医院信息化在护理管理中的应用

信息技术在医疗护理工作中得到很广泛的应用,它以其方便、快捷在医疗护理中发挥着巨大作用。目前有很多医院已经使用计算机网络信息化管理系统,极大地提高了工作效率,减轻了护理人员的劳动强度。但由于要改变医院传统的工作模式和流程,各医院在护理信息化过程中也暴露出不同的问题。     

“一站式”服务模式在医院门诊中的应用

总结了"一站式"服务模式在医院门诊服务中的应用及效果,主要包括了分诊挂号收费一站式、预约复诊一站式、入院服务中心的一站式、肿瘤中心诊治流程的一站式等,认为"一站式"服务模式落实了"以患者为中心"的服务理念,极大地方便了患者,提高了工作效率和患者满意度,也增加了医院的经济效益,有助于扩大医院知名度,提升医院的美誉度,值得临床推广。     

浅谈陪护在临床工作的作用

陪护是随着医院的不断发展自然产生的,随着医院的不断发展,陪护已成为了医院不可缺少的一部分。陪护不仅为病人家属提供了方便,也解决了医院护士不足的现象。陪护是负责照顾住院病人个人卫生、饮食起居的非病人家属。医院陪护是介于护士与病人家属之间的一种工作,其主要任务包括：（1）协助护士监护病人,照顾病人的生活起居、饮食和吃药。（2）帮助病人做康复运动,如翻身、按摩、行走等。陪护也存在其双面性,其在临床工作中也存在着双重作用。现将陪护在临床工作中的作用报道如下。     

浅谈病案首页的计算机管理

病案管理作为一门学科，已经建立起一套自己的理论体系。病案首页是病案中信息最集中、最重要、最核心的部分。无论是统计报表，医院管理，还是科研教学病例检索，主要来自病案首页提供的信息。病案首页的质量好坏，影响到计算机的录入，同时影响到医院的建设和医院管理以及病案管理等各方面资料的分析和分类。按卫生部要求，我院使用全国统一的病案首页，在ICD-10：编目系统指导下，我院于1990年建立了病案首页计算机管理系统。该编目系统具有一名一码，查找方便等优点，但在使用过程中也发现了一些问题。     

提倡手术室内禁止使用手机

随着无线通信技术的飞速发展,手机已成为人们日常生活方便、快捷的通讯工具,医院工作人员、患者、家属拥有和使用手机者也相当普遍。尽管医疗区使用手机的不良影响正逐步受到人们关注,各医院也作出了’医疗区禁止使用手机’的规定,特别是对医务人员。但是,此规定难以被广泛接受     

6S管理在老年髋部骨折诊疗过程中的教学应用

中国医科大学航空总医院是第一批将6S管理在医院应用的医院之一。在4年的临床实践中从管理目标和临床实践出发,持续优化了6S管理医院中的应用,在教学方面也取得显著成效。本文将6S管理引入老年髋部骨折诊疗过程中的教学工作中,旨在协调好规范化管理与教学的关系,实现提高教学质量,保障教学安全的目标。     

大型医院门诊挂号流程优化探讨

我院是一所大型综合性医院,门诊病员较多,每日约8000多人次挂号,号源量有限,供需矛盾突出,导致门诊大厅挂号处常常呈现出为挂号而拥挤、排长队的现象。如何解决这个问题,是医院管理者面临的首要问题。近一年来,门诊部采取多种挂号形式,优化了挂号流程,病员可根据自已的需求,选择不同挂号形式提前挂号,按时候诊,病员无需看病当日到医院排队,使医院门诊的拥挤现象得到改善,也方便了患者,病员满意度也有所提高,实现了医院和病员的双赢。     

PACS的临床应用

目的评价PACS系统在图像存储与传输方面的临床价值与效益.方法对SIEMENS公司出产的PACS系统在我院图像获取、贮存、传输网络中的应用进行临床评估.结果 PACS系统省时、可靠、方便、高效,可降低物品、人员耗费,减少不必要照射,在临床应用中取得良好效果,使医院的现代化、信息化建设迈上新台阶,满足医院整体数字化、网络化的要求.其缺点为投入较高.结论实现PACS系统,提高了医学影像保存的质量,为临床和教学工作提供了高效可靠的保证.     

