信息技术联合现场督导管理对手术室运行效率的影响

目的探讨信息技术联合现场督导管理提高手术室运行效率的效果。方法按时间段将2013年5~6月的首台手术597例、连台手术5 039例作为对照组,2015年5~6月的首台手术601例、连台手术5 512例作为观察组。对照组按常规实施管理,即应用常规手麻信息系统,手术医生、护士按常规实施手术;观察组在原信息系统中融入患者入手术间、麻醉开始、手术开始等6项关键时间节点,设查询专栏;建立健全相关制度,现场督导落实到位。结果观察组首台手术准点率显著高于对照组,连台手术等待时间及手术时间显著短于对照组;2015年手术间手术量显著高于2013年(均P0.01)。结论信息技术联合现场督导管理,可有效提高首台手术准时开始率及缩短连台手术等待时间,提高手术室运行效率。     

Countertransference Reactions Toward Older Adults Facing HIV and AIDS

Abstract

This article will provide a technique designed to identify and explore areas of countertransference when working with older adults facing HIV/AIDS. It offers instructors and supervisors a way to teach about countertransference toward older adults facing HIV and AIDS. This technique can be utilized in a variety of gerontological settings such as mental health clinics, multipurpose centers for older adults, as well as classrooms and private practice.     

Clinical Session Evaluation:

The purpose of the study was to establish whether clinical supervisors tend to agree or disagree in their evaluations of an individual clinical session, depending on whether or not they are familiar with the supemisee. Twelve supervisors with similar training and experience, all holding certificationby the American Speech-Language-Hearing Association, were divided equally among three training institutions in three states. The supervisors independently evaluated the same videotaped therapy session with two evaluation forms. The supervisors in the three settines differed in their ratines of the session. with those who were familiar with the supervisee giving significantly more favorable evaluations. Implications for speech-language phathol- ogy supervision and research are discussed.     

The Clinical Supervisor-Practitioner Working Alliance

Abstract

The focus of my presentation this morning is the core dynamics and skills of the supervisor-practitioner working alliance, or what I will refer to as the working relationship. I will present a model that suggests that the use of certain communication, relationship and problem-solving skills by the supervisor can influence the development of a positive working relationship with the supervisee, and that this working relationship is the medium through which the supervisor influences the practitioner. I stress the words “influence” because a central assumption of this approach is that both supervision and direct practice are interactional in nature. The supervisor and the supervisee each play a part in the process. The outcome of supervision is the result of how well each contributes to the process. This morning's presentation focuses on the supervisor's role. One of the discussions is the concept of the “parallel process.” While the role of the supervisor and the purpose of supervision are quite different from counseling and therapy, nevertheless there are striking parallels in the dynamics and skills. There is a suggestion that “more is caught than taught” and that our supervisees watch us very closely. Whether we like it or not, whether we are aware of it or not, our supervisees learn more about practice from the way we work with them than from what we say about their actual practice. Supervision is not therapy. In fact, supervisors who are seduced into a therapeutic relationship with their supervisees actually model poor practice since they lose sight of the true purpose of clinical supervision and their role in the process.     

Theoretically grounded,evidence-informed clinical supervision for the SNAP programs: A model in development

A theoretically grounded, evidence-informed, integrated model of clinical supervision for staff in agency settings is presented for a Canadian evidence-based program for children with severe disruptive behavioral difficulties. The aim is to provide the best service for clients through enhancing and supporting implementation, while meeting the educational and emotional needs of staff. Explanatory and guiding theories are presented, with best practices highlighted as influencing the dimensions of structure, expertise, and process of the model. Next steps are articulated to create the necessary foundation for enhancing supervision across affiliate sites, which will be evaluated and contribute to the evidence base of supervision.     

发展性教学督导工作的研究与实践

2007年以来,北京大学医学部对发展性教学督导工作的内容、方法进行了探索性研究和实践,督导专家们通过系统性听课、学生访谈、教学检查、专题调研、参加师资培训及全程参与教学改革等活动,全方位、多视角了解教学中存在的问题,以导为主,持续反复与教师进行平等沟通交流,有效地促进了教师教学发展、学科建设及医学部教育教学一体化教学改革的顺利进行.     

《食品安全法》框架下进出口食品安全监管体制初析

通过对<食品安全法>出台背景、原因以及在食品安全监管体制调整和目前进出口食品安全监管状况等相关内容的分析,检验检疫部门如何做好进出口食品安全监管,关键在于锁定自身监管责任,建立健全地方政府负统一管理责任、监管部门各负其责、落实企业作为责任主体的责任体系,构建政府、监管部门、行业、行业协会"四位一体"的联合管理和服务平台...     

Acknowledgment of Reviewers

Clinical supervision of mental health counselors in correctional settings presents unique challenges. Seven correctional counselor supervisors were interviewed about how they addressed issues related to the correctional environment, their social interactions, and their identity. The authors used a qualitative constructivism framework and Interpretative Phenomenological Analysis (IPA) to explore how supervisors rationalized their role in the correctional setting. Findings suggested that supervisors experience significant institutional constraints, often have to prioritize security needs over mental health needs, and have a complex professional identity that includes both security and mental health responsibilities.     

Collaboration and conflict

Multidisciplinary teamwork, defined as the collaboration between different professional groups to achieve a common purpose, is commonly regarded as a means to meet the complex tasks that medicine has to deal with today. However, many attempts to introduce the method in primary care have failed and this is supposed to be partly due to the fact that general practitioners (GPs) did not participate in the implementation of the method. The aim of this investigation was to get a deeper understanding of their attitude to teamwork by interviewing nine GPs at four Swedish health care centres, where successful teamwork had been ongoing since 1997. Themes and categories in the interviews were identified according to content analysis. Although the attitude in general was in favour of teamwork, four major themes: time-consuming versus time-saving; shared responsibility versus main responsibility; medical expert versus generalist; shared knowledge versus all knowing, could be identified, which all revealed ambivalence towards teamwork among the interviewees. It was concluded that, if teamwork is to be successfully introduced into primary care, the GPs' self-perception has to be taken into consideration as has the prestige and status associated with their traditional role and the benefits of teamwork to the profession of medicine. Apart from time, teamwork requires, professional supervision and doctors need to be trained in this method as early as in medical school.     

积极探索，大胆创新，不断提高药品检测车的运行效能

黄山市食品药品监督管理局以药品检测车为平台,积极探索,大胆创新,不断挖掘检测车的潜能,充分发挥药品检测车在药品监管中的作用。