加强对一次性医疗用品的管理

一次性输血器、输液器、注射器、注射针等无菌用品替代了过去反复使用的乳胶输液管、玻璃注射器、注射针等 ,既减少了清洗、消毒等多种环节 ,便于保存 ,简单实用 ,又节省了人力、物力 ,提高了工作效率。加强对一次性医疗用品的管理和正确使用一次性医疗用品 ,是控制医院感染的有效措施。现将我们的作法报告如下。1　专人领取各科室规定由经验丰富的白班护士负责与供应室联系 ,领取一次性无菌医疗用品 ,双方核对领单与发放物品名称是否相符 ,认真检查包装盒、袋有无潮湿、破损、漏气 ,字迹模糊等 ,严格检查生产日期、批号、失效期 ,交接完毕 …     

一次性医疗用品的管理

一次性医疗用品的使用对预防、控制医院感染、提高医疗护理质量及工作效率起到重要作用。但如果管理不善 ,将危害病人健康 ,造成医疗事故和医疗纠纷。因此 ,如何做好管理工作显得尤其重要。现对一次性使用医疗用品的管理综述如下。1　管理现状自 1987年卫生部下发《关于推广使用一次性塑料注射器、输液 (血 )器、针的通知》后 ,国家出台了系列对一次性使用医疗用品管理的法规、文件、标准 ,对生产企业、经营企业和使用单位均有明确要求。国家对一次性使用医疗用品实行分类管理[1] ,并按《一次性使用无菌医疗器械目录》实施重点监督管理[2 ] …     

一次性使用无菌医疗用品的管理

由于一次性无菌物已逐步成为医院各项处置和治疗工作的主要物品，因此，对一次性无菌物品的识别、购人、保管、发放、回收等一系列的管理工作占据了供应室工作的50％内容。我院仅一次性输液器购人每年共50000套，各型号注射器、针头、输液器和输血器等，它们的购人及购人中真伪识别以及购人之后在供应室的保管有一定的要求，而且一次性使用注射器、输液器、输血器等使用后的处理都有严格的规定。现就一次性无菌医疗用品的管理总结如下。     

加强对一次性医疗用品的管理

目的加强对一次性医疗用品的管理，确保一次性医疗用品的临床使用安全。方法制定了一次性医疗用品的管理制度，加强对一次性医疗用品使用前、中、后的全方位管理。结果保证了临床使用一次性医疗用品的质量和安全。结论通过严格管理，一次性医疗用品的质量和安全有了保证，同时杜绝了一次性医疗用品的流失和由此引发的医疗事故与纠纷。     

加强一次性医疗用品管理控制医院感染

总结一次性医疗用品的管理，包括采购、贮存、发放、使用、回收、毁形6个环节的把关，认为对一次性医疗用品各环节的严格质量管理措施，可有效控制医院感染的发生。     

一次性医疗用品的全程管理

目前，一次性使用医疗用品已广泛应用于临床诊断和治疗，对预防和控制医院感染，提高医疗质量及工作效率起到重要作用。但如管理不善，将危害患者健康，造成医疗事故和医疗纠纷，甚至回流社会，污染环境，而且传播疾病。现将我院三年来对一次性使用医疗用品的管理方法介绍如下。     

一次性医疗用品的供应及回收管理

目的寻找一种适合于一次性医疗用品供应和回收的方法,以确保医疗和护理的安全。方法加强采购,严把订货关,建立严格的登记制度,严格消毒,回收,销毁的管理。结果加强一次性医疗用品的供应和回收,以提高医护人员对一次性医疗用品规范使用的意识,确保其安全使用。结论减少医院感染的发生,防止疾病传播,以确保医疗及护理安全。     

一次性使用医疗用品的管理体会

供应室向临床发放的一次性使用的输液（血）器及注射器的质量直接影响着医护质量。为达到安全使用的目的。现把我们对一次性使用医疗用品发放流程报告如下。     

医保工作中不容忽视的问题

1 医疗保险工作中要注意语言艺术 医院医保护理工作者除应懂医学、懂政策、懂管理、懂计算机、具有很强的责任意识外,还必须有较强的语言表达能力和良好的语言艺术修养.要做到以情动人,要有感染力;以理服人,要有说服力;要说得明确,要有针对性;抓住重点,体现讲话的精髓与内涵;要控制时间,用最简短语言把意识表达清楚.     

