试论药学服务对处方回扣的遏制

处方回扣的出现严重影响了医患关系,引起了社会各界的高度重视和关注.药学服务坚持药师走入临床,直接面对病人为病人提供专业优质的服务,可以从根本上遏制处方回扣,修正和改善医患关系,提高医疗服务质量.     

术中知晓的几点思考

术中知晓是全身麻醉中尚待解决的一个课题”本文分析了全身麻醉下病人发生术中知晓可能的原因，提出相应的预防措施及治疗方法”其中着重讨论术中知晓的预防，偶发事件出现后对病人要及时沟通及药物治疗，为病人最大利益着想，改善医患关系，防止医患冲突。”把以人为本人文关怀精神切实投入到预防麻醉期间术中知晓上来。     

论病人知情同意权的回归及在医患关系中的价值

知情同意权是病人最基本的权利。目前医患双方对病人权利的主张和尊重均未触及到权利的核心部分，是造成医患矛盾的症结。随着医疗自主时代的来临，病人知情同意权的回归可以预防和减少医疗纠纷，提高医疗服务品质，同时也是相关法律法规充分履行贯彻的表现。     

论病人"知情同意权"的回归及在医患关系中的价值

知情同意权是病人最基本的权利，医患双方对病人权利的主张尊重均未触及到权利的核心部分，这是造成医患矛盾的症结。随着医疗自主时代的来临，病人知情同意权的回归可以预防和减少医疗纠纷，提高医疗服务品质，同时也是相关法律法规得以充分履行贯彻的表现。     

北京：启动“加强病人安全管理和教育项目”

为构建和谐医患关系，卫生部医政司、国际合作司和中国医师协会于2006年4月12日在北京联合启动了“加强病人安全管理和教育项目”。病人安全管理是指在医疗过程中所采取的必要措施，来避免或预防病人不良的结果或伤害，包括预防错误、偏误与意外。该项目将通过对北京市、上海市、江苏省、广东省、云南省、四川省6个省市部分地区的病人安全现状进行调研分析，研究改进现有的病人安全监管方法，     

处方缺陷的成因分析与对策

处方缺陷的成因分析与对策赵利斌，秦荣和处方管理是医疗文书质量管理难题之一，为切实提高处方质量，我们抽取１９９３年度质量检查中的缺陷处方１０００张进行了分析。１．资料来源及调查方法：１９９３年１～９月份，本院医务处从处方质量检查时检出的缺陷处方中，抽取...     

医疗缺陷的控制与医学道德的关系

医疗缺陷是医疗质量的重要问题,也是影响医患关系的关键因素。因此,对医疗缺陷的控制不仅是医疗技术问题,而且是医学道德问题。 医务工作者以维护人的生命和健康、增进人的寿命为职业。以脑力劳动和对病人直接行施医疗服务为主要工作方式,这就决定了对医务工作者的道德品质的特殊要求,这种要求集中地表现在医患关系之中。 医患关系应是相互信赖,亲密合作和对患者慈爱、救护的关系。建立这样的关系必须以医务工作者高尚的医学道德为前提,以有效地控制医疗缺陷学基础。本文就医疗缺陷对医患关系之影响,以及控制医疗缺陷的医德修养和医德评价作初步探讨。     

浅谈心理护理对CT增强扫描不良反应的作用

通过心理护理的干预,减少和预防CT增强扫描时的不良反应,为病人减轻了心理压力,加强了医患的沟通。     

如何加强医患沟通

医患沟通是改善医患关系的重要途径，是建立医患双方相互信任，保障医患双方利益的有效手段。好的医生可以利用有效的手段与病人进行良好的沟通，从而医生可以更准确地判断出病人面临的问题，病人对他们所接受的治疗感到更满意，病人担忧、焦虑和消沉的心理压力也会得到减轻。因此加强医患沟通，融洽医患关系，是新形势下深化“以病人为中心”服务理念，是尊重维护病人的健康权益，为病人提供优质服务的重要体现，同时也是化解医患纠纷，创造良好医患环境的重要措施。话虽这么讲，但要真正实现医患沟通到位、满意，仍有很多障碍，下面谈谈我院是如何来实施医患沟通。     

实行处方缺陷登记报告制度 提高处方质量

实行处方缺陷登记报告制度提高处方质量菅永青周金贵刘润周玉芝石瑛我院于１９９６年起制定并执行了处方缺陷登记报告制度。由药师完成对医生的监督，对于处方缺陷除及时与医生联系更正外，还要按要求填写处方缺陷登记报告表，定期报院目标管理办公室，直接对医生进行经济...     

Trends in meningococcal disease in Italy in 1988

Meningococcal disease in Italy decreased 15% in 1988 from the previous year (290 vs. 342 cases). The decline was particularly evident in military cases (1.7/100,000 in 1988 vs. 5/100,000 in 1987) reflecting the full coverage of bivalent serogroup (A + C) meningococcal polysaccaride vaccine in army recruits, achieved since January 1988. The highest proportion of cases was seen in people older than 25 years of age (25%). Serogroup C constituted 60% of the isolates, while 19% belonged to serogroup B. The proportion of strains resistant to sulphonamides was 45%, while 15% were resistant to Minocycline and none to Rifampin. Out of the five military cases, only one (due to serogroup C) was attributable to the vaccine failure. A single coprimary case, but no secondary cases occurred among civilians. These findings are consistent with the trends reported in Italy in the previous years.     

