基于B/S架构和微信公众号的医用设备管理系统设计与应用

目的 为解决三甲医院设备综合管理的工作繁杂,维修效率较低、易出错、管理流程不规范等多种问题,设计了一套服务于医护科室理念的高效信息化的管理设备医用平台。方法 采用B/S（浏览器与服务器）架构和微信公众号技术,构建出以Web技术开发的应用端和微信公众号客户端,选择MySQL服务器作为系统数据库技术。结果 将资产管理、设备维修、质控管理、设备租赁、数据统计分析等模块整合在一套系统,优化且规范化了医用设备管理流程,提高了设备管理人员的工作效率,提升了医疗设备的开机率。结论 运用计算机技术的手段进行智能化管理,可有效提高医院设备的使用率,有效提升医院信息化和精细化管理水平,有助于医学工程部科室的信息化发展。     

基于信息化的医疗设备采购管理研究与实践

医疗设备采购是医院管理工作中的重要环节,其过程复杂、环节众多,极易出现影响采购效率和质量的各种问题。该研究对医疗设备采购活动中的环节进行梳理和优化,形成一套合法合规的医疗设备采购管理流程,并通过信息化平台构建医疗设备采购管理系统。该系统实现了采购各个环节的时间节点记录和过程文件保存,并可以进行时效统计分析、时间节点提醒、执行方案智能推荐;解决了传统管理模式下医疗设备采购各个环节档案分布零散的问题,确保了医疗设备采购流程的规范性和有序性,提高了医疗设备采购的效率和质量。     

医疗设备验收的信息化管理

目的：利用信息化技术手段进行医疗设备验收工作及其管理。方法：结合以往验收工作的实践经验,借鉴国外医疗设备管理的先进方法对医疗设备验收的主要环节和流程进行分析,设计出适用于计算机软件系统的验收路径,并通过信息化技术手段对其表达。结果：设计和开发出一套用于引导和管理医疗设备验收工作的信息化管理系统,其中包括验收事务、业务管理、验收结果查询、表格单据模板管理以及设置供应商通道,将其纳入验收体系全过程中。结论：该系统很好地将复杂的医疗设备验收工作简单化、实用化,在提高验收工作效率的同时进一步规范了医疗设备的验收工作。该系统的设计理念顺应了生物医学工程学科未来发展的方向,满足了医院医疗设备验收工作管理的需求。     

医疗设备质量管理信息化的应用研究

目的：探索和研究如何利用信息化进行医疗设备应用质量管理。方法：通过对现有医疗设备应用质量管理工作存在的问题进行分析,找出利用信息化解决的办法,并设计出信息化软件系统的功能模块、工作流程等。结果：设计和开发出一套用于医疗设备应用质量管理的软件系统,实现了包括医疗设备的维修管理、计量管理、风险管理、不良事件、操作规程、技术培训、预防性维护（PM）以及使用评价等多个功能。结论：该系统将医疗设备应用质量管理的各个环节有机地结合在一起,体现出医疗设备生命周期全过程质量控制的管理理念,符合生物医学工程学科的未来发展方向,可满足医院医疗设备应用质量管理工作的新要求。     

医疗设备采购的全流程管理信息化建设

医疗设备是医院医务人员开展诊疗活动的重要工具，是维持医院正常运行的重要物质保障。医疗设备采购是医院采购工作中的重点和难点，现阶段医疗设备采购全流程管理信息化建设不健全易造成采购效率低下，采购风险增加。该研究通过对医疗设备采购管理现存的普遍性问题进行分析，对医疗设备采购信息化建设提出建议，旨在规范医疗设备采购流程、控制医疗设备采购风险、提高医疗设备采购效率，同时为医院发展的决策提供一定的信息数据支撑。     

基于Django的放射治疗流程管理系统的设计与实现

利用Python语言及其Web框架Django、MySQL数据库技术共同设计了一套放射治疗流程管理的Web系统。该系统可以推动医院放疗信息化管理,提高患者流转效率,并且对患者的诊疗体验和科室流程的规范性均有不同程度的提升。     

医疗设备信息管理系统探讨

建立信息系统的过程,是规范管理模式和管理流程的过程。本文通过对医疗设备信息化管理的必要性、医疗设备管理现状与问题进行分析,探讨了建立在设备全生命周期流程基础上的信息系统建设。     