医保工作中不容忽视的问题

1医疗保险工作中要注意语言艺术 医院医保护理工作者除应懂医学、懂政策、懂管理、懂计算机、具有很强的责任意识外．还必须有较强的语言表达能力和良好的语言艺术修养。要做到以情动人．要有感染力；以理服人，要有说服力；要说得明确．要有针对性；抓住重点，体现讲话的精髓与内涵；要控制时间，用最简短语言把意识表达清楚。语言艺术运用得如何．对医保管理效果有着举足轻重的作用。要注意压力性语言、理解性语言、解释性语言、忠告性语言和技巧性语青的运用，因为生动的宣传、恰当的解释、准确的回答、合理的建议、精彩的发言、精辟的论述往往能够收到事半功倍的效果。     

Compliance: a problem in medical management.

The prevalence of noncompliance is underestimated and the role of the physician in promoting and inhibiting complicance is not often recognized. Physicians accept the need for patient education but do not accept responsibility for the patient's compliance. The disease denial/rationalization syndrome is a useful label for emotional resistance to the treatment program. An important factor is the extent to which the physician seeks to ascertain compliance. Compliance-gaining strategies must be applied with tact and flexibility.     

质量管理在医保工作中的作用

医保制度的改革作为我国卫生三项改革之一，由于目前的“公费制”转变为“国家、单位、个人分担制”。我院参与医保制度改革是适应新形势的要求，为我院参与市场竞争，不断创新发展提供了新的机遇。自2002年8月我院定为医保定点单位，全院参保职工（包括离退休人员284人）1500多人次。现将质量管理在医保工作中的作用介绍如下。[第一段]     

质量管理在医保工作中的作用

医保制度的改革作为我国卫生三项改革之一,由于目前的"公费制"转变为"国家、单位、个人分担制".我院参与医保制度改革是适应新形势的要求,为我院参与市场竞争,不断创新发展提供了新的机遇.自2002年8月我院定为医保定点单位,全院参保职工(包括离退休人员284人)1 500多人次.现将质量管理在医保工作中的作用介绍如下.     

Why rehabilitation research does not work (As well as we think it should)

Establishing treatment effectiveness is a high priority for rehabilitation research. The use of traditional quantitative null hypotheses to achieve this priority is reviewed. Three problems are identified in the analysis and interpretation of investigations based on statistical testing of hypotheses: (1) confusion of clinical and statistical significance, (2) low statistical power in detecting clinically important results, and (3) a failure to understand the importance of replication in developing a knowledge base for rehabilitation practice. Technical aspects associated with each problem are reviewed and examples presented illustrating the impact of low statistical power and the results of misinterpreting statistical significance tests. Several specific recommendations are made to improve the clinical usefulness of quantitative research conducted in rehabilitation.     

"The best thing about the hospitalization was that the nurses kept me well informed" Issues and strategies of client education

The patient had been in an automobile accident and was recuperating from a brain concussion. He was scheduled for 24 h of evaluative procedures to rule out injuries which might require surgery. He had been on a back board for a possible spine injury, had a variety of X-rays, blood work, and an EKG, and had been given oxygen, medication by injection, and intravenous fluid and medication through a pump. A variety of health team members including nurses, physicians, and a surgeon had done assessments and taken a history to assist in the diagnostic process. "The best thing about the hospitalization was the nurses telling me what they are doing and why they are doing it! It was really reassuring to have the procedures explained and to know what is being done and why." "I didn't always know if they were going through the steps to help remind themselves what they were doing or to tell me what they were doing. In either case, it was helpful for me to have information on what was happening." "They answered my questions as best they could. When I asked the nurse adding an IV bag what was in it he said, "Potassium" and he explained that my level was 3.3 when the normal was 3.5 to 5.0. He said that since they didn't know my normal they were giving me potassium just in case I needed it. He knew just what he was talking about and the facts were reassuring." "When I asked him to explain what the injection was, he said it was "Tetanus." He said I could refuse it if I wanted to, that it would probably get sore. However, he said I did have open abrasions and if I had not had one in 10 years it would be a good idea. So understanding this reasoning, I was glad to get the shot." "Patient education is really important. When I was in the hospital 10 years ago I was not given all this information and it really helps! I really appreciate the different approach by the nurses. It is really reassuring."     

Practical points that gastrointestinal fellows should know in management of COVID-19

Pandemics obligate providers to transform their clinical practice. An extensive effort has been put to find out feasible approaches for gastrointestinal diseases and also to manage coronavirus disease 2019 (COVID-19) related gastrointestinal conditions. Diarrhea, hepatitis, and pancreatitis can be seen in the COVID-19 course. Endoscopic procedures increase the risk of contamination for medical staff and patients despite precautions, therefore indications should be tailored to balance risks vs benefits. Furthermore, whether the immunosupression in inflammatory bowel diseases, liver transplantation, and autoimmune liver diseases increases COVID-19 related risks and how to modify immunosupression are topics of ongoing debate. This review aims to provide most up to date practical approaches that a gastrointestinal fellow should be aware on the problems and management of gastrointestinal and hepatobiliary diseases during the COVID-19 pandemic.