黑龙江省医疗卫生机构医疗废物处置管理评估

<正>为进一步贯彻实施《医疗废物管理条例》,黑龙江省各级卫生监督机构按照《卫生部2009年传染病重点监督检查方案》的要求,对医疗卫生机构医疗废物处置管理进行了全面的整顿和规范,医疗卫生机构医疗废物处置规范化管理有了明显提高。现将2009年卫生监督机构对各级医疗卫生机构医疗废物处置监督检查结果进行分析评估,以推进黑龙江省医疗废物安全管理。     

决不能让医疗垃圾造成危害 医疗废物管理办法发布施行

为规范医疗卫生机构对医疗废物的管理 ,有效预防和控制医疗废物对人体健康和环境产生危害 ,《医疗卫生机构医疗废物管理办法》日前发布施行。为此 ,国务院副总理兼卫生部部长吴仪已于近日签署中华人民共和国卫生部令 (第 3 6号 )。《医疗卫生机构医疗废物管理办法》共分七章 48条 ,分别对医疗卫生机构对医疗废物的管理职责、医疗垃圾的分类收集、运送与暂时贮存、医疗垃圾处理人员的培训和职业安全防护、医疗垃圾监督管理、违反《医疗废物管理条例》及《医疗卫生机构医疗废物管理办法》的罚则等作出明确详细的规定。新颁布施行的这个办法规…     

医院医疗废物管理的实践

对医疗废物进行规范化管理，已成为医院感染管理工作中一个重要环节。近年来，我院认真贯彻执行《医疗废物管理条例》和《医疗卫生机构医疗废物管理办法》，对医疗废物管理工作中存在的问题进行认真分析，不断总结经验，完善管理方法，健全组织，落实责任，收到较好效果。     

嘉兴市医疗废物处置现状与管理对策

为切实加强嘉兴市医疗卫生机构医疗废物的管理工作，进一步规范医疗废物的处置行为，有效预防和控制医疗废物对人体健康和环境产生危害，根据国务院《医疗废物管理条例》、卫生部《医疗卫生机构医疗废物管理办法》和浙江省卫生监督所《关于组织开展全省医疗机构医疗废物专项整治的通知》等要求，市卫生局于2005年7～9月在全市范围内开展了医疗机构医疗废物处置专项整治行动，对871家各级各类医疗卫生机构医疗废物处置现状进行专项检查。     

上海市综合性医院医疗废物管理量化监督评估

自《医疗废物管理条例》出台后，上海市卫生行政部门制定管理规范、细化相关规定，采取一系列管理措施，全面加强对医疗卫生机构医疗废物管理和处置的监管，并强化执法力度。经过努力，上海市医疗卫生机构医疗废物管理取得了一定成效，管理制度不断完善，各项医疗废物管理和处置工作趋于规范化。     

传染病防治分类监督大事记

<正>2004年12月1日,新修订的《传染病防治法》施行。该法赋予医疗卫生机构在传染病预防和控制中的重要职责,对传染病预防、疫情报告、控制以及医疗救治和保障措施等方面作出规定。随后,根据《传染病防治法》《病原微生物实验室生物安全管理条例》《医疗废物管理条例》《疫苗流通和预防接种管理条例》等行政法规,《消毒管理办法》《医院感染管理办法》等规章、规范     

血站医疗废物的管理方法

随着《医疗废物管理条例》、《医疗卫生机构医疗废物管理办法》和《医疗废物管理行政处罚办法》的相继出台，医疗废物规范化管理已受到了医院、血站等各级医疗卫生机构的重视，并取得了较好的效果。     

医院医疗废物的管理

医疗废物是指医疗卫生机构在医疗、预防、保健以及其他相关活动中产生的具有直接或间接感染性、毒性以及其他危害性的废物.医院所产生的医疗废物不仅对医院内人员有造成感染的危险,也可能会污染环境,造成社会疾病的流行.随着《医疗废物管理条例》和《医疗卫生机构医疗废物管理办法》的颁布实施,医疗废物的规范化管理已成为医院感染预防与控制的主要任务之一.为了做到医疗废物规范管理,我院采取了一系列管理措施.     

医院医疗废物的全程监控管理

医疗废物具有致病性及疾病传染性，对环境和人体健康产生严重的危害性。医疗废物在《国家危险废物名录》中被列为1号危险物。从1999年开始，我院作为控制医院感染的一项重要工作，对医疗垃圾进行管理，由于当时缺乏相应的法律法规，在医疗废物管理中存在许多薄弱环节。2003年，尤其是SARS以后，相继出台了《医疗废物管理条例》、《医疗卫生机构医疗废物管理办法》等一系列关于“医疗废物管理”的法律、法规和条例。为加强医疗废物的科学化和规范化管理，结合我院实际情况，我们对医疗废物实施有效的全程监控管理，取得了显著成效。     

口腔门诊医疗废物的管理

口腔门诊是集检查、诊断、治疗为一体的场所,日产医疗废物数量多、种类多。如何预防和控制医疗废物对人体健康和环境的危害,我们的管理方法如下。1健全组织机构,明确任务医院成立了以分管院长为组长,由医疗、护理、总务、医院感染管理科等部门负责人组成的医疗废物管理领导小组;各科室成立管理小组,由科主任、护士长、医师、护士组成,并明确各部门的职责、任务,实行分级目标管理,层层负责,责任到人。2建立制度,做到有章可循认真贯彻执行《医疗废物管理条例》、《医疗卫生机构医疗废物管理办法》及省市相关配套文件。制定了一系列有关医疗废…     

