综合医院门诊分诊服务存在的缺陷及对策

门诊,作为医院的一个重要组成部门和窗口单位,其服务质量如何,不仅在某种程度上体现和反映了医院的综合服务水平,而且也将给患者以最直现和深刻的印象.在医院,患者首先接触到的是门诊分诊护士,他们的言谈举止、人格素质会给患者留下第一印象,这会直接影响患者就诊时的情绪、心态.因此,如何提高分诊护士的素质,对直接或间接地提高医院的声誉有重大的意义.     

A prospective study of the factors affecting anticoagulant control in a hospital out-patient clinic

Anticoagulant control (as indicated by the percentage of Thrombotest values outside a defined range) was determined in out-patients attending a hospital anticoagulant clinic and the influence of patients'' age and sex, indication for anticoagulation, concurrent drug therapy and duration of anticoagulant treatment studied. Of these factors, duration of treatment was most important, control being particularly poor in the first 6 months (40% of Thrombotest values outside the 5-15% range, compared with 17% in patients treated with anticoagulants for more than 2 years). Control was also influenced by patients'' age and the data supported previous evidence of an increased sensitivity to anticoagulants in the elderly.     

门诊护患沟通技巧探讨

护患沟通是指护士与患者之间的信息交流的过程.交流的内容与患者的护理及康复直接或间接相关.同时包括双方的思想感情、愿望及要求等方面的沟通[1].门诊部是患者流量最大、护患接触最频繁的部门,是医院与社会的联络处.融洽的门诊护患关系是护士职业的要求,是提高门诊工作质量、减少医疗纠纷、赢得医疗市场的重要措施.长期以来,门诊护理质量管理片面强调护士的各项操作技能,而忽视了患者的需求.在"以人为本、以患者为中心"新型医疗模式中.护理人员不仅要有过硬的护理操作技术能力.还应熟练掌握和运用沟通技巧.做好护患沟通有利于重建护患双方的信任,有利于患者疾病的好转、痊愈和康复.     

某综合医院门诊患者的满意度调查分析

为了解门诊患者对医疗服务满意度状况，找出医疗服务存在的薄弱环节，改进门诊服务措施，提高门诊的综合医疗服务水平，课题组于2005年9月对某综合医院的部分门诊患者进行了关于门诊医疗服务满意度的问卷调查，现将调查结果分析如下。     

心理护理对门诊静脉输液患者疗效的影响

目的 探讨心理护理对门诊静脉输液患者疗效的影响.方法 选取2007年7月至2007年12月期间广东医学院附属医院门诊静脉输液患者126例,用随机数字表法将126例患者分为实验组(63例)和对照组(63例).对照组接受常规护理,实验组除接受常规护理外,在输液前、输液中及输液后给予心理护理,并比较两组患者的输液满意率和静脉穿刺一次成功率.结果 实验组患者输液满意率和静脉穿刺一次成功率均显著高于对照组患者,差异有统计学意义.结论 心理护理在提高患者的输液满意率和一次穿刺成功率方面具有重要作用,是值得推广的护理模式.     

门诊静脉输液常见问题及护理对策

目的：研究门诊静脉输液中的常见问题,总结护理对策。方法：调查我院门诊静脉输液120例患者中出现的常见问题,并计算其发生率。结果：常见问题包括静脉穿刺失败、疼痛、休克、发热、皮疹、恶心呕吐、静脉炎、出血、液体外渗等,其中恶心呕吐、疼痛、穿刺失败、皮疹、出血、发热发生率高,分别为10%、8.33%、5.83%、5.83%、6.67%、4.17%;结论：通过了解门诊静脉输液中的常见问题,给予相应的护理干预,保证静脉输液中的顺利进行,有利于提高治疗效果,提高患者生活质量。     

Health screening of international adoptees. Evaluation of a hospital based clinic.

