MSR upgrade for clinical MEG

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欧美国家麻醉后恢复病房患者评估及转出指南的解读

欧美国家麻醉后恢复病房患者评估及转出指南的解读

欧美国家麻醉后恢复病房患者评估及转出指南的解读麻醉恢复期患者具有独特的病理生理特点,不同于普通住院患者和重症监护病房患者,因此需要有专门的病区即麻醉后恢复病房(PACU)、特殊监测(如肌松剂残余效应监测与PET CO2监测等)及专业化训练的医务人员来管理。

一旦管理疏漏会造成严重后果。

欧美国家手术患者在PACU恢复是常规程序,均制定了PACU 工作指南,且基本原则相同。

下述病例报道了麻醉恢复期常见的并发症之一,目的是强调对麻醉恢复期并发症早期发现并及时处理的重要性,及制定患者标准化评估系统的必要性。

病例资料患者,女性,年龄68岁,体重81 kg,身高162 cm,BMI 30.9 kg/m2。

术前诊断为乙状结肠癌。

无慢性疾病史,无药物过敏史,无不良生活嗜好。

术前血液生化指标未见异常。

BP 102/63 mmHg(1 mmHg=0.133 kPa)、HR 58次/min、呼吸空气时SpO296%。

术前评估无手术禁忌证,ASA分级Ⅱ级,气道评估:Mallampati分级Ⅱ级,甲颏距离6.5 cm、寰椎关节活动度正常。

于入院当日行降结肠及乙状结肠部分切除术。

日常服用复合维生素及鱼油,无术前用药。

静脉注射异丙酚、芬太尼和罗库溴铵后行气管插管术,麻醉维持采用吸入麻醉药。

术中生命体征平稳,出血量约80 ml,液体输注量约1 500 ml,术中尿量约80 ml/h。

手术时间约3 h。

术毕使用肌松拮抗剂后,潮气量420 ml、呼吸频率21次/min、体温36.2 ℃,能服从指令后顺利拔除气管导管。

术中未见不良事件发生。

术后收入PACU。

主诉切口部位疼痛,静脉注射氢吗啡酮(一种吗啡衍生物,其镇痛作用效价约为吗啡的8倍,作用时间约2 h)0.5 mg,并按程序报告后转给PACU护士。

收入时明显嗜睡,在大声呼唤时能服从指令。

生命体征:体温36.4 o C、BP 98/59 mmHg 、HR 62次/min、吸氧(氧流量6 L/min)时SpO298%。

acmg指南中英文对照

acmg指南中英文对照

acmg指南中英文对照English:The ACMG guidelines serve as a comprehensive, evidence-based framework for the interpretation and reporting of genetic variants in clinical practice. They embody rigorous, multidimensional standards to ensure accurate diagnosis, risk assessment, and informed medical decision-making.1. **Classification System:** The guidelines establish a standardized classification system for variants, categorizing them into five distinct classes (pathogenic, likely pathogenic, uncertain significance, likely benign, and benign), based on specific criteria such as population frequency, functional studies, computational predictions, and co-segregation data. This systematic approach promotes consistency and reliability in variant interpretation across laboratories and healthcare providers.2. **Clinical Utility:** ACMG guidelines emphasize the importance of assessing variant clinical utility, considering the potential impact on disease prevention,diagnosis, treatment, or prognosis. This focus ensures that reported findings have clear relevance to patient care, guiding appropriate interventions and management strategies.3. **Ethical Considerations:** Recognizing the ethical complexities surrounding genetic testing, the guidelines address issues such as informed consent, privacy, and return of results. They advocate for transparent communication with patients regarding the implications, limitations, and potential emotional consequences of genetic information, fostering autonomy and trust in the healthcare relationship.4. **Interdisciplinary Collaboration:** The guidelines stress the necessity of interdisciplinary collaboration involving clinicians, genetic counselors, laboratory scientists, and bioinformaticians. Such teamwork ensures comprehensive evaluation of genetic data, effective translation of complex findings into clinically meaningful information, and optimal patient care.5. **Continuous Updating:** Reflecting the rapidly evolving field of genetics, the ACMG guidelines undergo regular review and updating to incorporate new scientificdiscoveries, technological advancements, and emerging best practices. This commitment to staying current ensures that the guidelines remain at the forefront of precision medicine, providing clinicians with the most up-to-date guidance for genetic testing and interpretation.In summary, the ACMG guidelines represent a multifaceted, high-quality standard in genetic testing and interpretation. They encompass a rigorous classification system, prioritize clinical utility, address ethical considerations, promote interdisciplinary collaboration, and embrace continuous updating – all crucial elements that collectively contribute to accurate diagnoses, informed decision-making, and improved patient outcomes in the realm of medical genetics.Chinese:ACMG 指南作为临床实践中遗传变异解读和报告的综合性、循证框架,体现了确保精准诊断、风险评估及明智医疗决策的严格、多维度标准。

2024年全面更新:手术分级管理英文版

2024年全面更新:手术分级管理英文版

2024年全面更新:手术分级管理英文版2024 Comprehensive Update: Surgical Tiered ManagementIn the ever-evolving landscape of healthcare, it is crucial to stay ahead of the curve when it comes to surgical management. The year 2024 brings with it a comprehensive update to the way surgeries are classified and managed.The primary focus of this update is to streamline the process of categorizing surgeries into different tiers based on complexity and risk. By implementing a tiered system, healthcare providers can better allocate resources, prioritize cases, and optimize patient outcomes.This update will involve a thorough review of current surgical procedures, taking into account advancements in technology, best practices, and patient safety protocols. It will aim to create a standardized framework that can be easily adopted across different healthcare settings.Furthermore, the update will also include guidelines on pre-operative assessment, intra-operative care, and post-operative follow-up to ensure a holistic approach to surgical management. By emphasizing the importance of comprehensive care throughout the surgical journey, healthcare providers can improve patient satisfaction and overall quality of care.Overall, the 2024 comprehensive update on surgical tiered management is a step towards enhancing efficiency, safety, and effectiveness in the field of surgery. It is a testament to the continuous efforts to improve healthcare delivery and outcomes for patients worldwide.。

