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专科医院基于病种评价的资源配置模型研究
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作者 李淼 代伟英 +4 位作者 金亚娜 于泽洋 李俊洋 宋小强 刘斌 《中国卫生产业》 2024年第15期45-50,55,共7页
目的通过分析某医院各病区收治某一关键病种的医疗卫生服务能力,评价其资源配置情况与资源利用效率,指导各病区基于资源利用情况优化病种结构,为精细化医院管理提供参考。方法选定关键病种X,根据病区的运营数据采用秩和比(Rank-sum Rati... 目的通过分析某医院各病区收治某一关键病种的医疗卫生服务能力,评价其资源配置情况与资源利用效率,指导各病区基于资源利用情况优化病种结构,为精细化医院管理提供参考。方法选定关键病种X,根据病区的运营数据采用秩和比(Rank-sum Ratio,RSR)综合评价方法评价各病区在关键病种下的表现情况,将评价结果作为产出,资源配置作为投入,通过数据包络分析评价各病区的资源配置情况。结果采用RSR综合评价方法评价10个病区的运营表现,综合得分较高为C病区与J病区,其资源利用效率较高。综合得分较低为H病区、I病区与G病区,其中H病区与I病区资源投入较高但产出低;G病区资源投入低,产出也低。结论针对关键病种X,C病区与J病区应加大该病种的收治比例,持续扩大病种优势。对于H病区与I病区,应适当减少该病种的收治,聚焦与病区发展方向相一致的关键病种。 展开更多
关键词 专科医院 病种评价 资源配置 数据包络分析
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病种质量评价实现网络化监控新模式 被引量:25
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作者 张力 马健 邹卫军 《中国医院管理》 1999年第6期27-29,共3页
研究建立了病种质量评价网络化监控系统,有利于医院质量信息资源共享,为人人参与质量管理奠定了基础;有利于总量控制目标落实到每个医院、每个科室、每个医生、每个病种;有利于医院质量管理向科学化、系统化、自动化的自我监控模式转变。
关键词 病种质量评价 网络化 监控 医院管理
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单病种护理质量评价指标在提高护理文书质量的应用 被引量:2
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作者 廖宁宁 《医学食疗与健康》 2020年第19期198-198,200,共2页
目的:探讨单病种护理评价指标对提高护理文书质量中应用的效果。方法:创新制定单病种护理评价指标,各临床科护士遵照落实各项护理工作。随机抽取2017年第三季度(实施指引前)和2018年第一季度(实施指引后)各100份护理病历,比较实施前后... 目的:探讨单病种护理评价指标对提高护理文书质量中应用的效果。方法:创新制定单病种护理评价指标,各临床科护士遵照落实各项护理工作。随机抽取2017年第三季度(实施指引前)和2018年第一季度(实施指引后)各100份护理病历,比较实施前后护理文书质量存在问题。结果:2018年第一季度护理文书存在问题较2017年第三季度护理文书存在问题有明显改善(P<0.01)。讨论:通过实施护理指引,规范临床护理行为,指导客观、准确的书写护理记录,提升护士专业素养,提高护理文书书写能力,保证了护理文书的质量。 展开更多
关键词 护理文书质量 专科护理指引 病种护理质量评价指标
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第三届中国医院质量大会暨不良事件报告与六个单病种质量评价报告系统专项培训班在成都举办
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作者 郝秀兰 《中国医院》 2010年第1期17-17,共1页
为贯彻落实国务院“医药卫生体制改革近期重点实施方案(2009-2010)》,根据2009年全国卫生工作会议部署和卫生部((2009年“以病人为中心,以提高医疗服务质量为主题”的医院管理年活动方案》的工作安排,由中国医院协会主办,四川... 为贯彻落实国务院“医药卫生体制改革近期重点实施方案(2009-2010)》,根据2009年全国卫生工作会议部署和卫生部((2009年“以病人为中心,以提高医疗服务质量为主题”的医院管理年活动方案》的工作安排,由中国医院协会主办,四川大学华西医院承办的“第三届中国医院质量大会暨不良事件报告与六个单病种质量评价报告系统专项培训班”, 展开更多
关键词 病种质量评价 中国医院 报告系统 不良事件 医院质量 培训班 专项 医药卫生体制改革
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老年人病种质量评价研究 被引量:3
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作者 周山 吴海云 +5 位作者 董军 范利 何昆仑 李书章 何耀 秦银河 《中华医院管理杂志》 北大核心 2010年第7期554-556,共3页
我国已经进入人口老龄化社会[1],老年人获得的医疗服务质量越来越受到重视。美国RAND公司从1998年开始系统进行老年医疗与护理质量评价研究,是目前最全面、最系统的关于老年人医疗质量的研究[2-5]。研究者们建立了一套评价指标,并利... 我国已经进入人口老龄化社会[1],老年人获得的医疗服务质量越来越受到重视。美国RAND公司从1998年开始系统进行老年医疗与护理质量评价研究,是目前最全面、最系统的关于老年人医疗质量的研究[2-5]。研究者们建立了一套评价指标,并利用这套指标评价了美国老年医疗服务质量。 展开更多
关键词 老年人 病种质量评价 医疗服务质量 护理质量评价 老龄化社会 老年医疗 医疗质量 指标评价
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Resistance Evaluation of Part of Leading Rice Varieties to Rice Blast in Guangxi Province
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作者 颜群 罗志勇 +3 位作者 张晋 高利军 陈小林 高汉亮 《Agricultural Science & Technology》 CAS 2015年第3期518-522,共5页
In order to determine the resistance of leading rice varieties to rice blast in Guangxi, three natural induction rice blast nurseries were established in Cenxi, Sanjiang and Yongfu. The resistance of the 45 leading ri... In order to determine the resistance of leading rice varieties to rice blast in Guangxi, three natural induction rice blast nurseries were established in Cenxi, Sanjiang and Yongfu. The resistance of the 45 leading rice varieties in Guangxi to rice blast was determined under conditions of spray inoculation and natural induction at seedling stage. The results showed that resistance frequencies of the 45 leading rice varieties ranged from 8.33% to 94.44%. Among the 45 tested varieties, there were 8 varieties of which the resistance