军队大型医院医技科室医疗质量指标评价体系的构建

目的：为科学、准确的考评医技科室的医疗质量状况，为医院管理者实施横向比较提供依据。方法：运用Delphi法，分两轮请医技科室主任和医院管理专家，对Ⅰ类和Ⅱ类指标存在的合理性和权重提出意见，以确定最后的指标并测算出相应的权重。结果和结论：成功的构建了医技科室医疗质量指标评价体系，同时该指标体系还具有较强的实用性和可操作性的特点。     

军队大型医院医技科室质量综合评价体系的研究与应用

目的为医院管理者提供一套医技科室质量综合考评方案。方法采用三雏框架和树状结构的方法设置指标内容，根据工作实际设定指标权重，应用动态区间平移法和静态取值法制订指标计划值，通过计划值比较法、内差法和特尔菲法获取指标积分值。结果与结论建立医技科室质量综合评价体系，实现医技科室之间的横向比较。针对性强，灵敏度高，可比性好。     

更新观念加强医技科室管理

医技科室质量管理一直是医疗质量管理中的难点。医技科室专业多，涉及范围广，专科技术含量高；按传统质量管理的观点，以各专科的最高专业标准来进行质量考核难以实现：不仅质量考核标准制定困难，质量管理人员也无法精通各专业以实施考核。我院应用《军队大型医院医技科室考评指标体系》，以医技科室工作质量的最终目标为考核方向，     

医技科室工作质量中存在的问题及对策

医院医技科室的工作质量是医院医药质量管理的重要环节，本通过对几所医院医技科室工作质量情况进行详细分析，找出了医技科室工作质量中存在的5个问题5点原因，并提出了5项对策。     

优化质控目标系统 促进医疗质量提高

医院分级管理是医疗改革的重大举措，而医疗质量是医院分级评定的主要依据。自1993年开始，我院制定了以三级甲等医院质量指标为基础的质量手分制评分系统，并将医疗质量指标系统与科室管理挂钩，全面衡量科室工作，收到了较好的效果。1主要内容和特点该评分系统包括6个方面，共计46项指标，总分1000分，见附表。附表医疗质量指标系统构成主要内容和特点：（l）调整权重，突出重点。例如：在医疗质量指标中，增大床位使用率、病案质量管理评分权重；（2）分解指标，落实到科。例如：床位使用率、床位周转次数、出院者平均住院日、治愈出院者…     

医技科室工作质量中存在的问题及对策

医院医技科室的工作质量是医院医药质量管理的重要环节,本文通过对几所医院医技科室工作质量情况进 行详细分析,找出了医技科室工作质量中存在的5个问题5点原因,并提出了5项对策。     

军队中心医院医技科室设备使用与养护的体会

军队中心医院医技科室集中了医院许多大中型医疗检诊设备。如何使用和管理好这些设备,发挥设备的最大效能,减少维修成本,是医技科室日常管理中重要工作之一。     

浅谈医院医技科室管理的特点

随着医学科学技术的飞速发展,医技科室专业种类多、技术更新快和投入产出高为特点。在医院建设与发展中具有重要的地位。随着医技科室的范围不断扩展、内涵不断深化、技术不断更新、投入不断增大,有的科室已从单一的辅助临床科室检查治疗疾病,发展成为能够独立完成疾病预防、诊断、治疗和康复全过程的科室,在医院管理中占有重要的地位,医技科室的发展,不仅影响着医院日常工作的正常运转,也决定着医院的技术进步和发展。本文就医院医技科室的特点与管理体会如下:1医技科室的工作特点1.1分工日趋专业化目前我国各类医院医技科室的专业种类有数…     

医院培训工作新理念的实施与成效

石河子人民医院是一所集医疗、科研、教学、急救和社区卫生服务为一体,有500张床位,16个临床科室,7个医技科室,18个职能科室和14个社区卫生服务站的综合性医院。随着医疗卫生体制的改革和医保制度的推行,面对人们医疗服务需求的日趋增高,如何提高医疗     