日间血管造影的问题和步骤

大部分病人都对住院感到忧虑,那些等待冠状动脉造影的病人也不例外。如果造影后不在医院里过夜,病人会感觉更舒服些,假如有朋友和亲戚陪伴,离医院较远的病人可以住日间病房。这样既减少了住院费用,又方便了病人。冠状动脉造影在日间进行是比较安全的,但也可以引起并...     

德国Zentralkinikum医院手术室见闻

受 Zentralkinikum医院等机构的邀请 ,笔者于 2 0 0 0年 9月到德国 Zentralkinikum医院进行观摩和交流。在德国的 2个月时间里 ,耳闻目睹了一些先进的技术和理念 ,拓宽了视野 ,对改进我们的工作大有启迪 ,现将该医院的情况介绍如下。1　医院的一般情况Zentralkinikum 是德国南部城市Augsburg的中心医院 ,主要建筑是一幢 1 3层的大楼 ,有 1 2 4 0张床位 ,是一所综合性医院。院内除了具有综合性医院常规的设施外 ,还设有银行、教堂、餐厅、小型超级市场、邮箱等 ,方便病人及家属使用。在医院大楼的首层还设有行李暂存间 ,方便远道而来的病人…     

A public access defibrillation programme in non-inpatient hospital areas

INTRODUCTION: Automatic external defibrillators (AED) have proven to be valuable and life saving for out of hospital cardiac arrests. Their use in hospital arrests is less well documented, but they offer the opportunity to improve survival in the hospital setting also. METHODS: The implementation of a public access defibrillation (PAD) programme at a tertiary care hospital is described, with reference specifically to targeting areas where time from arrest to arrival of defibrillation would be greater than 3 min. RESULTS: Nine AEDs were placed in areas of the hospital distant from inpatient or outpatient floors. The locations of the AEDs were chosen based on a 3 min walk from currently available defibrillators to all areas of the hospital, including parking garages and walkways from building to building. In this programme AED use in non-inpatient hospital locations resulted in the resuscitation of a patient in ventricular fibrillation. CONCLUSION: PAD in non-inpatient hospital settings can be life saving and similar programmes should be considered for other hospitals.     

实施护士长院内进修ICU的做法与成效

通过有计划地选派护士长轮流到本院ICU院内进修,提高了护士长的整体素质和综合技能,增强了管理能力,促进了教学相长,作为“离科不离院”的灵活进修方式,将当前需要与长远需要相结合,既为医院节约了进修经费,又达到了对护士长专业素质的培养,促进了医院重症监护网络的形成。     

大型三甲医院医疗输送社会化管理模式探讨

目的 探讨、创新大型三甲医院实施医疗输送社会化后的管理模式.方法 通过竞标选取公司后,采用公司及护理部的双轨管理模式.由护理部统一制定及实施各项监管制度,全程参与公司激励机制改革方案,重视素质及技能培训,规范四级质量检查措施和考核方案,定期召开多部门协调会议.结果 医疗输送社会化降低了医院管理成本,管理模式的创新使患者及医务人员对输送队员的满意度与前期相比也逐步提高,为临床一线提供了强有力的支持系统.结论 专职医疗输送人员实施社会化管理是可行的 由公司直接管理、护理部统一监管的双轨管理模式是开辟输送管理的新路径 机制创新,强化培训,严格管理及多方监督是稳定输送队伍、提供优质输送服务的保证.     

Identification of typologies derived from child behaviors in the hospital as predictors of psychological upset.

This study proposed to measure objectively the behaviors of children in the hospital setting in order to combine the data on the particular aspects of behaviors or symptoms into global measures or typologies of psychological upset. It attempts to offer a good, single measure for predicting behavior of children in psychological upset. Thirty-one subjects in this study, observed in the hospital setting, are clustered together to identify typologies derived from child behaviors in the hospital. These children were divided into three factors which correspond with the three stages of hospitalization: Factor I typified Stage III -- Denial; Factor II typified Stage II -- Despair; and Factor III typified Stage I -- Protest. The study offers direction to objectively and systematically evaluate the effects of hospitalization on children. It also suggests that observational ratings of child behaviors in the hospital may be accurate predictors of the degree of psychological upset a child is experiencing at a certain point in time. It also has particular implications for strategies which hospital staff could employ when they observe particular stages that children manifest.     

