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1.
目的了解我院医院感染管理的实际情况.探讨提高医院感染管理成效的对策,提高医院感染管理质量。方法分析影响我院医院感染管理质量的主要因素。采取针对性的预防控制措施。结果有效地提高了医院感染的监控与管理水平,医院感染发病率明显降低。结论健全医院感染组织管理.强化培训和宣传,严格手卫生和消毒灭菌管理,加强监测等促进了医院感染质量管理的全面提高。  相似文献   

2.
目的完善对检验科的各项管理,预防和控制医院感染,并减少检验科医护人员的职业暴露。方法建立健全管理组织和完善各种制度,加强对人员的培训,提高医务人员的感染管理意识,加强检验科消毒隔离工作,注意职业防护。结果提高了检验科医务人员医院感染知识,加强了无菌技术和消毒隔离的管理,降低了医院感染发生率。结论加强检验科的各种管理是医院管理的重要组成部分,是控制医院感染不可缺少的环节。  相似文献   

3.
《中国医院》2009,(5):56-56
本刊讯 改革开放30年来,医院管理作为一门学科,受到各级卫生行政部门和各级各类医院的高度重视,使我国医院管理理论研究和实践探索取得了卓越的成绩和飞跃式的提高。为了适应医院管理学科的进展,满足医院管理者不断提高管理水平的迫切需求,由中国医院协会会长曹荣桂领衔,组织国内知名医院管理学者和实践者编写了《医院管理新编》一书,近日由北京大学医学出版社出版发行。该书本着体现学科进展、结合中国国情,指导医院管理实践的原则,着重反映了管理实践的进展,结合中国医疗实际情况,  相似文献   

4.
病案管理作为医院管理的重要组成部分,以其特有的方式参与医院管理,通过对每份病案的检查和反馈,为提高医疗质量、技术水平、临床教学和科研的发展,为提高医院管理服务水平,提高医院经济效益起到至关重要的作用。  相似文献   

5.
目的提高医院感染管理力度,医院感染管理规范化制度化。方法医院感染管理实行量化分等考核法。结果量化分等考核法用于医院感染管理具有较强的科学性和实用性,提高了医疗质量,保障了医疗安全。结论严格的量化分等考核标准,客观认真的评分原则和考核者公正无私的责任心是做好医院感染管理量化分等考核的保证。  相似文献   

6.
史芳 《中国医药导报》2011,8(11):139-140
在激烈的医疗市场竞争中,人们越来越重视医院成本控制与核算,忽视了医疗收入的管理。医院应制定一整套管理体系,提高医院的整体竞争力,提高医院的经济效益和社会效益。如何加强医院的收入管理,在数字信息时代的今天更具有探讨价值。  相似文献   

7.
杜一平  甘德春  黄霞  管一平 《西部医学》2008,20(6):1347-1349
六西格玛(6δ)管理方法可有效提高医院的管理水平和各种满意度,革新医院的文化建设。本文首先回顾了6δ管理的发展,然后探讨了6δ管理应用于医院管理所引发的医院文化革新,最后探讨了6δ管理能够塑造出新的医院文化,可以极大地促进医院质量管理的提升,值得广泛借鉴与推广。  相似文献   

8.
随着我国居民医疗需求的提高,医院的发展面临着扩大规模和有效性管理的问题。如果医院可以改变管理方式或者扩大规模,我国居民的医疗服务质量就会得到显著性提高。我国医院发展水平与国外医院的主要差距在于管理水平。目前,就国内医院药房的药品管理而言,对于质量的管理有一定的标准和要求。药房是医院药剂科的重要组成部分,负有监督、指导病人安全、有效、合理地使用药品的责任,是为病人提供药学服务的重要场所,它所提供的服务与人民群众生命安危及病人的生存质量密切相关。因此,要不断改进和完善医院药房的药品管理才可以有效地促进医院的发展,以满足居民和病人的需求。而提高医院药房药品管理水平,就必须要加强监督、提升药剂师素质、增强责任感,就必须对我国医院的药房监督与管理进行不断完善,对药房药品的现阶段管理问题进行科学的观察和分析,要在前人的学术探索基础上做出进一步基于一定数据的分析和理解,要清晰的判断出具有国际性和实际意义的有效性管理方式。只有如此,才能提高医院药房药品管理的有效性。本文依据目前医院药房药品管理中存在的问题,对药房药品管理的有效性进行了初步的探索与分析,提出了改进与提高药房药品管理有效性的措施与建议,以便为医院药房药品管理工作提供参考。  相似文献   

9.
目的:为实现医院综合管理的信息化、自动化、智能化、精细化,提高医院管理水平。方法:利用数据仓库技术构建数据仓库和医院管理知识库;利用商业智能,对数据资源进行充分分析挖掘后进行多维度展示。结果:实现了对医院海量信息数据的知识化转换和智能化应用,构建医院运营状况的指标考核、绩效管理、精细化分析、预判预警的精细化管理平台,为辅助决策服务。结论:通过商业智能技术应用到医院数据挖掘和医院管理信息化中,可以提高管理效率和科学化,提升医院管理信息化水平。  相似文献   

