病历及时归档管理对诊断分类相关组的影响及医疗质量评价

目的：探讨病历及时归档管理对诊断分类相关组（DRGs）的影响,并对其医疗质量进行评价。方法：随机抽取某院2012年1月至2012年12月以及2013年1月至2013年12月各4000份病历,统计管理实施前后的DRGs入组及付费情况并对病案首页进行质量分析,计算缺陷率。统计患者入院及离院方式,根据离院途径对不同入院方式进行加权打分。结果：实施病历及时归档管理后归档率从41.80%提高到83.20%,DRGs入组率从9.65%上升到44.60%,DRGs付费率从7.28%上升到38.20%,3组数据在前后比较差异均具有统计学意义（P＜0.05）。病历总缺陷率从15.20%下降到8.68%,前后比较差异具有统计学意义（χ2=9.978, P＜0.05）。结论：实施24小时及时归档管理对DRGs具有很大意义,可明显提高DRGs入组率和DRGs付费率,降低病历总缺陷率,提高医疗质量。     

手机二维码在医疗设备信息管理中的应用探索

杭州市红十字会医院将手机二维码技术应用于医院医疗设备的验收、核查、巡检、维修、防伪、技术培训以及设备库房管理、个人名片识别等领域,取得了很好的实践效果;分析了手机二维码在医疗设备管理领域的应用前景和面临的问题。     

四川省基层医疗卫生机构管理信息系统与县级区域卫生信息平台数据交换的设计与实现

为实现基层医疗卫生机构管理信息系统与县级区域卫生信息平台的数据交换,保证公民都享有基本医疗卫生服务,提高公众健康水平,以四川省卫生信息交换服务网络为依托,按照标准的医疗CDA文档格式,设计和构建了四川省基层医疗卫生机构管理信息系统。     

试谈应对突发公共卫生事件的医学图书馆工作

从突发公共卫生事件的概念与特点出发,分析医学图书馆为突发公共卫生事件服务的优势和可能,并提出医学图书馆积极应对突发公共卫生事件的措施与对策,如建立健全应急预案和服务机制、培养主动超前的服务意识、建立专题数据库、密切相关单位的沟通联系、加强网络的建设和维护、加强馆员队伍的素质建设等。     

Out‐of‐hospital emergency care providers' work and challenges in a changing care environment

Acutely ill patients are often treated on site instead of being transported to hospital, so wide‐ranging professional competence is required from staff. The aim of this study was to describe and produce new information about out‐of‐hospital emergency care providers' competence, skills and willingness to engage in self‐development activities, and to uncover challenges experienced by care providers in the midst of changing work practices. A quantitative questionnaire was sent to out‐of‐hospital emergency care providers (N = 142, response rate 53%) of one Finnish hospital district. Data were analysed using spss for Windows 22 software. Almost all respondents found their work interesting and their ability to work independently sufficient. The majority found the work meaningful. Almost 20% felt that work was dominated by constant rush, and 40%, more than half of 25‐year‐olds but <10% of over 45‐years‐olds, found the work physically straining. The majority indicated that they had a sufficient theoretical–practical basis to perform their regular duties, and more than one‐third felt that they had sufficient skills to deal with multiple patient or disaster situations. Over 20% stated that they were unsure about performing new or infrequent procedures. A number of factors experienced as challenging were revealed. The results provide a basis for improving care providers' initial and further training.