用秩和比法综合评价医院医疗费用控制效果的探讨

目的:探讨对医疗费用控制效果的综合评价方法。方法:采用秩和比法对成都市属4所三级综合医院2007年上半年门诊与住院医疗费用控制效果进行综合评价。结果:4所医院医疗费用控制以A医院效果最好,其他依次为B医院、C医院;3所医院费用控制效果差别无统计学意义(P>0.05),D医院费用控制效果最差,与其他3所医院相比,差异显著(P<0.05)。结论:用秩和比法评价医疗费用控制效果有实用价值。     

军队医院综合指标评价体系的建立与应用研究

目的:探讨医院综合评价方法的应用,初步建立军队医院建设发展指标评价体系.方法:利用18所军队医院5年的数据资源,采用德尔菲法、变异系数法、相关分析、因子分析和聚类分析进行指标的筛选;采用Topsis法、密切值法和秩和比法对军队医院建设发展进行了尝试性评价.结果:确立了评价指标体系,包括19项综合评价指标,9方面专项评价指标,共81项.结论:应用本研究指标体系及方法对军队医院进行了两年的综合评价,有效地提高了军队医院整体发展与建设水平,确保了军队医院的可持续发展.     

军队医院综合指标评价体系的建立与应用研究

目的:探讨医院综合评价方法的应用,初步建立军队医院建设发展指标评价体系.方法:利用18所军队医院5年的数据资源,采用德尔菲法、变异系数法、相关分析、因子分析和聚类分析进行指标的筛选;采用Topsis法、密切值法和秩和比法对军队医院建设发展进行了尝试性评价.结果:确立了评价指标体系,包括19项综合评价指标,9方面专项评价指标,共81项.结论:应用本研究指标体系及方法对军队医院进行了两年的综合评价,有效地提高了军队医院整体发展与建设水平,确保了军队医院的可持续发展.     

临床药学在二级医院中的作用

目的了解临床药学在二级医院中的作用和现状。方法采用访问调查法与我县周边20所县级二级医院和5所市级医院的临床药学工作者进行交流并记录。结果县级二级医院与市级医院临床药学的开展程度、专业队伍、技术力量、深入临床参与合理用药干预等方面有很大的差别。结论通过县级二级医院与市级医院对比,当前二级医院开展临床药学工作力度有待提高,急需加强临床药学人才队伍培养、扩大临床药学服务领域、提高药学人员技术力量,加强临床合理用药,提高医疗服务水平。     

军队医院院科两级综合评价指标体系及评价方法探讨

目的 初步建立医院和科室两级综合评价指标体系,并探讨综合评价方法. 方法 利用5所军队医院2006年的统计、经济管理和财务数据,采用德尔菲法、离散趋势描述法、多元相关分析法、因子分析法、逐步回归法进行指标的筛选,使用系统聚类法进行指标的验证,运用灰色关联分析法和Topsis法对两级指标进行尝试性评价. 结果 我们分别从...     

医院药学管理者服务型领导行为与药师工作满意度的现状、影响因素及相关性分析

目的 了解医院药学管理者服务型领导行为与药师工作满意度的现状、影响因素和相关性.方法 采用问卷调查法,分层整群抽取河南省一级、二级、三级医院各5所,应用药师基本资料调查表、医院药学服务型领导行为量表和医院药师工作满意度量表对医院药师进行问卷调查,利用Excel 2019和SPSS 23.0软件对调查结果进行统计分析.结...     

乌鲁木齐市三所二甲医院2006年抗菌药应用调查

目的：调查分析乌鲁木齐市三所二级甲等医院2006年1-12月抗菌药应用状况。方法：采用金额排序法和限定日剂量法，统计三所医院2006年度药品购入信息，对抗菌药的使用情况进行回顾性分析。结果：三所医院抗菌药购药金额占购药总额百分比平均为24．97％；头孢菌素类购药金额与抗菌药购药金额的百分比平均为61．66％；DDDs排序以左氧氟沙星最高，头孢呋辛次之，克林霉素第3。结论：抗菌药购药总额占药品购入总额的百分比与发达地区水平相近，头孢菌素类所占金额比例高于全国平均水平，各医院对抗菌药的监管仍需进一步加强。     

医院药学服务调研与思考

目的:探讨我国医院药学服务存在的问题及解决办法.方法:采用问卷调查法,调查了郑州地区15家医院的药师和河南省内3所高校药学应届毕业生.结果:调查结果显示,药师话语权小,知识结构不能适应工作需要,对自己工作的满意度低,应届药学本科毕业生到医院从事药师工作的意愿较低.结论:国家应尽快出台《药师法》;高校应调整药学专业人才培养方案;医院应适当增加药学人员编制,为药师提供更多培训及进修机会,让药师参与治疗过程,提高药学服务水平.     

