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1.
作者对医院网络信息系统故障的内涵、判断方法及建立应急预案的必要性进行了阐述,提出应急预案组织管理的具体方法:①明确各类故障排除的责任与分工;②做好故障排除中的组织协调:③对有关人员严格进行培训;④随时进行故障检查、演练,对预案及时修订。最后对医院信息系统故障应急预案的应用问题,提出了日常工作中应注意的事项及具体实施措施。[编者按]  相似文献   

2.
针对医院用电应急保护机制,借助FMEA故障分析方法判断配电故障风险大小,划分应急预案等级,并基于PDCA构建医院配电故障应急机制,依据不同的预案等级制定相应的应急响应措施。  相似文献   

3.
目的:建立应急预案制度,在医院信息系统(Hospital information system,HIS)或检验信息系统(Laboratory information system,LIS)出现故障后,尽可能保证检验科对其服务对象,尤其是急诊、危急值和外地病人服务的正常进行。方法:建立适用于医院信息系统发生故障后的检验科的应急服务。结果:本文所述的LIS应急预案,能实现LIS故障发生后,检验科服务临床工作的正常运行。结论:建议国内所有医院制定检验科的LIS应急预案机制。  相似文献   

4.
目的规范辐射事故卫生应急预案编制,提高医院辐射事故卫生应急处置能力。方法通过问卷调查、现场调查收集医院的辐射事故卫生应急预案,根据预案的特点和放射诊疗工作中同位素及射线装置的实际应用情况对收集的预案进行分析并提出改进对策。结果调查的87家医院制定了辐射事故卫生应急预案37家,占总数的43%;较完善的15家,占总数的17%。结论医院应重视辐射事故卫生应急准备工作,制定完善的辐射事故卫生应急预案。  相似文献   

5.
目的建立医院信息系统应急预案,减少信息系统故障对正常业务的影响。方法将制度建设和定期演练相结合,不断完善应急预案。结果通过多次测试,达到预期目的,保证在最短的时间内将系统恢复正常。结论我院应急预案是成功的,同时也给国内其他医院的信息系统建设提供了一些经验和参考。  相似文献   

6.
为规避突发事件对医院质量安全的负面影响,医院日益重视应急管理工作,根据灾害脆弱性分析结果制订了相应的应急预案,在6·23盐城阜宁、射阳特大龙卷风强冰雹灾害伤员救治中,该院对应急预案和应急管理工作进行了实践和论证,总结了伤员应急管理的经验教训,完善医院应急管理工作。  相似文献   

7.
本研究对医院信息系统的局部故障、判断方法及应急措施进行了阐述。明确故障发生的原因;做好故障排除;对有关人员严格进行培训:随时进行检查、监督。  相似文献   

8.
美国医院的应急管理模式   总被引:2,自引:1,他引:2  
美国21世纪发生的恐怖活动、自然灾害、传染病疫情使人们认识到建立一种全新医院应急管理模式的迫切性.政府对医院应急管理的组织领导,指挥和协调、应急准备、应急培训、应急演练、物资管理、通讯和信息传递都提出了明确的要求.美国的大多数医院都采用医院应急管理规划的模式来推动应急管理工作,主要包括:设置专人负责医院的应急管理工作;建立医院应急管理委员会;制定应对突发事件的综合预案;进行脆弱性分析;制定应对突发事件的专项预案;进行必要的应急准备.加强与外部机构的协调和寻求专业支持;开展应急培训和演练;定期进行回顾与评估.专门用于医院应对各类突发事件的医院突发事件指挥系统在美国的医院中被普遍采用.  相似文献   

9.
宋金燕  杨婷  黄冰雪  韦艳 《实用预防医学》2020,27(12):1453-1456
目的 了解新疆二级医院突发公共卫生事件应急预案体系建设现状,为完善应急预案体系建设提供依据。 方法 向新疆二级医院发放应急预案体系建设调查问卷,内容包括12类应急预案建立情况、内容全面性、专家组成立情况、应急演练及培训等5个方面。采用SPSS 17.0软件对数据进行统计分析。 结果 二级甲等医院应急预案制定的完整性与二级乙等医院比较差异无统计学意义(P=0.303);77.60%的二级甲等医院与56.67%二级乙等医院应急预案内容制定全面,差异有统计学意义(P=0.016);25.60%的二级甲等医院与16.67%的二级乙等医院应急预案制定完整,26.40%的二级甲等医院与10.00%的二级乙等医院成立12类突发事件应急专家组;11.20%的二级甲等医院与3.33%的二级乙等医院开展职工突发事件应急培训,5.60%的二级甲等医院与3.33%的二级乙等医院开展12类应急演练,两者比较差异均无统计学意义(P>0.05)。对12类突发事件应急预案的建立、成立专家组及开展培训与演练情况,分别进行比较,应对群体不明原因性疾病,重大食源性水源性疾病、重大交通事故及重大创伤的预案制定及演练培训开展率,二级甲等医院均高于二级乙等医院(P<0.05)。 结论 新疆二级医院的应急预案体系建设均不全面,二级乙等医院尤为需要健全应急预案、开展培训和演练,才能有效应对突发事件。  相似文献   

