提高医疗废物管理信息追溯覆盖率

针对医疗废物管理信息追溯覆盖率低开展QC小组活动。经调查,确认计量项目信息追溯覆盖率低为问题症结,采用头脑风暴法分析原因并对要因逐一确认,从开展针对性培训、采用二维码信息录入方式、引入智能称量终端等方面进行改进。对策实施后,医疗废物管理信息追溯覆盖率从69.9%提高到94%,实现对医疗废物的严格监管、精准追溯。     

基于Python编程实现编务工作整合的实践与思考

【目的】 探索期刊集约化发展新模式,解决编务工作流程繁琐、工作量大、高强度、单调机械重复劳动等问题,实现编务工作整合。【方法】 采用实地参观、现场交谈及电话访问等方式对38种医药学期刊编务工作进行调研,结合编务工作中实际操作层面的共性问题,设计作者信息数据表和打印模板,利用Python编程推进编务工作的有效整合。【结果】 基于作者填写的信息数据批量生成对接期刊合作银行、编辑部财务、快递公司等部门的信息表单,并根据编务个性化需求实现邮寄信息表单的自动打印功能。【结论】 期刊编辑部工作整合应充分发挥信息化在期刊发展中的赋能作用,编务工作应最大限度地集成优势、统筹共性事务,以保证整个出版工作的有效开展。     

医药卫生信息化与电子商务

介绍了我国医院信息系统的进展状况、电子商务的定义和发展趋势,分析了医疗信息化与电子商务领域存在的误区、误解与误导。提出了最有前途的医疗卫生电子商务项目,即医疗保险、医院药品及卫生材料的集中采购、应用服务供应商、多样化的患者服务、远程医疗。     

门诊医生工作站的设计与应用

门诊医生工作站是医院门诊信息系统的中心,对合理规划门诊业务流程起关键作用.在对现有医院门诊流程进行分析的基础上,介绍了自行开发的门诊医生工作站系统,着重阐述了系统的数据流程和设计思想,最后对系统的应用效果进行了介绍.     

Understanding the messages and motivation of vaccine hesitant or refusing social media influencers

BackgroundWhile anti-vaccine messages on social media have been studied for content, reach, and effectiveness, less is known about those who create and promote the messages. Online influencers, or ‘everyday people who are influential within their online social networks’, are viewed as trusted voices who are often making similar life decisions as their followers. Therefore, their experiences with and perspectives on health issues can be persuasive.MethodsWe collaborated with a formal network of online influencers to interview, using a semi-structured interview guide, vaccine hesitant influencer mothers about their views on vaccination; their process for developing health-related social media content; their motivation to promote anti-vaccine messages; and their opinions on current vaccination messaging. Prescreening ensured a diverse sample by race/ethnicity, age, education, number of children, and geographic residence. Interviews occurred by telephone, were audio recorded, and transcribed. Themes were generated independently by two coders using a deductive coding approach.ResultsWe interviewed 15 online influencer mothers from across the U.S. (average age 39 years old; all married; 13 Caucasian, 1 African American, 1 Hispanic). In some capacity, 5 of the 15 wrote about vaccination on their blog. Those who chose not to post anti-vaccine content did so for fear of alienating followers or having their platform be the site of combative discourse among readers. When researching their social media posts, the influencers did not trust mainstream sources of health information and relied on alternative sources and search engines.Implications: This exploratory study interviewed influential mothers who have the ability to spread anti-vaccine messages on social media. While most do not contribute to the anti-vaccine sentiment, understanding the motivation and practices of those that do assists the public health community in better understanding the online vaccination communication environment, leading to more effective messages to counterbalance anti-vaccine content on social media.     

基于SQL的报表系统开发及其在放疗流程质控中的应用

目的 有效利用放疗科日常运行中产生的临床数据,基于科室已有网络资源实现放疗信息无纸化,提高放疗流程质控水平。方法 分析科室放疗流程及所需文档,运用基于SQL数据库的报表工具Report Builder,对放疗科已有网络Aria产生的大量数据进行提取和分析,开发报表实现患者现有放疗文档的电子化;运用PDCA的方法分析流程中存在的薄弱环节,提出对策并设计相应报表量化指标,从而提高流程质控水平。结果 自2020年全面实施以来,科室实施放疗两千余人次,患者放疗信息一次登记后全部文档实现网络存档和查询。根据实际工作需求制定了13个日常统计报表、5个季度和3个年度统计报表,通过报表统计使用报表前后3个月的放疗前等待时间由16.2 d缩短至14.8 d,工作人员能够掌握患者治疗进度,及时发现12例中断治疗的患者。结论 通过报表工具的信息提取能够实现放疗全流程信息网络化和患者放疗数据电子化,提高了人员工作效率和沟通效率,科室能够根据报表数据实时优化资源配置,提高放疗的效率和质量。该方法具有普适性和实用性。     

医院输血管理系统的设计和应用

本文描述了医院输血管理系统的流程、功能、结构以及数据库设计过程.介绍了系统软件功能模块.系统的应用实现了安全用血、降低输血差错率,提升医院的整体医疗质量.     

知识经济与高校信息服务业的战略转变

知识经济的迅猛发展,使我国高等学校的信息服务业面临着变革和发展的新机遇,本文在分析信息服务业内部各服务环节功能的传统性、局限性的基础上,提出了高校信息业发展的战略目标,以及为实现战略目标必须对各服务环节功能进行调整和改革的具体意见。同时强调指出：转变观念是实现改革与发展的先导。     

Scopolamine Effects on Visual Information Processing, Attention, and Event-Related Potential Map Latencies

We measured performance and event-related brain potential (ERP) map latencies in 12 subjects during four visual discrimination tasks to compare the timing of scopolamine effects on information processing and attention. "Topographic component recognition" found ERP map latencies at times of best fit with a component model map. This "common topography" criterion minimized topographic differences among conditions to facilitate latency interpretations. Scopolamine slowed N1 latency in all tasks, and P3 and reaction time in some tasks. The drug delayed responses to easy targets more than to hard targets. It also induced a disproportionate N1 delay for unilateral high spatial frequency gratings. Both effects reflect a scopolamine-induced impairment when processing targets that usually capture attention. Scopolamine also impaired accuracy for unilateral high spatial frequency gratings, and for gratings presented at probable locations, confirming and extending previous findings. Scopolamine-induced P1 and N1 delays showed that visual processing was affected. Several results were inconsistent with a serial stage model. We suggest that scopolamine both delays selected processes and impairs a processing mode based on automatic capture of attention, inducing more serial processing.     

采用测量溯源理论和方法建立中药质量保证体系

中药及相关产业具有巨大的开发潜力和发展前景，已成为全世界新药开发和医药产业发展的方向之一。我国中药质量标准体系的建立是中药现代化首先解决的关键问题之一，为了保证各实验室检测数据准确、可靠、可比、互认，需要以国际上测量溯源理论和方法为依据，加强政府和中药管理部门对中药及相关产业的标准、法律法规等的建设，使中药质量保证体系与国际接轨，保护我国的经济利益、人民健康和广大消费者的利益不受损害。