Benzene in blood and phenol in urine in monitoring benzene exposure in industry

Determinations of benzene concentration in blood and of phenol in urine were made by head-space gas chromatography techniques on samples taken near the end of the work day from two groups of workers potentially exposed to low levels of benzene in the work-place atmosphere. Preliminary results suggest that benzene in blood is more reliable than phenol tests for assessing both exposure and uptake of benzene. Normal values of phenol in urine (10 mg/liter or less) were found in nearly all those cases in which benzene was detected in the blood.     

2015年郑州市饮用水放射性水平状况调查

目的了解郑州市不同地区、不同季节、不同水源类型的放射性水平。方法分别于丰水期和枯水期采集郑州市区黄河水源水、井水源水、丹江口水源水、出厂水和末梢水各一份;以县为单位,每单位采集出厂水、末梢水、水库水、河水、井水各1份,按《生活饮用水生活标准检验方法》(GB/T 5750.13-2006)检测饮用水中总α和总β放射性水平,依据《生活饮用水卫生标准》(GB 5749-2006)进行判定。结果丰水期、枯水期水体总α、总β放射性水平均低于国家标准限值。结论郑州市不同水源类型均处于正常的天然放射性本底水平。     

Occupational stress in nurses in psychiatric institutions in Taiwan

Nurses are known to be exposed to occupational stress. However, occupational stress is not well documented for nurses in psychiatric institutions in Taiwan. A cross-sectional study was conducted to explore the work-related stress and risk factors of nurses in psychiatric institutions in Taiwan. A structured questionnaire was distributed to nurses at five state-owned psychiatric hospitals in Taiwan in 2001. Demographic information, working environment, and personal health status were inquired. Occupational stress was assessed based on the Chinese version of Job Content Questionnaire (JCQ). General health status and mental health were evaluated by the International Quality of Life Assessment Short Form-36 (IQOLA SF-36). A total of 573 questionnaires were disseminated to nurses and 518 (90.4%) were satisfactorily completed by nurses, including 408 female full-time nurses who had been in their current work for more than 6 months. In the past one month, 17.2% of nurses reported being under significant stress often or always. Assault episodes were reported by 45.1% of nurses in the past 6 months. Among the nurses, 16.9%, 25.2%, 50.0%, and 7.8% belong to the "High strain", "Low strain", "Active", and "Passive" groups, respectively. Perceived occupational stress was associated with young age, widowed/divorced/separated marital status, high psychological demand, low workplace support, and threat of assault at work. Lower general health score was associated with low job control, high psychological demand, and perceived occupational stress. A lower mental health score was associated with low job control, high psychological demand, low workplace support, and perceived occupational stress. We concluded that nurses in psychiatric institutions are under significant stress related to work factors.     

Changes in nursing administration in supporting transplantation in Brazil

This historical and bibliographic study aimed to understand how Nursing was organized to support care in transplantation. The HISA, LILACS, BDENF, PERIENF and DEDALUS databases were consulted, and thirteen references were found, ten of which were scientific articles, two were master's dissertations and one was a doctoral thesis. The span of time chosen for study ranges from the date of the first kidney transplant in Brazil (1965), to the date of publication of the last scientific article found in the databases mentioned above (2003). After reading these articles, the ones that were similar in topic were grouped together, thus creating the thematic axis for the presentation of the results. The results showed that the Nursing profession has played an important and active role in transplants ever since the first procedure in 1965.     

2019年中国肿瘤流行病学研究进展

恶性肿瘤已成为中国居民的主要死因之一。近些年来,中国政府积极推进肿瘤预防和控制领域的研究工作,取得了很大的进步。本文简要汇总中国在肿瘤流行病学领域的研究进展,具体包括2019年的肿瘤负担、癌症危险因素及其干预、筛查和早期发现、癌症防治专项行动(2019-2022年)方案等方面,以期为我国肿瘤防治工作的有效开展提供技术支撑和理论依据。     

2012年绵阳市蔬菜中农药残留状况

目的 了解绵阳市2012年市售蔬菜中农药残留情况,为食用蔬菜监管提供依据.方法 全部样品均按照GB/T 5009-2003的方法进行农药的残留检测.依据GB 2763-2005《食品中农药最大残留限量》进行判定.结果 2012年共检测蔬菜165份,农药检出率和超标率分别为72.12％和23.64％.豆类、根茎类、叶菜类、瓜果菜类和食用菌类蔬菜检测农药残留超标率分别为8.00％、23.53％、36.00％、5.26％和27.03％,差异有统计学意义(x2=11.41,P＜0.01).不同种类农药超标率差异有统计学意义(x2 =62.42,P＜0.01).夏季和冬季蔬菜农药超标率差异无统计学意义(x2=3.44,P＞0.05).结论 绵阳市叶菜类蔬菜中农药残留情况较为严重,应采取有效措施,加强蔬菜的监督管理,从源头禁止高毒农药的使用,加大蔬菜种植、销售环节的监测,确保市民食用蔬菜的安全.