基于物联网的血液净化中心信息系统设计

目的：结合血透中心在日常管理和运行过程中存在的问题和需求，设计一套血液透析中心信息化解决方案。方法：根据血透中心的业务流程，利用物联网思维，设计一套血液透析中心信息化解决方案，系统流程包括患者刷卡签到、体重采集、血压采集、患者日常排班、医嘱下达、透析评估及不良事件警示；以及医嘱管理、通路管理、科室管理、库存管理、费用管理、设备管理、实现掌上电脑手持终端和各项指标统计。结合临床业务流程完成全过程信息化管理。结果：通过物联网手段实现血透设备硬件对接，集中高效管理并与院内医院信息系统、实验室信息管理系统等软件对接，实现数据上报功能。结论：该项系统能提高医务人员工作效率，规范业务流程、降低医疗风险、减少工作强度，降低血透中心运营成本，积累患者检查数据便于后期拓展分析，并有效地实现了科室的动态管理。     

医院信息化运维值班管理解决方案设计与实践

目的 设计一套科学的医院信息化运维值班管理解决方案,解决运维值班中的难题。方法 分别对信息化运维部门的值班制度、工具、流程、事务处置标准、交接班、阶段性统计等进行分析讨论,寻找高效处置、反馈运维值班中各类问题的办法。结果 在实际的运维值班中,总结出一套科学合理的值班管理解决方案。结论 通过运用值班管理解决方案,使信息化运维值班的效率得到显著提高,保障了医院信息系统的稳定、安全、高效运行。     

基于高质量发展背景下医疗设备全生命周期信息化管理系统设计与应用

目的：构建一套真正贴合医院管理过程且具有先进性的医疗设备管理系统,帮助医院提高整体的医疗设备管理水平,使医疗设备管理规范化、高效化及精细化,实现医院降本增效。方法：整个架构设计应用了Spring Boot的Java后端框架,Vue前端框架,并且应用了Spring Cloud的组件,设计了一个医疗设备全生命周期信息化管理系统。结果：该系统实现了医院设备管理业务移动化办公,提高工作效率,打造医院3D可视化场景,实时监控医疗设备的运行定位状态,物联网+信息化结合,实现智能化的盘点。结论：该系统改善了收入结构,最大化设备效益,合理降低成本,帮助医院降本增效,整体提升工作效率,设备物质管理精细化,加强流程监督,强化风险提醒和处置。     

The Association Between Attention Problems and Internalizing and Externalizing Problems: The Mediating Role of Peer Problems

Background

The high prevalence of attention problems in children warrants concern, as it is a risk factor for internalizing and externalizing problems. There lies a need to understand possible factors that may mediate this link so that interventions may be targeted to alleviate these mediators and interrupt the link between attention problems and negative outcomes.

Objective

This study investigated the role of peer problems in the association between attention problems and internalizing problems, and between attention problems and externalizing problems in an Asian sample (N = 312).

Method

Participants’ data were from the archival records of an outpatient child psychiatric clinic.

Results

Findings indicated that peer problems was a statistically significant mediator for both associations. Additionally, peer problems was a complete mediator for the association between attention problems and internalizing problems, but a partial mediator for the link between attention problems and externalizing problems.

Conclusions

Findings suggest that the association between attention problems and internalizing and externalizing problems occurs via an indirect mediated pathway, through peer problems. These findings provide some preliminary evidence for the design and evaluation of future intervention studies aimed at the peer group level for the amelioration of peer problems in children with attention problems.     

The nonexistent problem.

Effective assessment of problems is essential for the infection control practitioner to function optimally. Today's infection control practitioner not only learns problem solving on the job but is trained in both individual and participatory problem solving techniques. Correct response to a potential problem requires careful investigation and identification of causal relationships. Most literature, however, is directed at solving problems that exist. The phenomenon of nonexistent problems exists when the presented problem is not real but exists only in the perception of the presenter. In some cases, the nonexistent problem may partially represent a real problem, but the relationship may not be readily apparent. Time spent by infection control practitioners responding to nonexistent problems is significant. Without the ability to distinguish between nonexistent and existent problems, needless and ineffective actions may be taken. It is essential that the infection control practitioner understand both the dynamics resulting from the presentation of nonexistent problems and their characteristics.     

