深化医院三项改革强化管理和竞争意识

在医院改革的大潮中,我院坚持“正、硬、快、实,从严治院”的办院方针,强化“爱院、科学、优质、活力”四个意识和“精神、管理、质量、经济”四个支柱,坚持以社会效益带动经济效益的基本原则,取得了可喜的成绩。     

浅析医院院训文化

文章调查首都医科大学附属医院及教学医院的院训,分析院训在用字用词频率、句式、词源等方面的特征,讨论分析了院训在精、诚、勤、博、爱及创新方面的用字(词)内涵,凸显了医生应该具备的医学人文素养和医师职业道德素质。最后,就"院训"建设提出了相关建议。     

医院管理者对院感管理专职人员职称晋升的认知情况调查

目的了解医院管理者对医院感染(院感)管理专职人员职称晋升障碍的认知情况。方法对甘肃省4个地州市78所医院309位医院管理者进行问卷调查,回收调查表并进行数据分析。结果共发放调查表309份,所有调查表全部收回,回收率100%,均填写合格。调查对象以护理管理人员居多,占67.64%,"无院感专业技术职称"、"按原专业岗位晋升竞争力不强"是院感专职人员职称晋升的主要困难,分别占41.28%、20.15%;医院管理者对院感专职人员晋升方面的主要建议为进行全国范围的院感专职人员晋升情况调查,统计分析调查结果后向国家相关部门反映,建议其尽快设置院感相关的职称序列。结论医院管理者对院感专职人员职称晋升中的困难有一定了解,增加院感管理专业技术职称是解决院感专职人员职称晋升障碍的主要途径。     

绍兴文理学院医学院附属医院简介

绍兴文理学院医学院附属医院创建于1992年，属政府办非营利性医院，占地面积17783m^2，医疗建设用房面积11071m^2，是绍兴文理学院医学院下属一所集医疗、教学、科研、预防、保健于一体的综合性医院。     

浅谈院报在构建和谐医院中的作用

院报是医院文化的一部分，笔者所在的医院今年开始创办了院报，院报虽然只是一张仅供内部交流的资料，但其作用却不容低估。随着社会的发展，各单位的宣传显得日益重要，而要同时做好对外的“宣”和对内的“传”却不是一件容易的事情，笔者时常接到群众对医院不理解的咨询电话，也经常仔细倾听医院职工的呼声，从中发现，其实社会群众，甚至医院职工对医院的了解都还欠缺，笔者认为院报是一座沟通医院内外关系的桥梁，办院报是构建和谐医院很好的举措。院报在构建和谐医院中主要有以下几点作用。     

对二所二级医院重组可行性与模式的实证研究概述

目的 为政府决策提供依据，探讨相关的方法学，寻找重组中的共性问题。方法 采用统计学、运筹学的部分定量和社会学的定性方法。结果 A与B两院承担起了二级医院的功能，满足了Z区内的基本医疗需求，A院优于B院，住院强于门诊，重组阻力在两院内职工，两院若重组成功，其医疗市场尚有拓展空间，重组中应以技术共进、质量效率提升为重心，尤其要满足两院周边居民的基本医疗需求。结论 两院重组首先宜采用松散协作模式，循序渐进，政府应当发挥引导、协调、政策支持等作用。     

企业医院走向社会的实践--对港口医院从港务局分离的调查与思考

介绍了港口医院转为镇江市二院大港分院的运行情况。     

深化改革 强化管理 提高医院综合实力

社会主义市场经济的建立,推动着社会主义现代化建设的飞速发展,医院这块医疗卫生阵地在激烈的市场竞争中要求生存、求发展,必须走改革开放、科技兴院之路。几年来,我院在哈尔滨飞机制造公司的领导下,在省市卫生部门的支持和帮助下,坚持改革、拼搏进取,使医院走出低谷,发展成为具有一定规模和实力的大型综合性三级甲等医院,初步探索出一条新形势下适应我院特点的管理模式。 一、深化改革,转变观念,调整结构 1990年2月,新的一届领导班子面对医院资金短缺、设备简陋、人才匮乏、房屋年久失修的困难局面,院领导班子和全体职工一道面对现实,艰苦奋斗,首先从管理抓起,引入竞争机制,在哈市医疗系统率先实行了干部聘任制,定期考核、轮转交流制,举办各种类型的干部培训班,提出了“院兴我荣、院衰我耻,患者至上、勤勉敬业,从严治院、以优取胜”的建     

基于HIS系统的医院感染信息管理系统

在HIS平台上建立和实现院感信息的提取、鉴别、确认、分析和处理，实现医院感染的过程管理和实时有效监控，同时应用HL7协议实现跨平台的数据调用，使院感信息更加全面和准确，为医院院感管理提供了有效的工作平台。     

加强精神文明建设 促进医院发展

1 加强领导,强化管理医院成立了由院党总支书记兼任院长任组长的思想政治工作、精神文明建设领导小组、院政治学习中心组及政研会,各科室也成立了相应的领导小组,制定了院、科精神文明建设规划和年度工作计划,把精神文明建设工作摆上重要议事日程,纳入医院管理方案和院科两级综合管理目标,层层实行目标责任制,做到目标明确、责任到人、党政工团齐抓共管。同时,我院按照软指标硬化,硬指标量化的原则,把各项指标与     

Trends in meningococcal disease in Italy in 1988

Meningococcal disease in Italy decreased 15% in 1988 from the previous year (290 vs. 342 cases). The decline was particularly evident in military cases (1.7/100,000 in 1988 vs. 5/100,000 in 1987) reflecting the full coverage of bivalent serogroup (A + C) meningococcal polysaccaride vaccine in army recruits, achieved since January 1988. The highest proportion of cases was seen in people older than 25 years of age (25%). Serogroup C constituted 60% of the isolates, while 19% belonged to serogroup B. The proportion of strains resistant to sulphonamides was 45%, while 15% were resistant to Minocycline and none to Rifampin. Out of the five military cases, only one (due to serogroup C) was attributable to the vaccine failure. A single coprimary case, but no secondary cases occurred among civilians. These findings are consistent with the trends reported in Italy in the previous years.     

