医疗设备管理模式的探讨

医疗设备是医院发展的硬件保证,本文根据设备管理的现状分析,探讨了管理模式,提出了新思路,以求使医疗仪器设备更好的发挥自身效能,为提高诊疗水平和保障人民群众的健康做出贡献.     

医院医疗设备的内部控制管理

目的 用内部控制管理的方法来完善医疗设备管理制度及流程,提升医疗设备管理水平.方法 按照内部控制编制要求,按采购管理、存货管理与固定资产管理三大板块内容编制,并对照制度流程进行优化.结果 白2016年进行内部控制建设以来,每年对照最新管理要求,进行内容持续改进.结论 内部控制管理可有效地应用在医院医疗设备管理中,提高了...     

医院信息系统管理模式探讨

医院信息系统运行时间不长，经验不足，还存在着这样或那样的问题，需要继续探讨研究。另外，目前很多医院的计算机专业人员技术缺乏，多数医院是通过购买网络公司的系统或合作伙伴来完成的。为此，医院计算机技术人员的主要任务是维护医院信息系统。所以在合理安排计算机专业人员维护和管理工作上显得特别重要，不容勿视。     

医院药品调配差错的防范对策

随着医院管理制度的不断完善和病人对医疗服务要求的提高,杜绝药品调配差错是药剂科质量管理的重要方面,也是医院考核药剂科工作的主要指标之一。为此,医院已采取了不少减少差错的有效措施：①为门诊病人柜台式面对面发药服务（唱名、唱药）,杜绝了病人互相之间取错药的现象;②采取配方、核写、     

应用品管圈提高医疗设备调配中心医疗设备周转率——以南京医科大学附属南京医院为例

目的通过品管圈活动来提高医疗设备调配中心医疗设备周转率。方法成立医疗设备品管圈,由品管圈经验丰富的护士长担任辅导员,通过头脑风暴法、甘特图、柏拉图、鱼骨图、雷达图和流程图等质量管理工具发掘问题、实施对策、改善问题。结果实施对策1个月后,医疗设备周转率由13.90%提高到23.33%,目标达标率120.74%,进步率67.84%。结论品管圈活动明显地提高了调配中心医疗设备的周转率,也为如何评估调配中心医疗设备的使用效率提供了新的思路,圈员们熟练地掌握了品管圈的质量管理工具,增强了责任心、自信心、团队凝聚力及职业精神。     

探索基于信息化平台的医疗设备零备件储备共享模式应用思考

通过建立基于信息化平台的医疗设备零备件储备共享模式,降低医院对于医疗设备零备件的库存压力,提升物流速度,增加采购的工作效率和效益.总结医疗设备零备件现有的供给规律、辅助信息共享的模式,同时开发出信息化共享平台,这样就建立一套基于信息化的且包含储备共享模式的平台.随着零备件信息共享平台的建立,可以实现相关信息的共享,科学...     

浅析医疗设备的维修管理模式

医疗设备是医院医学实验、诊疗技术、科学和教学的物质基础,其在治疗和诊断方面的使用也越来越广泛.随着医疗设备的科技含量不断提高,无创伤、高科技等使患者在治疗中舒适性高的医疗设备标志着医疗诊疗技术的进步和地位的提升.本文简析了医疗设备的特点,结合实际操作中针对医疗设备维修管理中存在的问题,提出几项解决问题的方案.     

医院医疗设备档案管理工作

本文介绍了医疗设备档案管理的过程.并强调了档案管理人员的职责.最后展望了档案管理工作最终将实现电子化、网络化管理.     

云南罗平医院管理模式与信息化调查研究

本文通过对云南罗平医院的管理诊断问卷资料采用描述性统计学方法进行分析．得出该院管理人员及员工对现行的管理模式和信息化水平的认知程度，探索在当前宏观经济形势下医院改革和发展的经验，指出医院制定经营战略中应该包括与之需求发展一致的信息化规划。     

谈我院医疗信息共享系统的建设

目的通过笔者所在医院医疗信息共享系统建设的研究,解决医院之间由于临床信息不能共享造成的重复检查、化验和重复配药等问题．缓解“看病难、看病贵”的社会焦点问题。提升医疗质量和效率,合理控制医疗费用。方法运用系统工程及管理信息系统的理论和方法．采用在医院信息系统中加入中间件的方法,进行该项目的研究。结果医疗信息共享系统的实现促进医疗决策效率与医院管理水平的提高和医疗成本的降低,将促进临床科学研究的进一步深入。结论该课题的研究不仅具有很强的现实意义．而且体现了先进性、前瞻性、可操作性和潜在的社会经济价值。     

Impact of different discharge patterns on bed occupancy rate and bed waiting time: a simulation approach

Beds are one of the most important resources in a healthcare system. How to manage beds efficiently is an important indicator of the efficiency of the healthcare system. Bed management is challenging to many healthcare service providers in many aspects. In recent years, population growth and aging society impose extra pressure on bed requirement. There are usually two key performance indicators of a bed management system: bed occupancy rate and bed waiting time. In this paper, different discharge patterns and their impacts on the bed occupancy rate and bed waiting time are studied. A discrete event simulation model is constructed to evaluate the existing discharge pattern in a Singapore regional hospital using actual hospital admission and discharge transaction data. Then different discharge patterns are tested in the same context. Simulation results show that a proper discharge pattern significantly smoothes the fluctuation of bed occupancy rate and reduce the bed waiting time.     