鲎法检测热原供试品的直接稀释法

鲎法检测热原供试品的直接稀释法孙淑清，刘玉华（辽宁省丹东市第一医院１１８０００）鲎试剂检测热原的方法很多，尤其以安瓿法在各地医院普遍应用。由于所购置的鲎试剂的灵敏度不同，检测时检品需要经过稀释后再按规定方法检测。此法操作费时，且常用器具处理不当带来热...     

医院药房的SWOT分析与发展策略

探讨现阶段医院药房生存发展策略。应用战略规则分析法（SWOT法），就医院药房内部环境所具有的优势与劣势和外部环境所面临的机会与威胁进行分析，探寻发展策略。结果表明，医院药房在医改不断深入和社会药店激烈竞争的背景下，既具有自身的优势，又面临挑战。只有不断完善自身的服务，充分发挥技术特长，才能保持良性发展态势，为社会和人民做出更大的贡献。     

基于AHP方法研究广州地区15所三甲医院的规模评价模型

运用AHP方法对广州地区的15所三甲医院进行了分析,建立了医院综合指标规模评价的数学模型,给出了确定规模评价排序的方法。对15所医院构成的集合P与12个医院技术衡量指标构成的集合R组成的三甲医院组成规模评价模型进行了实证分析,结合2004年广东省卫生统计年鉴的数据给出医院集合P中所有医院规模评价的排序。     

现代医院人力资源管理创新策略

如何加强和改善人力资源管理是有效提高现代医院核心竞争力的关键。本文分析了现代医院人力资源管理存在的主要问题，并提出了现代医院人力资源管理的创新策略，即树立“三个”理念(以人为本理念、人才资本化理念、医院文化激励理念)，完善“三个”机制(人才引进机制、人才培养机制、人才激励机制)，实行“三个”管理(信息化管理、扁平化管理、个性化管理)。     

我院网上采购药品的实践与体会

目的:推动医药电子商务在医院药品采购中的应用。方法:介绍我院采用"医院药品采购交易平台"采购模式的操作方法。结果与结论:采用"医院药品采购交易平台"采购模式,可推动我国医药电子商务的发展,促进医疗机构药品采购规范化管理。     

Consequences for public hospital of the law of December 20th 1988 (Huriet law), concerning the protection of persons used for biomedical researches

Does the public hospital have the capability of harbouring this research? In any case, it is an important mission entrusted to it by the Huriet law. But even before the law has come into effect (the date of applicability was initially set for January 1st 1990, postponed until June 1st 1990, and then further pushed back to December 31st 1990 due to the lack of publication of corresponding application decrees), its text has prompted many questions and much debate among numerous health sectors. We are limited in the extent to which we may estimate, within the context of the public hospital, the sphere of application and the ramifications of the Huriet law, particularly in the matters of expenses, the responsibility assumed by the hospitals' pharmacy, and the arrangement for the hospitals' management. In effect, while waiting for the expected creation of local committees for the protection of public health, the ethics committees which already exist in many hospitals carry on with their works in the spirit of this new law. The result is an accelerated awareness of the difficulties foreseen in putting this law into effect. It is these difficulties of application that we have tried to analyze.     

Potency and stability of extemporaneous nitroglycerin infusions.

The potency and stability of extemporaneous intravenous nitroglycerin (NTG) solutions prepared according to methods currently used in three hospitals were studied. Intravenous NTG solutions were prepared and packaged according to three hospitals' protocols. The NTG solutions varied in concentration (32 microgram/ml); source (one of two manufacturers' sublingual NTG tablets or 10% NTG adsorbate in lactose); and storage (ambient room temperature or refrigerated). The concentration of NTG in the i.v. solutions was determined spectrophotometrically. Nitroglycerin was found to be stable for at least 70 days when stored in glass containers, regardless of source, diluent (5% dextrose in water or normal saline) and storage temperature. The loss of NTG from solution, after storage for seven days in plastic i.v. bags, was greater when stored at room temperature (55%) than when refrigerated (30%). Adsorption was shown to be responsible for this phenomenon because intact drug was completely recovered from the plastic i.v. bags after methanol elution. The results of this study allow formulation of recommendations regarding the extemporaneous preparation of i.v. NTG solutions.     