Benzene in blood and phenol in urine in monitoring benzene exposure in industry

Determinations of benzene concentration in blood and of phenol in urine were made by head-space gas chromatography techniques on samples taken near the end of the work day from two groups of workers potentially exposed to low levels of benzene in the work-place atmosphere. Preliminary results suggest that benzene in blood is more reliable than phenol tests for assessing both exposure and uptake of benzene. Normal values of phenol in urine (10 mg/liter or less) were found in nearly all those cases in which benzene was detected in the blood.     

2015年郑州市饮用水放射性水平状况调查

目的了解郑州市不同地区、不同季节、不同水源类型的放射性水平。方法分别于丰水期和枯水期采集郑州市区黄河水源水、井水源水、丹江口水源水、出厂水和末梢水各一份;以县为单位,每单位采集出厂水、末梢水、水库水、河水、井水各1份,按《生活饮用水生活标准检验方法》(GB/T 5750.13-2006)检测饮用水中总α和总β放射性水平,依据《生活饮用水卫生标准》(GB 5749-2006)进行判定。结果丰水期、枯水期水体总α、总β放射性水平均低于国家标准限值。结论郑州市不同水源类型均处于正常的天然放射性本底水平。     

Occupational stress in nurses in psychiatric institutions in Taiwan

Nurses are known to be exposed to occupational stress. However, occupational stress is not well documented for nurses in psychiatric institutions in Taiwan. A cross-sectional study was conducted to explore the work-related stress and risk factors of nurses in psychiatric institutions in Taiwan. A structured questionnaire was distributed to nurses at five state-owned psychiatric hospitals in Taiwan in 2001. Demographic information, working environment, and personal health status were inquired. Occupational stress was assessed based on the Chinese version of Job Content Questionnaire (JCQ). General health status and mental health were evaluated by the International Quality of Life Assessment Short Form-36 (IQOLA SF-36). A total of 573 questionnaires were disseminated to nurses and 518 (90.4%) were satisfactorily completed by nurses, including 408 female full-time nurses who had been in their current work for more than 6 months. In the past one month, 17.2% of nurses reported being under significant stress often or always. Assault episodes were reported by 45.1% of nurses in the past 6 months. Among the nurses, 16.9%, 25.2%, 50.0%, and 7.8% belong to the "High strain", "Low strain", "Active", and "Passive" groups, respectively. Perceived occupational stress was associated with young age, widowed/divorced/separated marital status, high psychological demand, low workplace support, and threat of assault at work. Lower general health score was associated with low job control, high psychological demand, and perceived occupational stress. A lower mental health score was associated with low job control, high psychological demand, low workplace support, and perceived occupational stress. We concluded that nurses in psychiatric institutions are under significant stress related to work factors.     

Changes in nursing administration in supporting transplantation in Brazil

This historical and bibliographic study aimed to understand how Nursing was organized to support care in transplantation. The HISA, LILACS, BDENF, PERIENF and DEDALUS databases were consulted, and thirteen references were found, ten of which were scientific articles, two were master's dissertations and one was a doctoral thesis. The span of time chosen for study ranges from the date of the first kidney transplant in Brazil (1965), to the date of publication of the last scientific article found in the databases mentioned above (2003). After reading these articles, the ones that were similar in topic were grouped together, thus creating the thematic axis for the presentation of the results. The results showed that the Nursing profession has played an important and active role in transplants ever since the first procedure in 1965.     

2019年中国肿瘤流行病学研究进展

恶性肿瘤已成为中国居民的主要死因之一。近些年来,中国政府积极推进肿瘤预防和控制领域的研究工作,取得了很大的进步。本文简要汇总中国在肿瘤流行病学领域的研究进展,具体包括2019年的肿瘤负担、癌症危险因素及其干预、筛查和早期发现、癌症防治专项行动(2019-2022年)方案等方面,以期为我国肿瘤防治工作的有效开展提供技术支撑和理论依据。     

2012年绵阳市蔬菜中农药残留状况

目的 了解绵阳市2012年市售蔬菜中农药残留情况,为食用蔬菜监管提供依据.方法 全部样品均按照GB/T 5009-2003的方法进行农药的残留检测.依据GB 2763-2005《食品中农药最大残留限量》进行判定.结果 2012年共检测蔬菜165份,农药检出率和超标率分别为72.12％和23.64％.豆类、根茎类、叶菜类、瓜果菜类和食用菌类蔬菜检测农药残留超标率分别为8.00％、23.53％、36.00％、5.26％和27.03％,差异有统计学意义(x2=11.41,P＜0.01).不同种类农药超标率差异有统计学意义(x2 =62.42,P＜0.01).夏季和冬季蔬菜农药超标率差异无统计学意义(x2=3.44,P＞0.05).结论 绵阳市叶菜类蔬菜中农药残留情况较为严重,应采取有效措施,加强蔬菜的监督管理,从源头禁止高毒农药的使用,加大蔬菜种植、销售环节的监测,确保市民食用蔬菜的安全.