Value of precision management after cardiac resynchronization therapy / 中华老年心脑血管病杂志

Objective To investigate the effect of precision management on improving the symp-toms and response rate of patients after cardiac resynchronization therapy(CRT).Methods A to-tal of 97 patients with heart failure(HF)who received CRT for the first time in Department of Cardiology,Northern Jiangsu People's Hospital from January 1,2020 to December 31,2021 were enrolled in this study.They were divided into control group(53 cases)and precision management group(44 cases).CRT response rate and incidence of HF readmission or death were compared be-tween the two groups.Results The precision management group had significantly larger propor-tion of total response in 12 months after CRT than the control group(P＜0.05).Kaplan-Meier survival analysis showed that the survival rate without clinical concern was obviously higher in the precision management group than the control group(P=0.018).Multivariate Cox regression analysis indicated that no precision management after surgery(HR=0.21,95％CI:0.09-0.47,P=0.005)and hospitalization for HF within 1 year before surgery(HR=3.94,95％CI:1.70-9.14,P=0.005)were the main predictors of clinical events of concern after CRT.Conclusion Postoperative precision management of CRT can increase the CRT response rate,reduce the risk of readmission or death due to HF,and improve the prognosis effectively.

Expert consensus on precise diagnosis and management of primary hepatocellular carcinoma in advanced stage (2023 version) / 中华肝脏病杂志

not matching with chinese abstract stage in China. By adopting the "Delphi" consensus formation method, a set of precise staging criteria and corresponding preferred treatment protocols were agreed upon for Chinese patients with hepatocellular carcinoma in advanced stage, taking into account different tumor characteristics, vascular embolism grading, distant metastasis and liver function status, portal hypertension, hepatitis B virus replication status, etc., as well as the prognosis of the patients. This consensus is intended to provide a more detailed, scientific, and reasonable reference basis for the selection of individualized diagnosis and treatment plans for frontline clinicians.

Practice of precise management of hospital archives / 中华医院管理杂志

Archives management is an important part of hospital management. The author introduced the typical practice of Tiantan Hospital in coordinating the precise management of archives. The experiences include high attention to daily precise management of the archives so as to continuously improve hospital management ability and level; innovative efforts in exploring the special archives management for the archives relocation to the new campus, which ensured the successful acceptance and overall relocation as scheduled. These experiences prove useful for overall archives management and archives receiving management in relocation projects.

Development and application of medical equipment maintenance management module / 医疗卫生装备

Objective To realize fine management of medical equipment maintenance,effectively improve the efficiency and save the cost of equipment maintenance.Methods A medical equipment maintenance management module was developed with hospital resource planning system and SQL Server 2008 platform so as to implement informatized management for equipment acceptance check,maintenance,processing and etc.Results The module realized fine management,controlled cost and enhanced social and economic benefits of the hospital.Conclusion The module contributes to medical equipment maintenance management informatization,and is of great significance for the improvement of the hospital.

Application of barcode technology in the precision management of medical equipment asset / 中国医学装备

Objective:To promote the application of barcode technology and establish comprehensive barcode management platform for medical equipment in order to achieve precise management of medical equipment just like ID.Methods: Combined with information management of barcode was effectively applied to the medical equipment asset; analyzed the underlying application of barcode technology in the field of equipment asset management; finally, to clarify the application effect of barcode technology in precise equipment asset management.Results: The application of barcode technology has realized dynamic management for the whole life cycle of medical equipment, and effectively improved management method and efficiency of hospital medical equipment asset.Conclusion:Through informatization to support precise management for medical equipment, and this method can form more scientific and technological barcode technology management mode for medical equipment asset. This mode can reduce the workload and difficulty for routine equipment asset management, enhance the precise management level for equipment asset, and provide a powerful technical guarantee for the reasonable and effective integration of hospital equipment assets.