Objectives Through analyzing neurology department medicine separate disease and cerebrovascular disease before and after the changes of key medical efficiency indicators in a Three A and Tertiary Hospital, to understand the effect of hospital medicine separately, provide decision-making basis for hospital administrators and clues.Methods A comparative analysis was made on the indicators of the spectrum of diseases and the proportion of drugs from April 8th to May 31st, 2017 and April 9th to June 1st, 2016. Results Medicine separate diseases constitute distribution of neurology cerebrovascular disease before and after were the same(P>0.05), the average time for medicine and medicine proportion reduced(P<0.05), before and after the reform of all medicines were 7414.37 yuan and 5999.80 yuan, the average drugs accounted for 39.38%, 31.18% respectively, before the reform period average drop of 1414.57 dollars and 8.20% respectively. Conclusions The separation of medicine led to a decline in the proportion of neurovascular disease drugs in the hospital, but there was still room for decline. Moreover, health care reform needed to be sustainable and made hospital physicians and patients as satisfied as possible.

Objective To analyze and inspect the situation of operation coding of orthopaedic in our hospital. To improve the accuracy of orthopaedic operation coding. Methods Randomly selected orthopaedics medical record of our hospital beteen January 2015 to December 2016. The operation coding were analyzed. Results Six cases of coding error, accounted for 2.2%; 19 cases of coding omission, accounted for 7%; 10 cases of the operation name is inconsistent with the operation content, accounted for 3.7%; 7 cases of the operation contents were omitted, accounted for 2.6 %. Conclusion To improve the operation quality of hand coding, coding staff to enhance professional knowledge and clinical knowledge, develop the habit of reading medical records, and actively communicate with clinicians, seriously implement the ICD encoding principle; on the other hand strengthen the clinician ICD encoding knowledge training, standardize the operation name writing, improve the quality of medical records.

Objectives To conduct objective description on the hospital operations workload differences between two statistical calibers based on medical record front pages system and surgical anesthesia system, analyze the reasons, provide clues and basis for hospital managers, and put forward the corresponding countermeasures and suggestions.Methods To search operation data from the medical record front pages system according to the discharging time and surgical anesthesia system according to the operation time from the three departments of cardiology, orthopedic and pain from 1st to 31st January 2016, then match the operations workload data between two statistical calibers, then use describing statistical methods to analyze the differences.Results Main reasons of the surgery workload difference in cardiology, orthopedics and pain departments were separately changing department problems(83.33％), surgery places problems(53.16％) surgery classification problems(44.44％).Conclusions The main reasons for the differences included the type of patients, the way of time data collection, the inconformity classification between surgery and operation and the multiple surgeries of the patients. We should standardize the statistics so as to improve the accuracy of management decision.

Data were extracted from the Hospital Information System (HIS) and the medical record system, and the data were integrated with the VLOOKUP function of EXCEL. The data of constructing the associated field of clinical path in 2015 was selected and the problems were summarized. The source of data was from medical record information system of front pages and HIS of clinical pathway admittance data. To mainly use descriptive statistics analysis method, and the telephone interviews and focus group interview to determine the causes. In 2015, the percent of problems of number merging, false admission and discharge time was 1.94%, 0.17% and 0.04%. The reasons were as follows: the same patient with multiple numbers merging; after patients left the hospital the system left marks; the error of discharge time in midnight or misuse of the recall time of medical records. Multi system verification is for correction. Such data integration, not only to ensure that the quality of the data, but also improve the work efficiency, is conducive to the managers of the hospital timely grasp the clinical pathway implementation problems appeared in the process of, take effective measures, continuously improve the quality of hospital management.

Objectives To evaluate the medical treatment quality of a hospital with the application of three kinds of comprehensive evaluation methods, compare the advantages and disadvantages, and provide the basis for hospital scientific decision-making.Methods We screened 5 indicators which were the number of discharged patients, rate of utilization of hospital beds, the average length of stay, mortality and average hospitalization expenses. The three methods including TOPSIS method, the comprehensive index method and rank sum ratio method analyzed in-patient medical quality from 2010 to 2015.Results The evaluation results of TOPSIS and comprehensive index method was that in-patient medical quality was increasing year by year from 2010 to 2015. The evaluation result of rank sum ratio method was that the year of 2015 was superior, the years of 2012, 2013 and 2014 are intermediate, the years of 2010 and 2011 were subordinates.Conclusions The results of TOPSIS method and comprehensive index method were consistent. RSR method was suitable for the classified comparison.

ObjectiveTo know the efficiency of meningioma surgery in a department of neurosurgery by data envelopment analysis so as to improve operational efficiency to provide evidence.Methods Meningioma surgery, whose code is 01.51 and the main diagnosis is meningioma(ICD-10: D32), was selected, and apply the Input-oriented CCR model in data envelopment analysis to estimate the comprehensive technical efficiency of meningioma surgery in a department of neurosurgery from 2013 to 2014.Results The score of efficiency in April 2013, relatively optimal, was 1, and other scores, relatively suboptimal, were less than 1. The gap between the target value and the actual value in August 2013 was the largest and the proportion of the required reduction of material is 44.70%.Conclusion Health-related departments should formulate relevant policies and regulations, provide standards to guide the use of surgical supplies, to prevent the high cost of surgical materials, indirectly avoiding induced demand, excessive medical treatment and waste of low-cost supplies.

