牛牛游戏厅安卓,{原始关键词}

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                          • 当前位置: 代写一篇论文多少钱 > 计算机论文 > 医院移动式消毒供应系统建设探究

                            医院移动式消毒供应系统建设探究

                            时间:2019-02-05 10:50作者:潘常青 袁骏毅
                            本文导读:这是一篇关于医院移动式消毒供应系统建设探究的文章,手术器械消毒供应管理在近几年得到了快速发展,但仍面临着巨大的挑战,人工管理方式存在一定的局限性,不能追溯产品的流程,不利于工作的标准化和制度化,建立消毒供应信息管理系统是提升医疗护理质量的关键性问题。

                              摘    要:牛牛游戏厅安卓,{原始关键词} 借助于高速发展的信息技术,改善医院消毒供应中心的服务能力,提升运营效率。以上海交通大学附属胸科医院为研究对象,设计一套移动化消毒供应系统,支撑消毒供应中心的日常工作。通过系统的上线运行,优化了工作流程,手术器械消毒灭菌的回收率和合格率得到了提高。移动化消毒供应系统为医院管理者带来了监管手段,在保证医疗质量安全的前提下实现部分岗位外包,进而优化医院的人员组成结构。

                              关键词: 消毒供应中心; 移动化; 信息系统;

                              Abstract:牛牛游戏厅安卓,{原始关键词} To improve the service capacity and operation efficiency of hospital disinfection supply center with the help of the rapidly developing information technology, a mobile disinfection and supply system was designed to support the routine work of the disinfection and supply center in the Chest Hospital Affiliated to Shanghai Jiaotong University. Through the on-line operation of the system, the work flow was optimized, and the recovery rate and qualified rate of sterilization of surgical instruments were improved. The mobile disinfection supply system provides hospital managers with a means of supervision to realize partial job outsourcing on the premise of ensuring medical quality and safety, so as to optimize the staff structure of the hospital.

                              Keyword:牛牛游戏厅安卓,{原始关键词} Disinfection supply center; mobile; Information system;

                              0、 引言

                            牛牛游戏厅安卓,{原始关键词}   XIAODUGONGYINGZHONGXINSHIDUIYIYUANNEIGESHOUSHUKESHISUOYOUKEFUYONGYILIAOQIXIEJINXINGQINGXI、XIAODU、MIEJUNDENGDUOZHONGCAOZUODEJIZHONGHUAFUWUBUMEN[1]。SHOUSHUQIXIEXIAODUGONGYINGGUANLIZAIJINJINIANDEDAOLEKUAISUFAZHAN,DANRENGMIANLINZHEJUDADETIAOZHAN,RENGONGGUANLIFANGSHICUNZAIYIDINGDEJUXIANXING,BUNENGZHUISUCHANPINDELIUCHENG,BULIYUGONGZUODEBIAOZHUNHUAHEZHIDUHUA,JIANLIXIAODUGONGYINGXINXIGUANLIXITONGSHITISHENGYILIAOHULIZHILIANGDEGUANJIANXINGWENTI[2]。XINXIHUAXITONGDEYINGYONGYOUZHUYUTISHENGYIYUANGUANLIDENENGXIAO,JIANLIBIAOZHUNHUADEGONGZUOLIUCHENG,JIANGDIYIYUANDEYUNYINGCHENGBEN,SHIXIANKEXUEHUAJUECE[3]。

                              SHANGHAIJIAOTONGDAXUEFUSHUXIONGKEYIYUANSHIYIJIAYIZHENZHIXINFEIJIBINGWEIZHUDEDAXINGSANJIJIADENGZHUANKEYIYUAN,2018NIANXINXIONGSHOUSHUCHAOGUO14 000LI,YOUDALIANGDESHOUSHUQIXIEXIAODUXUQIU。BENWENYIXIONGKEYIYUANWEIYANJIUDUIXIANG,TONGGUOYIDONGHUAXIAODUGONGYINGXITONGDEJIANSHEGONGZUO,FENXIYIYUANXIAODUGONGYINGZHONGXINDEYEWULIUCHENGYOUHUA,WEIQITAYILIAOJIGOUDEYUNYINGGUANLITIGONGYOUXIAODECANKAOYIJU。