10.
目的探讨医院固定资产信息化管理的构建。方法针对医院固定资产信息化管理现状和传统管理模式存在的弊端,论述了固定资产信息化管理的必要性。利用现代信息网络技术手段,筑建完备的信息化管理平台,形成管理科学的软件系统,借助网络信息提出信息化的构建及信息化在医院固定资产实际管理中应用,提高资产使用效益。结果固定资产信息化管理规范了资产管理流程,实现了固定资产信息的互通共享和固定资产的全程管理及可追溯管理,避免信息孤岛,加快信息交流。结论固定资产信息化管理使资产管理具有更深的管理层次,提高管理效率,逐步实现医院工作决策科学化、管理规范化和信息资源的共享,保证医院国有资产安全完整,促进卫生事业健康发展和经济效益持续增长.  相似文献   

11.
Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P< 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P< 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.  相似文献   

12.
Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P < 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (>0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P <0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P < 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.  相似文献   

13.
Objective: To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods: SD rats served as both donors and recipients. 4℃ sodium lactate Ringer's was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava (IVC) inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results: Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion: This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.  相似文献   

14.
Increasing maternal age is the only etiological factor unequivocally linked to Down's syndrome in humans. The occurrence rate of newborns with Down's syndrome is about 1/220 in women over 35 years old. However, the occurrence rate in embryos fertilized in vitro, of the elder woman is unclear. Using FISH we screened the number of chromosome 21 in preimplanted embryos of 5 elderly women (average age, 38.4 years) to study the feasibility and necessity of screening trisomy 21 in embryos in patients over 35 years old at the in vitro fertilization (IVF) center.  相似文献   

15.
Real-time three-dimensional echocardiography (RT3DE)is a new ultrasound technique that enables dynamic threedimensional visualization and quantification of the heart in real time. Investigation of feasibility and methodology of RT3DE in determining left ventricular (LV) and right ventricular (RV) volumes, RT3DE was performed in 35 normal adults using Philips SONOS 7500 system with a 2-4 MHz matrix array transducer. The 60°×60° "pyramid" volume database was obtained and analyzed on a TomTec echo workstation. Both LV and RV volumes were calculated with four 3DE methods (i.e. apical 2, 4, 8, and 16-plane) through manually tracing ventricular endocardial borders in end diastole and end systole. Stroke volumes were then calculated. LV volume was also measured by 2DE Simpson's rule using GE VIVID 7 ultrasound machine.  相似文献   

16.
A clinical guideline for the therapeutic interventions of integrative medicine may be defined as a written document which states a series of recommendations on therapeutic interventions of integrative medicine for a special disease or condition. The guideline may provide assistance to medical professionals in making clinical decisions aimed at improving the clinical outcome of patients and reducing the costs of medical care(~'4~. Recommendations issued by a guideline should be based on the best available evidence in both Western and Chinese medicine. For fulfilling this purpose, the development of clinical guidelines for therapeutic interventions in the field of integrative medicine should follow scientific principles and undergo a rigorous processes.  相似文献   

17.
Objective:To probe into the influence of changes of ovarian hormones on the pathogenesis of the specific sub-type premenstrual syndrome(PMS)and reveal partial microcosmic mechanisms of adverse flow of liver-qi.Methods:Estradiol(E2)and progesterone(P)levels in serum were determined at different phases of menstrual cycle by radioimmunoassay.Results:In the group of PMS with adverse flow of liver-qi.the secretive peak value Of E2 and P at the follicular phase significantly decreased,and the secretive peak value at the luteal phase did not come into being.Conclusions:Low E2 and P secretive peak at the follicular phase and absence of secretive peak at the luteal phase is one of the microcosmic mechanisms of PMS with adverse flow of liver-qi.One of the pathophysiologic mechanisms of specific sub-type PMS is probably the continuous low level of E2and P.  相似文献   

18.
Journal of Nanjing Medical University (English Edition) JNMU, sponsored by Nanjing Medical University, was established in 1987. It is a bimonthly comprehensive English medical journal published locally and abroad.Since 2007, Journal of Nanjing Medical University (English Edition )was granted Elsevier the full publishing and distribution rights worldwide for the Electronic Edition, excluding the People's Republic of China.  相似文献   

19.
目的:评价使用安心颗粒对急诊经皮冠状动脉介入术(PPCI)术后生活质量的影响.方法:将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组(术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次)和对照组(仅接受基础药物治疗).所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表(MIDAS)、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果:入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异(P>0.05);出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低(P<0.05);组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低(P<0.05).两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血(P>0.05).两组发生轻度血小板减少症的患者数比较无差异(P>0.05).结论:PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.  相似文献   

20.
Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P<0.01);the MAP decreased(P<0.01)and the HR increased drastically(P<0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.  相似文献   

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