OBJECTIVE: To report the findings of health screening of 100 international adoptees. DESIGN: Retrospective case review. SETTING AND PATIENTS: The first 100 children to attend the Outpatient Inter-Country Adoption Clinic at the Royal Children's Hospital, Melbourne. INTERVENTIONS: A medical history was taken and a thorough physical examination and series of screening investigations were performed on all children. RESULTS: The children ranged in age from two months to 16 years (median, five months; mean, 2.8 years). The countries most represented were Korea, with 36 children, and India, with 21. Thirty children fell below the third Australian centile for both height and weight. Abnormalities on physical examination included hepatosplenomegaly (13 children), scabies (six) and severe dental caries (six). Parasitic infestation of the stools was found in 23 children, a positive Mantoux test result in nine (three had active tuberculosis), anaemia in 12, elevated hepatic transaminase levels in nine and positive hepatitis B surface antigen and e antigen in two. One child had acquired syphilis. Screening for human immunodeficiency virus antibody gave negative results in all children. CONCLUSION: International adoptees constitute a special paediatric subgroup requiring assessment and screening investigations as soon as possible after arrival in their adoptive country.     

新疆地区民营医院发展及与公立医院合作模式探讨

国家医疗体制改革以及医药卫生新政策主张坚持公立医疗机构为主导,鼓励和引导民营医院健康发展,形成公立医院与非公有医院相互促进、共同发展的多元办医新格局。通过论述新疆地区民营医院发展特点,探讨民营医院和公立医院可行的合作模式,为民营医疗机构创造良好发展条件的同时也可以促进公立医院长足、稳定发展。     

Thyroid screening in elderly hospital patients

A screening programme of thyroid disease in 214 elderly patients attending hospital was undertaken incorporating clinical and biochemical assessment. The prevalence of untreated hypothyroidism was 2.8%, treated hypothyroidism 2.8%, untreated hyperthyroidism 0.9%, sub-clinical hypothyroidism 4.7%, and non-thyroidal illness 3.3%. One patient with hypopituitarism was identified. Clinical judgement alone was poor. The costs of such a screening programme are discussed and the benefits highlighted.     

门诊输液护理工作中服务模式的探讨

目的为门诊输液患者提供主动服务,提高患者对输液工作的满意度。方法输液前对患者做好护理评估,输液中根据患者的个体差异实施人性化主动服务,输液后及时给予患者健康教育,为患者进一步检查和治疗提供咨询服务。结果门诊输液患者对护士门诊输液工作满意度不断提高。结论对门诊输液患者实施主动服务,输液过程中规范护士操作和服务流程,能够有效提高护理服务质量,减少护患纠纷的发生。     

大型综合性医院普通门诊预约流程体会

在门诊建立预约制度,是服务模式的重大变革,其目的是优化门诊流程的各个环节,减少病人就诊停留的时间,以达到科学的、人性化的管理。我们通过在泌尿科开展普通门诊预约服务,制定出符合医院的门诊流程,从而实现以病人为中心的服务模式,方便患者就诊。     

某医院住院患者梅毒筛查情况分析

目的 探讨2017-01~6期间延安大学附属医院东关心脑血管分院住院患者中梅毒的发病情况,分析化学发光法在梅毒抗体检测中的应用价值。方法 用化学发光法对住院患者进行梅毒抗体初筛,阳性者进一步做梅毒螺旋体明胶颗粒凝集试验(TPPA)和快速血浆反应素环状卡片试验(RPR),分析该院住院患者中梅毒的检出情况,及两种检测方法的符合率。结果 9092例住院患者化学发光法阳性256例(2.82%),与TPPA符合率为94.92%;其中RPR滴度小于或等于1∶2有216例(占化学发光法84.38%)。小于20岁组、小于30岁组检出率仅为0.63%、0.66%,30岁以上至70岁以下年龄组分别是1.29%、3.63%、2.90%、2.57%,而70~80岁和80岁以上年龄组老年人的检出率3.42%、4.49%。几乎全部临床科室均有梅毒筛查阳性病例,其中综合内科、重症医学科、综合外科、神经内科的阳性率分别为3.57%、3.44%、3.20%、3.01%,明显高于其他科室住院患者的平均检出水平。结论 梅毒血清学试验化学发光法联合TPPA和RPR是目前临床诊断最常用且有效的梅毒筛查试验。