The article analyzes the influence of isolation layer height on structure and expounds three structural analysis models with different floors of isolation layer were established.The analysis results show that the influence caused by the change of isolation layer height in a certain range can not be considered in the design of superstructure,pillar and pier of isolation layer.
It introduces the development status of hospital energy management systems in our country,analyzes the importance of establishing energy management systems and existing problems in the current construction of hospital energy management systems,discusses specific methods for building energy management systems in hospitals,and proposes suggestions for the construction of hospital energy management systems.
In recent years,many high-level public hospitals have developed branch hospital districts,and this mode of multi-campus hospital has been widely recognized as an effective way to achieve the expansion of quality medical resources.However,a series of problems are inevitably faced during the construction of multi-campus hospital in public hospitals.This paper will discuss some of these problems in depth,provide corresponding countermeasures,and introduce the practices and innovations of Union Hospital Tongji Medical College of Huazhong University of Science and Technology(Jinyinhu Campus)in the areas of functional positioning,integrated management system,cross-departmental collaboration mechanism,and the construction of weak electricity intelligent system,with the aim of providing reference and help for other public hospitals in promoting the construction of multi-campus hospital.
This paper takes the design of a new outpatient and inpatient complex building of a hospital as an example.Through the study of the functions of different areas of the project,various design strategies are adopted to realize the function conversion and resource sharing,optimize the efficiency of the use of medical resources,and provide some specific ideas and ideas for the design of"combination of peacetime and emergency"in hospital construction.
This article takes the transformation of the medical gas system in the First Affiliated Hospital of Nanchang University as an example.Summarized the difficulties in reforming the existing medical gas system in the hospital and proposed corresponding countermeasures.It provides a feasible reference plan for the transformation of the medical gas system in the old hospital area.
Based on the example of Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology,it introduces the challenges faced by the hospital in the construction and management of multi-campus hospital in terms of personnel,systems,quality control,information construction,etc.;proposes the practical methods and safeguard measures of homogeneity management of multiple campus;analyzes and summarizes the results and puts forward the ideas for future development.
It discusses the preparation,process control strategy,and negotiation method selection for competitive negotiations on medical equipment,and analyzes the advantages and disadvantages of competitive negotiations.The introduction of methods such as preparation before competitive negotiations for medical equipment and process control strategies can help practitioners well prepared before negotiations and ensure smooth progress of negotiations through a series of methods,measures and means.
"一院多区"作为公立医院建设的新发展模式已成为解决当下我国优质医疗资源发展瓶颈的突破口,也为优质公立医院的发展带来了新的机遇和挑战.为了全面、系统地总结我国公立医院在"一院多区"建设及管理方面的先进经验和创新实践,我刊特策划此期专题,旨在通过创新性的实践及经验引发思考,助力公立医院高质量发展.
2021年6月4日,国务院办公厅发布了《关于推动公立医院高质量发展的意见》:要求坚持以人民健康为中心,强化体系创新、技术创新、模式创新、管理创新,加快优质医疗资源扩容和区域均衡布局;支持部分实力强的公立医院在控制单体规模的基础上,适度建设发展多院区,发生重大疫情时迅速转换功能.
Through interviews with insiders,on-site surveys and mathematical statistics,the existing problems in the hospital material procurement and supply management model are clarified;the analytic hierarchy process and fishbone diagram are used to analyze the influencing factors and corresponding solutions at different levels to form the basic structure of an integrated management of procurement and supply,and build a smart platform based on the prototype;the comparison before and after the application of the platform shows that the overall satisfaction with material procurement and supply services has increased,the procurement and supply efficiency has been greatly improved,and the PDCA cycle has been effectively applied,optimizing the procurement and supply process and standardizing procurement and supply behavior,strengthening data support and implement supervision and evaluation,effectively improve the experience of management departments and user departments,and help create a new pattern of high-quality coordinated development of multiple districts in one hospital with distinctive characteristics and complementary functions.
Based on the experience and thinking in the construction of small and medium-sized experimental animal facilities,it summarizes the concerns of the hospital infrastructure department in program planning,equipment installation,construction,operation and maintenance,aiming to provide reference to the hospital infrastructure department with the construction experience of small and medium-sized experimental animal facilities.
A preliminary list of indicators is determined based on a systematic summary of relevant domestic and foreign literature.Key performance indicators are further screened through on-site surveys and expert interviews,and then the indicator weights are calculated based on the analytic hierarchy process.A performance evaluation index system is determined from the four dimensions of operation and maintenance efficiency,operation safety,energy resources and cost-effectiveness.This evaluation system helps the hospital scientifically understand its own logistics management level,and also provides a basis for objectively evaluating the hospital logistics performance.
Based on the design example of the Optics Valley Campus of Wuhan Children's Hospital,it elaborates on the key points of the architectural design of the children's hospital in terms of blending into the urban environment,creating a new medical environment,and integrating epidemic and peacetime.Provides reference for similar projects.
Under the background of the new medical reform,reducing the cost of medical consumables and improving hospital operation quality have become research hotspots in medical consumables management.The emergence of the new supply chain SPD(Supply Processing Distribution)management model has further improved the level of supply chain management and optimized the quality of medical services.Taking Wuhan Sixth Hospital as an example,the application value of the new supply chain SPD management model and matters that need to be paid attention to in its application are analyzed,aiming to reduce the cost of consumables management,increase the utilization rate of consumables,and achieve refined management of consumables.
The medical waste management problems of Jiangyin People's Hospital were investigated through the PDCA cycle;the causes were analyzed by fishbone diagram,plans were formulated and improved from the aspects of people,machines,materials,methods,environment,and the effectiveness were summarized in a timely manner and continuous improved.The results show that after applying the PDCA cycle,the accuracy of medical waste disposal and the awareness rate of medical waste-related knowledge are increased,and the occupational exposure rate is reduced,and the difference is statistically significant(P<0.05).The use of PDCA cycle effectively improves the standardization of the entire process of medical waste management.
Based on a hospital construction project in the north area,from the perspective of architectural design,it systematically introduces the design experience of MRI+CT hybrid operating room from aspects such as floorplan layout and site selection,purification air conditioning system,electromagnetic shielding and radiation protection,practicality of decoration,power distribution system design,digital integration technology,etc.
By sorting out policy guidance documents related to the barrier-free design of hospital buildings,this article summarizes the existing problems in the construction of barrier-free environments for medical buildings in our country at this stage,discusses the development trends of barrier-free design in hospital buildings,and provide reference for future barrier-free design of hospital buildings.
Taking Foshan Hospital of Traditional Chinese Medicine as an example,it reviews several key construction projects in the construction and development process of Foshan Traditional Chinese Medicine Hospital from the 1990s to the present.Foshan Hospital of Traditional Chinese Medicine has insisted on building a hospital with traditional Chinese medicine characteristics for many years,promoting the development of traditional Chinese medicine with its unique advantages,adhering to the"people-oriented"design concept,highlighting traditional Chinese medicine culture,meeting modern medical needs,and creating a building with traditional Chinese medicine characteristics.
The article outlines the importance of smart logistics,combined with specific examples,starting from the multi-campus hospital smart"one code access"platform,the full life cycle management of equipment,the unified Internet of Things platform,the multi-campus hospital equipment sharing rental center,etc.,based on digital twin related technologies,elaborates the construction process and key points of the multi-campus hospital smart logistics management platform.
It analyzes the importance of preliminary scale calculation in general hospital planning and the basis of the preliminary planning and calculation was sorted out.It also explores the use of parametric design in early-stage hospital construction.This study presents a practical and efficient approach to applying parametric design in hospital architecture.