2024年国家医疗质量与安全改进目标阐述英文版

2024年国家医疗质量与安全改进目标阐述英文版

2024年国家医疗质量与安全改进目标阐述英文版Document Title: Explanation of National Healthcare Quality and Safety Improvement Goals for 2024In 2024, the nation aims to enhance the quality and safety of healthcare services through various initiatives. These goals focus on improving patient outcomes, reducing medical errors, and promoting a culture of patient-centered care.1. Enhancing Patient Outcomes:- Implementing evidence-based practices to improve treatment outcomes.- Enhancing communication between healthcare providers and patients to ensure understanding and adherence to treatment plans.- Promoting preventive care measures to reduce the incidence of chronic diseases and complications.2. Reducing Medical Errors:- Implementing technology solutions such as electronic health records to improve accuracy and efficiency in healthcare delivery.- Providing continuous training and education for healthcare professionals to enhance clinical skills and reduce errors.- Implementing standardized protocols and checklists to minimize the risk of medical errors during procedures and treatment.3. Promoting Patient-Centered Care:- Encouraging shared decision-making between patients and healthcare providers to ensure individualized care plans.- Improving access to healthcare services for underserved populations to promote health equity.- Enhancing patient engagement and empowerment through education and communication initiatives.4. Ensuring Regulatory Compliance:- Monitoring and enforcing compliance with healthcare regulations and standards to maintain quality and safety.- Conducting regular audits and assessments to identify areas for improvement and address non-compliance issues promptly.- Collaborating with regulatory agencies and stakeholders to develop and implement policies that support healthcare quality and safety.5. Emphasizing Continuous Quality Improvement:- Establishing quality improvement teams within healthcare organizations to identify and address performance gaps.- Implementing quality improvement initiatives based on data analysis and feedback from patients and stakeholders.- Encouraging a culture of continuous learning and innovation to drive ongoing improvements in healthcare quality and safety.These goals represent a commitment to advancing the quality and safety of healthcare services for all individuals. By focusing on patient outcomes, reducing errors, promoting patient-centered care, ensuring regulatory compliance, and emphasizing continuous quality improvement, the nation aims to enhance the overall healthcare experience and outcomes for its population in 2024.。

2024年医疗质量安全提升目标解析英文版

2024年医疗质量安全提升目标解析英文版

2024年医疗质量安全提升目标解析英文版Analysis of Goals for Improving Medical Quality and Safety in 2024In 2024, the healthcare industry is focused on enhancing medical quality and safety to ensure better patient outcomes. This document aims to analyze the goals set for this year to achieve this objective.1. Enhancing Communication: Improving communication among healthcare professionals, patients, and their families is crucial for providing better care. Clear and effective communication can help in preventing medical errors and ensuring that patients understand their treatment plans.2. Implementing Technology: Embracing technological advancements in healthcare can streamline processes, reduce errors, and improve the overall quality of care. Implementing electronic healthrecords, telemedicine, and other digital solutions can enhance efficiency and patient satisfaction.3. Strengthening Training Programs: Continuous training and education for healthcare professionals are essential to keep up with the latest medical advancements and ensure high-quality care. Investing in training programs can help improve skills, knowledge, and overall performance.4. Fostering a Culture of Safety: Creating a culture of safety within healthcare organizations is vital to preventing errors and ensuring patient well-being. Encouraging reporting of incidents, conducting regular safety audits, and implementing best practices can contribute to a safer healthcare environment.5. Enhancing Patient Engagement: Engaging patients in their care decisions and treatment plans can lead to better health outcomes and increased satisfaction. Providing patients with information, involving them in discussions, and seeking feedback can empower them to take an active role in their healthcare.6. Improving Quality Metrics: Monitoring and evaluating key quality indicators can help healthcare organizations identify areas for improvement and track progress towards achieving quality and safety goals. Regularly reviewing metrics such as patient outcomes, infection rates, and readmission rates can drive continuous improvement.7. Collaboration and Teamwork: Promoting collaboration and teamwork among healthcare professionals can enhance coordination of care, reduce errors, and improve patient outcomes. Encouraging interdisciplinary teamwork and communication can lead to more effective and efficient care delivery.In conclusion, the goals set for improving medical quality and safety in 2024 focus on enhancing communication, implementing technology, strengthening training programs, fostering a culture of safety, engaging patients, improving quality metrics, and promoting collaboration and teamwork. By prioritizing these goals and working towards achieving them, healthcare organizations can ensure better patient care and outcomes in the coming year.。