                              1 、研究现状

                              XIAODUGONGYINGZHONGXINJIZHONGHUAFUWUQIYUANYUBENSHIJICHUDEOUZHOU。YINGGUOGONGGONGJIANKANGSHIYANSHIDUI60JIAYIYUANDE100WANLIHUANZHEJINXINGDIAOCHA,DIAOCHAJIEGUOXIANSHIZHUYUANHUANZHEDEYIYUANXINGGANRANGAILVYUEWEI10%,PINGJUNZHUYUANSHIJIANYANZHANGCHAOGUO10TIAN。YINGGUOZHENGFUZHUANMENXIUDINGLEYANGEDEQUWUBIAOZHUN,CONGYUANTOUKAISHIGAIJINXIAODUHEMIEJUNLIUCHENG,BANBULEXIANGGUANXIAODUGUANLIJIJIANCEBIAOZHUN[4]。DANGQIANDABUFENOUZHOUFADAGUOJIADEXIAODUGONGYINGZHONGXINYIJINGJIANLILEHEXINSHUJUKU,JIEHEXIANJINDETONGXINHEXINXIJISHU,CAIYONGRFIDDENGJISHUSHOUDUANJIANGXIAODUWUPINDEGONGYINGLIANYUZHILIANGGUANLIGUANLIAN,TONGGUOSAOMAZAIJUYUWANGNEISHIXIANXINXIGONGXIANGHELIUCHENGZHUISU,TIGAOLESHOUSHUDEANQUANXINGHEYIYUANDEGUANLIXIAOLV[5]。

                            牛牛游戏厅安卓,{原始关键词}   GUONEIXIAODUGONGYINGZHONGXINDEFAZHANXIANGDUIFADAGUOJIALAISHUOJIAOWAN。RENGYOUYIYUANWEIJIANLIXINXIHUAGUANLIXITONG,SHOUGONGJILUHETONGJISHUJU,GONGZUOXIAOLVJIAODI,WUFABAOZHENGSHUJUSHIXIAOXINGHEJINGQUEXING,ZENGJIALEGUANLIHEYUNYINGNANDU。BUFENYIYUANJIANGJICHUSHUJU、MIEJUNSHOUFEIHEQUWUQUGUANLIDENGNARULEXINXIGUANLIXITONG,DANZHENDUIQUANLIUCHENGHUANJIEDEGUANLIQIANQUE[6]。ZONGTIERYAN,YIDONGHUAXIAODUGONGYINGXITONGPUBIANHAISHUYUXINSHENGSHIWU,NANYIDADAOBIHUANZHILIANGKONGZHIDEJIANGUANYAOQIU。

                              2、 现有消毒供应系统存在的不足

                              国内医院的消毒供应系统有着处理医疗物品的回收、包装和灭菌及供应等基本功能,一定程度上能够支撑院内规范化管理,但系统普遍还存在着以下不足:
                             

                            医院移动式消毒供应系统建设探究
                             

                              (1)追踪功能不够完善

                            牛牛游戏厅安卓,{原始关键词}   DUOSHUXIAODUGONGYINGXITONGCUNZAIZHUIZONGGONGNENGBUWANSHANDEWENTI,JINNENGZHENDUIBUFENGONGZUOLIUCHENG。LIRUQUEFADUIQINGXI、XIAODUHEKEZHONGFULIYONGWUPINHUISHOUDENGHUANJIEDEJIANKONG,QUESHAODUIYICIXINGSHIYONGPINDEGUANLIDENG,SHANGSHUWENTIHUIJIANGDIGUANLIXIAOLV[7]。