10.
医院信息系统故障应急预案的建立与实施   总被引:3,自引:0,他引:3  
本文对医院信息系统故障应急预案建立的原则、必要性和具体实施方法进行了阐述,提出应急预案组织管理的具体方法。  相似文献   

11.
Epidemiological studies of calcium and osteoporosis have been hampered by the lack of a suitable tool for assessing calcium intake. This report describes a new frequency and amount questionnaire for measuring present and past calcium intake in the elderly. The validity of the questionnaire was tested against two commonly used standards of dietary assessment, five-day duplicate diets and seven-day weighed dietary inventories. The resulting correlation coefficients were, respectively, r = 0.76 and r = 0.69, while that for repeatability was r = 0.84. Furthermore, the questionnaire categorized subjects into thirds of the distribution of intake with almost no gross misclassification. It is suggested that the present findings may be extended to the majority of normal, healthy elderly subjects, implying wide application for the questionnaire in the assessment of calcium intake in the elderly.  相似文献   

12.
This paper examines media coverage of 'breast cancer genetics', and explores its implications for public understanding. We present a content analysis of coverage in British newspapers and look at a variety of popular forms, including women's magazines, television soap opera and radio drama. Genetic/inherited risk receives a great deal of coverage across a wide range of media formats and outlets. Much of this attention has focused on individuals from 'high risk families' and dilemmas around prophylactic mastectomies. Through examining media coverage, combined with interviews with media personnel and their sources, we show why this story proved so attractive to the media and highlight the different production values which influence coverage. Finally, we introduce preliminary findings from focus group discussions to demonstrate how such 'human interest' framing has engaged audience attention and influenced public understandings. The paper concludes by highlighting the implications for analysing, predicting, and engaging with, media representations of science.  相似文献   

13.
深圳公立医院管理体制改革实行政事分开、管办分开,在理事会架构下按法定机构模式组建市医管中心,落实公立医院运营管理自主权.作者从当前公立医院管理体制的弊端入手,介绍了深圳市进行公立医院管理体制改革的基本思路及改革方案设计的主要举措,深入剖析了的改革方案的特点,并对改革效果进行了预测.  相似文献   

14.
Red cell membranes, prepared from red blood cells of rats exposed to 4, 10, or 20 ppm nitrogen dioxide (NO2) for 1 to 10 days, were examined for evidence of changes in membrane components. Appreciable changes were not found in contents of phospholipid and cholesterol during exposure to 10 ppm NO2. By contrast, protein content altered with the time of exposure. Moreover, changes in protein composition were observed by employing sodium dodecyl sulfate — polyacrylamide gel electrophoresis. Twenty-four-hour exposure to NO2 at the concentration above 10 ppm resulted in a marked increase in the percentage of lysophosphatidylethanolamine (LysoPE) to the total phospholipids. The prolonged exposure to 10 ppm NO2 gave rise to a further increase in LysoPE, whereas the percentage of phosphatidylethanolamine (PE) showed a gradual decrease. A 1-day exposure to 4.0 ppm NO2 also caused an increase in sialic acid content and decreases in those of PE and hexose. In addition to contents of these components the percentage of LysoPE increased 5 days after exposure and the elevated values were maintained up to the end of exposure period. These results demonstrate that red blood cells in circulation exhibit different membrane properties in terms of lipid and carbohydrate composition during 10 days of exposure to 4.0 ppm NO2.  相似文献   

