Study on non-verbal communication knowledge among doctors of non-clinical and para clinical departments of Government Vellore medical college hospital, Vellore, Tamil Nadu, India

Background: Many Studies and Research Articles in our medical field focuses on Verbal Communication component. The Non-Verbal Component has been neglected in many circumstances. But Medical science endorses that Non-Verbal component plays a major role in the communication process in all set ups whether it is in the classrooms, Examination Hall, Outpatient Room or Wards or Intensive Care Units. The objective of this study is to access the knowledge and Awareness of NVC Component among Doctors of Non-Clinical and Para Clinical Departments of GVMCH - Vellore, Tamil Nadu, India.Methods: This Cross-Sectional Study was conducted among 45 Doctors across 7 Departments of Government Medical College Vellore. Mean, Median, Mode and Standard Deviation were used for quantitative Data and Pearson Chi Square Test and Logistic regression was used for qualitative Data using Trial Version of SPSS 22.Results: The mean Score was 7.2±2.8 with Mean scoring percentile of 28.8 ±11.5. There was Pearson’s Chi Square significance for Variables like External Resources related to NVC, Books related to NVC, UG and PG pursued at, Exposure to Workshops or CME s related to NVC, and age Group < 35. But on running Logistic Regression we got statistical significance for variables like External resources related to NVC, UG studied at same state, Age Group >35 years.Conclusions: Variables like External resources, UG studied at same state, Age Group >35 years Showed Statistical significance in knowledge on Non-Verbal communication in this Study set up.

A study on the operation efficiency of hospital clinical departments using data envelopment analysis / 中华医院管理杂志

Objective To examine the operation efficiency of hospital clinical departments and explore ways to improve inefficient units from an input-output perspective.Methods We used the data envelopment analysis(DEA) to analyze the panel data in 2013-2017 from 30 clinical departments of a hospital,applying the CCR model and the BCC model.Results The overall operation efficiency of the hospital was as high as 26.32％ of its clinical departments showed the increasing returns to scale.The scale efficiency was found to be high when the bed size in clinical departments ranged from 1 to 20,from 41 to 80,or from 91 to 100.There was an irrationality in fixed assets and staff deployment.Conclusions Size and input of clinical departments should be carefully planned to increase resource utilization efficiency.

Applying Malmquist index to evaluate the output efficiency of scientific research in a hospital department / 中华医学科研管理杂志

Objective To study the dynamic changes of scientific research efficiency of 51 departments in a top three hospitals in Beijing from 2014 to 2016,and to provide reference information for improving the efficiency of scientific research in hospital departments.Methods The CCC model of DEA,BCC model were used for lateral analysis,and then Malmquist index was used for longitudinal analysis.Results There were 12 (23.53％) departments in 2014,11 (21.57％) departments in 2015,9 (17.65％) departments in 2016 data envelopment analysis was valid,from 2014 to 2016,41 (80.39％) departments of the hospital increased the total factor productivity.Conclusions The total factor productivity of the 51 departments in the hospital increased from 2014 to 2016,and technological progress was the main reason for its growth.

Drug Resistance of Pathogenic Bacteria from Blood Culture and the Distribution in Clinical Departments from 2012 to 2014 / 华中科技大学学报(医学版)

Objective To analyze drug resistance of pathogenic bacteria from the blood culture and distribution in clinical departments,and to guide the rational clinical drug use.Methods We retrospectively analyzed 11 275 samples of blood cultures in The Central Hospital of Wuhan from 2012 to 2014.The blood specimens were cultured by VersaTREK(USA).The pathogenic bacteria were identified and their drug resistance was analyzed by BD-PHOENIX 100 automicrobiological identification systems(USA).Results Among the 11 275 blood cultures,636 bacterial strains were detected.The top four bacterial strains were Escherichia coli,Staphylococcus aureus,Klebsiella pneumonia and Enterococcus f aecium.A vancomycin-resistant Enterococcus faecium strain and a pandrug-resistant Klebsiella pneumoniae strain were detected.The top three clinical departments with distribution of pathogens were Gastroenterology Department,Nephrology Department and Intensive Care Unit (ICU).Pathogens isolated from ICU were evenly distributed.Conclusion Distributions of pathogenic bacteria in the blood culture are different in clinical departments.Identification of pathogenic bacteria and result of drug susceptibility can reduce use of broadspectrum antimicrobials and enhance antimicrobial de-escalation.

Students' Perceptions of the Educational Environment in a Northern Iran University of Medical Science.

