沟通技巧在医院感染管理工作中的应用

目的用良好的沟通技巧，使医院感染管理质量得到提高。方法运用沟通技巧与临床科室建立良好的人际关系。结果运用良好的沟通技巧，使医院医疗质量得到很大提高。结论运用良好的沟通技巧，建立民主、和谐、奋发向上的人际关系，把医院感染管理工作的一些规范、制度、标准很自然的溶入到临床科室的日常工作中，提高了医疗质量。     

基本医疗保险政策对不同级别、性质医院影响的对比研究

通过对不同级别、性质医院的服务量、次均费用的对比研究,分析这些影响的前因后果,发现基本医疗保险政策的实施,对不同级别、性质医院的影响不同.对现有的政策提出调整建议,以使基本医疗保险政策更加协调、可持续地发展.     

170例肝移植病例医疗质量费用分析

目的:分析肝移植病例住院费用构成并评价其医疗质量.方法:收集手术操作代码为50.5001的病案170份,采用<病例分型质量费用管理系统>软件和SAS6.1 2,进行描述性统计分析.结果与讨论:肝移植治疗水平不断提高,但费用十分昂贵,必须采取各种有效措施,降低患者负担.     

日本的医疗纠纷处理与防范机制及其对我国的启示

日本的医疗纠纷一直较少,但近几年有增加的趋势.文章对日本医疗纠纷的处理及防范机制进行了详尽的汇总,日本的医疗纠纷处理机制有3种:当事人对话协商、法院诉讼和日本医学协会(JMA)的处理程序.其中的JMA责任保险处理程序很有特色.近几年,日本学者对如何防范医疗纠纷的发生提出了许多实用的观点.在思考、借鉴日本的经验基础上,提出了几点对我国有益的政策建议.     

应用PDCA循环对一次性无菌医疗用品全程安全管理

目的探讨对一次性无菌医疗用品的全程安全管理方法. 方法对一次性无菌医疗用品从购置、发放、至使用后处理制定全程安全管理制度和检查标准,并组织实施. 结果通过1年的全程环节质量管理,杜绝了不合格产品流入医院,一次性无菌医疗用品使用后回收率达98%,毁形率100%. 结论一次性无菌医疗用品的全程安全管理达到医院感染管理规范要求.     

Releasing of The White Paper on Medical Imaging Artificial Intelligence in China

In the afternoon of March 26,2019, The White Paper on Medical Imaging Artificial Intelligence in China was officially released in Beijing by the Chinese Innovative Alliance of Industry, Education, Research and Application of Artificial Intelligence for Medical Imaging (CAIERA). The white paper was co-operatively written by the medical imaging experts from the tertiary Chinese hospitals, the scientific experts from AI research institutions and the leading AI medical enterprises in China. The contents of the white paper not only cover the up-to-date application of AI in medical field, the latest advances of AI algorithms in medical image processing, the data requirement for medical AI development, and the current situation of structured data, but also expatiate the goal and challenge of clinical application for medical imaging AI development in 16 medical subject areas, which helps to identify the demands and opportunities for the AI industry. Forty representative enterprises of AI medical imaging in China were introduced in the white paper. The white paper points out the three key problems in development of AI products: the robustness, ease of usage and data security, which provides guidance of direction and strategy for the enterprises. Particularly, in view of the national policy on developing AI, the white paper gives a profound analysis on the challenges and the opportunities that medical imaging AI is facing. These contents agglomerate the cutting-edge efforts of experts in the industry-academia-research-application chain of medical AI, represent the mainstream voice of the society in China. The White Paper will play a guiding role in understanding the market demands and establishing standardized systems in the path of landing AI products in the field medical imaging. Full text of the White paper is publicly accessible from the CAIERA website, or by scanning the 2D code in the article.     

聂莉芳教授临床应用生石膏及其配伍治疗慢性肾脏病的经验研究

聂莉芳教授是国家级名老中医、中医肾病专家。聂教授认为慢性肾脏病的病因病机属本虚标实,常挟热、挟湿、挟瘀,故临床遣方用药宜正邪兼顾,临床诊治时常在益气养阴的基础上加用清热利湿化瘀之品。生石膏是聂教授临床上常用的清热药之一。聂教授临床应用生石膏并灵活配伍治疗多种慢性肾脏病,疗效满意,值得后辈继承和发扬。     

试论岳甫嘉医案中不育的诊治思维

岳甫嘉诊病重视脉症合参,尤以诊脉见长;处方多用中和之剂,收固真阴,反对过用热药,耗散精血。诊治思维贯穿其著作《妙一斋医学正印种子编》上卷所载验案。此卷专门论述男性不育的诊治,虽仅载验案八则,但八者皆奇,诊治结合,涵盖多法,可归纳为“先清热毒,再施温补”“药用滑涩,当辨标本”“先治脾,后治肾”“脾肾同治”“先祛痰火,再滋肾阴”及“交通心肾”6类,诸法之中的诊治思维,蕴含奥妙,颇具特色,特作探析。