                              (2)未建立闭环监测

                              BUFENGUANLIZHEYISHIBUDAOBIHUANJIANCEDEZHONGYAOXING,YINERWEIJIANLIZHILIANGJIANCEGUANLIGONGNENG,WUFABAOZHENGNEIBUQUANLIUCHENGDEXIAODUZHILIANGGENZONG。

                              (3)数据分析功能不足

                              YOUYUSHUJULIANGDAHEZHUANYEXINGQIANGDENGYUANYIN,CHULISHUJUYICHUXIANCUOWU,BULIYUHELIFENPEIZIYUANHEJIEYUECHENGBEN。LIRU,GUOQICHANPINHUIZAOCHENGBUBIYAODELANGFEI,FENXINENGLIBUZUJIANGDAOZHIYIYUANWUFADADAOLINGGUOQICHANPINDEMUBIAO。

                              (4)盲目引进国外系统

                            牛牛游戏厅安卓,{原始关键词}   YOUXIEYIYUANWEIJIEYUEXITONGKAIFASHIJIANERZHIJIEYINYONGGUOWAIDEXINXIGUANLIXITONG,BINGZAIYUANYOUJICHUSHANGJINXINGHANHUACHULI,DANGUONEIWAIDEGONGZUOMOSHIBUJINXIANGTONG,YICHUXIANSHUITUBUFUDEXIANXIANG。

                              (5)部署配置复杂笨重

                              ZHUISUGONGNENGZHUYAOJIYUTIAOMABIAOQIANHERFIDWUXIANSHEPINJISHU,DAJIANBIJIAOFUZAQIEZAOJIAANGGUI,GEHUANJIEBUSHULIANJIEFANSUO,XITONGCAOZUOBUYI,BIAOQIANHERFIDDENGSHEBEIHEHAOCAICHENGBENJIAOGAO。

                              3、 系统架构设计

                            牛牛游戏厅安卓,{原始关键词}   YIDONGXIAODUGONGYINGXITONGSHUYUQINGLIANGJIDEGAISHANXINGSHUZIHUAPINGTAI,XITONGJIAGOUSHEJIZHUYAOSHIYOUJIZHONGHUAXIAODUGONGXU、XINXICHULI、XIAODUWUPINZHUISU、RENYUANFENPEIHECHENGBENJISUANDENGGONGNENGMOKUAIGOUCHENG。JUTILIUCHENGWEI:XIANQIJINXINGYIYUANGEKESHISHIYONGDESHOUSHUQIXIEZHENGLI,JIANLIWANZHENGDEDIANZIDANGAN;XITONGZHONGXIAODUGONGXUXINXIDUIJIE,JIANGXIAODUQIXIEBAOHEHUANZHEXINXIJINXINGBANGDING;XIAODUWUPINZHUISUDONGTAISHISHIGENZONG,TONGJIRENYUANDEGONGZUOLIANGHOUJINXINGCHENGBENDEJISUAN。XITONGZHENGTIJIEGOURUTU1SUOSHI。

                              图1 移动化消毒供应系统结构
                            图1 移动化消毒供应系统结构

                              3.1、 基于微信小程序的前端组件

                              YITUOWEIXINDUIGELEIQIXIEBAOZHANGTIEJUBEIWEIYIBIAOSHIMADEERWEIMA,JIEZHUYUWEIXINXIAOCHENGXUJISHUKUANGJIAKAIFADEXIAODUZHUISUGUANLIDEQIANDUANCHENGXU,JIBENSHANGKEYIJUBEISHISHISAOMAZHUISUGENZONGDENENGLI,DUIXIAODUWUPINDEXIAODU、BAOCUN、SHIYONGHEFENFAJIHUISHOUFANGMIANSHIXIANQUANCHENGJIANDUHUAGUANLI,ZHENZHENGSHIXIANQUANGUOCHENGGENZONGJILU、QUANGUOCHENGZHUISU。