Objective To build prediction linear regression model according to the number of outpatient and emergence visits and discharged patients from 2009 to 2013 in a grade 3 and first-class hospital and predict index of correlation and Compared with the actual number in 2014.Methods According to the data nearly five years,a linear regression model for outpatient visits,emergency visits and discharge number was built with calendar year.The parameters were estimated in the model.The responding figures and 95% confidence interval in the first half year of 2014 were predicted by the model.The predictive value was assessed by comparing the estimated value with the actual value.The linear graph was prepared with statistical analysis.Results Outpatient visits,emergency visits and discharge number increasing from 2009 to 2013 were statistically significant and had a positively linear regression with calendar year (P<0.05).99% variance of outpatient visits,79% variance of emergence visits and 99% variance of inpatient were depended on the change of years.The predictive value of outpatient visits,emergence visits and the discharge number were 2845144,207038,46654, respectively.The predictive value in the first half year of 2014 compared to the actual data was within 95% confidence interval. Conclusion The outpatient visits,emergence visits and the discharge number had a good linear relationship with calendar year.We could make regression model to predict outpatient visits,emergence visits and the discharge number.

目的 分析实施临床路径对术前平均住院日的影响,探讨缩短平均住院日的可行措施.方法 将2010年3月-2013年12月的10个病种的出院病人作为路径组,将2006年5月-2010年2月10个病种的出院病人作为对照组,比较两组术前平均住院日是否不同,采用spss20.0统计软件进行数据处理.临床路径组与对照组采用秩和检验作对比分析.结果 临床路径组外科10个病种术前住院日有7个病种明显缩短(P＜0.05);有3个病种因为自身特点下降不明显.结论 实施临床路径后术前住院日可以缩短,可进一步缩短平均住院日.

To investigate the composition and characteristics of appointment scheduling system and evaluate the pilot appointment scheduling system in Beijing hospitals in order to provide the evidence for the general application.Appointment system was constituted by appointment mode,appointment rule and scheduling rule.Beijing appointment scheduling system was integrated by advanced appointment mode,IBFI appointment rule and FCFA scheduling rule.According the characteristics of tertiary hospitals in Beijing,the advanced appointment mode and IBFI appointment rule were suitable for Beijing appointment system,however,FCFA scheduling rule had the potential for improvement,such as RTBG and ALTER.This combination will be more suitable for outpatient service status in tertiary hospital.

医院统计工作是医院管理的重要组成部分,也是卫生信息管理专业重要的学习内容.为保障卫生信息管理专业学生实习质量,提高理论与实践水平,在学生实习中,注重对统计制度、法律法规的学习,使学生有法律意识,以便在将来的工作中能够严格执行相关法规.还要重点掌握统计工作基本流程,使学生对工作程序和环节有明确的认识.在统计基础理论知识与医院统计工作实践操作相结合方面,主要是通过培训学生参与日常统计工作的实践,促进学生将学校中学到的基础理论应用到工作实践中.做好学生实习的带教工作,对于学生毕业后工作有一定的作用.

Objective To summarize the characteristic of the causes of death about elderly hospitalized patients.Methods In accordance with the principles of the International Classification and Encoding of Diseases,main diagnosis of patients in hospital was collected and summarized.Results The top three leading causes of death of elderly patients are circulatorysystem diseases,respiratory diseases and malignant tumors.Conclusion we should strengthen disease prevention and work hard to increase the character and medical treatment to decrease the outbreak rate and death rate of the old age.

83岁的"红墙医生"王敏清,不仅曾为领导人的健康出谋划策,更身体力行地创造了生命奇迹:2003年经历过重度喉癌手术后恢复良好,半个世纪不感冒,极少吃药,各项主要生理指标保持良好状态;体重一直保持在62-63公斤;至今,仍保持有24颗完好的牙. 饮食适可而止.我的饮食简单随便,不挑剔,但关键在一个"度"字上.我一般多吃七八成饱,以到下顿吃饭时,有饥饿感为度.我是北方人,常吃面食,佐以玉米面、小米等杂粮.粗茶淡饭和鸡鸭鱼肉都吃得津津有味.

主要诊断是病案首页中的重要信息,是疾病分类的依据.正确填写主要诊断,是临床医师的重要工作.但是由于一些临床医师对主要诊断的认识不足,致使主要诊断选择错误,影响医疗信息的利用.因此,临床医师应正确认识主要诊断,了解书写主要诊断的目的、意义,以便更清楚地界定主要诊断和其他临床诊断.

目的分析我院2002～2005四年中老年病人死亡病案。方法对死亡病案分别从系统构成、性别构成和年龄分布几方面进行综合分析。结果循环系统疾病是导致老年人死亡的主要因素;男性呼吸系统死亡率明显高于女性。结论加强老年人自我疾病防范意识,建立科学的生活方式,提高老年人生活质量。