frequencies were all higher than 80%, accounting for 17.78%; there were 11 varieties of which the resistance frequencies ranged from 50% to 80%, accounting for 24.44%; the resistance frequencies of the remaining varieties were all lower than 50%, accounting for 57.78% of the total tested varieties. The twoconsecutive-year determination results showed none of the 45 leading rice varieties showed resistance to rice blast. In 2010, there were 26, 12 and 7 varieties that were moderately sensitive, sensitive and greatly sensitive to rice blast respectively, accounting for 57.78%, 26.67% and 15.56% of the total tested varieties. In 2011, there were 16, 23 and 12 varieties that were moderately sensitive, sensitive and greatly sensitive to rice blast respectively, accounting for 35.56%, 51.11% and 13.33%. The overall resistance of the 45 leading rice varieties trended to be decreased year by year. So in rice production, they should be selected properly. 展开更多
关键词 Leading rice varieties Rice blast Resistance evaluation GUANGXI
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Evaluation of the Pathogenicity and Immune Response of Nervous Necrosis Virus Isolated in Vietnam
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作者 Pham Thi Tam Pham Cong Hoat +1 位作者 Bui Thi Hai Hoa Nguyen Thi Thu Hien 《Journal of Agricultural Science and Technology(A)》 2014年第4期315-322,共8页
Eight strains of nervous necrosis virus (NNV) isolated in Vietnam were used to detect the pathogenicity and immune response in sea bass (SB). All strains induced cytopathic effect in SB cell line, complete destruc... Eight strains of nervous necrosis virus (NNV) isolated in Vietnam were used to detect the pathogenicity and immune response in sea bass (SB). All strains induced cytopathic effect in SB cell line, complete destruction of monolayer of cells appeared after seven days post infection (dpi). Virus titer was different for each strain, TCIDso ranged from 102.7 to 1069, and LDs0 from 1015 to 1075. Five NNV strains named QN 02, QN 05, QN 07, ND 11 and KH 05 had higher virulence than the other three, the first causing 100% mortality in experimental fish 3-5 dpi. NNV KH 05 had the highest antigenic similarity, and it was inactivated completely by 0.2% formalin, 0.002 mol/L binary ethylenimine (BEI) and 0.1% beta-propiolactone. The neutralization antibody titer obtained in fish of groups immunized by BEI 0.002 M and beta-propiolactone 0.1% inactivated virus was four to eight times higher than that of the group treated with the formalin inactivated virus. The antibody titer in fish immunized with beta-propiolactone inactivated virus was more persistent. The efficacy of vaccines developed from beta-propiolactone inactivated virus and aluminium hydroxide (AH) or aluminum phosphate (AP) was observed by intramuscularly immunizing Epinephelusfuscoguttatus size 1.5 cm. Neutralizing antibodies appeared in vaccinated fish on 10th day post-immunization (dpi) at a dilution of 1:16; 1:32 and highest levels were reached on 30-45 dpi, at dilutions of 1:256 and 1:512, after treatment with AH and AP vaccine, respectively. The relative percent of survival (RPS) of vaccine at 30 dpi was highest with challenge doses 0.2-1 × 10^6.8 TCIDs0, the RPS varied from 80%-83.3% in both groups of AH and AP immunization. This result provides the basis for developing a vaccine against NNA disease. 展开更多
关键词 GROUPER NNV TCID50 LD50 neutralization antibody RPS
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Construction and Application of a High-throughput Method for Identifying Maize Resistance to Aspergillus flavus in the Field
