中华医院管理杂志最新文献

{"title":"Exploration and practice: operation mode of a united medical team cooperation in designated hospitals for treating severe COVID-19 patients","authors":"Man-Ru Fan, L. Cai, Yu Hu, Xiangnian Ji, Yu-xiong Weng, Dongsheng Xu, Shaowei Wu, W. Xiang","doi":"10.3760/CMA.J.CN112225-20200311-00655","DOIUrl":"https://doi.org/10.3760/CMA.J.CN112225-20200311-00655","url":null,"abstract":"Since the outbreak of COVID-19, several prevention and control measures have been successively promulgated in Wuhan. To name a few, setup of designated hospitals for severe COVID-19 patients is key to enforcing the policy of pooling patients, experts, resources and standardizing treatment. These efforts contribute decisively to improving the cure rate and reducing the mortality of COVID-19. As one of the designated hospitals composed of multiple medical teams, Wuhan Union Hospital put in place a joint working mode for treating severe COVID-19 patients, and found solutions to the main problems and difficulties in management. Its experiences provide references for the operation of joint medical institutions in emergency. \u0000 \u0000Key words: \u0000COVID-19; Severe COVID-19 patients; Designated hospital; Operating mode; Team work","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46164613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management practice for critical COVID-19 patients rescue in designated hospitals","authors":"Nan Ma, Yin Li, Caiying Sun, Shuying Guan, Jialei Yan, Yongping Qian, Haiyong Chen, G. Wei, Yunqing Qiu, T. Liang","doi":"10.3760/CMA.J.CN112225-20200307-00564","DOIUrl":"https://doi.org/10.3760/CMA.J.CN112225-20200307-00564","url":null,"abstract":"December 2019 witnessed the outbreak of COVID-19 in Wuhan and spread of the epidemic across the country. As a provincial designated hospital for critical patients, the First Affiliated Hospital of Zhejiang University responded rapidly since then by advocating the four-concentration principles, namely \"concentrating patients, experts, resources and treatment\" . In its rescue of critical patients, the hospital formulated comprehensive emergency plans, optimized hospital-wide resources, effectively arranged rescue spacing, established medical echelons, and implemented multi-disciplinary strategy. These efforts ensured efficient rescue and treatment, achieving a cure rate up to 98.7% of such patients, with no deaths. \u0000 \u0000Key words: \u0000COVID-19; Centralized rescue; Multidisciplinary cooperation mechanism; Medical management","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41388742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pharmaceutical administration practice during prevention and treatment of COVID-19","authors":"Xiu-lan Liu, Yi Liu, Lin Qiu, P. Luo, Jingjin Jin, Jian-ling Zheng, Dong Liu, Juan Li","doi":"10.3760/CMA.J.CN112225-20200302-00440","DOIUrl":"https://doi.org/10.3760/CMA.J.CN112225-20200302-00440","url":null,"abstract":"January 25, 2020, our hospital was served as the designated hospital for critically ill patients with new coronary pneumonia in Wuhan. The timely and effective pharmaceutical emergency protection system was great significance for epidemic prevention. In order to ensure the drug demand of patients and improve the level of drug treatment, the key and difficult issues in the practice of pharmacy administration during new coronary pneumonia were combined with clinical practical work to develop an appropriate pharmaceutical emergency support system. Our department launched the emergency response mechanism, such as established list of COVID-19 key therapeutic drugs, urgently purchased therapeutic drugs, reformed the processes of emergency pharmacy, established a donated drug management system, establish the COVID-19 pharmaceutical care team, and opened a \"cloud pharmacy\" to meet the drug needs of non COVID-19 chronic diseases patients. We also strengthened the management of personnel protection. The pharmacy administration during new coronary pneumonia is a professional, comprehensive, complex and systematic emergency project that guarantees the safety of drug supply, medication and enables the treatment work to be carried out in an orderly manner. \u0000 \u0000Key words: \u0000COVID-19; Pharmacy administration; Clinical safe medication; COVID-19 hospital","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48394091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The thinking on improving the construction of the national treatment system for major infectious diseases and the emergency response mechanism","authors":"Q. Fu","doi":"10.3760/CMA.J.CN112225-20200307-00574","DOIUrl":"https://doi.org/10.3760/CMA.J.CN112225-20200307-00574","url":null,"abstract":"The outbreak of COVID-19 since December 2019 is a major test of China's major infectious disease treatment system and emergency response mechanism. The shortcomings exposed in the response to the epidemic have prompted people to think seriously about further improving the construction of the