医技科室综合效率纵向评价及分析

医技科室是指具有为病人实施诊断、检查功能的非临床科室。随着医学科学技术的进步和发展 ,其在医院诊疗工作中起着越来越重要的作用 ,为医院创造着可观的经济效益和社会效益。但是 ,长期以来对医技科室工作的综合评价一直是一个较为困难的问题 ,加权秩和比法 (ＷＲＳＲ法 )在医学领域的应用为分析医院医技科室复杂、零乱的指标体系提供了一种新的简洁实用的方法 ,为医技科室综合评价开拓了一条新途径。为了全面、准确地掌握我院 7年来医技科室工作运行情况 ,进一步认识和挖掘医技科室发展的潜能 ,本文用ＷＲＳＲ法对我院医技科室综合效率进…     

提高预约挂号精度改善门诊就医秩序

目的 为预约挂号平台提供患者错峰就诊的准确预约时间,以改善门诊就医秩序.方法 分析预约挂号的特点及存在的问题,利用医院信息系统（HIS）中各专科的门诊时间信息,测算医师对每名患者的平均接诊时间.结果 准确预约时间,使患者有计划就诊,节省时间和医疗外费用,有利于实现错峰就诊,改善门诊就医环境.结论 预约挂号增强工作计划性,提高医院工作效率,缓解患者＂看病难＂的矛盾.     

眼科病历质量缺陷分析及其防范措施

 目的 分析眼科病历书写中存在问题的原因,找出解决方案,以提高眼科住院病历书写质量,保障眼科诊疗质量及安全。方法 对2011-11至2014-10我院3271份眼科住院病历进行质量检查,有347份运行病历存在书写质量缺陷,分析病历书写中出现的质量缺陷问题,包括规范方面的问题及病历内涵质量方面的问题。结果 病历书写格式、规范方面的问题有289份,占缺陷病历的83.3%,内涵质量方面的问题有58份,占缺陷病历的16.7%。结论 需加强质量管理措施,提高医务人员的法律意识,要求其重视病历的规范书写,加强监控,提高病历书写质量,以减少医疗纠纷。     

医院船医疗队海上职责及救护流程训练的研究

目的 探讨医院船医疗队海上职责及救护流程.方法 船员375人次分为5批,每批75人次.根据海战伤的特点,南船员扮演不同类型的海战伤伤员.医院船医疗队成员50人,分成指挥组、分类组、手术组、治疗组、医疗组(2个)和后勤保障组.通过医院船海上卫勤训练,分析医院船海战时救护特点和人员状况,将医院船的救治岗位进行合理分配,对各级救护人员职责及救护流程进行描述性分析研究.结果 医院船医疗队成员工作质量优秀率,从第1次至第5次分别为22%、46%、58%、82%和94%;5次模拟伤员救护质量优秀率,从第1次至第5次分别为23%、35%、64%、76%和91%,与其他次比较第5次最好(P＜0.01).结论 医院船医疗队通过海上职责及救护流程训练,可提高海上救护的快速反应能力、整体配合能力和救治水平.     

Air Force expeditionary medical support unit at the Houston floods: use of a military model in civilian disaster response

From June 6 to 10, 2001, Tropical Storm Allison delivered 40 inches of rain to the city of Houston, Texas. Nine of the city's hospitals were closed or severely curtailed services as a result of the flooding. All area hospitals were full to capacity, intensive care unit beds were unavailable, and patient wait times for emergency department care were 18 to 21 hours. Emergency department and intensive care unit congestion placed the entire emergency medical system of Houston in jeopardy. In response to a Federal Emergency Management Agency request, the Air Force deployed a 25-bed expeditionary medical support field hospital to Houston on June 13, 2001. The expeditionary medical support unit treated its first patient only 3.5 hours after arrival and was fully operational 8 hours later. During its 11-day stay, the facility treated 1,036 patients, including 312 ambulance arrivals, 48 inpatients, and 33 intensive care unit patients, and performed 33 dental procedures and 16 operations.     

