基于供应链模式的医院采购流程再造与管理实践

医院的采购管理是保障医院运行、提高运营效率、保证医疗质量、降低医疗成本的重要工作,供应链模式的采购管理是一个有效的管理模式。通过加强供应商管理与合作策略、采购流程优化采购两个方面的实践,逐步建立起符合现代管理学理念的采购流程与供应商关系管理体系,从而实现提高工作效率、降低医院成本的目的。     

现代医院医疗设备的合同标准化管理

目的本文主要阐述现代医院在医疗设备购置过程中,怎样来进一步规范采购合同,制定标准合同,加强标准合同管理,防范采购风险。     

标准操作流程模型在医疗设备管理流程中的应用

依据标准操作流程模型,将医疗设备管理细分为物流采购控制、应用核算控制和质量技术控制3个方面,实施了医院医疗设备管理的标准化和一些有效的做法, 阐述了加强医疗设备标准化管理的必要性, 提出了建立医疗设备质量管理体系的理念,使医疗设备管理逐步进入质量—效率—效益良性循环的发展轨道。

     

标准作业程序在医疗废物管理中的应用

标准作业程序的应用，规范了医疗废物收集、交接运送、贮存等环节的工作内容和要求，明确了各环节人员的工作职责，形成了科室分类收集标准化，运送人员专职化、运送路线时间固定化、暂存处管理规范化的院内医疗废物管理的模式，收到良好效果。     

医院设备利用率管理的探究

分析了医院医疗设备利用率管理的现状,提出了医疗设备利用率管理的前期工作与实施方法。建立设备的性能价值评定标准以及加强设备的维护保养工作都是提高设备利用率的有效途径。     

医疗设备政府采购的一般程序及其要点

医疗设备的政府采购必须依法采购，要做到依法采购，就必须依照法定的程序执行。     

智慧化医疗设备管理系统的研究与应用

??????? 目的 科学管理各种医疗设备,充分发挥其作用,避免造成资源浪费。方法 针对医疗设备的管理现状,提出了基于实时定位系统的智慧化医疗设备管理系统的研究与应用。结果 基于实时定位系统的智慧化医疗设备管理系统将基于无线个域网、无线射频识别的无线传感网络技术、实时定位系统技术与临床信息系统进行有效集成,实时动态感知设备运行状态、位置,有力提升了医疗设备的智慧化管理程度,改善了医疗工作流程与效率,提升了设备使用价值,为单机成本核算等精细化管理提供了技术基础。结论 基于实时定位系统的智慧化医疗设备管理系统的应用能够给医院的医疗设备管理带来管理效益、经济效益和社会效益。     

健康医疗可穿戴设备数据隐私相关问题研究

归纳、总结健康医疗可穿戴设备采集的数据内容,重点绘制健康医疗可穿戴设备的数据流动环节,并将数据流动划分为采集、上传、集成交互以及信息反馈等主要环节,并分析各主要环节中以及其他方面存在及潜在的数据安全与隐私问题,希望能为健康医疗可穿戴设备的数据隐私保护机制提供不同角度的理论参考。     

工作月报制在现代医疗管理中的应用与探索

“痕迹管理”是现代医院管理工作客观要求,北京大学第一医院建立了医疗管理工作月度报告制度,以《医疗管理工作日度报告》为载体,加强医疗管理处室内部组织以及医疗管理团队间的协作,提升了医院医疗管理水平。     

新医改背景下医疗设备信息化管理存在的问题及解决对策探究

医疗设备是医院的重要资产,可在一定程度上反映医院的诊断能力以及现代化程度。新医改政策出台后,各地均大力推进医药卫生信息化建设,随着医疗设备种类的增加,给医院设备管理带来一定的困难,医疗设备信息化管理已成为医院不可或缺的一部分。我国的医疗设备信息化管理起步较晚,尚处于初级研究阶段,从而导致现阶段医疗设备信息化管理问题较多。本文简短叙述了医疗设备信息化管理现状,以及当前医疗设备信息化管理所存在的问题,并对所描述问题提出针对性的解决方案。     

Computer-assisted measurement of biomechanical values exemplified by the renovascular system

The high innovation in electronics and measuring techniques has influenced the development of medical equipment. The progressive miniaturization of integrated circuits yields in an increased possibility of functions with the respective technical equipments. Therewith also in medical technology more universal equipments are available. Unfortunately the development of sensors did not match the development rate in microelectronics. Hence computer-aided measuring (indirect measuring) becomes more and more important, to pick up normally non-measurable biomechanical quantities, which will be shown for the case study of the renovascular system.     

Procurement,commissioning and QA of AI based solutions: An MPE’s perspective on introducing AI in clinical practice

PurposeIn this study, we propose a framework to help the MPE take up a unique and important role at the introduction of AI solutions in clinical practice, and more in particular at procurement, acceptance, commissioning and QA.Material and methodsThe steps for the introduction of Medical Radiological Equipment in a hospital setting were extrapolated to AI tools. Literature review and in-house experience was added to prepare similar, yet dedicated test methods.ResultsProcurement starts from the clinical cases to be solved and is usually a complex process with many stakeholders and possibly many candidate AI solutions. Specific KPIs and metrics need to be defined. Acceptance testing follows, to verify the installation and test for critical exams. Commissioning should test the suitability of the AI tool for the intended use in the local institution. Results may be predicted from peer reviewed papers that treat representative populations. If not available, local data sets can be prepared to assess the KPIs, or ‘virtual clinical trials’ could be used to create large, simulated test data sets. Quality assurance must be performed periodically to verify if KPIs are stable, especially if the software is upscaled or upgraded, and as soon as self-learning AI tools would enter the medical practice.DiscussionMPEs are well placed to bridge between manufacturer and medical team and help from procurement up to reporting to the management board. More work is needed to establish consolidated test protocols.     

