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目的分析讨论远程心电监护技术的临床应用价值及护理的特点。方法选取2012年6月至2013年6月在我院接受治疗的心血管疾病患者2000例作为研究对象,将其随机均分为对照组1000例和实验组1000例,对照组采用常规的心脏监护方法,如患者发生不适来院进行普通的心电图诊断监护;实验组采用远程心电监护技术对患者进行监护,分析比较两组患者的护理效果。结果对照组患者并没有完全被监护到,有三分之一的患者因没有得到及时的防治而病情加重;实验组患者均得到了有效的监护,也均得到了有效的防治,两组比较(P<0.05)为差异显著有统计学意义。结论远程心电监护技术能够长时间地实时监护患者的心脏情况,及时发现异常状况,患者能够得到及时而有效的救治,具有极高的临床应用和推广的价值。 相似文献
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本文研究并设计了基于ZigBeePRO和3G技术的低功耗远程医疗监护系统,系统由含zigBeePRO节点的便携式远程医疗监测设备、ZigBeePRO-3G网络和远程医疗监护系统平台组成。便携式监测设备实时采集的生命体征数据,如血压、脉搏等,经ZigBeePRO无线传感器网络传输,通过集中器的3G模块发送到远程医疗监护系统平台;远程医疗监护系统平台的数据处理系统对相关数据进行整理,并及时反馈给医务人员进行分析处理。本系统的应用可以使被监护人有更多的自由活动空间,可以使患者在家里或社区得到有效地远程医疗诊断和监护。 相似文献
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Patients with chronic disease may suffer frequent acute deteriorations and associated increased risk of hospitalisation. Earlier detection of these could enable successful intervention, improving patients' well-being and reducing costs; however, current telemonitoring systems do not achieve this effectively. We conducted a qualitative study using stakeholder interviews to define current standards of care and user requirements for improved early detection telemonitoring. We determined that early detection is not a concept that has informed technology or service design and that telemonitoring is driven by the available technology rather than by users' needs. We have described a set of requirements questions to inform the design and implementation of telemonitoring systems and suggested the research needed to develop successful early detection telemonitoring. User-centred design and genuine interdisciplinary approaches are needed to create solutions that are fit for purpose, sustainable and address the real needs of patients, clinicians and healthcare organisations. 相似文献
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目的:为规范医疗行为,控制医保费用不合理增长,提供合理医疗和优质服务,开发 HIS 与“医保智能审核平台”接口系统。方法根据医保智能审核接口规范,改造“军字一号”门诊医生工作站、住院医生工作站、住院登记、出院结算等系统流程,嵌入医保智能审核平台。结果该接口系统实现患者信息实时查询,诊疗过程及时预警,事后反馈问题减少,医保费用过快增长势头得到有效遏制。结论医保智能审核平台实现各医院间的信息共享,规范医师的诊疗行为,减少不合理收费,提高服务质量,值得推广应用。 相似文献
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本文从医院患者服务管理的实际需求出发,提出一种基于计算机、硬件评价器、触摸屏、通讯与网络技术、数据库技术等的全方位、一体化的医院服务评价管理系统的解决方案。患者在接受诊疗服务的同时,可及时、主动、全面地对医院、科室、医务人员的服务质量进行评价或提出意见及建议,系统真实客观的记录了患者满意度情况,有利于提高医疗服务质量。 相似文献
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目的:分析了远程监护的发展与研究现状,提出构建家庭急救监护网络系统的研究。方法:该系统由家庭部分、救护车部分、社区部分和医院中心站4部分组成,并以深圳宝安人民医院和其所辖的10个社康站作为研究基地,对患者的重要生理参数实行远程监护。结果:构成了功能强大的家庭急救监护网络系统,将急救监护功能延伸到社区和家庭。结论:能够促进疾病的早诊早治,减少院前猝死率,提高急救水平,降低死亡率,加强医疗服务体系间的联系、合作,缓解了医疗卫生资源的缺乏和分布不均。 相似文献
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目的分析医疗服务质量管理中运用计划、执行、检查以及调整(PDCA)循环理论的实际效果。方法2017年1月—2017年12月期间在医院未实施PDCA循环理论从中选取200例住院患者作为对照组,2018年1月—2019年6月期间在医院实施PDCA循环理论从中选取200例住院患者作为观察组,对比两组患者相关指标。结果相较于对照组,医疗费用、就医环境、诊治过程、医疗技术、护士服务态度、医生服务态度和满意度观察组评分均显著较高(P<0.05);病历书写合格率和处方书写合格率观察组显著高于对照组(P<0.05)。结论PDCA循环理论应用于医疗服务质量管理中的效果显著,各维度得分均较高,提升了满意度,且加强了病历书写合格率和处方书写合格率。 相似文献
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医疗技术临床准入目标体系,就是在临床前动物试验或试验室试验和临床试验结果的基础上,以一定的指标为基础对该医疗技术进行评估,以决定其是否能进行临床试验以及临床推广。要建立相应医疗技术非临床实验研究的质量管理规范、医疗技术临床实验的质量管理规范,以保证医疗技术实验的可靠性,保证医疗技术临床试验结论的可靠性。 相似文献
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We investigated the feasibility of telemonitoring services for patients with severe respiratory illness. In the first phase of the study, patients were observed and treated using face-to-face medical visits for 12 months. In the second phase of the study, the patients were monitored at home for 12 months, during which time determinations of arterial oxygen saturation and heart rate were performed twice a week, and the data were automatically transmitted to the hospital's processing centre via a normal telephone line. Thirty patients on long-term oxygen therapy were enrolled in the study; 23 completed the 12 months of home telemonitoring. The numbers of hospital admissions and of acute home exacerbations during the telemonitoring phase of the study decreased by 50% and 55%, respectively, in comparison with the first phase. Estimates of hospitalization costs for the patients during the second phase were approximately 17% lower than those for the first phase. Patients were satisfied with the quality of the personal telemonitoring process in 96% of cases. We believe that telemedicine can enable the provision of high-quality home care for patients with severe respiratory illness. 相似文献
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Diagnosis at a distance: the invisible work of patients and healthcare professionals in cardiac telemonitoring technology 总被引:1,自引:0,他引:1
Oudshoorn N 《Sociology of health & illness》2008,30(2):272-288
Although patients are often absent in discourses on telemedicine, many telemonitoring applications constitute a new medical practice in which patients are expected to play an active role. The paper is based on a study of the use of one specific telemonitoring device, an ambulatory ECG recorder introduced to diagnose infrequent irregularities of the heart rhythm. It seeks to examine all the invisible work it takes to produce patients who are active and responsible as participants in the diagnosis of their heart problem. In particular, I address the question of how we can understand that individuals who are anxious about their heart function manage to adopt the role of 'diagnostic agent'. This research shows that, although many patients managed to become competent users of the new technology, there are important patterns of selective use patients invented to integrate the technology in their daily life. In conclusion, the paper suggests that most patients were able to adopt the role of diagnostic agent not only because of their individual motivation but because of their location in the socio-technical network of this technology, in which the invisible work of home-care nurses and physicians at the telemedical centre made all the difference. 相似文献