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作者 QI Yao-cheng DING Jian-zhou +6 位作者 ZUO Xiao-long ZHANG Wei QIAN Yi-liang REN Si-hai WANG Jun GUO Jin RUAN Long 《Agricultural Science & Technology》 CAS 2018年第5期43-49,共7页
In order to establish a fast and effective high-throughput method for identifying maize resistance to Aspergillus flavus infection in the field,5 conidial concentrations and 3 inoculation methods were compared and opt... In order to establish a fast and effective high-throughput method for identifying maize resistance to Aspergillus flavus infection in the field,5 conidial concentrations and 3 inoculation methods were compared and optimized. A correlation model between disease levels and aflatoxin B1 accumulation was established. The results showed that inoculating maize inbred lines with the optimal conidial concentration of 1.0×10^6 c/mL could accurately show the different resistance levels of maize to A.flavus infection,and the spiral quantitative inoculation technique could effectively avoid the defect of calculation error caused by commonly used methods. The positive correlation model of resistance level and aflatoxin B1 accumulation could effectively predict the capability of maize being resistant to A.flavus. 8 resistant and 9 medium resistant maize inbred lines of the RIL population were identified.The spiral quantitative identification method realized the high-throughput identification of maize inbred lines resistant to A.flavus infection in the field,and the results have shown high accuracy,stability and repeatability. 展开更多
关键词 MAIZE Aspergillus flavus Inoculation method Disease level Resistance evaluation
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Evaluation of Fungicides for Controlling Stem Rust Race Ug99 on Bread Wheat
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作者 Joseph Kinyoro Macharia Ruth Wanyera Samuel Kilonzo 《Journal of Agricultural Science and Technology(A)》 2013年第5期404-409,共6页
Stem rust race Ug99, also designated TTKSK (Puccinia graminis f. sp. tritici) cause stem or black rust, which is a serious disease of wheat worldwide. Field experiments were conducted at two sites during 2008 and 20... Stem rust race Ug99, also designated TTKSK (Puccinia graminis f. sp. tritici) cause stem or black rust, which is a serious disease of wheat worldwide. Field experiments were conducted at two sites during 2008 and 2009 growing seasons to evaluate the effectiveness of two new foliar fungicides: viz. Nativo 300 SC (trifloxystrobin 100 g L^-1 + tebuconazole 200 g L^-1) and Prosaro 250 EC (prothioconazole 125 g L^-1 + tebuconazole 125 g L^-1), in controlling stem rust on susceptible wheat cultivar Duma. AmistarXtra 280 SC (azoxystrobin 200 g L^-1 + cyproconazole 80 g L^-1) and Folicur 250 EC (tebuconazole) were used as checks. The treatment at each site and year included non-treated control and two spray applications of the fungicides at growth stages (GS) 55 (heading) and 65 (flowering). Stem rust severities were scored using the modified Cobb scale at 14-day intervals after application. The data were used to calculate mean rust severity (MRS). Stem rust epidemics were severe at KARI-Njoro in 2008 and the treatment effects on stem rust severities, grain yield and 1,000 kernel weights were significant at both KARI-Njoro and Mau-Narok sites. The fungicide treatments, significantly (P _〈 0.05) reduced stem rust severity, increased grain yield and 1,000 kernel weight of the susceptible wheat cultivar Duma compared to the non-treated control. Both fungicides: Nativo 300 SC and Prosaro 250 EC applied at the rate of 1.0 L hat were recommended for commercial use. 展开更多
关键词 Stem rust wheat (Triticum aestivum L.) fungicide.