national treatment system for major infectious diseases and the emergency response mechanism, and promoting the overall improvement of the national biosafety governance capacity. This article from the major infectious diseases prevention and control of increased to safeguard national security strategy, improve national major infectious disease monitoring and early warning mechanism, consummate the national major infectious diseases treatment system, implement the strategy of major infectious diseases treatment elements reserves management and practical value and promote the development of infection control subjects such as five aspects of thinking. \u0000 \u0000Key words: \u0000Public health emergencies; Infectious diseases; Infection control; Contingency; COVID-19","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48517066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics and practice management of intensive care for patients with Coronavirus Disease 2019","authors":"Hui Wang, Rong Xu, Luhong Hu, Lihong Huang, Ying Wang, Xiao Yue, Kaili Hu, Shiyu Ying","doi":"10.3760/CMA.J.CN112225-20200228-00360","DOIUrl":"https://doi.org/10.3760/CMA.J.CN112225-20200228-00360","url":null,"abstract":"Objective \u0000To explore and analyze the characteristics and causes of intensive nursing needs of patients with Coronavirus Disease 2019. \u0000 \u0000 \u0000Methods \u0000This was a cross-sectional study. Severe or critical patients’ treatment and care information were extracted through the HIS system in a designated hospital of critical patients with Coronavirus Disease 2019. We used statistical descriptions to analyze patient general information, nursing degree, therapeutic intensive care needs. The chi-square test or Fisher's exact test was used to analyze the differences between characteristics of patients and nursing degree. \u0000 \u0000 \u0000Results \u0000A total of 1849 cases of severe and critical patients were collected, including special grade nursing care 697 (37.70%), grade I nursing care (62.30%) . There were 893 (48.30%) patients aged ≥65 years, and 853 (46.13%) patients with one or more complications. All patients required the nursing routine of infection department, and the therapeutic intensive care followed was vein blood collection (99.62%), oxygen inhalation (98.92%), oral medication (98.65%), finger pulse oxygen monitoring (77.07%) and pharyngeal swab collection (71.93%).The nursing degree of patients with different gender, age, admission mode, body position and complications were statistically significant (P<0.05). \u0000 \u0000 \u0000Conclusions \u0000The intensive care needs of patients with Coronavirus Disease 2019 are complex, which are special in treatment, life and psychology, and the tasks of nursing are heavy, difficult and professional. Special attention should be paid to elderly patients and patients with complications. Our hospital has established the temporary nursing department in the period of COVID-19 outbreak, unified the coordination of nursing manpower and quality of nursing management, and set up a nursing expert consultation team to further enhance the quality of care for critical patients with Coronavirus Disease 2019. \u0000 \u0000 \u0000Key words: \u0000Coronavirus Disease 2019 (COVID-19); Intensive care; Nursing degree; Nursing workload","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47504453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Practice of prevention and control on COVID-19 through \"internet plus\" hospital pharmacy service","authors":"Chengtao Jin, Hong-juan Fang","doi":"10.3760/CMA.J.CN112225-20200218-00183","DOIUrl":"https://doi.org/10.3760/CMA.J.CN112225-20200218-00183","url":null,"abstract":"\"Internet plus\" pharmacy service center of Sir Run Run Shaw hospital is the 1st one in Zhejiang province to realize online health reexamination and medication dispensing, including prescriptions, prescription-checking, payment, delivery, consulting, continuing education, et al. The mode improves efficiency of whole hospital service which includes pharmacy service, avoids patients staying in the hospital and the cross infections. It is an innovative type of pharmacy service mode to treat COVID-19 epidemic. \u0000 \u0000 \u0000Key words: \u0000\"Internet plus\"; Pharmacy service; COVID-19","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70010838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis on the application status of artificial intelligence in COVID-19","authors":"Jia-jun Yuan, B. Dong, Han-song Wang, Min Zhou, D. Tian, Weiwei Guo, Shijian Liu, Lie-bin Zhao","doi":"10.3760/CMA.J.CN112225-20200219-00209","DOIUrl":"https://doi.org/10.3760/CMA.J.CN112225-20200219-00209","url":null,"abstract":"Since December 2019, an outbreak of novel coronavirus pneumonia (COVID-19) in Wuhan, Hubei Province, which has caused wide public concern all through the world. Although artificial intelligence is a priority development fields in recent years, there is no study on the application and effect of AI in this