15.
Antibiotics represent one of the most important drug groups used in the management of bacterial infections in humans and animals. Due to the increasing problem of antibiotic resistance, assurance of the antibacterial effectiveness of these substances has moved into the focus of public health. The reduction in antibiotic residues in wastewater and the environment may play a decisive role in the development of increasing rates of antibiotic resistance. The present study examines the wastewater of 31 patient rooms of various German clinics for possible residues of antibiotics, as well as the wastewater of five private households as a reference.To the best of our knowledge, this study shows for the first time that in hospitals with high antibiotic consumption rates, residues of these drugs can be regularly detected in toilets, sink siphons and shower drains at concentrations ranging from 0.02?μg·L?1 to a maximum of 79?mg·L?1. After complete flushing of the wastewater siphons, antibiotics are no longer detectable, but after temporal stagnation, the concentration of the active substances in the water phases of respective siphons increases again, suggesting that antibiotics persist through the washing process in biofilms. This study demonstrates that clinical wastewater systems offer further possibilities for the optimization of antibiotic resistance surveillance.  相似文献   

16.
The risk of heat exhaustion at a deep underground metalliferous mine was assessed in relation to thermal conditions prevailing on the surface. For each day of a 1-year prospective case series of heat exhaustion, surface 24-h mean wet and dry bulb temperatures were recorded. From this data, 24-h mean wet bulb globe temperatures were derived using certain assumptions. The three surface temperature variables were significantly higher on those days on which heat exhaustion occurred, compared to those days on which it did not occur (P < 0.001). The relative risk of heat exhaustion on days when the 24-h mean wet bulb globe temperature was in the range 26.0-28.0 degrees C was 4.82 (95% confidence interval 2.12-10.96). Surface temperature data could be used at this mine to warn miners about the risk of heat exhaustion.  相似文献   

17.
Unemployment is considered to be a public health concern sincedeterioration in the health of the unemployed is often anticipated.However, for some groups, such as miners, unemployment mightimprove health due to a cessation of potentially harmful occupationalexposures. This study evaluates the health of 79 miners in oneSwedish iron-ore mine, and 226 age-matched controls from thegeneral population, during one year after the closure of themine. The participants received a questionnaire regarding medicalhistory and subjective symptoms at the beginning of the studyperiod, and after one year. Statistically significant negativeeffects on self-reported health attributable to unemploymentwere not found, although neuropsychiatric symptoms were morecommon among the unemployed miners. The miners reported a statisticallysignificant improvement in grip force (p=0.031). They had asignificantly higher prevalence of symptoms associated withmining related exposures when compared with the population controls;pain in the upper extremities [relative risk (RR)=2.27, 95%confidence interval (Cl)=1.44–3.59), back pain (RR=1.84;Cl=1.237–2.75), vasospastic disease of the fingers (RR=2.05;Cl=1.18–3.57) and obstructive respiratory symptoms (attacksof dyspnea and wheezing: RR=3.67; Cl=1.167–11.6).  相似文献   

18.

Context

Tularemia is a zoonosis affecting humans and hares in France. We describe the results of surveillance in both species, in 2007 and 2008.

Methods

Human tularemia cases are mandatorily notifiable in France since 2003. In hares, surveillance relies on volunteer hunter associations in all districts of the country. Data from mandatory reports and volunteer surveillance in 2007/2008 were analyzed and compared with previous results.

Results

In 2007/2008, 144 cases were reported in humans and 117 cases in hares. This was a 100% increase compared to previous years. Human cases differed from those of previous years only by the frequency of contact with breeding animals. Human cases without any documented risk exposure were also more frequent.

Conclusion

An increase of tularemia cases occurred in 2007/2008 in both species. Complementary studies are needed to identify the species reservoir in France to understand the causes of this peak of cases.  相似文献   

19.
20.
The repeatability and validity of a questionnaire for upper limb and neck complaints were assessed in a population of 105 hospital outpatients with a range of upper limb and neck disorders (including cervical spondylosis, adhesive capsulitis, lateral epicondylitis, carpal tunnel syndrome and Raynaud's phenomenon). Subjects were asked to complete a modified Nordic-style upper limb and neck discomfort questionnaire on two occasions closely spaced in time. The repeatability of their responses was assessed by calculating a kappa coefficient (kappa), and the sensitivity and specificity of component items in the questionnaire were determined for specific diagnostic categories of upper limb and neck disorder. Symptom reports for pain in the upper limb and neck, pain interfering with physical activities, neurological symptoms and blanching were all found to be highly repeatable (kappa = 0.63-0.90). A number of regional pain reports proved to be very sensitive in relation to specific upper limb disorders, but, with the exception of reported finger blanching in patients with Raynaud's phenomenon, none proved to have a good specificity (range = 0.33-0.38). We conclude that a modified Nordic-style questionnaire is repeatable and sensitive, and is likely to have a high utility in screening and surveillance. However a complementary examination schedule of adequate specificity and repeatability is essential to establish a clinical diagnosis.  相似文献   

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