新冠肺炎疫情防控某三甲精神病专科医院应急指挥体系成效分析

本研究目的是总结某三甲精神病专科医院在新冠肺炎疫情防控工作中应急指挥体系建设的经验,为响应公共卫生应急决策提供参考。结合四川省精神卫生中心(绵阳市第三人民医院)在新冠肺炎疫情防控中的应急指挥工作开展情况,从建立应急指挥体系、再造院内诊疗流程、强化防控知识培训、开展疫情防控心理干预等方面,总结精神病专科医院应急指挥体系建设的经验和教训。     

浅谈医学留学生胃肠外科教学的体会及思考

随着我国综合国力的不断提升,到我国学习临床医学的外国留学生日益增多,留学生教育已成为高等医学教育的重要组成部分。为适应医学留学生胃肠外科教学需要,结合留学生教学实践,本文提出制订合适的教学内容与方法,编写专用英文教材,加强教师英语口语表达能力并加强师生沟通。在传授知识的同时,还应注重临床实践能力的培养和医德医风的教育。实践表明,上述措施对提高教学质量有一定帮助。     

基于平战结合运营模式下传染病医院建设初探——以北京地坛医院朝阳院区为例

简述了传染病医院平战结合运营模式产生的背景及意义,并结合首都医科大学附属北京地坛医院朝阳院区,解析其建筑方案布局,为未来传染病专科医院建设提供参考。     

基于校医院视角的医院感染管理方法

该文立足于校医院,探讨控制医院感染的管理方法。管理方法包括建立健全的医院感染管理体系,制定并完善医院感染管理制度,严格规范医院感染监测,加强细节管理力度,保障医疗安全。严格执行以上管理方法可以提高校医院医务人员对医院感染管理的认识,实施各项医院感染管理制度,控制医院感染的发生。要做好校医院的医院感染的管理工作,必须加强组织领导,加强监测,各部门明确职责,共同协作,严格遵守管理制度。     

From Multiple Quality Indicators of Breast Cancer Care Toward Hospital Variation of a Summary Measure

ObjectivesTo improve quality in breast cancer care, large numbers of quality indicators are collected per hospital, but benchmarking remains complex. We aimed to assess the validity of indicators, develop a textbook outcome summary measure, and compare case-mix adjusted hospital performance.MethodsFrom a nationwide population-based registry, all 79 690 nonmetastatic breast cancer patients surgically treated between 2011 and 2016 in 91 hospitals in The Netherlands were included. Twenty-one indicators were calculated and their construct validity tested by Spearman’s rho. Between-hospital variation was expressed by interquartile range (IQR), and all valid indicators were included in the summary measure. Standardized scores (observed/expected based on case mix) were calculated as above (>100) or below (<100) expected. The textbook outcome was presented as a continuous and all-or-none score.ResultsThe size of between-hospital variation varied between indicators. Sixteen (76%) of 21 quality indicators showed construct validity, and 13 were included in the summary measure after excluding redundant indicators that showed collinearity with others owing to strong construct validity. The median all-or-none textbook outcome score was 49% (IQR 42%-54%) before and 49% (IQR 48%-51%) after case-mix adjustment. From the total of 91 hospitals, 3 hospitals were positive (3%) and 9 (10%) were negative outliers.ConclusionsThe textbook outcome summary measure showed discriminative ability when hospital performance was presented as an all-or-none score. Although indicator scores and outlier hospitals should always be interpreted cautiously, the summary measure presented here has the potential to improve Dutch breast cancer quality indicator efforts and could be implemented to further test its validity, feasibility, and usefulness.