A DRG based future hospital funding scheme: state of implementation and impact in the field of rehabilitation

With the statutory health insurance reform act 2000 the German government started to introduce a new hospital funding system based on an internationally used diagnosis related groups (DRGs) system. In June 2000 the German self-administration board (consisting of the German hospital federation, the German statutory health insurance funds and the association of private health insurers), which is in charge of realizing this project, decided to develop the future German (Refined) DRG System (G-DRG) with reference to the Australian Refined DRG System (AR-DRG) Version 4.1. Replacement of the previous German hospital reimbursement system by the new DRG-based hospital funding system is planned for January 2003 on a voluntary basis. From January 2004 on, the change of the reimbursement system is to become mandatory for all hospitals with the exception of psychiatry. The new reimbursement system is intended to not only cover acute hospital care but also parts of early rehabilitation, palliative and sub-acute care. Because of its economic incentives the effects of DRG introduction in Germany will not only be limited to the hospital scene but will also affect rehabilitation.     

Let's Pretend: A Hospital Teaches Children About Health Care

A college of nursing and a hospital offer a "pretend hospital" to approximately 3,000 first graders each spring. The community service project, which has quadrupled in attendance over nine years, teaches first graders about health maintenance and the role of health care in their lives, and helps decrease their anxiety related to the hospital experience. Realistic and nonthreatening multisensory experiences of the simulated hospital prepare children for the healthcare consumer role. The simulation also provides nursing students an opportunity to translate concepts of growth, development, and communication into practice.     

Undergraduate nursing students' preparedness to "go rural"

This article reports on a theme emerging from a focused ethnography examining the professional socialization of undergraduate fourth year nursing students during a rural hospital preceptored clinical experience. Nursing students and preceptors geographically dispersed over a 640,000 square kilometer rural area participated in this study. Students report student preparedness for the rural hospital setting means to "know what you are getting into". Assisting nursing students to prepare for the rural hospital preceptorship facilitates a positive experience thus increasing the effectiveness of the preceptorship model of clinical teaching. Having a positive rural-based experience also has the potential for recruiting new staff. These preliminary findings suggest that student preparation for the rural hospital preceptorship includes cognitive and psychological preparation, as well as the acquisition of common advanced clinical skills.     

品管圈活动应用于藏区医务人员手卫生管理中的效果分析

目的：探讨品管圈活动在藏区医务人员手卫生管理中的应用效果。方法将品管圈活动应用于藏区医务人员手卫生管理中,按照品管圈十大步骤,通过调查、暗访等方法分析藏区医务人员手卫生影响因素,制定、实施相应对策并评估有效果。结果通过品管圈活动的开展,藏区医务人员手卫生依从率从44%提高到78%,正确率由51%提高到91%,超出了预期目标。同时圈员在发现、解决问题能力、责任心、自信心、QCC手法运用方面都得到了不同程度的提升。结论品管圈活动不仅可以提高藏区医务人员手卫生依从率和正确率,也可提高圈员间的团队凝聚力、和谐度,在各民族医院临床中值得进一步推广。     

新加坡中央医院感染管理的学习体会

文章介绍了新加坡中央医院感染管理工作及具体措施,从住院环境监测、合理使用抗生素和规范手卫生等各个方面,形成完备的医院感染管理控制网络,以确保患者在医院就医的安全性,真正体现了“以人为本”的理念,并在此基础上,总结了对我国医院感染管理的启示.     

Providing equal access for deaf clients

Fifteen years after the passage of a law by the Federal Government, many hospitals are still not providing hearing-impaired patients with equal access to their services in a consistent and effective way. Not only does this create frustrating situations for the patients and hospital staff, but it also puts the hospital in the position of noncompliance with the law. The author describes how one hospital addressed this issue at the level of service provision and found some workable solutions.