简化麦吉尔疼痛评估表(SF-MPQ)的修改

简化麦吉尔疼痛评估表(SF-MPQ)的修改

简化麦吉尔疼痛评估表(SF-MPQ)的修改
背景
麦吉尔疼痛评估表(SF-MPQ)是一种常用于评估疼痛严重程度
和性质的工具。

然而,该评估表的使用可能存在一些问题,如长度
较长和较复杂的描述。

为了简化评估过程并提高评估表的易用性,
进行一些修改是必要的。

目标
本文档旨在提出简化麦吉尔疼痛评估表(SF-MPQ)的修改方案,以使其更易于理解和应用。

修改方案
以下是对麦吉尔疼痛评估表(SF-MPQ)的修改建议:
1. 缩减表格长度:减少描述疼痛的条目数量,只保留最具代表
性的项目。

这有助于减少填写时间和阅读负担。

2. 简化描述语言:使用简明扼要的语言描述疼痛的性质和严重
程度。

避免使用复杂的词汇和术语,确保评估结果易于理解。

3. 提供具体参考:针对不同类型的疼痛,提供具体的参考标准和示例,以便受评者更好地理解和选择适用项目。

4. 增加自评项:为了提高评估表的实用性,可以增加一些自评项,让受评者自行判断自身疼痛的性质和严重程度。

实施和评估
对于修改后的麦吉尔疼痛评估表(SF-MPQ),进行实施前可以进行小规模的试用,以评估其易用性和有效性。

根据试用结果,进行必要的调整和改进。

结论
通过对麦吉尔疼痛评估表(SF-MPQ)的修改,我们可以简化该评估工具,使其更易于使用和理解。

在实施前进行试用和评估,可以确保修改后的评估表的可行性和有效性。

2024年度处方管理更新英文版

2024年度处方管理更新英文版

2024年度处方管理更新英文版2024 Prescription Management UpdateWelcome to the 2024 Prescription Management Update! In this document, we will cover the latest advancements and changes in prescription management practices for the upcoming year.IntroductionThe year 2024 brings new regulations and guidelines for prescription management, aiming to enhance patient safety and improve overall healthcare outcomes.Key Changes1. Electronic Prescriptions: The shift towards electronic prescriptions continues to gain momentum, providing a more efficient and secure way to manage medication orders.2. Telemedicine Integration: Prescription management systems are now being integrated with telemedicine platforms, allowing for seamless prescribing and monitoring of medications remotely.3. Patient Education: Emphasis is placed on educating patients about their medications to promote better adherence and understanding of treatment plans.4. Drug Interaction Alerts: Enhanced systems are in place to alert healthcare providers of potential drug interactions, reducing the risk of adverse effects.Benefits1. Improved Efficiency: Electronic prescriptions streamline the prescription process, reducing errors and saving time for both healthcare providers and patients.2. Enhanced Communication: Integration with telemedicine platforms enables better communication between patients and healthcare providers, leading to more personalized care.3. Patient Empowerment: Educating patients about their medications empowers them to take an active role in their healthcare, resulting in better treatment outcomes.4. Safety: Drug interaction alerts help prevent harmful interactions between medications, increasing patient safety.ConclusionThe 2024 Prescription Management Update brings exciting advancements in prescription practices, focusing on efficiency, communication, patient empowerment, and safety. Stay tuned for further updates and insights on the evolving landscape of prescription management.。