The Procurement Team as a Factor of Bone Allograft Contamination

We studied the effect of the procurement team on the risk of contamination in 270 large bone allografts retrieved from 53 non-living donors under strictly aseptic conditions.The overall contamination rate was 8.1%. When the procurement team was constituted by three or less members the contamination rate was 5.6%, while if there were four or more members the rate was 12.9%; this difference was significant in the statistical analysis.We conclude that a procurement team constituted by three or less trained members is a determinant factor in decreasing the bacterial contamination rate of bone allografts.     

PREPARATION FOR DISASTER IN CALIFORNIA

The operational plan for medical preparedness in California is divided into three main divisions, viz: Expansion of existing medical facilities, augmentation of practicing health personnel, scope of service expected.Medical and health personnel and facilities will be expected to modify and adjust their care of casualties according to the situation present such as strategic warning, alert signal (yellow), take cover signal (red), and the post-attack period.This service is concerned with conservation of resources (human) and must do everything possible to return people to a status where they can help rebuild our nation.Supplies already obtained and stored throughout the state consist of first aid stations, emergency hospitals, blood procurement equipment, sanitation units.Over a half million first aiders and more than 96,000 home nurses have been trained by the local chapters of the American National Red Cross.     

远程会诊系统诊断皮肤真菌病

远程医疗会诊作为一种新的医学服务模式,与传统的医疗手段相比较,发展迅速,在医学领域中已充分显示出优越性.我国地域辽阔,医疗资源分布非常不平均,边远地区极其缺乏高端医疗人才和器材.皮肤病有发病率高、直观性强等特点,非常适合开展远程会诊.现通过医院在建设皮肤病远程会诊系统过程中产生的问题,对皮肤病远程会诊进行一些讨论.     

The necessity of strengthening the cooperation between tissue banks and organ transplant organizations at national, regional, and international levels

The donation of tissues and organs increases significantly when tissue banks and organ transplant organizations work together in the procurement of organs and tissues at donor sources (hospitals, coroners system, organ procurement agencies, and funeral homes, among others). To achieve this important goal, national competent health authorities should considered the establishment of a mechanism that promote the widest possible cooperation between tissue banks and organ transplant organizations with hospitals, research medical institutions, universities, and other medical institutions and facilities. One of the issues that can facilitate this cooperation is the establishment of a coding and traceability system that could identify all tissues and organs used in transplant activities carried out in any country. The promotion of national, regional, and international cooperation between tissue banks and organ transplant organizations would enable the sharing of relevant information that could be important for medical practice and scientific studies carried out by many countries, particularly for those countries with a weak health care system.     

汶川地震伤员627例伤情分析及现场和后续救治回顾思考

目的：探讨地震现场和后续救护更加合理的组织方法,为未来重大灾害救助提供更好的方法。方法：回顾分析＂汶川地震＂入住院绵阳404医院627例伤员的伤情,总结分析救治重点及关键问题,探讨地震救护组织、后续救治重点及有效组织形式。结果：收治的627例伤员中四肢伤36.2%（227/627）,头面伤21.1%（132/627）,多发伤10.7%（67/627）,胸部伤7.7%（48/627）,挤压伤6.7%（42/627）,椎骨骨折5.6%（35/627）,骨盆骨折4.1%（26/627）。快速分拣和高效ICU病房救治对于提高后续救治成功率十分关键。结论：现场挖掘救援队联合适宜装备的医疗救援队才是最有效的现场救援;强有力的ICU病房救治可降低死亡率;血液透析和呼吸机十分关键。具有地域特点的灾害救助预案构建十分必要。     

Quality Improvement Report: Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital

Problem In-hospital cardiac arrest often represents failure of optimal clinical care. The use of medical emergency teams to prevent such events is controversial. In-hospital cardiac arrests have been reduced in several single centre historical control studies, but the only randomised prospective study showed no such benefit. In our hospital an important problem was failure to call the medical emergency team or cardiac arrest team when, before in-hospital cardiac arrest, patients had fulfilled the criteria for calling the team.Design Single centre, prospective audit of cardiac arrests and data on use of the medical emergency team during 2000 to 2005.Setting 400 bed general outer suburban metropolitan teaching hospital.Strategies for change Three initiatives in the hospital to improve use of the medical emergency team: orientation programme for first year doctors, professional development course for medical registrars, and the evolving role of liaison intensive care unit nurses.Key measures for improvement Incidence of cardiac arrests.Effects of the change Incidence of cardiac arrests decreased 24% per year, from 2.4/1000 admissions in 2000 to 0.66/1000 admissions in 2005.Lessons learnt Medical emergency teams can be efficacious when supported with a multidisciplinary, multifaceted education system for clinical staff.