以“安全文化”改善医务人员职业安全感

本文介绍了国外医院管理中的“安全文化”理念，结合我国医院中员工满意度以及安全感的问题分析，提出了我国医院在目前形势下建立“安全文化”的现实性和必要性，并且对相应问题进行了讨论。     

Dawson Report: more and smaller theme

It is possible to consider many of the health centres opened in the last 10 years as 'illness centres' rather than 'health centres'. But Hazel Grayson, research officer, and Dr Raymond Moss, director of the Medical Architecture Research Unit at the Polytechnic of North London, argue that it is where a health centre is, rather than what it is, that determines its success.     

Report: hospitals need more sophisticated planning efforts

Sophisticated planning efforts are increasing among hospitals. However, hospital planners and marketers still have far to go before they can match their counterparts in industry. This is according to a report on hospital planning recently released by the Society for Healthcare Planning and Marketing of the American Hospital Association, Chicago.     

Achievements of infants on items of the Griffiths scales: 1980 compared with 1950

As a preliminary to the revision of the Griffiths scales, 79 examiners throughout Britain tested 447 infants under the age of 2 years during 1978-1982. Compared with the original standardization sample of 1947-1951, the 1980 sample mean general quotient (GQ) was significantly higher, even after adjustments had been made for a slightly skewed social class distribution. Nor did regional differences between samples account for the GQ differences. Unreliable items were not significantly more common among those where the median age at passing had changed most. Various technical difficulties in representing differences between samples were encountered and dealt with. A population's overall results may be given in terms of mean score increase per month, median age advance in weeks or months, e.g. per year, and increase in general developmental quotient. Findings of differences between populations in age at passing individual items can be given as advances in median age, but are better expressed as ratios of the median ages of the two samples in order to deal with the differences in the chronological age for which items are designed. Only then can items be compared for amount of change. In terms of score and mental age advances the second year appears more changed than the first, but in terms of GQ the reverse is true. The locomotor scale mean differs more than other scales from the original norms for both years of infancy, while the personal-social scale differs more in the first year. Taking the most cautious estimate of differences from the data available on both samples, at least 160 items are now passed earlier than in the 1950 sample and the ratio of 1950 to 1980 ages is greater than 110 for 83 of those. Further study of the Griffiths scales items, in relation to one another and to cultural factors, seems feasible on the basis of steps illustrated in this paper.