医疗器械不良事件监测工作的信息化建设

医疗器械不良事件监测工作即将全面展开,建立一个功能强大、科学准确的医疗器械不良事件监测管理信息系统将对这项工作的开展起到良好的推动作用.本文针对目前国内外医疗器械不良事件监测管理工作的现状,提出了在医疗器械不良事件监测和再评价工作中引入信息技术,并从国内外建设现状、项目建设的必要性及项目建设的主要内容和各部分的主要特点几方面进行了阐述,对医疗器械不良事件监测和再评价管理的信息系统建设提出了初步的规划和设想.     

The moderating effects of demographic and individual characteristics on nurses' acceptance of information systems: A canadian study

ObjectivesThe purpose of this study was to educate on the moderating effects of demographic (i.e., educational level and age) and individual characteristics (i.e., years of nursing experience and computer knowledge) on nurses’ acceptance of information systems (IS). The technology acceptance model (TAM) with its constituent variables such as perceived usefulness (PUSS) and perceived ease of use (PEOU) was the theoretical framework used for this study.MethodsA cross-sectional study was conducted in Nova Scotia, Canada. Usable data was collected from 197 registered nurses (RNs). Relevant hypotheses were formulated and the partial least squares (PLS) technique was used for data analysis.ResultsThe results of the hypothesized relationships showed that education and computer knowledge have positive moderating effects on the influences of PEOU and PUSS on nurses’ attitudes toward IS (ATTI). The factors of nurses’ years of nursing experience and age did not yield meaningful results. ATTI impacted behavioral intentions to use IS, which positively impacted nurses’ use of IS. The nurses sampled in the study have positive IS use behaviors.ConclusionsThis study demonstrates that relevant demographic factors and individual characteristics, if incorporated into frameworks used for investigating nurses’ acceptance of IS, could permit the emergence of useful insights for practitioners and researchers. Specifically, this study showed that nurses with higher educational attainments and more basic computer knowledge readily accept implemented IS at work. Hospital administrators benefit from insights such as the one presented in this study.     

Clinical Trial Information Mediator

For research in biomedical sciences, cross-domain searches through several different databases are an increasingly necessary task that often becomes a time consuming and labour-intense process. This is especially the case when different domain databases have to be combined, for example combined searches in clinical trials registries, publication databases and research databases. The Clinical Trial Information Mediator (CTIM) addresses this problem and offers a novel way for the combined search in ClinicalTrials.gov, PubMed and BioSamples.CTIM was developed based on a requirements analysis and implemented using open source technology. A search engine with a graphical user interface was developed in order to search linked data in the three databases ClinicalTrials.gov, PubMed and BioSamples; thereby enabling CTIM to bridge the gap between different knowledge domains of clinical trials, publications of research results and biosamples/genetic information. CTIM was applied in three use cases demonstrating that information retrieval could be considerably improved in sense for complex queries. These use cases show that more relevant results were obtained and more associated publications and biosamples could be retrieved in comparison to a separate single search.Main advantages of CTIM are identifying related information between clinical trials and publications employing a clinical trial centred kind of search, simplified access to its databases and thus reduced search time. In addition it can be used by researchers without prior training because of the intuitive usage.     

病案首页签字管理

病案首页和病案记录及时签字,确保病案内容资料完整、正确、规范,才能及时归档,容易查找,不易丢失病案。经过各级医师审签确认后的病案资料,方可为医疗、科研、教学、社会保险、法律部门、医院管理、经济方面提供内容正确的病案信息。通过人性化管理和为签字医师提供满意的服务,可以督促各科主任和临床医师及时完成病案首页审核签字工作,以达到加强病案首页签字的监控管理。     

Use of information communication technology and stress,burnout, and mental health in older,middle-aged,and younger workers – results from a systematic review

The aim of this systematic review is to summarise quantitative studies in occupational settings observing the association between Information communication technology (ICT) and stress, and burnout, considering age as an effect modifier. A systematic review using PRISMA guidelines was conducted through the following bibliographic databases: PubMed, Web of Science, Psycinfo, and the Cochrane Library. Inclusion criteria were occupational settings and content relevant to our research question. Risk of bias was assessed using the Newcastle–Ottawa scale. Two interventional, 4 cohorts, and 29 cross-sectional studies were found. ICT use in occupational settings was associated with stress seen in cross-sectional studies, but not in interventional studies. There was a concordant association with ICT and burnout in different study designs. Overall, there were no linear trends between age and technostress. We suggest that the observed associations were mostly present in the middle-aged working population and that these associations need to be supported in further studies.     

医院感染监测系统的开发与应用

通过与软件公司联合开发满足医院要求的感染管理软件,实现感染管理的信息化.其功能包括疑似病例智能筛查、多重耐药菌监测、抗菌药物监测、专职人员与临床医生交互平台等.结果表明运用该软件系统能及时提供医院感染动态信息,提高工作效率,改善医院感染管理水平.     

医院图书馆信息服务面临的问题与对策

如今已进入信息时代,在信息技术飞速发展的推动下,各行各业的发展模式推陈出新,图书馆同样如此,传统的图书馆服务模式在信息服务的改变下,服务水平得到了有效提升。文章就当前我国医院图书馆信息服务中面临的问题展开研究分析,探讨针对的解决对策。