MEDTRON用户指南列表说明书

MEDTRON用户指南列表说明书

USER GUIDE LISTINGMSI Contact ListNOTE: See Other Resources on Page 2APPOINTMENT SCHEDULINGAppointment SchedulingSetup/Maintain Master Appointment Scheduler Verification of Benefits/Precerts BASIC CONCEPTSHelp TextKeyboard StandardsOperational Assistant/Commands Standard Function Keys & Options BATCH ENTRYAnesthesia Charge Entry Batch Charge EntryBatch Charge Entry Reverse Rekey Charge Function Bulk Payment Entry Discrepancy Report HPSA PaymentsNSF/Stop Payment/Stale Checks Payment Posting Tips Regular Payment EntrySNF/Home Health/Hospice Billing – Medicare & LA Medicaid System Charge Balance AdjustmentTo Work Credit Open Items and Unapplied Pymt-Adj CLOSING & SPECIAL FUNCTIONSArchive Account InstructionsF10 Restricted Commands Work With Objects Locks(Contact Software Support ) F10 Special CommandsiSeries Initialize Tape-Entire System Backup MSI iSeries EOD/EOM/EOY Closing To Create a Condition/Rule COLLECTION TASK MODULECollection/Task Module ELECTRONIC CLAIMSEMC ERA Carrier Parameters EMC Errors/Electronic Claims ListEmdeon Vision for Claim ManagementERA Receive/Prepare/Create Unprocessed Batch Download ERA 835 File via PaySpan MREP Split ERATo Complete EDI (EMC, ERA & EFT) Setup for BCBS LA, LA Medicare, LA Medicaid & Clearinghouse To Reset LA Medicare EMC/ERA Access FRONT DESKCo-Pay Feature Front DeskFront Desk Charge Ticket List F15 Authorization RecordInsurance Card – Drivers License Scanning Instructions List Incomplete Masters (Orphaned Insurance Card Scans) ReportOB Billing GridUnproc/Proc List Transactions Reports Vaccines & Administration HISTORY & DEMOGRAPHICSAdd/Change/Delete Insurance Information Patient HistoryINDUSTRIAL MEDICINE MODULEIndustrial Medicine INSURANCE/LABELSGenerate LabelsMedicare Policy # / MBIMedicare – Replacement/Advantage (MCRR) Products IdentificationSelected Insurance Re-files: Adjustments and Void Claims System Deletion of Claims Outstanding 0-Cr Bal Chgs System Refiles/Generate Insurance EMC Preparation AndSubmittalTo Work “Secondary Claims Held Over ## Days” ReportInstructionsMEDEHR/MEDSUITESee MEDEHR Resources section of the MEDTRON website(https:///).MEDICAID GUIDESLA Medicaid Community Care Monthly Capitation Fee (CAP) LA Medicaid Community Care Referral Exempt LA Medicaid Community Care VA MedallionMISC TRAININGAccounts Receivable Analysis ToolsAdvance Beneficiary Notice (ABN) and Medical Necessity (MN) Audit LogAvoid Low CollectionsClaim Information Reference Number CMS Web Based Training CoursesEnable User Sign-on (Contact Software Support ) External EHR Interface with MPMS Global GuidelinesHow To Setup A Join Me SessionInstalling Insurance Card Scanning Software Ver 3-1 Inscards 3.1 Interface/Download Programs PQRS PrefaceTo Add-Delete Users to-from iSeries – iSeries Clients Only(Contact Software Support )To Add Transfer Data Function for Office 2007 iSeries Access forWindowsTo Change MEDPM (iSeries) Default Color Scheme To Clear Cache in Firefox BrowserTo Convert iSeries Reports using the iSeries Navigator To Create an Excel Spreadsheet From iSeries Data (SQLCommand)To Obtain Tax or Employer ID Numbers and CP575 Letters PATIENT INFORMATIONAccount Status Codes Combine Patient Accounts Online Eligibility RequestsPatient Demographics Add & Change Search and Scan OptionsSystem Transfer To Patient Responsibility Workers’ Comp Accounts and Claims RECOMMENDATIONSComments (Common Abbreviations) REPORTSBell Curve ReportsCharge Application Report EDC ReportList/Delete Unused Insurance Codes List Patients W/ Specific InsuranceRelative Value Units (RVU) Productivity Report Reports OverviewReports For Work Prior To EOM Close Transaction History Report SETUP & SUPPORTCMS 1500/ANSI Field Completion Situational Field Comments Collector CodesDMERC Claims SetupInsurance (Claim) Directives: Electronic & Split/Break to New Claim Medical NecessityNational Correct Coding Initiative (NCCI) NPI Registry Search Search FeatureSetup/Maintain ERA Comments/Messages Setup/Maintain Insurance Company Master Setup/Maintain Letters/Labels Setup/Maintain Location MasterSetup/Maintain Referral Source Master Setup/Maintain Setup & Support Files Setup/Maintain Specific Action Master Setup/Maintain Transaction Master Setup Online EligibilityTo Obtain/Edit a National Provider Identifier (NPI) TPL UpdatesSTATEMENT/LETTERSGenerate Letters StatementsFinance-Statement ChargesTo Print Patient Demographics for Labcorp Order FormVFC Medicaid ImmunizationsThe above User Guides are linked to the most current published version. All User Guides are updated as new information is made available and therefore may be in the process of being revised. Check back often to ensure most recent version is being used. If a User Guide presents in black with no link, this User Guide is in the process of being created.If a User Guide presents in black, the guide is in the process of being updated/revised, please contact Support Dept via email: or phone (985) 234-0599 to request us to expedite its completion.A User ID and Password are required to access all of the User Guides. If the further assistance or a User ID and password is needed, please contact our Support Dept via email: or phone (985) 234-0599.MEDTRON Software Intelligence – All rights reserved.OTHER RESOURCES MSI Contact List USER FORMS:MDS-MSI Client User Access Agreement - Security PolicyMDS/MSI Menu OptionsE&M RESOURCES:E&M Information PacketMEDICARE RESOURCES:CMS RVU and Payment Policy IndicatorsCMS RVU List (per CMS Website)PRACTICE FORMS:Demographics Intake Form – Web versionDemographics Intake Form – iSeries versionOTHER RESOURCES:Acronym List/Glossary of Healthcare TermsCarrier Precertification/Prior Authorization (PA) ListingCMS Medicare Fraud & Abuse – Prevention, Detection, and Reporting Fact Sheet (False Claims Act)MSI 2018 CPT-HCPCS Code Resource GridMSI ICD-10-CM Code Resource GridLCD/Medical Policy ListingsTherapy Billing GridModifier Staff Training Presentation。

简化麦吉尔疼痛量表(SF-MPQ)的修改

简化麦吉尔疼痛量表(SF-MPQ)的修改

简化麦吉尔疼痛量表(SF-MPQ)的修改背景麦吉尔疼痛量表(SF-MPQ)是评估患者疼痛经历的常用工具。

然而,由于其较长的问卷长度和复杂的内容,有时会给患者和医生带来一定困扰。

因此,对该疼痛量表进行简化修改,以增加问卷的易用性和减少回答负担具有重要意义。

修改目标简化麦吉尔疼痛量表(SF-MPQ)的修改旨在保留其评估疼痛感受的核心内容,同时排除冗余和繁琐的部分。

通过简化修改,我们希望能够提高问卷的易读性和回答的效率,从而更准确地评估患者的疼痛感受。

修改策略为了实现简化麦吉尔疼痛量表(SF-MPQ),我们采用以下策略:1. 精简题目:从原问卷中筛选出与评估疼痛感受相关且重要的题目,将冗余和不必要的题目予以删除。

