分子筛制氧设备在医院的应用

本文通过对医院应用供氧方式的对比，说明分子筛制氧设备应用于医院供氧的优越性，并对目前国内采用医用分子筛制氧设备性能不稳定问题，进行了总结分析，提出了改进技术。     

医院PSA制氧系统应用及其安装质量控制

本文简述了现代化医院中心供氧系统采用PSA制氧系统的必要性。供氧方式的转变使管理系统更规模化、系统化、科学化。结合医院的情况论述采用PSA制氧系统的可行性。PSA制氧系统是今后医院制氧方式的一个发展方向。     

如何对医用分子筛制氧设备进行科学选型

变压吸附医用分子筛制氧设备以低压安全、高效节能、操作简便、全自动运行等性能特点,逐渐受到医院的青睐。这种制氧方式与中心供氧系统结合,开创了现代化医院供氧的新局面。     

医院OG—500制氧系统的安装使用及维护维修

本文简述了医院的供氧方式由早期的单个氧气瓶给氧发展到中心供氧。供氧方式逐渐规模化、系统化。结合医院的情况就PSA制氧系统从安装到维护、维修作了介绍。PSA制氧系统是今后的一个发展方向。     

医院PSA制氧系统购置及配置论证

PSA方式制氧是目前最先进的制氧方式，PSA制氧系统是各医院首选的供氧设备。本文阐述了PSA制氧的工作原理及购置理由，并就如何配置此系统进行了全面地论证。     

医院制供氧模式对比及方案设计

目的:针对医院几种制供氧模式进行比较,提出基于PSA制氧机的制供氧系统选型配置方案。方法:对液氧供氧与分子筛制氧机供氧的原理、安全性、经济性等,进行比较分析;依据医院病床实例,提出基于分子筛制氧机的设备容量配置方案。结果:医院制供氧方式适宜采用PSA制供氧设备,其安全性、经济效益优于液氧供氧。结论:PSA制供氧设备具有自产氧能力,合理选用及有效管理可提升医院供氧安全性,实现医院效益最大化。     

医用制氧机空压机系统工作原理与常见故障分析

0引言 氧气在医院抢救、麻醉、手术及治疗中扮演着不可或缺的角色,在医疗救护中具有极为重要的作用。目前,医院主要有液氧供氧、氧气瓶供氧和分子筛制氧机制氧3种供氧方式^（[1]）,其中分子筛制氧机以其结构模块化、自动化程度高、操作方便等优点成为医院使用的主要氧源^（[2]）。     

1m^3／h医用制氧机的研制

本文介绍了一种新研制的小型医用制氧机，它采用变压吸附原理，只要接通电源，就能从空气中直接制出氧气，可以供中小型医院就地产氧，是一种较理想的供氧方式。     

医院中心供氧系统的科学管理

介绍了医院中心供氧系统的优点,通过对几种气源方式优缺点进行对比,讨论出氧源的最佳选择,同时对管道铺设过程中的材料选择、施工中的注意事项、对制氧室人员的要求以及加强中心供氧系统安全管理的相关措施进行了说明,以期为医院安装、组建和管理中心供氧系统提供一些依据和借鉴。     

压力软换吸附（PSA）医用制氧系统的特点及应用

随着我国各类医疗装备技术日益提高，使医院的急诊、诊疗、护理、教学、科研方面带来了极大方便。但医院供氧系统水平如何，从一个侧面反映出医院后勤现代化管理的水平。从国外一些国家和地区在医用氧源的发展历程，从五十年代的高压钢瓶供氧，到七八十年代的液态供氧，发展到九十年代的医用中心制氧系统供氧，１９９４年美国ＰＳＡ医用制氧系统在中国医院应用，改变了国内陈旧落后的医用供氧局面。其采用安全、高效、低成本的医用氧源，正是多年来医院所寻求的一种方法。我院从１９９７年８月以来使用美国亚适牌（ＡＩＲＳＰ）双系统ＡＳＡ…     

2000~2019年我国境内67起医院病房火灾统计分析

对2000~2019年67起医院病房火灾数据进行统计分析,得出火灾案件数据在发生时间、医院类型和等级、起火部位、直接原因方面各具特点,并根据这些特点提出建议。     

高层医院建筑火灾人员营救与疏散

阐述了高层医院发生火灾后人员营救及疏散的难点和对策,并结合消防实战演练经验,有针对性的提出了必须即时修订火灾应急疏散预案,开展常态应急疏散演练,坚持＂救人第一＂原则,选择正确疏散方法等以确保人员安全的管理对策。     

离散事件系统仿真在医院管理中的应用

概述离散事件系统仿真在医院门诊、急诊、手术救治、重症监护、住院等部门,以及医院总体的应用情况,探讨了仿真研究策略,分析当前研究中存在的问题,展望应用前景,对促进该技术在医院管理中的应用有参考意义。     