epidemic. Based on the application of AI scenarios in typical cases, the research analyzes the practice and effectiveness of AI in epidemic surveillance, clinical diagnose, public health management and other related scientific research. Besides, combined with the current situation of development, some suggestions are put forward in order to better play the role of artificial intelligence in the public health emergency system in China. \u0000 \u0000Key words: \u0000Artificial intelligence; Public health emergency; Applications; Contingency management","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46585279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of network public sentiment’s characteristics and response of public hospitals after the outbreak of Corona Virus Disease 2019","authors":"Yi Li, Keke Zhang, Yu Zhang, Hongbo Wang, H. Yi, Qiong Zhou","doi":"10.3760/CMA.J.CN112225-20200302-00423","DOIUrl":"https://doi.org/10.3760/CMA.J.CN112225-20200302-00423","url":null,"abstract":"Objective \u0000To analyze the current situation and characteristics of network public sentiment faced by public hospitals since the outbreak of COVID-19, and to provide suggestions of coping strategies for public hospitals. \u0000 \u0000 \u0000Methods \u0000The data of \"trending topic\" or \"Trending hash tag\" of \"Wuhan Union Hospital\" and \"anti-epidemic\" were captured on three mainstream new media platforms, namely Sina Microblog, Tik Tok and Headline Today with the help of Data analysis tools of Sina and online data statistical software during the period from December 2019 to February 2020. Content analysis method was used to analyze the occurrence frequency, time distribution and development trend of public sentiment on Internet. \u0000 \u0000 \u0000Results \u0000Under the epidemic of COVID-19, public hospitals faced an exponential growth of network public sentiment. The transmission showed fragmentation of content, instantaneous speed and higher attention to negative information, which brought great challenges for public hospitals. \u0000 \u0000 \u0000Conclusions \u0000The high participation of online discussion of COVID-19 is unprecedented. Public hospitals should attach importance to thework related to network public sentiment, and establish corresponding coping mechanism for response. \u0000 \u0000 \u0000Key words: \u0000Hospitals, public; Network public sentiment; COVID-19; Coping strategies","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44772125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Problems and strategies for receiving overseas donations when public health emergency occurs: a case study of Wuhan Union Hospital/ 中华医院管理杂志","authors":"Danyun Dai, Kai Huang, F. Gao, Can Xiang, Siliang Hou, Dongsheng Xu","doi":"10.3760/CMA.J.CN112225-20200229-00386","DOIUrl":"https://doi.org/10.3760/CMA.J.CN112225-20200229-00386","url":null,"abstract":"Since the COVID-19 epidemic broke out in Wuhan, medical institutions in different parts the country have experienced personal protective equipment (PPE) shortages at different levels. The situation is especially severe in the coronavirus epicenter. Overseas donation is one of the effective methods to ease the shortage of protective equipment. Based on the practice of Union Hospital of Tongji Medical College of Huazhong University of Science and Technology, the article discussed the difficulties and risks for public hospitals to receive overseas donations, summarized experience and proposed suggestions which can be used as reference for other public hospitals and related departments. \u0000 \u0000Key words: \u0000Hospitals, public; COVID-19; Personal protective equipment; Overseas donation","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49432162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nosocomial infection control strategy in cabin hospital during the outbreak of COVID-19","authors":"Wenjuan Wu, Lihua He, Boni Liu, Li Wang, H. Lei","doi":"10.3760/CMA.J.CN112225-20200301-00418","DOIUrl":"https://doi.org/10.3760/CMA.J.CN112225-20200301-00418","url":null,"abstract":"The construction of mobile Cabin hospitals is a pioneering effort for the prevention and controlling of the patients with mild symptoms during the outbreak epidemic of Novel Coronavirus Pneumonia. It is a prerequisite and important guarantee for the hospital to manage the hospital infection and prevent the spreading of the epidemic. Our team is located in Dongxihu mobile Cabin hospital, which is one of the first three Cabin hospitals in Wuhan. This article takes the operation process of this hospital as a clue, and discusses aspects of personal protection, environmental sanitation management, item management, occupational exposure disposal, and discharged patient management. It also analyzed common and critical problems in operation. With a view to provide reference for other Cabin hospitals or temporary treatment agencies.","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44524039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}