                            牛牛游戏厅安卓,{原始关键词}   YUQITACHANGSHANGSUOCAIYONGCHUANTONGWEIXINJISHUHUOAPPKAIFABUTONG:WEIXINXIAOCHENGXUBUYONGANZHUANG,JIKAIJIYONG,YONGWANGUANBI;SHIYONGDELIULIANGSHAO,ANZHUANGSHIJIANJIAODUAN,WUXUXIAOHAOZHUOMIANNEICUN;TONGSHIKAIFACHENGBENGENGDI,GENGZHUZHONGNEIRONGBENSHEN[8]。WEIXINSHIYONGLVJIGAO,YILAIYUWEIXINDEXIAOCHENGXUUIHECAOZUOXIGUANYUWEIXINGENGWEITONGYI,CAOZUORENYUANNENGZAIHENDUANSHIJIANNEISHUXISHIYONG,QIANDUANCHENGXUSHIYONGFEICHANGKUAIJIE、BIANLI,SUDUKUAI,JIEMIANXIANSHILIANGHAO,SHISHIGENZONGXIAODUWUPINDEQINGKUANG。

                              3.2、 数字化的后端管理平台

                              SHUZIHUAHOUDUANGUANLIPINGTAIJIYUASP.NET+ Framework 4.0DEJISHUKUANGJIADAJIAN,CAIYONGSANCENGJIAGOUSHEJIMOSHISHISHI。CONGSHANGZHIXIAFENBIEWEI:FANGWENSHUJU、LUOJIYEWUHEYEWUBIAOSHIDENGJIAGOUCENG[9]。FANGWENSHUJUCENG(Access Data Layer,ADL)GONGNENGZHUYAOSHIYONGLAIDUIXIAODUGONGYINGXITONGSHUJUKUJINXINGFANGWEN,BIRUKUWENJIAN、WENBENHEXMLWENDANG,KEZHIJIEJINXINGSHANCHU、ZENGTIAN、CHAZHAOHEXIUGAIDENGCAOZUO;LUOJIYEWUCENG(LogciBussinessLayer,LBL)QIGONGNENGZHUYAOSHIMIANXIANGXIAODUGONGXUDEYEWUGUIZEHEYEWULIUCHENGDEMOKUAISHEJI,GAIJIAGOUCENGCHUYUFANGWENSHUJUCENGHEYEWUBIAOSHICENGZHONGJIAN,ZAISHUJUJIAOHUANZHONGQIDAOCHENGQIANQIHOUDEZUOYONG;YEWUBIAOSHICENG(Bussiness Presentation Layer,BPL)ZHIJIEMIANXIANGCAOZUORENYUAN,XIANSHISHISHIXIAODUHUANJIEHEJIANKONGSHUJU,DUISHURUDESHUJUJINXINGJIESHOUCAOZUO,TONGSHIZHICHENGWEIXINDENGJIAOHUSHIJIEMIAN。ADL、LBPHEBPLSANCENGJIAGOUYOULIYUBIAOZHUNHUA,NENGGOUJIANGDICENGYUCENGZHIJIANDEYILAI,GEGEGONGNENGSHIXIANLE“GAONEIJU、DIOUHE”DECHUANGXINSHEJISIXIANG。

                              4、 系统功能应用

                              4.1、 系统设计的功能及流程

                            牛牛游戏厅安卓,{原始关键词}   YIDONGHUAXIAODUGONGYINGXITONGDEGONGNENGZHUYAOBAOKUOHUISHOUDUAN、QUWUDUAN、XIAODUDUAN、BAOZHUANGDUAN、MIEJUNDUAN、CUNCHUDUAN、FENFADUANHESHIYONGDUAN[10]。JUTISHIYONGFANGFAYULIUCHENGRUTU2SUOSHI。

