编制核定是医院人力资源管理的重要内容，医院编制核定的关键环节在临床科室。因此，护理岗位编制核定是医院岗位管理的一项重要工作。由于临床护理人员占据了医院护理人员的绝大多数，且具有分布广泛、工作内容多样、工作量巨大等特点，因此是医院编制核定的重点和难点。不断充实和完善医疗机构编制核定的思路和方法，对于医院提高工作效率、控制成本有着积极作用。通常编制核定的思路有根据工作量评价的定量核定和根据经验判断的定性核定两种。前者以工作量为评价核心，通过分解、评价岗位工作内容定量核定出个体或是团队工作量，再根据工作量确定编制人数，结果较为精确但由于涉及到工作量评价，执行较为困难。而后者则是通过研究既往数据和评价当前运行人数的现况根据经验，估计出编制人数，可行性佳但不如定量法科学精确，想要提高准确度就需要不断对护理人员的工作内容进行细致的分解和精确的估计考量。由于医院的特殊性，编制核定的思路不同于政府、企业及其他事业单位，在核定方法上对工作量和岗位等因素上要予以充分考量。而在现实工作中由于病房护理人员工作内容的复杂性，工作内容分解十分困难。因而需要一种不需要极力分解工作任务，而又相对准确的核定方法。

This paper introduced the concept of humanistic therapy and its connotation and application in the field of surgery, the spiritual essence and the docking and bioethics.The authors also analyzed the perioperative patients need humanistic therapy, including technology, ethics, psychology, the needs of the practice; discusses the humanistic therapy in clinical practice,includes:practice conditions, personnel, measures and problems.

Due to the complexity of the risks involved in patient safety, artificial management is not only heavily burdened but also difficult to timely warn, prevent and control potential medical accidents. It is an innovative exploration to improve patients' safety situation by using information technology to enhance patient safety management performance. Based on the practical needs of patient safety management in China, this study taps into mathematical modeling from three dimensions and two warning points to comprehensively, dynamically collect, analyze and evaluate hospital patients' safety information. And upon this basis, real-time monitoring and early warning of the status of patient safety are achieved, reducing health risks, accidents and protecting patients to the maximum extent.

Objective To understand the Chinese Hospital ICU patient safety status.Methods Using questionnaires and personal interviews conducted in-depth investigation,and using factor analysis,factor analysis method.Results Two-level target hospitals' mainproblems are:inadequate regulations,lack of equipment configuration,staff training,ineffectiveness,and critical patient identification process needed to be strengthened.The main impact of ICU patient safety factors are:the quality of staffing and personnel,personnel access,the layout process,supervision and management,financial and material resources,rules and regulations,communication and collaboration,and work intensity.Conclusion ICU management should be enhanced because of the weak points of ICU management.

Objective: Through the status investigation of Ankang Hospital,the Compulsory treatment medical institutions in Heilongjiang Province,the study wants to know the quantity and the quality of human resources in the hospital,to know the status of employee training and stuff mobility and working conditions,to find out the problems exist in the human resources management and propos the improvement strategies.Methods:In this study,literature review was used to know the human resources status in drug addiction treatment center at home and abroad.Questionnaire and in-depth personal interview were used to know the human resources status of the target hospital.Brainstorming was used to propose the improvement strategies.Results: There are 100 employees in target hospital,the ratio of doctor and nurse is 1:0.85,ratio of doctor nurse and bed is 1:0.85:2.78.The stuff access way is Civil Service Examinations.In the past five years,the doctors have been transferred in the hospital for about 2.4 in average,and the nurses are 1.4 in average.43.3 % nurses work over 15 hours per day,and over 22 days per month.The workers are dissatisfied with the employee training.The most needed training for the employees include: medication knowledge,psychotherapy,psychiatric knowledge,the latest nursing techniques and information,psychological care,equipment operation and simple troubleshooting.The employees are under pressure and the sources include working environment,busy work,the patient,interpersonal relationships and career development,the lack of occupational protection.80 % doctors and 93.3 % nurses are generally satisfied with their work,but only 50 % doctors and 44 % nurses are satisfied with their own salary.Conclusions: The stuff of target hospital is stable.The number of doctor basically meets the needs of work,but the hospital needs more nurse,for the nurse is under great workload and pressure.The employee training does not fit for the actual work.With less occupational protection,the work satisfaction is quite low.

卫生部于2011年4月发布了《三级综合医院评审标准(2011年版)》,这是我国继 1989-1998年第一周期医院等级评审结束之后开展的新一轮的医院等级评审工作.新一轮评审标准是在全面总结过去医院评审经验教训的基础上,借鉴了国际上先进的医院评审理念与有效做法,重点突出了"医疗安全与质量"这个核心主题.本文通过对第一周期医院评审的回顾及对新一轮评审标准的解读,对可能出现问题进行探讨,并提出相关建议.

Interpretative structural modeling method is used to analysis the influencing factors of doctor-patient relationship with the purpose of providing scientific evidence to the management of the medical institutions and the way to create a harmonious relationship between doctors and patients.This study aims to clarify the factors that influence the doctor-patient relation and how they mutually work.The result shows that all the factors jointly work making up a multi-steps system,which consists of complicated influencing factors.