军队医院为部队服务经济核算模式的利弊分析

随着军队医院对外有偿医疗服务的发展,军队医院在经济核算方面出现了一些新的问题。作者针对当前军队医院主要的三种经济核算模式,进行了全面的利弊分析,提出研发统一的经济核算软件,完善经济核算手段,建立统一的内部激励机制,规范为部队服务经济行为,以谋求推进医院发展和保障伤病员利益的有机统一。     

黑龙江省县级综合医院绩效评价实证研究

目的构建县级综合医院快速绩效评价工具,为改善县医院绩效管理提供依据。方法应用专题小组法和专家咨询法,筛选关键指标构成快速绩效评价指标体系,采用直接评分法和TOPSIS法计算各医院的绩效综合评价结果。结果工作质量方面的短板、较低的基本药物配备率和薄弱的人力资源管理是各医院的共性问题。医院费用控制及经济管理维度中的关键政策指标达标率在各医院间波动较大。结论开发的县级医院快速绩效评价工具具有一定的科学性和可行性。     

Identifying and managing inappropriate hospital utilization: a policy synthesis.

Utilization review, the assessment of the appropriateness and efficiency of hospital care through review of the medical record, and utilization management, deliberate action by payers or hospital administrators to influence providers of hospital services to increase the efficiency and effectiveness with which services are provided, are valuable but relatively unfamiliar strategies for containing hospital costs. The purpose of this synthesis is to increase awareness of the scope of and potential for these approaches among health services managers and administrators, third-party payers, policy analysts, and health services researchers. The synthesis will assist the reader to trace the conceptual context and the historical development of utilization review from unstructured methods using individual physicians' professional judgment to structured methods using explicit criteria; to establish the context of utilization review and clarify its uses; to understand the concepts and tools used in assessing the efficiency of hospital use; and to select, design, and evaluate utilization review and utilization management programs. The extent of inappropriate (medical unnecessary) hospital utilization and the factors associated with it are described. Implications for managers, providers, and third-party payers in targeting utilization review and in designing and evaluating utilization management programs are discussed.     

特别重大火灾爆炸事故眼耳部损伤伤员伤情分析

目的探讨某特别重大火灾爆炸事故眼耳部损伤伤员伤情特点。方法回顾性分析事故中某三甲医院收治的53例眼耳部损伤伤员临床资料。结果致伤原因:眼部主要为电光热灼(70.27%),耳部则主要为爆震冲击波(93.94%)。损伤部位:眼部眼的附属器及眼球为高发部位,其中眼睑和角膜较为集中。耳部的中耳为高发部位,主要损伤集中在鼓膜。伤情种类:眼部的角膜挫伤、眼睑挫裂伤、结膜下出血、眼部热烧伤多于其他种类;耳部伤情则以鼓膜穿孔和爆震性耳聋为主。合并伤:眼部主要合并表皮伤害(擦伤)、开放性伤害(割、刺、撕裂伤)、烧伤及化学性灼伤;耳部主要合并开放性伤害(割、刺、撕裂伤)。结论特大火灾爆炸事故中伤员眼耳部损伤较为高发,伤情呈现出一定规律,且救治前期部分损伤不易被发现,应引起足够的重视。同时,针对此类事故救援,应着重从熟练掌握眼耳爆炸伤情种类、筛查原则、治疗措施等方面进一步加强针对性研究和培训,以最大程度预防和减少爆炸事件中眼耳伤员伤残发生。     

Changing needs of patients and families in the acute care hospital: implications for social work practice

Much attention has been given in recent years to changing reimbursement for hospital care, shortened lengths of stay, and changes in the delivery of health care. The corollaries to these changes are more restrictive admission criteria, increased severity of patient illness, and changes in patient care. The purpose of the present paper is to describe the inpatients who remain in the acute care hospital, and to examine both how the patients and families in need of social work consultation are identified and the implications of these methods of identification for social work practice.     

Methods for cost analysis,cost recovery,and cost control for a public hospital in a developing country: Victoria Hospital,St. Lucia

International attention has focused in recent years on methods for analysing costs of public hospitals in developing countries, with the goal of reducing the financial burden on governments by enabling improved resource allocation, by identifying areas for cost recovery and cost control, and by developing management systems to facilitate these efforts. A range of methods for cost analysis, cost recovery, and cost control are reviewed in this article, with illustrations of applications of the methods at Victoria Hospital, the national hospital in St. Lucia. Comparisons are made to similar studies in Belize, Lesotho, and the Dominican Republic. Cost-analysis methods focus on a detailed cost accounting effort which identifies the full financial costs of hospital operations and the unit costs of individual hospital services. Cost-recovery methods include an analysis of cost-related and other issues involved in setting fee levels for hospital services, determination of exemptions for certain population groups, and management of fee collection systems. Cost-control methods include analysing the degree of managerial authority exercised by hospital managers in relation to the central Ministry of Health and other government departments, identifying opportunities and incentives for cost control by individual departments within the hospital, and evaluating methods for involving physicians and other clinical decision-makers in cost control efforts. A diagnosis-independent method for utilization review of clinical decisions, the Appropriateness Evaluation Protocol, is pilot-tested and alternatives, including Diagnosis Related Groups, are discussed. Implementation issues related to long-term systems development efforts are reviewed.