医院内部审计信息化的发展现状与趋势

随着计算机技术的发展和应用,医院也进入信息性化时代,探讨内部审计怎样才能更好地适应信息技术的发展,实现内部审计信息化,确保医院信息的安全、完整和有效,做到为医院的信息化发展起到良好的促进作用。     

Putting an eye on cytological specimens: An audit of the clinical impact of thyroid fine‐needle aspiration in different health care settings

There is published evidence showing less cost‐benefit approaches in the evaluation of thyroid nodules. We performed an institutional audit of the cytologic diagnosis of thyroid fine‐needle aspiration (FNA) in an attempt to perceive the clinical impact of this technique on the management of thyroid nodules and to compare it in two different types of health care: Primary Care Medicine and Endocrinology. We performed a retrospective analysis to the electronic records of patients referred from General Practitioners (GP) and Endocrinologists (E) for thyroid FNA between 2010 and 2012. Request forms for cytological reports where retrieved for analysis of clinical and cytological data. The database search retrieved 1655 patients (female gender: 88.2%; GP references: 51.8%). Preprocedure clinical information was available from 157 out of 2005 nodules (7.8%). Significant differences in cytological diagnosis were seen in “Nondiagnostic” (GP: 11.6%; E: 7.5%, χ² = 0.002) and “Benign” categories (GP: 75%; E: 81.8%, χ² < 0.001). The main potential cause of “Nondiagnostic” samples was nodules smaller than one centimeter (total: 14 cases; GP: 7; E: 7). Reasons to request FNA for these nodules were provided in 6 out of 27 cases (GP: 0/16; E: 6/11, P < 0.001). The rate of insufficient samples was inversely correlated with nodule size (τ = ?0.242, P = 0.001). When evaluating thyroid nodules, clinicians should take into account the limitations of FNA, the international recommendations for better cost‐benefit approaches and the importance of a well‐informed cytopathologist for better cytological diagnostic results. Diagn. Cytopathol. 2014;42:1009–1012. © 2014 Wiley Periodicals, Inc.     

A quality assurance initiative in day case surgery: general considerations

With the increasing demand for audit in the day surgery setting, a quality assurance initiative was implemented in a busy British day surgery unit. This paper outlines how such a programme was designed and established. The indicators of quality in day surgery and the standards of practice used are discussed. The results of the data collected are discussed and the recommendations for improvement are outlined. Hopefully this paper will serve as a concrete and practical guide for the implementation of a quality assurance programme in other day surgery facilities.     

科研机构经济合同内部审计实践初探

简要介绍了科研机构经济合同内部审计程序.通过经济合同签订前审查合同主体、事项和条款,合同签订后检查会签执行、合同履行、合同档案管理和合同用章保管、账务处理和资产保管、税费缴纳情况,完善经济事项管理,健全科研机构内部控制,防范合同风险.     

Exploring the Prescribing Behaviours and the Mind of Antibiotic Prescribers is Critical for a Successful Antibiotic Stewardship Programme: Results of a Survey from Eastern India

Quantitative and qualitative analysis were used to ascertain practices, perceptions and barriers about antibiotic stewardship program (ASP) in an oncology hospital in eastern India. In 2014 and 2017, 62% and 69.1% of the patients audited were found to be on anti infective medications respectively. Nearly 47% of patients in the study group (2014) who were on therapeutic antibiotics had an average cost of $46.48 per patient per day (inter-quartile range: $17.23–$94.76). Antibiotic related consultations from clinical microbiologists, was found to be in demand, and education of prescribers and policymakers was identified as critical to the success of ASP.     

基于“军卫一号”的结算审核系统的设计与实现

目的：解决医院业务及流程中存在的一些问题。方法：通过对业务流程的梳理分析,找出了问题产生的原因,由此对现有流程进行了改造优化,在此基础上开发了结算审核系统。结果：解决了医院业务及流程中存在的问题。结论：该系统的应用提高了审核员审核的效率和准确率,降低了收费问题的几率,落实了医嘱质量的监督工作,消除了患者长时间的等待环节,避免了在结算环节引起冲突或医疗纠纷的可能,解决了结算中心绩效考评时数据的准确性问题。