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医学临床研究 2016年第5期33卷 977-979页

作者：王淑花河北省唐山市丰润区人民医院河北唐山064000

【目的】探讨使用失效模式与效应分析（FMEA）对减少经外周静脉中心静脉导管置管（PICC）相关性导管感染发生的效果。【方法】对本院2014年2月至2015年1月的PICC置管的乳腺癌患者（干预组，82例）通过FMEA模式对感染的危险因素进行原因... 详细信息

【目的】探讨使用失效模式与效应分析（FMEA）对减少经外周静脉中心静脉导管置管（PICC）相关性导管感染发生的效果。【方法】对本院2014年2月至2015年1月的PICC置管的乳腺癌患者（干预组，82例）通过FMEA模式对感染的危险因素进行原因分析，选择较高风险数值的失效模式进行改进，制订方案并对护理流程进行改进和实施。并与2013年2月至2014年1月PICC置管患者72例经FMEA干预的乳腺癌患者（常规组）比较，分析比较两组患者感染发生率。【结果】实施FMEA管理后，干预组发生PICC相关性导管感染人数占3．7％（3／82），明显低于常规组12．5％（9／72），且两组相比较差异有显著性（P〈0．05）；护士PICC导管相关知识优秀人数占60％，较管理前20％明显增多，技能操作的优秀人数在管理后达66．7％，较管理前26．7％明显提高，且差异均具有显著性（P〈0．05）。【结论】应用FMEA对护理流程进行前瞻性系统改善和管理，能够有效的控制PICC相关性导管感染的发生，提高护理人员的护理质量。

关键词：医院管理/统计学和数值数据导管插入术中心静脉感染控制乳腺肿瘤

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Hospital services as a tool in physician marketing

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Journal of Hospital Marketing 1991年第2期5卷 111-119页

作者： Mainous, Arch G. Shelby, Richard L. CME Research Inc. Lexington KY United States Department of Health Services University of Kentucky Lexington KY United States

The marketing of hospitals to physicians is of importance because of the latter’s hypothesized primacy in health care buying decisions. The notion of marketing to physicians was investigated in terms of types of services offered by hospitals. The results indicated that successfully performing hospitals are more likely to offer high technology services for diagnostic and therapeutic tasks. Further, there was no significant difference between successfully and unsuccessfully performing hospitals in the provision of services marketed to the community. It was concluded that offering these high technology services may be an effective way of marketing hospitals to physicians. © 1991 Taylor & Francis Group, LLC.

关键词：病床利用率/统计学和数值数据评价研究医院管理/统计学和数值数据肯塔基卫生服务使用研究/统计学和数值数据医师转诊和会诊工艺学高成本人类

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An approach to improving hospital advertising

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Journal of Hospital Marketing 1996年第1期11.0卷 53-64页

作者： Gombeski W.R., Jr. Luck, C. Camden, C. Pimlott, C. Rucker J.B., Jr. Wilker, M. The Cleveland Clinic Foundation Cleveland OH 44195 9500 Euclid Avenue United States

Newspaper ads from hospitals in Ohio were rated for their effectiveness and explicit use of marketing principles. Analysis showed that the advertising could be improved by increasing the motivation for action, emphasizing how the organization's products and services are different from competitors and more thoroughly identifying the benefits the consumer would receive. Use of the two forms in the study can contribute to improved health care advertising.

关键词：广告(主题)/标准广告(主题)/统计学和数值数据用户满意医院管理/统计学和数值数据医院死亡率医院县/统计学和数值数据医院市区/统计学和数值数据卫生服务使用研究/方法卫生服务使用研究/统计学和数值数据报纸俄亥俄/流行病学方案评价人类

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GRADUATE-EDUCATION IN HEALTH-SERVICES ADMINISTRATION - INTEGRATING BUSINESS WITH CLINICAL PERSPECTIVES

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EVALUATION & THE HEALTH PROFESSIONS 1995年第2期18卷 217-228页

作者： LANGLANDORBAN, B GREENE, BR VOGEL, WB UNIV FLORIDA GAINESVILLEFL 32611 USA

Health services administration continues-to evolve in response to environmental changes in reimbursement, technology, demographics, and health care reform. These changes encourage further integration of business skills in health services, an emphasis which often conflicts with the perspectives of clinicians. The balance between business and clinical perspectives must be developed such that administrators and clinicians foster the survival and growth of their organizations while assuring comprehensive and quality health services to patients and the community. This paper describes education in health services administration, and uses a survey of one program's graduates to assess the usefulness of the current educational model in balancing business and clinical perspectives.

关键词：佛罗里达医院管理/教育医院管理/统计学和数值数据模型教育专业能力/统计学和数值数据方案评价大学

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Marketing research in hospitals

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Journal of Hospital Marketing 1996年第1期11卷 19-34页

作者： Gourley, David R. Sehorn, Annette García Arizona State University United States Southwest Oklahoma University United States

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Hospital ethics committees in Quebec: An overview

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HEC Forum 1991年第6期3卷 339-346页

作者： Jean, André Paré, Simon Parizeau, Marie-Hélène MinisteredelaSanteetdesServicesSociauz Quebec.

