Objective:To analyze the epidemiological characteristics of the patients who underwent knee arthroscopy in Nanfang Hospital, Southern Medical University between 2018 and 2022.Methods:A retrospective study was conducted to analyze the data of 2,184 patients who had undergone knee arthroscopy from January 2018 to December 2022 in Nanfang Hospital, Southern Medical University. The data of the patients' gender, age, disease diagnosis, place of residence, hospitalization time, and hospitalization costs were collected to analyze the epidemiological characteristics of the patients.Results:Of the 2,481 patients, 1,427 were males and 1,054 females with an age of 35.9 (26.0, 51.4) years. From the year 2018 to the year 2022, respectively, 344, 339, 344, 632, and 822 patients were admitted. No statistically significant differences were found in the comparison of the patients' gender or age between years ( P>0.05). The top 3 diseases diagnosed were dislocation, sprain and strain of the knee joint and ligaments (40.2%, 998/2,481), intra-articular disorder of the knee (30.7%, 761/2,481), and synovitis and tenosynovitis (5.5%, 136/2,481). The differences were statistically significant in disease diagnosis, place of residence, hospitalization time, and hospitalization costs between the years ( P<0.05). The main disease diagnosed was dislocation, sprain and strain of the knee joint and ligaments for males (47.3%, 675/1,427) and intra-articular disorder of the knee for females (32.2%, 339/1,054). The proportion of patients coming from Guangzhou gradually increased from 22.4% (77/344) in 2018 to 55.8% (459/822) in 2022. The hospitalization time for the patients in 2020, 2021, and 2022 was significantly shorter than that in 2018 and 2019, showing a significant decrease from 2020 to 2021 and from 2021 to 2022 ( P<0.05). The hospitalization costs for the patients showed an increasing trend from 2018 to 2021, with a significant increase in 2019, 2020, 2021, and 2022 in comparison with 2018, but the costs were significantly decreased in 2022 compared with 2021 (all P<0.05). Conclusions:From 2018 to 2022, the knee arthroscopy-related surgeries showed an increasing trend year by year. More males underwent knee arthroscopy than females. Knee injuries were mostly diagnosed in male patients. The patients coming from Guangzhou increased year by year. The hospitalization time showed a shortening trend, and the hospitalization costs decreased from 2022.

课题研究型品管圈内训课程设计是医院质量管理工具培训体系中的重要组成部分.聚焦核心步骤,着眼于"两难三缺"(理论难理解,操作难上手,缺少系统性专著,缺少高质量文献或案例分享,缺少规范化辅导),阐述了课题研究型品管圈内训课程"两多一少"(互动更多,实操更多,理论更少)的特点,分享了内训课堂实践经验,为医院内训课程体系建设提供了参考.

目的:探索临床科室医疗质量安全监测指标与控制目标的架构设计,为科室有效落实科学管理、过程管理与精细化管理提供重要的指导作用.方法:基于医疗质量管理的三维理论、SMART原则等,参考国家卫生管理部门各级要求、规章制度与国家医疗服务与质量安全报告的大数据,结合学科特色与科室需求,从多维度梳理医疗质量安全的监测指标与控制目标的属性与功能,探索其架构与内涵.结果:完成医疗质量安全5大版块监测指标与控制目标的架构设计,使医疗质量具体而形象地呈现在各级医院管理者面前.结论:该架构设计具有较强的科学性、适用性与推广性,对医疗质量持续改进具有重要的理论与实际意义.

Objective To investigate the characteristics and reasons of inpatients with more than 30 days of length of stay,to provide data support for further reduction of length of stay.Methods The information among inpatients with more than 30 days of length of stay from 2013 to 2015 were investigated,and the causes for long length of stay were analyzed from electronic medical records.Results The number of inpatients with more than 30 days of length of stay accounted for 2.4％ of all inpatients,and it accounted for 13.4％ of the total of bed days.Most inpatients were from Guangdong province except Guangzhou with self-paying.The top three diseases were cancer,the factors that affect health status and contact with health care institutions,and some other consequences of injury,poisoning and external causes.Conclusion The reasonable hospital management made the length of stay a downward trend by the two factors of nosocomial infection and the patient not willing to discharge,which shortened the average length of stay in hospital.

>我院门诊及中心药房即住院药房一直以来存在患者和临床满意度低的问题,门诊药房由于管理环节不清晰、工作环境凌乱等诸多原因导致患者取药等待时间过长;中心药房出院带药流程中环节过多,流程各个节点极不顺畅,导致患者经常要求取消出院带药、出院带药处方丢失率高等。针对这些问题,医院领导层及时引进精益管理进行改善。在医疗行业中,精益管理就是通过消除各种医疗浪费,利用有限的