医疗设备故障率与电能质量关系的研究

 目的 研究电能质量对医疗设备故障率的影响.方法 对6类共100台分属医院各科室的临床使用率较高的A类设备进行历史性列队跟踪调查,详细记录每台设备每次故障的情况,参照同一时段内电能质量监测的结果　进行比较、分析,鉴别、筛选出故障性质归属,取得相关数据.结果　受电能质量影响而引发的356次故障中,电源部分的故障次数为159次,控制部分的故障次数为157次,信号通道的故障次数为加次.电力污染导致的电能质量下降,对医疗设备的电源部分和控制部分影响大.结论 电力污染使电能质量下降,导致医疗设备故障率增加,对医疗设备的安全运行产生了严重的负面影响,医学工程技术部门对此应高度警惕.     

Development of prehospital medical classification criteria

INTRODUCTION: A trauma classification system (TCS) is widely used by many prehospital personnel to provide advanced activation of trauma teams. Specific criteria serve to notify specialty departments and enhance communication between prehospital and emergency department (ED) personnel. Because the TCS has worked so well, a medical classification criteria tool (MCCT) was developed to consistently notify EDs of medical patients' acuity, enhance communication, and provide a smooth transfer of care. METHOD: MCCT development included establishment of tool validity by experts; retrospective chart review to determine consistency and accuracy of classification; and a pilot test of the MCCT at three hospitals. After the pilot, satisfaction surveys were distributed to receiving hospitals to determine tool effectiveness, ease of use, and enhanced transition of care. RESULTS: Of the receiving staff surveyed, 97% found the tool easy to understand; 82% thought the MCCT enabled them to effectively prepare for patients; 62% perceived consistency in classification by the helicopter staff. The flight crew had a 100% positive response regarding ease of MCCT use; 36% noted a positive change in preparation for medical patients' transfer of care. CONCLUSION: The MCCT enhances communication and is useful in preparation and transition of patient care from prehospital to the hospital environment. Advanced notification of patient illness severity may enhance care and affect overall outcome.     

Brief introduction of the construction of the military medical institution management laws and regulations of the CPLA

The paper introduces the developing history of the military medical institution management laws and regulations of the Chinese People's Liberation Army, which consists of 9 categories, including general principles, medical division and transfer system, medical quality, personnel resources, department construction, medical equipment, Medicines and preparation, Medical Malpractice handling and hospital infection control. And in this paper, we summarizes the legislation organization into 3 levels, discuss the relationship between the Military Medical Institution Management Law and related laws as well as the national regulations.     

Quality control of medical practice in Bophuthatswana

Quality control of medical care in hospitals is an already established monitoring procedure in the United States, enacted by the American Congress as a Public Law. It was adopted and adapted by other Western countries to fulfill its major aim of improving the quality of patient care in hospitals. The various methodologies used so far serve other important purposes as well, i.e., as an education process, a reporting mechanism and to contain the ever increasing costs of medical services. The underlying concept is the legal recognition that the hospital in society exists under "a contract" that requires it to exercise reasonable diligence regarding the quality of medical care to all patients at all times. This concept applies to Bophuthatswana as well. It does so, because one of our major goals is to provide health services to all, as declared by the WHO and UNICEF; and that this goal encompasses many basic human rights which are already in the process of realization. High-quality medical and patient care are two components of this set of rights. However, social priorities here are different from those in developed societies because of socio-economic constraints. Thus, our health policy is unique--primary health care which is hospital-based and community-oriented with the nursing sector at its core. Therefore, our quality control system will be also a unique one and will fit into the specific structure and needs of the health care system and its high ethical approach.     

Errors in medical care rendered by military treatment and prevention institutions (according to the data of forensic medical expertise

The authors discuss one of the important aspects of military medicolegal laboratory activities connected with the quality control of medical care rendered in the military treatment-and-prophylactic institutions in the nineties of the XX century. The example of medical care defects (MCD) permitted to reveal their nature, causes and sites of origin at pre-hospital (PHS) and hospital (HS) stages. Despite some decrease in the total number of MCD revealed HS defects prevail (more than 75%); the organizational defects at PHS and diagnostic defects at HS are predominant. The main MCD causes are inadequate qualification of medical workers, defects in organization of treatment-and-diagnostic process and inadequate examination of patients.