Three-dimensional numerical simulations of physiological flows in a stented coronary bifurcation

When atherosclerotic lesions are found within a coronary bifurcation, a double stent implantation is sometimes required to treat the disease of each branch. The clinical procedure can result in the positioning of several stents in the bifurcation. In the study, physiological flows in typical configurations of such stented coronary bifurcations were numerically modelled using the finite volumes method. Two deployed Palmaz stents were inserted in a 90° coronary bifurcation, simulating a double stent implantation. As the geometric position of the metallic stent cells can vary, several models of broken cells were proposed and compared to characterise the influence of the stent struts protruding into the collateral branch. Flow features in the bifurcation surroundings changed from one model to another. These changes could lead to the occurrence of flow stasis and also of recirculation areas downstream from the struts, depending on the way the strut was opened. The stent struts protruding into the lumen of the collateral branch induced high values of shear stress at the stent wall of about 20 Nm⁻², which could stimulate platelet activation. In addition, these areas of high shear stress values were concomitant with areas of low shear stress values of about 0.5 Nm⁻². These regions could be prone to platelet adhesion and so to thrombo-embolic complications. The analysis of the flow field indicated that it would be judicious to use dedicated bifurcated stents to treat bifurcation lesions.     

Anxiety Management Training for pattern A behavior

During a 3-week period, seven subjects were treated with Anxiety Management Training (AMT) while seven subjects served as a wait-list control. Pattern A behaviors, measured by the Jenkins Activity Survey (JAS), self-report of anxiety, as measured by the Spielberger state (STAI-S) and trait (STAI-T) anxiety inventories, and indices of blood pressure, cholesterol, and triglycerides were obtained before and after treatment. Results indicate that treated subjects compared to controls showed significant reductions in the Hard-Driving component of pattern A behavior, showed lower posttest STAI-A and STAI-T scores, but failed to evidence a statistically significant reduction in systolic and diastolic blood pressure or cholesterol and triglyceride levels. The implications of these data to theoretical and practical conceptualizations of stress management are discussed.     

Pulmonary blastomas of childhood: histologic, immunohistochemical, ultrastructural aspects and therapeutic considerations

Pulmonary blastomas are rare neoplasms typically occurring in patients of pediatric age, clinically characterized by fever, respiratory distress, and radiologic findings of a pulmonary cystic and/or solid mass with partial or complete obliteration of emithorax. Their behavior is aggressive and outcome is poor due to frequent relapses and metastases. The histological, immunohistochemical, and ultrastructural aspects of a personal series of 6 cases of pulmonary blastoma are described and the differences between childhood and adult types are stressed. Due to the aggressiveness of these rare tumors, therapeutic management is quite difficult. The expression of the transmembrane tyrosin kinase receptor c-kit in all the solid cases of this series leads the authors to hypothize new possible therapeutic implications for these tumors.     

X-ray micro-tomography of a coronary stent deployed in a model artery

Coronary stents are small scaffolds routinely implanted during angioplasty procedures to re-open coronary arteries which have become narrowed by an atherosclerotic plaque. Despite the advent of drug-eluting stents to reduce restenosis (re-narrowing) after the procedure, complications still arise and mechanical factors may be partly the cause. Stents are being used in increasingly complex cases, so new forms of pre-clinical testing may be helpful in evaluating stent designs and deployment techniques. With this in mind, an in vitro experiment was conducted to evaluate the use of X-ray micro-tomography to image stents at various stages of deployment. A stent was deployed in an artificial artery while using a synchrotron X-ray source to obtain the tomography scans. A volume element (voxel) size of 5.3 μm was achieved, with a vertical field of view of 4.5 mm. The imaging of the stent and artificial artery materials was better than expected, despite some attenuation artifacts and the high monochromatic beam energy used (25 keV). Experimental problems are discussed, together with recommendations for improving the technique. It is intended that this technique will be of interest to engineers and clinicians as a pre-clinical test.     

Sleep patterns before, during, and after deployment to Iraq and Afghanistan

Design:Longitudinal cohort studySetting:The Millennium Cohort Study survey is administered via a secure website or US mail.Participants:Data were from 41,225 Millennium Cohort members who completed baseline (2001–2003) and follow-up (2004–2006) surveys. Participants were placed into 1 of 3 exposure groups based on their deployment status at follow-up: nondeployed, survey completed during deployment, or survey completed postdeployment.Conclusions:Deployment significantly influenced sleep quality and quantity in this population though effect size was mediated with statistical modeling that included mental health symptoms. Personnel reporting combat exposures or mental health symptoms had increased odds of trouble sleeping. These findings merit further research to increase understanding of temporal relationships between sleep and mental health outcomes occurring during and after deployment.Citation:Seelig AD; Jacobson IG; Smith B; Hooper TI; Boyko EJ; Gackstetter GD; Gehrman P; Macera CA; Smith TC. Sleep patterns before, during, and after deployment to Iraq and Afghanistan. SLEEP 2010;33(12):1615-1622.