2. 单选题替代多选题:原问卷中存在的多选题会增加回答的复杂性,我们将其替换为单选题,使得患者和医生更容易理解和完成。

3. 简化语言和表达:将原问卷中较为复杂和专业的语言进行简化,使用更通俗易懂的表达方式,使患者能够更轻松地理解和回答每个问题。

4. 删除重复内容:删除原问卷中存在的重复出现的内容,避免给患者和医生带来混淆和困惑。

预期成果通过对麦吉尔疼痛量表(SF-MPQ)的简化修改,我们期望达到以下成果:1. 提高问卷的易读性:简化后的问卷将更容易理解和解答,减少患者对问题的理解困难。

2. 减少回答负担:删减不必要的题目和选项将降低患者完成问卷的时间和心理负担,提高回答的效率。

3. 保留核心内容:简化修改的问卷将依然能够准确评估患者的疼痛感受,保留原问卷的核心评估指标。

通过以上修改策略和预期成果,我们相信简化麦吉尔疼痛量表(SF-MPQ)的修改将使其更易用、更高效,提高评估结果的准确性和可靠性。

2024年手术分级管理精要英文版

2024年手术分级管理精要英文版

2024年手术分级管理精要英文版2024 Surgical Grading Management EssentialsIn 2024, surgical grading management is crucial for ensuring the success of surgical procedures. Proper classification of surgeries based on complexity and risk factors is essential for patient safety and optimal outcomes. Surgeons and healthcare providers must closely follow established guidelines to determine the appropriate level of care for each patient.The classification of surgeries into different levels allows for better resource allocation, improved preparation, and streamlined communication among healthcare professionals. By categorizing surgeries based on their complexity and potential risks, medical teams can prioritize cases and ensure that patients receive the necessary level of care.In surgical grading management, it is important to consider various factors such as the type of surgery, patient's overall health condition, and potential complications. By carefully assessing these factors, surgeons can determine the appropriate level of care and make informed decisions regarding the surgical procedure.Effective communication and collaboration among healthcare professionals are also key components of surgical grading management. By sharing important information and updates with the entire medical team, surgeons can ensure that everyone is on the same page and working towards a common goal of providing the best care for the patient.In conclusion, surgical grading management in 2024 is essential for ensuring the success of surgical procedures and the safety of patients. By following established guidelines, considering various factors, and promoting effective communication, healthcare providers can optimize patient outcomes and deliver high-quality care.。

2021年ins指南修改内容

2021年ins指南修改内容

2021年ins指南修改内容The updates to the 2021 INS guidelines have sparked a lot of discussion and controversy within the medical community. Many healthcare professionals have voiced their concerns and opinions regarding the changes made to the guidelines. 2021年INS指南的更新引发了医学界许多讨论和争议。

许多医护人员已经表达了他们对指南变更的担忧和看法。

One of the key changes in the 2021 INS guidelines is the emphasis on evidence-based practice and the importance of incorporating new research findings into clinical practice. This shift towards evidence-based care is crucial in ensuring that patients receive the most effective and up-to-date treatment options. 2021年INS指南的一个关键变化是强调基于证据的实践和将新的研究发现纳入临床实践的重要性。

这种向基于证据的护理的转变对确保患者接受到最有效和最新的治疗选择至关重要。

Another significant update in the 2021 INS guidelines is the focus on individualized care plans for patients receiving intravenous therapy. This personalized approach takes into account the patient's uniqueneeds, preferences, and circumstances to optimize treatment outcomes and overall patient experience. 2021年INS指南中另一个重要更新是专注于接受静脉治疗的患者的个性化护理计划。

制药公司mslmgr岗位职责

制药公司mslmgr岗位职责

制药公司mslmgr岗位职责========================背景MSLMGR,即制药公司的医学科学联络经理(Medical Science Liaison Manager),是一个重要的岗位。

MSLMGR作为制药公司与医学界之间的桥梁,负责管理团队并与医学专家建立和维护关系,以支持公司的业务目标和医学信息传递。

职责MSLMGR的职责通常包括但不限于以下几个方面:管理团队- 负责招聘、培训、指导和管理医学科学联络(MSL)团队。

确保团队成员具备必要的知识和技能,以实施公司的医学信息传递策略和战略计划。

- 协调团队成员的工作安排,确保团队在预算和时间限制内完成任务。

建立和维护关系- 与医学专家、医学组织和学术界建立和维护良好的合作关系。

建立跨学科合作网络,以便更好地传递医学信息,支持市场部门的决策。

- 定期与医学专家会面,了解其需求和兴趣,并创造机会促进深度学术讨论。

- 及时回应医学专家的咨询,提供准确、可靠的医学信息,解答他们的问题。

资料和培训支持- 为团队成员提供医学信息和培训支持,确保他们能够向医学专家传递准确、全面的医学内容。

- 协助团队与市场部门的合作,提供支持材料,如学术会议展示和会议后的总结报告等,以支持产品推广和销售活动。

- 跟踪和解读市场和竞争动态,及时更新团队成员的医学知识和行业见解。

参与公司战略和业务发展- 参与制定公司的医学信息传递策略和战略计划。

与市场部门紧密合作,全面了解市场需求和公司目标,在信息传递中提供专业意见和建议。

- 协助研发部门和临床试验团队,参与试验设计和结果分析,确保对外界传递准确和可靠的临床数据。

- 监测和分析行业法规和政策变化,确保公司活动符合相关法律法规。

数据分析和报告- 收集、整理和分析市场、学术界和竞争对手的相关信息。

根据情况撰写报告,向公司管理层和团队成员提供反馈和建议。

- 定期向管理层和其他团队成员汇报团队工作和成果,提供预测和改进措施。

医院门诊呼叫器整改措施范文

医院门诊呼叫器整改措施范文

医院门诊呼叫器整改措施范文英文回答:Hospital Outpatient Call System Improvement Measures.1. System Upgrade.Upgrade the call system to a digital or wireless system to improve signal strength and reduce interference.Implement a call management system that allows for prioritized calls and automated routing to the appropriate staff.Integrate the call system with the hospital's electronic health record (EHR) system to provide patient information and call history.2. Infrastructure Improvements.Install additional call buttons and speakers throughout the outpatient clinic to ensure adequate coverage.Optimize the layout of the clinic to minimize distance between patients and staff.Provide comfortable waiting areas with clear signage and easy access to call buttons.3. Staff Training and Protocols.Train staff on the use of the call system and emergency procedures.Establish clear protocols for responding to calls promptly and efficiently.Provide ongoing feedback and support to staff to ensure adherence to protocols.4. Patient Education.Educate patients on the use of the call system and the importance of responding promptly.Display instructions and reminders throughout the clinic.Provide handouts or brochures with information on the call system.5. Equipment Maintenance.Establish a regular maintenance schedule for the call system components.Implement a system for reporting and resolving equipment issues promptly.Procure spare parts and equipment to minimize downtime.6. Monitoring and Evaluation.Collect data on call volume, response times, and patient satisfaction.Regularly review data and identify areas for improvement.Make necessary adjustments to the system and protocols based on evaluation findings.中文回答:医院门诊呼叫器整改措施。