In June 1989, La Direction de la Sante physique (ministere de la Sante et des Services sociaux) (MSSS) undertook a major research project focusing on ethics committees in Quebec, in cooperation with Laval University's Groupe de recherche en Ethique Medicale (GREM). Initially, three major objectives were set out: to prepare a faithful overview of ethics committees in Quebec; to inform all those involved of the available resources, and to collect the data required to eventually carry out in-depth research on ethics committees. A number of government documents refer to the existence of ethics committees, whether to request their cooperation or to entrust mandates to them; moreover, the Law Reform Commission of Canada recently published a document that proposed establishing a Canadian Advisory Council on Biomedical Ethics. The MSSS, therefore, had to study the situation in Quebec with regard to ethics committees in order to be in a position to clarify its position in future discussions. This overview is the outcome of the first stage of this research project. Essentially, it represents the first of three main sections of a single document. It [1] presents general data on ethics committees, [2] contains a description of each committee by socio-sanitary region and type of committee, and in section three it deals with the principal resources available in bioethics in Quebec, Canada, and throughout the world.

关键词：伦理学委员会临床伦理学委员会研究医院管理/标准医院管理/统计学和数值数据学科间信息交流魁北克问卷调查研究人类

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Applying control charts to quality improvement.

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Journal for healthcare quality : official publication of the National Association for Healthcare Quality 1996年第6期18卷 32-41页

作者： Finison, L.J. Finison, K.S. Works Cambridge MA United States

This article reviews the definitions and principles that should guide the use of control charts in healthcare quality. Several examples from the literature are used to illustrate significant problems and issues in con... 详细信息

关键词：数据说明统计教育继续医院管理/标准医院管理/统计学和数值数据医院费用信息服务结果与过程评价(卫生保健) 时间和运动研究

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Is performance related to marketing research in the health care industry?

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Journal of Hospital Marketing 1994年第2期8卷 199-225页

作者： Naidu, G.M. Kleimenhagen, Arno Pillari, George D. College of Business and Economics University of Wisconsin-Whitewater Whitewater WI 53190 United States College of Business and Economics University of Wisconsin-Whitewater Whitewater WI 53190 United States Health Care Investment Analysts Inc Baltimore MD 21202 207 East Redwood Street Suite 400 United States

Marketing research has grown to become indispensable for superior performance in packaged goods industries. While health care institutions are spending large amounts on marketing research, few studies focus upon the relationship of marketing research to health care organizational performance. Utilizing a national sample of U.S. hospitals, this article points out that marketing research and superior performance are positively associated. © 1994 by The Haworth Press, Inc. All rights reserved.

关键词：卡方分布评价研究医院管理/标准医院管理/统计学和数值数据医院病床数卫生服务使用研究/方法卫生服务使用研究/统计学和数值数据问卷调查美国

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The utility of hospital administrative data for generating a screening program to predict adverse outcomes

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American Journal of Medical Quality 1999年第6期14卷 242-247页

作者： Zarling, Edwin J. Piontek, Frank A. Kohli, Rajiv Department of Medicine Loyola University Medical Center Maywood IL United States Quality Management Officer Vet. Integrated Service Network 12 Hines IL United States Holy Cross Health System Corporation South Bend IL United States Vet. Integrated Service Network 12 Building 18 Hines IL 60141-5000 Fifth Avenue at Roosevelt Road United States

A system to predict which patients will suffer medical complications or poor financial outcomes during a hospitalization would be very useful to providers of medical care. To develop such a system, we applied two previously developed indices that predict in-hospital complications to all 321,558 adult patients discharged from our hospital network. The indices identified 26,377 patients (8.2%) who experienced one or more medical complications. For these patients, high-risk admitting diagnoses were identified. We tabulated 4235 admitting diagnoses and focused on 26 (0.6%) diagnoses that were high-risk and high-volume for complications. We found that 25% of patients with these admitting diagnoses experienced complications during hospitalization. Prevention of these complications could have saved 1241 hospital days, 11 lives, and $10.5 million. Administrative data available at the time of admission can be useful in identifying the small subset of patients who are likely to experience adverse clinical outcomes during a hospitalization and those who are likely to generate adverse financial outcomes for the hospital.

关键词：规范医院管理/统计学和数值数据医院收费医院死亡率医原性疾病/流行病学住院时间 Medicare/统计学和数值数据结果评价(卫生保健)/经济学结果评价(卫生保健)/方法手术后并发症/流行病学预后风险调节危险性评估/经济学危险性评估/方法疾病严重程度指数软件美国/流行病学成年人老年人人类中年人

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A National Institute for Occupational Safety and Health Alert sent to hospitals and the intentions of hospital decision makers to advocate for latex allergy control measures

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HEALTH EDUCATION RESEARCH 2000年第4期15卷 463-467页

作者： Maxfield, A Lewis, J Lachenmayr, S Tisdale, J Lum, M Ctr Dis Control & Prevent NIOSH Washington DC 20201 USA Univ Med & Dent New Jersey Robert Wood Johnson Med Sch Dept Community Med Piscataway NJ 08854 USA

This study evaluated a National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention, Alert concerning the risk and prevention of latex allergy among health care workers. It has been estimated that 8-12% of health care workers are sensitized to latex. NIOSH Alerts are publications that are intended to educate stakeholders about risks in the workplace;this Alert contained four recommendations for administrative control measures that hospital decision makers could adopt to reduce the risk of latex allergy to employees. The Alert was mailed to a random selection of Directors of Infection Control and Directors of Nursing in hospitals in the US. A random sample of these targeted recipients and a control group were surveyed by telephone (N = 298). Although nearly all of the respondents were concerned about latex allergy (96%), those reporting having seen the Alert were significantly more likely to report an intention to advocate for one or more of the control measures.

关键词：决策组织手套防护/标准坚持准则/统计学和数值数据医院管理/标准医院管理/统计学和数值数据胶乳过敏症/预防和控制国立职业安全与卫生研究所(美国) 职业卫生组织改革人员医院/标准危险处理美国人类

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