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Assessment of Seed-Borne Plant Pathogenic Fungi Associated with Rice Crop in South-Eastern Nigeria
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作者 Christian Chukwunenye, Iwuagwu Charles Ikechukwu, Umechuruba +1 位作者 Charles Chimezie, Ononuju Andrew Chukwuma Nwogbaga 《Journal of Agricultural Science and Technology(A)》 2018年第2期68-75,共8页
This study was conducted to assess the incidence of seed-borne fungi on rice seeds sourced from the major rice growing areas of South-Eastern Nigeria. The rice seeds were collected during the dry seasons between 2009 ... This study was conducted to assess the incidence of seed-borne fungi on rice seeds sourced from the major rice growing areas of South-Eastern Nigeria. The rice seeds were collected during the dry seasons between 2009 and 2010. Four hundred rice seeds randomly collected and surface sterilized by washing in 3% sodium hypochlorite and rinsed two times with sterile distilled water were placed in three circular rings inside the Petri dishes. The incubation was done one after the other for each variety from all the locations. Ten fungi species from eight genera were isolated from the rice seeds in all the rice growing areas of South-Eastern Nigeria. The fungi pathogens vary from one locality to another, as well as the frequency of occurrence. The pathogens isolated include: Fusarium moniliforme, F. solani, F. oxysporium, Aspergillus spp., Botridiploidia spp., Helminthosporium spp., Penicillium spp., Trichoconis padwickii, Curvularia oryzae and Phoma oryzae. Though, there was the presence of some seed-borne fungi in the rice seeds from the areas studied, most of the cultivars experienced up to 90% germination. But some cultivars had very low germination. IR 1416 from Arochukwu and GB90 from Arondiuzogu had less than 1% germination. This study shows that seed-borne organisms are major constraint in rice production in the South-Eastern states of Nigeria as a result of low seed germination stemmed from infestation of fungi organisms in the seeds. 展开更多
关键词 MYCOFLORA rice seeds GERMINATION South-Eastern states
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基于ST段抬高型心肌梗死质量评价模型的医院诊疗质量评估 被引量:4
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作者 杨柳 陈晖 +3 位作者 闻思源 马晓伟 孟月莉 饶克勤 《中华医院管理杂志》 北大核心 2015年第6期459-463,共5页
目的利用ST段抬高型心肌梗死(STEMI)质量评价模型对北京市15家三级医院进行诊疗质量的评价比较。方法应用文献分析法和专家咨询法构建STEMI质量评价指标体系,运用层次分析法确定各指标的权重系数,在15家医院(H1~H15)进行数据采... 目的利用ST段抬高型心肌梗死(STEMI)质量评价模型对北京市15家三级医院进行诊疗质量的评价比较。方法应用文献分析法和专家咨询法构建STEMI质量评价指标体系,运用层次分析法确定各指标的权重系数,在15家医院(H1~H15)进行数据采集,对其指标值进行评价,最终用加权秩和比法对医院的STEMI病例诊疗质量进行综合评价。结果H1~H15家医院在STEMI病例的诊疗中,其检查检验、患者评估、再灌注治疗、药物治疗水平和临床指南的要求尚有一定差距,甚至某些指标的达标率低于22%;医院间诊疗水平差异度较大;各医院在检查检验、患者评估、再灌注治疗、药物治疗和预后这5个维度上水平较为一致。结论STEMI质量评价模型能客观全面反映心血管内科的诊疗质量水平,并部分反映医院的整体管理水平,可为医院改进医疗质量提供控制模型的操作方法。 展开更多
关键词 诊疗质量 病种质量评价模型 ST段抬高型心肌梗死 综合评价
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骨科加速康复围术期患者血液管理进展:现状与未来 被引量:4
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作者 谢锦伟 廖刃 +11 位作者 向兵 黄强 黄泽宇 周宗科 沈彬 康鹏德 杨静 马俊 胡雯 刘斌 牛挺 裴福兴 《中国科学:生命科学》 CSCD 北大核心 2022年第11期1704-1714,共11页
血液是生命之源,是保障正常生命活动的关键.骨科患者失血多,创伤失血后手术再失血更是雪上加霜;严重失血会影响机体器官功能,增加严重并发症发生率和术后死亡率.围术期患者血液管理是骨科加速康复发展的核心关键技术之一,是实现骨科加... 血液是生命之源,是保障正常生命活动的关键.骨科患者失血多,创伤失血后手术再失血更是雪上加霜;严重失血会影响机体器官功能,增加严重并发症发生率和术后死亡率.围术期患者血液管理是骨科加速康复发展的核心关键技术之一,是实现骨科加速康复的先决条件.围术期患者血液管理的关键技术需要多学科协作、共同研究,才能推动骨科加速康复的发展.骨科加速康复围术期患者血液管理的关键技术包括:(1)加强围术期患者贫血的诊断与治疗,提升患者血红蛋白水平,建立患者机体血库,是减少输血的基础,从而真正做到围术期患者血液管理的“开源”;(2)采用先进的综合措施,特别是抗纤溶药氨甲环酸的研究与应用,减少术中、术后出血与输血,从而真正做到围术期患者血液管理的“节流”;(3)减少术后出血与加强术后贫血的诊治,同时序贯抗凝预防深静脉血栓形成,逐步达到纤溶与凝血的平衡,从而真正做到既减少失血,也不增加深静脉血栓形成;(4)建立骨科择期手术单病种输血评价机制,逐步优化围术期患者血液管理措施,从而持续提升血液管理能力.骨科加速康复围术期患者血液管理将逐步达到减少因出血、纤溶、凝血紊乱所导致的并发症,实现少输血或无输血手术和患者加速康复的目标,推动医院高质量发展. 展开更多
关键词 骨科加速康复 围术期 血液管理 关键技术 机体血库 病种输血评价
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