简化麦吉尔疼痛测量问卷(SF-MPQ)的修改

简化麦吉尔疼痛测量问卷(SF-MPQ)的修改

简化麦吉尔疼痛测量问卷(SF-MPQ)的修改介绍该文档旨在简化麦吉尔疼痛测量问卷(SF-MPQ)的内容,使其更易于使用和理解。

通过对问卷进行适度的修改和精简,可以提高该问卷在临床实践中的实用性。

修改目标1. 精简问卷内容,使其更简洁明了。

2. 删除不必要的问题和细节,减少回答者的负担。

3. 优化问卷的排版和结构,使其易于填写和阅读。

修改内容以下是对麦吉尔疼痛测量问卷(SF-MPQ)的修改建议:1. 删除重复问题:在问卷中删除重复的问题,以避免给回答者造成困扰,并提高问卷的简洁性。

删除重复问题:在问卷中删除重复的问题,以避免给回答者造成困扰,并提高问卷的简洁性。

2. 简化问题描述:对于问卷中的一些问题,可以简化问题描述,使其更加清晰和易于理解。

简化问题描述:对于问卷中的一些问题,可以简化问题描述,使其更加清晰和易于理解。

3. 删除不必要的问题:鉴于问卷的目的和受众,删除不必要的问题,确保问卷内容精炼且与主题相关。

删除不必要的问题:鉴于问卷的目的和受众,删除不必要的问题,确保问卷内容精炼且与主题相关。

4. 优化选项设计:对于多选题和评分题,优化选项的设计,使其更易于选择和使用。

优化选项设计:对于多选题和评分题,优化选项的设计,使其更易于选择和使用。

5. 优化排版和结构:重新调整问卷的排列顺序,使其逻辑清晰,易于填写和阅读。

优化排版和结构:重新调整问卷的排列顺序,使其逻辑清晰,易于填写和阅读。

预期效果通过以上修改,我们预计能够达到以下效果:1. 简化操作:简化麦吉尔疼痛测量问卷(SF-MPQ)的内容和结构,减少回答者的负担,使其更易于填写。

简化操作:简化麦吉尔疼痛测量问卷(SF-MPQ)的内容和结构,减少回答者的负担,使其更易于填写。

2. 提高数据质量:通过精简问题和优化选项设计,提高回答者的理解和准确度,从而提高数据的质量和可靠性。

提高数据质量:通过精简问题和优化选项设计,提高回答者的理解和准确度,从而提高数据的质量和可靠性。

美国:CMS发布住院康复设施和特殊护理设施规定

美国:CMS发布住院康复设施和特殊护理设施规定

美国:CMS发布住院康复设施和特殊护理设施规定佚名【期刊名称】《医院管理论坛》【年(卷),期】2017(34)10【摘要】美国医疗保险和医疗补助服务中心(CMS)近日颁布了2018年住院康复设施(IRF)和特殊护理设施(SRF)的最终规定。

提出住院康复设施和特殊护理设施的支付率将比2017年增长1%。

这意味着住院康复设施将增加7500万美元的投入,而特殊护理设施将增加3.7亿美元的投入。

除此之外,CMS还通过了其它提案,比如延期提交患者评估报告的罚款将减少25%。

同时根据美国心脏病学会及其他相关机构的要求,CMS最终没有将部分绩效评估条目增加到IRF和SHF的质量报告程序中,如非计划再入院率不再是IRF和SHF的质量报告方案中的内容。

【总页数】1页(P4-4)【关键词】美国心脏病学会;护理设施;住院康复;CMS;特殊护理;服务中心;医疗补助;医疗保险【正文语种】中文【中图分类】R541【相关文献】1.重庆市人民政府办公厅文件渝办发[2012]311号——重庆市人民政府办公厅关于印发重庆市建筑消防设施维护保养管理规定(试行)的通知重庆市建筑消防设施维护保养管理规定(试行) [J],2.关于发布《广州市房屋建筑与市政基础设施工程施工公开招标正式投标人确定方式的规定》和《广州市房屋建筑与市政基础设施工程施工公开招标评标委员会和评标办法规定》的决定 [J], 无3.广东省建设厅颁发《广东省房屋建筑工程和市政基础设施工程质量安全检测管理规定》的通知:广东省房屋建筑工程和市政基础设施工程质量安全检测管理规定[J], 无4.河北:发布《保障性住房小区市政基础设施和公共服务设施配套建设规定(试行)》[J], ;5.论\"一带一路\"基础设施建设领域的软基础设施建设——对美国丢盔弃甲\"新美国安全研究中心\"关于\"为高质量基础设施编制国际标准\"相关内容的解读与对策建议 [J], 彭雄;张昌林;姜海欧因版权原因,仅展示原文概要,查看原文内容请购买。

英特尔推出移动临床医疗助理平台

英特尔推出移动临床医疗助理平台

英特尔推出移动临床医疗助理平台
佚名
【期刊名称】《中国数字医学》
【年(卷),期】2007(002)005
【摘要】@@ 采用创新技术开发医疗用便携专用设备rn英特尔公司目前发布了专用于医疗保健领域,服务于医护工作人员的医疗便携式专用设备,英特尔称之为MCA(Mobile Clinical Assistant,移动临床助理).
【总页数】2页(P52-53)
【正文语种】中文
【中图分类】TP3
【相关文献】
1.英特尔推出全新医疗平台提供远程服务 [J], ;
2.临床医疗又添移动数字新"助手"——DigiHeal移动临床助理终端国内面世 [J], 李华才
3.全新英特尔数字家庭与移动计算平台推出 [J], 闻韬
4.开创工作、娱乐新纪元全新英特尔家庭娱乐与移动计算平台正式推出 [J],
5.全新英特尔家庭娱乐与移动计算平台正式推出 [J],
因版权原因,仅展示原文概要,查看原文内容请购买。