The manager's approach to employee performance problems

Employee performance problems essentially take two forms: those that are motivational in origin and those resulting from skill deficiencies. Both fall within the province of the department manager. Performance problems differ from problems of conduct in that traditional disciplinary processes do not apply. Rather, performance problems are addressed through educational and remedial processes. The manager has a basic responsibility to ensure that everything reasonable is done to help each employee succeed. There are a number of steps the manager can take to address employee performance problems.     

The management of chronic problems

There were 36 805 encounters where at least one chronic problem was managed in 2006-2007, at a rate of 51.8 chronic problems per 100 encounters. Nationally, this equates to over 40 million general practice encounters at which chronic problems were managed in Australia. For males, at least one chronic problem was managed at 40.7% of encounters. There was no significant difference in the proportion of encounters that involved management of chronic problems between males (40.7%) and females (38.7%).     

The ADAPT Program at Geriatrix,Inc

Behavioral problems in elderly patients are stressful for families, long- term care staff and health care providers. The individual patient's quality of life can suffer, and other residents may become fearful when behavioral problems are not appropriately addressed. Management of other issues becomes more difficult. Treatment approaches exist for behavioral problems, but at Geriatrix we found them difficult to apply. In response, we developed and tested our own approach to the behavioral problems of Agitation, Depression, Anxiety, Pain, and Thinking, the ADAPT Program. (This is not to be confused with ADAPT, the Alzheimer's Disease Anti-inflammatory Prevention Trial). The mission of our program is to identify and stratify those behavioral problems that are treatable and then to apply established guidelines for the management of these problems. This goal is accomplished using the tools of (a) word association and (b) probability weighting that involve the entire care team as well as family members.     

The influence of patient-practitioner agreement on outcome of care.

A previous study suggested that patient-practitioner agreement and follow-up in ambulatory care facilitates problem resolution as judged by patients. In this study in another medical practice, practitioner-patient agreement on what problems required follow-up was associated with greater problem resolution as judged by the practitioners regardless of the severity of the problems. In this study, patients did not judge problems mentioned only by themselves to be less improved than problems mentioned by both them and their practitioners. However, in this study more of the problems mentioned only by patients were mentioned in the note of the visit contained in the medical record. Patients expected less and reported less improvements of problems that were neither mentioned by the practitioner nor written in the medical record than was the case for problems listed both by patients and practitioners. The findings of this study confirm those of the previous study in suggesting that practitioner-patient agreement about problems is associated with greater expectations for improvement and with better outcome as perceived by patients. In addition, they indicate that practitioners also report better outcome under the same circumstances.     

The problems with interviews

Despite the popularity of the interview in qualitative research, methodological and theoretical problems remain. In this article, the author critically examines some of these problems for the researcher. He deals with the problems of power and resistance, distinguishing truth from authenticity, the (im)possibility of consent if knowing is a problem for both the interviewer and the interviewee, and the nature and significance of stories and the self. Although it is not always possible to address these problems directly, the author seeks in this article to create a dialogue with all of us for whom the interview is judged to be the appropriate answer to the research question "How can I know...?"     

The missing link

Current TB services fail to reflect the changing epidemiology of the disease. Patients present with multiple and complex health and social problems. Services concentrate on providing a microbiological cure but ignore underlying social problems.     

胶囊内窥镜的研究进展

本文介绍了胶囊内窥镜的国内外研究进展,详细分析了无线胶囊内窥镜的组成结构和工作原理,深入探讨了目前无线胶囊内窥镜研发和应用过程中存在的多种问题,并针对问题提出了相应的解决办法和思路。     

The Resolution of Health Problems in School Children

The resolution rates of health problems identified in school children by primary care, physical examination, or screenings were examined during a two-year period. The evaluation component of the National School Health Program involved a range of school health services provided in four states to more than 13,000 children. A school nurse practitioner-health aide team worked in collaboration with a community physician consultant to manage the resolution of identified problems. More than 95% of the problems were resolved or in process of resolution at the end of each school year. Resolution patterns were relatively consistent across problem severity levels. Factors contributing to the timely resolutions of health problems by nurse practitioners included their ability to manage and resolve more than 90% of the problems within the school-based practice with physician backup and their access to a medical support network for external referrals.