目的 分析清华大学第一附属医院2019-2021年经北京市朝阳区区级救治网络接诊的外院转会诊孕产妇情况,分析并总结本院孕产妇接诊及救治的相关管理经验,强化并发挥医院的技术能力、资源优势,积极应对外部机会和挑战,为医院完善和优化危重孕产妇接诊救治工作提供参考和依据.方法 对本院2019-2021年区域内接收的转会诊孕产妇数据进行回顾性分析.运用统计分析方法对资料进行梳理总结,分析清华大学第一附属医院在接收转会诊孕产妇工作中的管理情况.结果 在朝阳区救治网络片区化管理模式下,医院2019-2021年区域内接收的转会诊孕产妇共计441例.其中由急诊接诊93例(21.09％),多学科联合讨论69例(15.65％),ICU参与救治18例(4.08％),好转离院426例(96.60％).在本院所建立的高风险孕产妇多学科救治保障体系下,转会诊孕产妇主要前往的5个科室,分别为普外科、泌尿外科、神经内科、血管外科、心脏内科.结论 医院接诊的转会诊孕产妇病情复杂,通过梳理部分危重孕产妇救治管理经验,可根据接诊数据来调整学科资源配置并不断优化管理.
Objective To investigate the effect of the application of human-centered management model for internal medicine nursing staff.Methods A total of 21 in-service nurses in the internal medicine department of Jilin Cancer Hospital from January 2021 to December 2022 were selected as the study subjects,and were classified as pre-management(January-December 2021)and post-management(January-December 2022)according to different time periods.The traditional management mode was implemented before management,and the people-oriented manage-ment mode was implemented after management.The humanistic care ability,work pressure and career mission of nurs-ing staff were compared before and after management.Results The humanistic care ability score of nurses after man-agement was significantly higher than that before management,and the difference was statistically significant(P<0.05).The work stress score of nursing staff after management was significantly lower than that before management,the difference was statistically significant(P<0.05).The score of nursing staff's sense of mission after management was significantly higher than that before management,and the difference was statistically significant(P<0.05).Conclusion Under the comparison of traditional management and human-centered management applied to the nursing staff in in-ternal medicine,human-centered management mode was more effective in improving the nursing staff's humanistic caring ability,work pressure and sense of professional mission.
现代医院的管理制度主要是通过建立章程来完善的,这是整个医院顺利运营的基础,本文就建立以章程为统领的现代医院管理制度进行分析,通过研究现代医院的管理制度章程内涵、特征以及原则等,提出相关建议,以期在确保医院正常运行的情况下,最大程度发挥其救死扶伤的作用,促进医院规范运转.
目的 研究基于案例的教学法(Case-based Learning,CBL)的模拟培训混合教学对麻醉临床实习教学理论成绩、技能操作的影响.方法 选取2021年11月—2022年11月苏州大学附属独墅湖医院及苏州大学附属第一医院麻醉手术科接收的临床实习生80名,采用随机数表法分为两组,对照组(n=40)采用传统模式教学,研究组(n=40)采用基于CBL的模拟培训混合教学,实习结束时,以基础理论、技能操作、病例分析成绩、实践能力以及教学满意度作为评价指标,对比两组教学效果.结果 与对照组相比,研究组的基础理论、技能操作以及病例分析成绩均更高,差异有统计学意义(P<0.05);研究组较对照组的病情观察、临床应变、专业操作以及组织协调等实践能力评分均更高,差异有统计学意义(P<0.05);研究组团队协作能力、自主学习能力、学习兴趣、综合能力以及实践操作能力等各项满意度评分均显著高于对照组,差异有统计学意义(P<0.05).结论 基于CBL的模拟培训混合教学可激发麻醉临床实习学生的学习自主性、积极性,提高其临床知识、技能以及思维能力,得到了实习生的高度满意.
但由于受到多种因素的影响,部分地区在开展疫苗冷链管理的过程中还存在较多的问题,需结合疫苗冷链管理存在的问题提出改进对策,提升疫苗冷链管理质量.本文分析疫苗冷链管理的含义,指出疫苗冷链管理的意义,分析疫苗冷链管理现状并提出疫苗冷链管理的措施,旨在为今后开展相关研究提供参考.