美国:CMS发布降低再住院指南

美国:CMS发布降低再住院指南

美国:CMS发布降低再住院指南
佚名
【期刊名称】《医院管理论坛》
【年(卷),期】2016(0)3
【摘要】美国医疗保险和医疗救助服务中心(CMS)日前发布了一份指南,以帮助医院管理者控制医疗保险受益者的再入院率。

该指南回顾了可避免再入院涉及的关键问题和减少可避免再入院的对策,对控制不同人群可避免再入院提供了政策建议。

【总页数】1页(P4-4)
【关键词】住院指南;美国;CMS;再入院率;医疗保险;医院管理者;服务中心;医疗救助【正文语种】中文
【中图分类】R197.32
【相关文献】
1.我的餐盘——美国政府发布新的膳食指南——美国政府发布新的膳食指南 [J], 李明
2.美国FDA发布关于禁止将类固醇类产品非法用作食品补充剂的警告/美国FDA 一级召回Bard Composix Kugel Mesh X-Large Patch/美国FDA发布减少患者陷夹的医院病床设计指南 [J],
3.牵头制定全球首个阿尔茨海默病循证预防国际指南/替格瑞洛与阿司匹林双抗治卒中再添新证/美国仅40%青少年达到最佳心肺功能/中国女性青少年已婚率和生育率近10年来出现反弹/多吃植物蛋白,少吃蛋类、红肉,最高可降低1/3死亡风险[J],
4.美国内分泌学会发布非重症住院患者高血糖症管理指南所有住院患者应常规筛查血糖 [J],
5.美国:CMS发布住院康复设施和特殊护理设施规定 [J],
因版权原因,仅展示原文概要,查看原文内容请购买。