                              4.2、 应用效果

                              XITONGSHIDISHIYUNXING3GEYUEHOU,QUDELELIANGHAODESHIYONGXIAOGUO。YISHOUSHUBAOSHIYONGWEILI,QIYOUXIAOHUISHOULV、QINGXIHEGELV、MIEJUNHEGELVXIANGBIYINGYONGZHIQIANJUYOUXIANZHEDETISHENG:XITONGSHANGXIANQIANSHOUSHUBAOHUISHOULV、QINGXIHEGELVHEMIEJUNHEGELVFENBIEWEI94.49%、93.83%HE94.80%;SHANGXIANHOUDEHEGELVFENBIEWEI98.09%、98.54%、99.72%。SHUJUJIEGUOBIAOMING,JIANSHEJIZHONGSHIYIDONGHUAXIAODUGONGYINGXITONGDUISHOUSHUQIXIEXIAODUGONGZUOQIDAOLEZHONGYAODEZUOYONG,SHIDEGEXIANGHUANJIEDEXIAOLVHEZHILIANGYOUXIAODETISHENG。XITONGYINGYONGQIANHOUDEXIAOGUODUIBIRUBIAO1SUOSHI。

                              表1 移动化消毒供应系统应用前后手术包效果
                            表1 移动化消毒供应系统应用前后手术包效果

                              图2 系统功能流程图
                            图2 系统功能流程图

                              5 、总结

                              YIDONGHUAXIAODUGONGYINGXITONGDUIYUXIAODUGONGYINGZHONGXINDEGONGZUOFEICHANGZHONGYAO,TONGGUOXINXIXITONGDEGOUJIANHEYINGYONGZHUTUILEYIYUANSHOUSHUQIXIEXIAODUGONGZUODELIUCHENGYOUHUA,XIAODUMIEJUNDEZHUANYEHUASHUIPINGDEDAOLEYOUXIAODETIGAO,JIANGDILEXIAODUWUPINDIUSHILVHEXIAODUQIXIEDEGANRANFASHENGLV,BAOZHANGLEYILIAOANQUAN。YILAIYUXINXIDESHISHICAIJIHEGONGXIANG,YIYUANGUANLIZHEDEDAOLEYOUXIAODEJISHUSHOUDUAN,JIAQIANGLEDUIXIAODUCAOZUORENYUANDEJIANGUAN,BIMIANLEGONGZUODESUIYIXING,GONGZUOLIUCHENGSHIXIANBIAOZHUNHUA。JINER,YIYUANNENGGOUJIANGBUFENXIAODUCAOZUOGANGWEIFUWURENYUANWAIBAO,ZAIMANZULINCHUANGSHOUSHUXUQIUDETONGSHI,JIEYUELEXIAODUGONGYINGZHONGXINDERENLICHENGBEN,YOUHUALEYIYUANDERENYUANZUCHENGJIEGOU。

                              参考文献

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                              [2] 牛晓琳.消毒供应中心集中管理系统的追溯系统的实施效果分析[J].贵州医药,2019,43(7):1156-1158.
                              [3] 张会宁,张华.消毒供应中心信息追溯系统的应用[J].西北国防医学杂志,2019,40(4):54-58.
                              [4] Chang D F,Nick M,Cionni R J,et al.Guidelines for the cleaning and sterilization of intraocular surgical instruments[J].Journal of Cataract & Refractive Surgery,2018,44(6):765-773.
                              [5] 董赐,刘箐,栾伟.无菌物品追溯信息系统在消毒供应中心的应用[J].护理实践与研究,2019,16(13):136-138.
                              [6] 谭俊杰,吴凡,杨波,等.大型医院消毒供应中心集中管理存在的问题与对策[J].中国消毒学杂志,2018,35(7):559-560.
                              [7] 郑咸.医院消毒供应中心质量改进体会[J].湖北科技学院学报(医学版),2018,32(3):247-248.
                              [8] 王淑平,刘杉.服务器虚拟化在医院信息化系统中的研究与应用[J].微型电脑应用,2019,35(3):107-109.
                              [9] 袁骏毅,尤丽珏,王夫清.基于运营数据中心的门诊监控管理系统研究[J].微型电脑应用,2019,35(8):44-45.
                              [10] 张洪艳,张丽娜,丁立波,等.精细化管理在消毒供应中心质量管理中的应用研究[J].中国医药指南,2018,16(12):293-294.

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