基于“门诊一卡通”平台优化门诊发药流程

为适应医院发展需求,提高信息化管理水平,我院通过整合资源及扩展开发全面实施运行了"门诊一卡通"系统[1]。在此平台基础上通过门诊药房排队叫号程序,对门诊发药流程进行了改进。1老流程的弊端由于门诊患者数量逐年增加,而门诊药房取药     

维和二级医院骨科疾病临床特点分析

目的总结、分析中国第七批赴刚果(金)维和二级医院门诊及住院患者骨科疾病特征,为后续分队本专业的组训及进一步做好维和卫勤保障工作提供依据。方法查阅2007年6月18日—2008年2月28日门诊及住院患者资料,并进行统计分析。结果中国驻刚果(金)布卡武地区维和二级医院骨创伤专业共诊治门诊患者182例,住院病人42例。手术病人20例,骨关节脱位闭合复位13例。其中膝踝肘关节扭挫伤居多,占42.4%,其次是手足外伤,占14.3%,腰痛腿占17.0%,各类骨折占9.8%,骨关节脱位,占5.8%,其他占10.7%。结论根据刚果(金)布卡武维和任务区的疾病特征,充分准备维和任务区内常见病及执勤训练伤疾病的防治药物和器材;国内组训阶段应着重做好维和任务区的常见病、多发病防治。     

我院门诊药房退药原因分析及改善措施

目的 分析我院门诊患者退药原因,合理干预并妥善解决退药的问题.方法 对我院2010年1月～2012年11月门诊退药处方进行全面而系统的统计与分析.结果 药师合理干预退药并与医师及患者进行良好的沟通,能有效地减少退药,进而减少医患纠纷.结论 为了有效降低门诊的退药率,药师可进行适当的退药干预,加强药品信息系统的维护,做好与医生及患者的交流工作,避免医患纠纷的发生.     

开展“优质护理服务示范工程”门诊导诊工作的改进对策

我院为一所三级甲等医院,日均门诊量1 200人次。医院设导诊护士7名,承担门诊大厅导诊、预检分诊、门诊患者检查单、检验单发放、危重患者陪检及陪送住院工作。为优化门诊服务流程,加强导诊服务工作,我们查找分析门诊导诊工作中存在的问题,并提出改进措施,细化服务环节,有效提高了就诊患者的满意度,报告如下。     

加强门诊检验报告管理防范医患矛盾发生

门诊检验报告的管理，历来是门诊令人头痛的老大难问题。以往由于检验报告的误发、丢失、破损等原因，引起矛盾、纠纷现象时有发生。我院门诊为体现“以患者为中心”的服务宗旨，对检验报告的管理做了一些改进，满足了门诊患者的需求，提高了服务质量，减少了医患矛盾。     

门诊患者集中输液潜在的危险因素及防范对策

目的 从门诊集中输液的各个环节,查找并分析潜在的危险因素,提出防范对策,保证门诊患者的输液安全.方法 成立门诊输液安全管理小组,完善各项管理制度,规范输液流程.结果 就门诊集中输液潜在的危险因素提出防范措施.结论 为患者提供更好的环境及人性化服务,促进门诊集中输液安全、快捷、有效,使患者早日康复.     

中国林芝地区某院眼科门诊疾病谱分析

目的 对林芝市巴宜区人民医院眼科门诊患者疾病构成进行分析,为该地区眼科疾病的诊疗及眼科医疗资源合理配置提供参考.方法 选取2020年4月1日-2020年10月31日就诊于林芝市巴宜区人民医院眼科门诊的患者,对其疾病构成、顺位、性别、年龄、主要诊断等进行统计分析.结果 纳入统计共749例,男312例,女437例,比例为1...     

我院门诊流程改造的做法与成效

门诊在医院建设中有着重要的地位，是展示医院综合实力的窗口。随着医疗卫生体制改革不断深化及医学模式转变，大健康理念的树立，大门诊观念的确立，对门诊的功能、诊治水平、优质服务提出了更高的要求。我院是一所拥有两千余张床位的军队综合医院，近年来我院对门诊流程不断改造，护理质量持续提高，打造了方便、快捷、高效、温馨的门诊。     

以坐骨神经痛为首发症状的马尾神经鞘膜瘤21例分析

我院自1980年至1990年10月间,共收治下椎管神经鞘膜瘤病人35例,其中有21例在临床发病过程中是以坐骨神经痛为首发症状,大部分误诊为腰椎间盘突出症收在骨科治疗,有的病人经过院内外多方面检查及手术时才最后确诊。现分析如下: 临床资料     

性激素补充替代疗法超声监测子宫内膜的临床意义

1 研究对象 198例均为1998年3月～2001年12月间我院妇科门诊患者,年龄45～67岁,平均54岁.围绝经、绝经且要求使用结合性雌激素替代疗法的妇女.6例既往有小于1 cm的子宫肌瘤,子宫内膜厚度正常.其余服药前超声检查无明显异常.     