Trends in medical microbiology--gene probes in medical microbiology

At first the principle of nucleic acid hybridisation, some important technics used heretofore, and methods to label nucleic acids are described. The advantages and disadvantages regarding to the application to microbiological diagnostics are discussed. The advantage, before all, is the high specificity of the test which allows to detect the presence and the properties of genes which are not expressed. The methods known up to now can only be applied if the probe is labelled radioactively, since under these conditions the sensitivity is high enough to identify bacteria contained in clinical isolates without prior cultivation. The comparable complex methods are restricted, presently, to special mostly epidemiological problems. To improve these technics regarding increased sensitivity, to the use of non-radioactively labelled probes, to higher speed, and to the automation of the test internationally much work is carried out with great intensity. The solution of these problems will create conditions for a wide application of DNA probes in the general microbiological laboratory.     

论医疗卫生机构的医疗废物管理

医疗废物是一类危险性大、社会影响广泛、来源及危害性明确的特殊危险废物,是指医疗卫生机构在医疗、预防、保健以及其他相关活动中产生的具有直接和间接感染性、毒性以及其他危害性的废物,《中华人民共和国固体废物污染环境防治法》将医疗废物归类为危险废物。为了加强对医疗废物的安全管理,防止其对人体的危害及环境的污染,国务院制定的《医疗废物管理条例》和卫生部制定的《医疗卫生机构医疗废物管理办法》中明确要求对医疗废物必须进行无害化处理。     

医疗救援卫生耗材的保障策略

目的:加强医疗救援卫生耗材的应急保障。方法:分析日常医疗耗材的供应基础和要求,明确应急医疗耗材供应的管理要素。结果:应急医疗耗材的供应保障需要更多的经验积累和科学统筹的管理。结论:应该充分重视应急医疗救援的耗材供应,克服管理混乱的弊端,才能保障应急救援工作更快捷、更顺利、更精细。     

某院109例医疗纠纷中医方缺陷分析

医疗纠纷是指患者或其亲属认为医疗单位或者医护人员提供的诊疗护理服务有过错并造成患者人身、财产、精神的损害,而与医疗单位或卫生行政主管部门或医疗事故鉴定机构之间产生的争执[1]。近年来,医疗纠纷日渐增多,医患冲突不断升级,已成为困扰医院发展的严峻问题。作为医疗中主     

建立军队医疗机构医学计量管理体系的实践与思考

介绍了建立军队医疗机构医学计量管理体系的必要性,提出基于GB/T 19022-2003《测量管理体系测量过程和测量设备的要求》建立军队医疗机构医学计量管理体系的原则和思路.分析了该医学计量管理体系在某院实际计量管理实践中的实用性和可操作性,从标准化、精细化、信息化3个方面进行了进一步的探索和改进,逐步建立了一套适合军队医疗机构的医学计量管理体系.该计量管理体系的建立,对实现军队医学计量管理的规范化、程序化和系统化具有重要意义.     

Role of state medical boards in continuing medical education

The evaluation of physician competency prior to issuing an initial medical license has been a fundamental responsibility of medical boards. Growing public expectation holds that medical boards will ensure competency throughout a physician's career. The Federation of State Medical Boards (FSMB) strongly supports the right of state medical boards to require physicians to demonstrate continuing qualification for medical licensure. The FSMB views continuing medical education (CME) as an important component of any maintenance-of-competence initiative. Most medical boards require CME as part of their license renewal process. Learner-focused CME with measurable outcomes enables the medical profession's emphasis on core competencies, training, and assessment, and the general public's expectation for maintenance of physician competence. To effectively move their licensee populations toward the most effective CME tools and structure, medical boards must recognize physicians' educational needs and preferences. Medical boards can be proactive by fostering educational consortia involving medical boards, medical societies, and academic medical centers and featuring educational sessions that represent the best in current CME practices.     

The underrepresented in graduate medical education and medical research

There is a perception that the career options open to medical school graduates who are members of minority groups are restricted. This perception relates especially to those postgraduate medical training programs that have not traditionally encouraged or had significant minority participation. Data were therefore sought to determine whether this perception was well founded. Recent reports show the strikingly low numbers of minorities on medical school faculties and in administrative positions in spite of efforts to fill such positions. Information on the specialties of practicing minority physicians is limited, but accurate figures are available on the participation of minorities in various specialty postgraduate training programs. For instance, during recent years, 50 to 60 percent of all black residents have been trained in internal medicine, pediatrics, general surgery, and obstetrics and gynecology. Further studies are needed to document or disprove the conception that minority physicians have less access than other physicians to certain careers in the delivery of health care and education. In the interim, efforts should be continued to encourage minority physicians not only to seek preparation for community primary care practice, but also for professional participation in academic careers of other specialties (and subspecialties), in biomedical and clinical research, and in health care administration. The ability to enter these diverse careers is most often determined by the opportunities available at the time of completion of medical school education. Therefore, those involved in graduate medical education should address the challenge of providing opportunities for the proportionate representation of minorities in all aspects of medical care and medical education.