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find Author "伏瑕" 5 results
  • 精神科门诊投诉原因分析与对策

    目的 分析精神科门诊医疗投诉事件的发生率和原因,采取对策以减少精神科门诊医疗纠纷,提高医疗护理质量。 方法 回顾性分析2009年1月-2012年12月发生的112例各类投诉事件资料,对投诉内容及回访结果进行归类统计分析。 结果 2009年-2012年精神科门诊患者总数为789 485例次,其中发生医疗投诉112例,发生率为0.142‰。112例投诉中,医源性投诉78例,占69.64%,且呈逐年上升趋势;非医源性投诉34例,占30.36%,呈逐年下降趋势。 结论 精神科门诊投诉主要是医源性投诉,转变服务理念,建立并完善医患沟通制度,提高医务人员的责任心和技术水平,开展多形式的优质护理是减少精神科门诊投诉的方法与途径。

    Release date:2016-08-26 02:09 Export PDF Favorites Scan
  • Investigation of Evening Outpatient Service Demand in West China Hospital

    ObjectiveTo investigate the evening outpatient service demand in West China Hospital, in order to provide better service. MethodsUsing self-questionnaire, we investigated 1 734 outpatients and the data were analyzed with SPSS 16.0 software. ResultsA total of 90.7% of the surveyed patients reported that it was necessary to have evening outpatient service, 53.1% of the patients were willing to come to the hospital in the morning, and 4.2% prefer to come to the hospital in the evening. ConclusionEvening outpatient service in large general hospitals is getting high social affirmation. It is helpful to those who are inconvenient or unwilling to come to the hospital during day time, and is a complement for day-time outpatient and emergency outpatient service. Consultation time and resource arrangement in the evening outpatient service should conform to the principle of rational allocation for hospital resources.

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  • 门诊护士离职意愿及影响因素调查

    目的 调查门诊护士离职意愿的现状及年龄、工作年限、职业倦怠、应对方式等因素对其的影响。 方法 采用问卷调查法,于2013年5月-8月对2所随机抽取的医院共159名门诊护士的一般资料、职业倦怠、特质应对方式及离职意愿进行调查。 结果 共收回149份有效问卷。54例(36.2%)门诊护士有较强的离职意愿;77例(51.7%)门诊护士有中度、高度的情感衰竭,116例(77.9%)门诊护士有中度、高度的去人格化,65例(43.6%)门诊护士有中度、高度的个人成就感降低;有无离职意愿的门诊护士在年龄、工作年限、职称、应对方式、职业倦怠等方面差异有统计学意义(P<0.05)。 结论 门诊护士离职意愿较为严重,职业倦怠呈普遍性,应对方式偏消极,应给予重视并采取相应应对措施。

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  • 心理咨询患者爽约的原因分析及对策

    目的调查分析心理咨询患者爽约的原因,提出减少爽约的对策并实施,以最大限度地利用医院目前有限的心理咨询医疗资源。 方法采用自行设计的《心理咨询爽约患者就诊服务调查问卷》,对 2012 年 7 月-2013 年 7 月 1 434 例爽约的心理咨询患者采用随机抽样的方法,对其中 500 例患者进行自填式问卷调查和电话询问,分析其爽约主要原因。根据分析结果,制定相应的干预措施。 结果共收回 480 份有效问卷。因为时间问题而爽约的患者占绝大多数,是心理咨询患者爽约的主要原因,其中由于具体就诊时间不明而爽约的患者占 41.9%,取号时间错过达到 22.5%,遗忘就诊时间占 18.5%。 结论实施预约平台完善短信提示内容、挂号取号处发放就诊时间表、电话提醒次日就诊患者、规范专家出诊等干预措施,能有效地减少心理咨询患者爽约率,合理利用医疗资源。

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  • Analysis of the Characteristics of Outpatients in Neurological Department in Different Periods

    ObjectiveTo analyze the characteristics of outpatients in Neurological Department in different periods and to provide guidance on medical decision-making for Neurological Department. MethodOutpatients treated between August and September 1994 (group 1994) and between August and September 2012 (group 2012) in the Department of Neurology of a general hospital were included in our study. Group 1994 had 1 000 consecutive patients; while group 2012 had 18 995 patients excluding those repeat visitors, patients waiting to be treated (including dizziness), patients misdiagnosed to have severe mental diseases (such as schizophrenia), and patients with physical diseases. Then we compared the demographic and disease distribution of patients in the two groups, and performed statistical analysis. ResultsCompared with the year 1994, the year 2012 had more female, less young and more elderly patients (P<0.05). The constituent ratio of neurosis, cerebrovascular disease, internal medicine diseases with nerve damage, peripheral nerve disease, brain post-traumatic syndrome, intracranial space-occupying lesions reduced significantly while headache, epilepsy, extrapyramidal disease (such as Parkinson's disease) increased significantly (P<0.01) with no obvious change of constituent ratio of muscle disease, neuropathic muscular dystrophy, spinal cord, brain atrophy and dementia diseases. ConclusionsThere are significant changes in characteristics of neurology clinical patients between 1994 and 2012. Revelation of these differences can provide evidence for the optimization of outpatient resources allocation and the prevention policy.

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