ICU多重耐药菌感染浅析及护理防控研究进展

ICU是医院多重耐药菌（multidrug-resistant organism,MDRO）感染的高发科室,针对此类感染的有效防控策略随之成为医院关注的焦点。护理人员在预防和控制多重耐药菌感染工作中起到了关键作用。本文对多重耐药菌感染的研究现状及进展进行综述,并归纳了多靶点的临床护理措施,以期通过加强护理防控,从而降低ICU多重耐药菌感染的发生率。     

三种儿童服用药片磨粉分包重量差异及合格率的评价

目的:评价三种儿童服用药片磨粉分包重量差异及合格率.方法:研磨3种药片并分包,每种药片粉末取30包精密称定,计算平均重量、重量差异、重量损失百分比、合格率.结果:药师磨粉分包中,每种药片粉末第1批与第3批、葡醛内酯第2批与第3批平均重量差异有统计学意义.学生组氨茶碱片每名学生磨粉分包粉末平均重量比较差异有统计学意义.药...     

P&T Committee guidelines for antibiotic cost comparisons.

P & T Committees are focusing much effort and attention on controlling the costs of antibiotic therapy in their hospitals. In their efforts, committee members must understand not only the basic costs of acquisition in determining cost-effective therapy, but also the many expenses involved with dosing and administration. The author provides guidelines for assessing the various costs involved with antibiotic therapy based on his observations of hospitals' attempts to control costs. Suggestions of ways to make most effective use of the formulary and staff resources are presented.     

小儿用药片不同分剂量方法的准确性研究

目的研究小儿用药片不同方法分剂量的准确性,为临床合理用药提供参考。方法分别采用刀片切割（A法）和磨粉分包（B法）对3种小儿用药片进行分剂量处理,每组各处理30片,精密称定,计算平均片重、重量损失百分比、重量差异及合格率,根据统计学结果分析比较A、B法分剂量的准确性。结果三种小儿用药片采用A、B法分剂量,两种方法的分剂量平均重量比较差异有统计学意义（P〈0.01）,A、B法重量损失百分比范围分别为1.00%-8.82%、9.13%-25.94%;两种方法的合格率比较差异有统计学意义（P〈0.05）,其合格率范围分别为35.71%-90.00%、16.00%-28.57%;A法分的剂量越多,重量损失及差异越大,合格率也越低。结论三种药片A、B法分剂量的准确性均不理想,临床用药应引起足够重视,需要使用分剂量药品时,应尽量避免用B法,A法也不宜分的剂量过小。     

Clinical estimation of fetal weight in low resource settings: comparison of Johnson's formula and the palpation method

BACKGROUND: Estimation of fetal weight is important for antenatal and intrapartum clinical decision-making. Sonographic estimates may not always be available in low resource settings. In such instances it is essential to study the reliability of clinical estimation of fetal weight in assisting decision-making. OBJECTIVES: Estimate the accuracy of the Johnson's formula and the palpation methods of fetal weight estimation and their correlation. SETTINGS: Maternity units of three teaching hospitals (Tikur Anbessa, Gandhi Memorial and Saint Paul's) in Addis Ababa, Ethiopia. SUBJECTS AND METHODS: Three hundred and twenty mothers were included in the study at the three hospitals from May 1 to September 30, 2004. Fetal weight was estimated for each mother using both methods prior to delivery. Accuracy of estimation was determined by the percentage error, absolute percentage error and the proportion of estimates within 10% of the actual birth weight. Statistical analysis was performed using the student's t test, paired t test, comparison of correlated variances using the modified F test, Wilcoxon sign test and the X2 test. RESULTS: Actual birth weight was 3152 +/- 494 grams; ranging from 1600-5250. The mean of all error terms of EFW (estimated fetal weight) with palpation method were significantly smaller than those of Johnson's method and rate of estimates within 10% of actual birth weight was significantly higher for the palpation method (65%, versus 38%). For birth weights less than 2500 grams both methods overestimated the birth weight; the mean error of the palpation method was significantly smaller than those of the Johnson's method. In the 2500-3999 birth weight range, only the palpation method had no systematic error, whereas the Johnson's method systematically overestimated the birth weight. The mean errors of the palpation method were significantly smaller and a rate of birth weight +/- 10% significantly higher than those of the Johnson's method (68% versus 40%). In the larger weight (>4000 gms), the Johnson's method had less systematic error compared to the palpation method (mean percent error = -0.9 + 11.3. p =0.42), although the small sample size in this group precludes a firm conclusion of the issue in this category. CONCLUSIONS: Estimation of fetal weight by the Palpation method appears to be more accurate than the Johnson's method. In the lower and average birth weight range the palpation method is the more accurate of the two, while in the higher weight category the Johnson's method appears to be more accurate.