level on the dynamics of the synaptic reactions is more prominent. The data obtained may be regarded as an argument in favor of the possibility of the participation of the post-synapse in plasticity. This study was partially supported by the Russian Basic Research Fund (project No. 94-04-12209). Institute of Higher Nervous Activity and Neurophysiology, Russian Academy of Sciences, Moscow. Translated from Zhurnal Vysshei Nervnoi Deyatel'nosti imeni I. P. Pavlova, Vol. 45, No. 1, pp. 171–179, January–February, 1995.