Glutamine supplementation in vitro and in vivo,in exercise and in immunodepression

In situations of stress, such as clinical trauma, starvation or prolonged, strenuous exercise, the concentration of glutamine in the blood is decreased, often substantially. In endurance athletes this decrease occurs concomitantly with relatively transient immunodepression. Glutamine is used as a fuel by some cells of the immune system. Provision of glutamine or a glutamine precursor, such as branched chain amino acids, has been seen to have a beneficial effect on gut function, on morbidity and mortality, and on some aspects of immune cell function in clinical studies. It has also been seen to decrease the self-reported incidence of illness in endurance athletes. So far, there is no firm evidence as to precisely which aspect of the immune system is affected by glutamine feeding during the transient immunodepression that occurs after prolonged, strenuous exercise. However, there is increasing evidence that neutrophils may be implicated. Other aspects of glutamine and glutamine supplementation are also addressed.     

Temporal changes in the oxidation state in in vitro blood

The rates at which the paramagnetic compounds deoxyhemoglobin (Hb) and methemoglobin (MHb) form in vivo within an area of hemorrhage are unknown. The present experiment establishes the baseline concentrations and rates of change in paramagnetic hemoglobin concentrations, as well as the pH in normal heparinized and clotted human blood maintained in vitro at 37 degrees C under anaerobic conditions over 30 hours. There was a moderate increase in Hb concentration in normal heparinized blood (average increase was 15.5%, rate = 0.50%/hour) and a slight increase in MHb concentration in the heparinized blood and clots (average increase was 1.4%, rate = 0.044%/hour). A second experiment was done to verify the activity of the RBC systems responsible for maintaining the hemoglobin molecule in the reduced state. Conversion of MHb to Hb in these samples proceeded at a rate of 5.6%/hour. In a third experiment, blood from 11 normal subjects maintained at 4 degrees C 25 degrees C was analyzed for MHb concentration over the course of 28 days. The level of MHb formation remained in the range of normal for at least 11 days in all subjects. The authors conclude that at basal conditions created in vitro, the blood levels of both Hb and MHb remain at relatively low levels. Therefore, if the accumulation of Hb and/or MHb occurs in acute in vivo hematomas it must be driven by intrinsic tissue factors.     

Carcinoma in situ in cryptorchid testes in post-pubertal patients]

The pathohistologic analysis of testis sections of 37 postpuberty patients with different types of cryptorchism is performed. The tissue samples were taken during orchiopehy, fixed in Bouin's solution and treated by the standard histologic techniques. The morphologic criteria are presented for identification of the presence of the so called carcinoma in situ cells found in two cases. Besides, in 13 patients rare, mainly single, atypical germinative cells were found in a smaller number of the seminiferous tubules. It has been concluded that the presence of carcinoma in situ cells in undescended testes of some patients and considering the simple way of sampling, lack of complications and high reliability of the diagnostic procedure, it is absolutely justified to take routine biopsy of testes during orchiopexy in each postpuberty and perhaps prepuberty patient.     

我国医用辐射防护研究概况

医学放射学技术的迅速发展及介入放射学在临床广泛应用，使更多的人受到电离辐射的照射，同时也促进了医疗照射防护工作的发展。文中重点综述了我国医用辐射防护工作者近年来在Ｘ射线ＣＴ的医疗照射防护、对介入放射学工作者的剂量监测以及应用医疗照射防护体系，降低医疗照射剂量等方面所作出的成绩和研究进展     

新时期军医学院人才培养的思考

在新的历史条件下 ,军医学院迎接未来高技术局部战争的挑战 ,适应部队武器装备的不断更新以及医学科技、社会发展对人才素质提出的新要求 ,必须在更为广阔的时空背景下找准人才培养的着眼点 ,科学确立人才培养方向 ,提高人才培养质量。现就人才培养思考如下 :1　改变教育观念 ,     

成批煤气爆燃烧伤的救治体会

报道治疗因煤气泄漏爆炸烧伤病员7例，经应用MEBT技术积极救治，其中6例于伤后17天痊愈出院，另一例特重伤员也于伤后30天康复出院。作者认为：应严格按照MEBT／MEBO要求进行规范治疗，正确处理生命体征、休克、感染、脏器功能和创面的辨证关系。同时，不能忽视外科营养在过程中的重要作用，它是创面修复的物质保证。