Aim: This study aimed to evaluate the current situation of clinical departments in order to explore the viewpoint of interns and trainee according to the Dundee ready educational pattern (DREEM) in Mazandaran University of Medical Science. Design and Setting: the samples included all intern and externs of medical department who were studying in Mazandaran University of Medical Science. Methods and Materials: This was a cross sectional study which comprised students who selected by convenience methods. The standard questionnaire used to assess the view of students who were intern or trainer in Mazandaran University of Medical science during 2012. The questionnaire comprised four subscales i.e. learning (12 item), educational environment (12 item), teachers (11 item) and perceived ability (12). Statistical analysis: SPSS software was used to analysis the collected data. We employed ANOVA, Pierson and Structural Equation Modelbing. Results: the findings showed the mean is above 3 and significance level is belowe0.05 which implies the view of interns is average toward teacher efficacy, educational environment, learning condition and perceived self-ability. Conclusions: according to the findings, authors suggests to future researchers to explore the clinical departments situations in different cultures and regions with different medical educational related factors in order to provide better knowledge regarding gaps in health care systems.

Research on DEA model based construction of hospital clinical departments efficiency evaluation system / 中国医学装备

Objective: To explore health resource allocation and optimization and evaluate the clinical departments efficiency in hospital. Methods: Taking a three level of first-class hospital in Beijing for example, the method of data envelopment analysis (DEA) was used for building a DEA model of clinical departments efficiency in hospital. Results: Based on the results of the DEA model, we drawn the technical efficiency and scale efficiency of the target clinical departments, obtained input redundancy rates and output deficiency rates of the non-effective decision-making units. Conclusion:By DEA evaluation results, the input redundancy and output deficiency of the target clinical departments are found. From the perspective of optimizing hospital resource allocation, measures to improve the hospital operational performance are proposed. There is important significance to improve the comprehensive competitiveness of the hospital.

Study on performance assessment mode of clinical departments in modern hospital / 中华医学科研管理杂志

Objective Construct the reasonably effective performance assessment mode of clinical departments,which is suitable for the continuous development of modern hospital.Method Use of balanced scorecard (BSC) principle,using the analytic hierarchy process (AHP) and Rank sum ratio method (RSR)to establish a performance assessment system. Results Constructed the performance assessment mode of clinical departments,which can be dynamically adjusted based on management objectives strategy.The mode takes the BSC as the baseline,the strategy of hospital development as the guide,performance assessment index system as the key element. Conclusion The performance assessment mode of clinical departments,base on BSC,achieve the strategic performance management,and is conducive to the hospital for continuous improvement of medical care quality,in line with the long-term strategic needs of the hospital.

Research on the evaluation of clinical departments' medical work performance / 中华医院管理杂志

Objective To explore and establish an evaluation index system of clinical departments' medical work performance mainly based on workload and the quality of work. Methods Literature method and a variety of statistical methods were applied to establish index system, the principal component analysis and TOPSIS method were used to give an statistical analysis. Results There was a positive correlation between the comprehensive evaluation value of medical work performance of non-surgical and surgical departments and the balance of financial revenue and expenditure of the departments. The pearson correlations of these two kinds of departments were 0.570 and 0.287, and the non-parametric correlations were 0. 427 and 0.566. Conlusion The index system and evaluation results of this study can provide reference for the allocation of allowances.

Views on Effective Communication between PIVAS and Clinical Departments / 中国药房

OBJECTIVE:To explore the problems and solutions of the communication between PIVAS and clinical departments in order to provide reference for effective communication.METHODS:The importance and means of effective communication were explored in respect of mutual goal,problems of communication and countermeasures.RESULTS & CONCLUSIONS:Only the effective communication between PIVAS and clinical department are strengthened continuously,can satisfactory service be supplied for patients.The medical conception of "patient-centered" can be implemented.

Perioperative Use of Antibiotics in Some Departments of Our Hospital / 中国药房

OBJECTIVE:To probe into the perioperative use of antibiotics in some clinical department of our hospital.METHODS:780 medical records of the patients(discharged from our hospital between Oct.2007 and Oct.2008)were sampled randomly for statistical analysis regarding the utilization of antibiotics.RESULTS:Of the 780 cases reviewed,778 cases(99.74%)received antibiotics versus 2 didn't.In terms of the application variety of antibiotics,Cephalosporins were predominantly used,followed in turn by penicillins and quinolones.289 cases used one kind of antibiotics,279 used two kinds and 210 used at least three kinds of antibiotics concomitantly.Only 19 cases received etiologic test and susceptibility test during antibiotic use.CONCLUSION:The perioperative use of antibiotics in some clinical departments of our hospital is somewhat irrational,thus monitoring on which should be tightened to promote their rational use.

Strengthen Communication between Clinical Laboratory and Clinical Departments to Promote Medical Testing Quality / 中国医学伦理学

Good communication between clinical laboratory and clinical departments can effectively facilitate the understanding and trust between clinical laboratory personnel and clinical doctors and reduce misunderstanding,so as to provide timely and effective treatment for patients.This article discusses the measures be taken to strengthen the cooperation and communication between clinical laboratory and clinical departments in order to highly enhance medical testing quality.In this way,medical technology departments can provide a better service for clinical departments and hospitals can better serve patients.