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MSR upgrade for clinical MEGA. Pasquarelli1, S.N. Erné1, and A. Trebeschi21Department of Bioelectromagnetism, ZIBMT, Ulm University, D-89069 Ulm, Germany 2Advanced Technologies Biomagnetics, Pescara, Italy1 IntroductionTo accommodate the new Argos 500 MEG instrument [1] a general upgrade of the existing 2+1-layer magnetically shielded room at the neurological department was necessary.Due to the innovative technology and the ambitious goal more stringent requirements where set for shielding performances and shielding anisotropy.The upgrade process of the existing MSR was carried out in cooperation with Advanced Technologies Biomagnetics and consisted in:1. Adding a third layer of soft magnetic material.2. Redesigning the structure supporting themagnetic layers of the door to improve thematching with the walls to reduce the dooreffects.3. Redesigning completely the operation of thedoor by removing all hidden mechanisms andleverages and replacing them with externalpneumatic locks.4. Adding extra features like automatic emergencyrelease of the door in case of power and or air-pressure failure and manual locks disengage incase of mechanical failure.2 MethodsThe Magnetically Shielded Room ( MSR ) available at the Neurology department of the Ulm University, served since 1988 for the shielding needs of the previous MEG system (14 + 14 Channels) by Dornier.That system was based on wire wound gradiometers and performed a very large dynamic range thanks to the special feature of the CTF SQUID read-out system.The old system was employed in research activities mainly focused on neurophysiological studies.Argos 500 is the new all-magnetometer-based vector-MEG system, which is not only going to replace the older one, but is also targeted to an intensive patient throughput rate in clinical diagnostics and research. This is therefore not only a major technology upgrade, but also a significant change in the strategyof use, which is only possible if the clinical criteria for patient handling and the technical criteria for system management are fulfilled.Of course the first concern which rises when changing from gradiometers to magnetometers is the noise level inside the MSR.A series of measurements was then performed to check the environmental noise field, the actual shielding performances of the existing MSR and to compare this new data with the older ones measured when the MSR was built, in order to determine if some kind of degradation did happen over the yearsof use.Despite the location inside an hospital the environmental noise measurements showed moderate intensity levels both at daytime and in the night, reaching values of 100 pT/√Hz @ 1 Hz during the heaviest daytime hours.On the other hand, average shielding values of 82 @ 0.015 Hz and 158 @ 0.1 Hz were measured, showing that the room performances did not change since the assembly in 1988 confirming the reputation of MSR's as long lasting maintenance-free facilities.Also it was confirmed an already known weakness exhibited in the door area, where relevant inhomogeneities in the residual field were detected, accompanied by 20% loss of performances in the axial direction with respect to the transverse direction, quite large for a room with a square form. Considering the combination of environmental noise and shielding performances and making a comparison with similar facilities in Ulm [3, 4] andin Chieti [5], where other magnetometer-based system have been operated since 1997, we came to the conclusion that an improvement in the performances was desirable in order to allow a reliable operation of the magnetometers.We decided to add an additional layer of soft magnetic material. Two possibilities were available: 1. Outside the MSR with the advantage of leavingthe inner room unchanged, but with the majordrawbacks of a large amount of materialrequired not only for shielding but also for theframe structure and the very complex assemblyprocedure needed to disassemble and reassemble the MSR2. Inside the MSR, thus reducing the availableroom for operations, but allowing lower costsdue to an easier assembly and the lower amountof material required.Considering that Argos 500 is a gantryless system with limited room requirements both for operation and maintenance (including helium refilling), we determined that the dimensions of 3 m x 3 m could allow the assembly of the additional layer inside the MSR, although with a moderate spacing from the adjacent layer.Before taking the final decision we performed an estimation, using a mathematical model based on the Kaden's formulas [2], of the possible increase in shielding which could be obtained under different configurations.The model employed in this simulation was previously successfully used in predicting the performances of the MSR's in the other facilities mentioned above.We simulated the additional layer placed outside and inside, running the calculations for different layer spacing.We found a good compromise in a configuration with the additional layer assembled in the inside at a gap of 50 mm, thus leaving 2.9 m x 2.9 m for operations, which predicted an improvement in shielding by a factor of 2, thus reaching about 300 @ 0.1 Hz.The second important issue was the improvement of the door magnetic behavior, in order to reduce the field inhomogeneities.After an accurate investigation we found that the poor mating between door and wall was responsible for the lack in performances. We designed therefore a different mating technique to insure the best possible magnetic contact.Last but not least we made considerations about safety standards in dealing with patients and found that a failure of the locking system of the door could lead to a difficult situation, because no auxiliary disengagement was available.We decided therefore to remove from the door all hidden mechanisms and leverages, replacing them with external pneumatic locks and to add extra safety features like an automatic emergency release of the door in case of power and or air-pressure failure and a manual locks disengage in case of mechanical failure. 3 ConstructionTo simplify the assembly procedure and to avoid an overload of the available structures and supporting elements, we designed a lightweight yet reliable frame for the layer to be added.Also the design of the panels of magnetic shielding material was done with the aim of facilitate the construction and in fact we found convenient sizes and shapes to allow the construction of all the sides of the room using modules with two form factors only, plus six corners. The only exceptions were given by the plates placed at peculiar positions like ventilation, projector holes, anchoring points, electrical feedtroughs.Figure 1: Upper corner of the door counterframe. Overlap areas of the three layers are clearly visible To fit the architecture of our new instrumentation we abandoned the anchoring in the ceiling used by the old suspended gantry and provided new anchoring points for bed and dewar in the floor. The floor itself was realized by means of a 3 cm thick plywood plates assembly and was suspended over a proper clearance structure, to avoid stress and reduce the transmission of vibration to the magnetic layers to a minimum.New contact elements were added to achieve a good magnetic mating between the door and the front wall, especially at the floor side where the two counterparts of the inner layer did not overlap, leaving a gap of a few millimeters instead.Figure 2: New profiles improve the magnetic contact of the second and third layers with the corresponding door elements.The third layer of the door was built on a sub-frameprovided with adjusting screws, in order to get the best possible magnetic contact, but without stressing the panels.Figure 3: Three-layers door structure. The third layer is on an adjustable sub-frame.The door was provided with a pneumatic locking system, with the added feature of an extra air-pressure reservoir and a manual disengage to allow the opening maneuver also in case of electric power loss.a)b)Figure 4: a) Door locked during normal operation,.b)The manual disengage frees the door.General safety was also improved under many smaller details including a larger tube for helium venting able to sustain the gas flow also in case of thermal leak in the dewar and a sensor system to control helium flow rate, air ventilation and air quality, to raise an alarm if the air properties reach dangerous values.4 ResultsAfter the work was done we came back to measure the new performances and found a good agreement with the values predicted by our simulation. The measured results are summarized in Table1. Another good result was observed in the improved homogeneity of the residual field which now presents a spread among different axes dropped of only 6%, yielding a much better field homogeneity which is very useful in systems with software gradiometers.Table 1: Shielding values before and after the assembly of the third magnetic layer.5 DiscussionIn order to avoid a large reduction of the space available in the inner room, the gap between the second and the third layer was limited to 50 mm. The disadvantage of this restrain was a reduction in the effectiveness of the additional layer, when compared with the expected performances of a layer placed at a more typical gap of 150 to 180 mm. Nevertheless the overall performances of the MSR are now comparable with the past results in large rooms in Ulm and in Chieti. The added safety features allow a future operation in the clinical environment since now they meet our standard requirements.References1. A. Pasquarelli, R. Rossi, P. Bucciarelli,V. Fantacone, M. Ziolkowsky, and S.N. Erne’,“Argos 500: a whole-head vector-MEG”, thisvolume.2. H. Kaden, Wirbelstroeme und Schirmung in derNachrichtentechnik. Berlin. Springer 19593. S.N. Ernè, A. Pasquarelli, H. Kammrath, S.Della Penna, K. Torquati, V. Pizzella, R. Rossi,C. Granata, M. Russo, “Argos 55 - The NewMCG System in ULM”, in Recent Advances inBiomagnetism, T. Yoshimoto, M. Kotani, S.Kuriki, H. Karibe, and N. Nakasato, Eds.Sendai: Tohoku University Press, 1999, pp. 27-30.4. A. Pasquarelli, H. Kammrath, U. Tenner andS.N. Erné, “The New Ulm Magnetic ShieldedRoom”, in Recent Advances in Biomagnetism,T. Yoshimoto, M. Kotani, S. Kuriki, H. Karibe,and N. Nakasato, Eds. Sendai: TohokuUniversity Press, 1999, pp. 55-58.5. V. Pizzella, S. Della Penna, S.N. Erné, C.Granata, A. Pasquarelli, K. Torquati, R. Rossi,and M. Russo, “A 165-channel neuromagnetometer for multimodal A 165-channel neuromagnetometer for multimodalimaging ”, this volume.2 LayersFreq. (Hz) Shield Shield (dB) Measurement on X (longitudinal axis)0,1 153 43,70,015 74 37,4 Measurement on Y (transversal axis)0,1 165 44,30,015 90 39,1 3 LayersFreq. (Hz) Shield Shield (dB) Measurement on X (longitudinal axis)0,1 301 49,60,015 158 44,0 Measurement on Y (transversal axis)0,1 310 49,80,015 168 44,5。

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