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Objective Probing into a way to reform the assessment indexing of diagnosis and treatment in clinical specialties, to help with objective assessment and ranking among hospitals in terms of the performances of their respective specialties. Methods Treatment outcomes of the diseases pinpointed by heart physicians and urology surgeons of three hospitals in 2005 as the criteria to calculate the adjusted value for fatality rate and cure rate. Results The adjusted value of fatality rate for the heart physicians is CFR≥1, and that of cure rate for the urology surgeons is CFR≤1. A trial assessment is made based on these figures, and a ranking is achieved on the diagnosis and treatment outcomes of the clinical medicine specialties in these three hospitals as a result. Conclusions Diseases as the assessment levels for medical quality of clinical medicine specialties and relative risks as the core computation adjusted factor, may help yield the indexes and methodology for clinical medicine specialties in line with China's specifics.
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OBJECTIVE:To provide reference for the utilization of antimicrobials in cardiothoracic department of our hospital.METHODS:A total of 360 discharged medical records were collected from cardiothoracic department of our hospital from Jan.to Dec.in 2009 (30 medical records per month).The utilization of antimicrobials was analyzed statistically.RESULTS:Of 360 medical records,352 cases received antimicrobials before operation while 360 cases received antimicrobials after operation.The utilization rate of antimicrobials after operation reached 100%.5 categories (8 kinds) of antimicrobials were adopted before operation.Cefathiamidine took up the first place in the list of utilization rate (138 cases),followed by cefuroxime sodium (104 cases).Two-drug were 26 cases while there was none of three-drug.Etiological examination and drug susceptibility test were only carried out for 45 cases.The minimum duration of preventive administration was 1 d and maximum duration 15 d with average duration of 5.65d.The duration of 62 operation cases were more than 3 hours while 298 cases less than 3 hours.None of cases received additional dose of antimicrobials.CONCLUSION:The selection of antimicrobials category is basically reasonable in cardiothoracic department of our hospital.But there are some problems in respects of irrational use of drug combination,unreasonable medication time,overlong medication duration,deficient etiological examination.Above problems should be resolved urgently.