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通过推进电子化预约登记,整合“预约登记、安排入院、入院检查、出院随访”服务流程,以信息化统筹全院床位,再造了入院流程。住院服务中心模式的实施,缩短了患者入院前等候时间,简化入院手续办理和入院后检查检验流程,缩短患者平均住院日,提高了床位使用率。 相似文献
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目的 分析黑龙江省的医院床位工作效率,为黑龙江省的医院床位配置与有效利用提供依据。方法 采用归一分析法的效率指数模型,将病床使用率和病床周转次数综合起来作一项数学处理。结果 2013年黑龙江省的不同类型医院的床位工作效率除专科医院处于高效率运行外,其他类型医院都处于低效运行;不同级别医院中三级医院的床位工作效率处于高效率运行状态,一级、二级医院处于低效率运行状态;不同经济类型医院均处于低效率运行状态。结论 黑龙江省的三级医院、专科医院床位工作效率高,基层医院效率低是目前普遍存在的问题,建议黑龙江省的卫生行政部门在规划卫生资源配置时,采取相应的政策措施改善医院床位工作效率分配不合理的现象,进而缓解城乡卫生资源配置上的矛盾。 相似文献
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目的 分析我国中医医院ICU现状,为提高全国中医院ICU总体水平提供依据。方法 采用表格问卷调查形式,收集分析全国三级甲等中医医院ICU的资料。结果 ICU平均床位数为(20.7±10.3)张,占医院总床位数的2%;88%为综合ICU,12%为专科ICU;床位平均使用率为84%。呼吸机、床旁多功能持续心电监护仪、血液净化仪与纤维支气管镜平均数与ICU平均床位数比值为分别为0.69、1.02、0.09与0.07。ICU医生与护士配置平均人数与ICU床位数比值分别为0.69与1.7。大多数中医医院ICU能够独立开展常见器官功能监测及功能支持。结论 我国三级甲等中医医院ICU大部分规模及性质、设备配置和技术开展情况基本上符合指南要求,但人员配备未达标,核心医疗指标尚有较大进步空间。
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目的 探讨单床工作效率指标在评价医院床位利用效率的应用及可行性,建立床位效能评价模型,为科学、有效的床位利用与评估提供依据。方法 提出单床工作效率概念,建立新的床位效能评价模型,分析2015年某院床位利用情况。结果 单床工作效率在评价床位利用效能方面优于其他指标,新的医院床位效能评价模型评价更为客观、准确。结论 单床工作效率为核心的医院床位效能评价模型具有更好的可比性和操作性,可在医院精细化管理中推广使用。 相似文献
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通过对国内外床位利用效率评价方法、评价结果的现状分析,总结归纳床位利用效率的影响因素,发现影响床位利用效率的因素主要有国家相关政策、医院自身管理和医护人员行为、病人病种结构及其他不可控因素,国内对床位利用效率的评价研究存在方法单一、影响因素分析不够透彻以及政策建议缺乏针对性和可操作性等几个方面的问题。 相似文献
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自2015年年初起对全院品管圈项目进行基于开题报告的质量管理,包括在品管圈前期开展开题报告及评审、举办“圈长论坛”交流平台等多种形式的品管技巧培训,中期进行评估及实地查访,后期成果汇报管理等措施,有效提升了品管圈活动的质量和结题率。
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In experiments on Black Sea skates (Raja clavata), the potential of the receptor epithelium of the ampullae of Lorenzini and spike activity of single nerve fibers connected to them were investigated during electrical and temperature stimulation. Usually the potential within the canal was between 0 and –2 mV, and the input resistance of the ampulla 250–400 k. Heating of the region of the receptor epithelium was accompanied by a negative wave of potential, an increase in input resistance, and inhibition of spike activity. With worsening of the animal's condition the transepithelial potential became positive (up to +10 mV) but the input resistance of the ampulla during stimulation with a positive current was nonlinear in some cases: a regenerative spike of positive polarity appeared in the channel. During heating, the spike response was sometimes reversed in sign. It is suggested that fluctuations of the transepithelial potential and spike responses to temperature stimulation reflect changes in the potential difference on the basal membrane of the receptor cells, which is described by a relationship of the Nernst's or Goldman's equation type.I. P. Pavlov Institute of Physiology, Academy of Sciences of the USSR, Leningrad. I. M. Sechenov, Institute of Evolutionary Physiology and Biochemistry, Academy of Sciences of the USSR, Leningrad. Pacific Institute of Oceanology, Far Eastern Scientific Center, Academy of Sciences of the USSR, Vladivostok. Translated from Neirofiziologiya, Vol. 12, No. 1, pp. 67–74, January–February, 1980. 相似文献
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N. P. Vesselkin Yu. V. Natochin 《Journal of Evolutionary Biochemistry and Physiology》2010,46(6):592-603
Evolution of living organisms is closely connected with evolution of structure of the system of regulations and its mechanisms.
The functional ground of regulations is chemical signalization. As early as in unicellular organisms there is a set of signal
mechanisms providing their life activity and orientation in space and time. Subsequent evolution of ways of chemical signalization
followed the way of development of delivery pathways of chemical signal and development of mechanisms of its regulation. The
mechanism of chemical regulation of the signal interaction is discussed by the example of the specialized system of transduction
of signal from neuron to neuron, of effect of hormone on the epithelial cell and modulation of this effect. These mechanisms
are considered as the most important ways of the fine and precise adaptation of chemical signalization underlying functioning
of physiological systems and organs of the living organism 相似文献