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As an important element of medical and health sector innovation, the translation of scientific and technological achievements plays a key role in promoting their clinical application and meeting the medical needs of the people. The authors sorted out the problems in such translation at these affiliated hospitals in terms of " people", " finance", " material", and " system". Starting from 2017, the Tenth People′s Hospital Affiliated to Tongji University has explored such practices as establishing hospital-led clinical medical science and technology innovation parks and technology service limited companies. These practices aimed to address the issues of insufficient hospital scientific and technological innovation capabilities and the gap between the hospital′s operation mechanism to translate its scientific and technological achievements and the enterprises and the market. The clinical medical science and technology innovation park integrating administration, industry, education, research, medicine and application, has taken multiple measures to attract excellent research talents and projects from within and beyond the hospital, promote the implementation of innovative scientific research projects. The hospital also established a health industry mode with engagement of social capital from large enterprises. The Technology Services Co., Ltd. was based on the incubation and translation of hospital achievements, combining market and clinical needs, promoting multi-party cooperation between hospitals and external enterprises, improving the chain operation mechanism of hospital scientific and technological achievements translation work, and alleviating the problem of insufficient research pilot funds and productibility funds by means of hospital-led fundraising. The number of patent authorizations of hospitals had increased from 23 cases in 2018 to 105 in 2022, and the amount of patent conversion had increased from 2 million yuan in 2020 to 11 million yuan in 2022. It is recommended that affiliated hospitals of universities further improve the organizational structure of achievement translation, strengthen their professional talent teams, improve their operation mechanism of achievement translation, build a platform for medical school-enterprise cooperation, and improve the evaluation mechanism of translation assessment, in order to promote a virtuous cycle of hospital′s scientific and technological achievement translation work.
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Objective:To investigate the static and dynamic trends of scientific research efficiency of the critical care medicine in hospitals affiliated S university during the 13th Five-Year Plan period.Methods:Based on the scientific research data of 16 hospitals affiliated to Beijing S University from 2014 to 2020, the scientific research investment funds and the number of physicians involved in scientific research were selected as input evaluation indexes, and the number of science citation index (SCI) papers, Chinese science citation database (CSCD) papers, and the number of masters and doctors trained were selected as output evaluation indexes, and the evaluation index system of scientific research efficiency of critical care medicine was constructed. SPSS version 23.0 software was used for descriptive data statistics, and data envelopment analysis (DEA)-BCC model and DEA-Malmquist index model of DEAP 2.1 software were used for static and dynamic evaluation of its scientific research efficiency from 2016 to 2020, respectively.Results:① The scientific research technical efficiency (TE) of critical care medicine in 16 hospitals affiliated with S universities varied greatly from 2016 to 2020, but pure technical efficiency (PTE) and scale efficiency (SE) were at a good level, and 6-11 affiliated hospitals in critical care medicine kept DEA effective for 5 consecutive years. ② Dynamic analysis of their total factor productivity (TFP) of scientific research from 2016 to 2020 showed a trend of rising and then falling and then rising again. The mean value was 0.985. The technical efficiency change (TEC) showed a decreasing and then increasing trend, and the technical progress change (TC) showed a slow increasing and then decreasing trend, with a mean value of 0.953. While the mean values of TEC, pure technical efficiency change (PTEC) and scale efficiency change (SEC) were above 1, which showed that the growth of total factor productivity index of research and innovation depended more on the technical efficiency index.Conclusions:The "gain effect" and "catch-up effect" of scientific research efficiency in the specialty of critical care medicine in hospitals affiliated S universities are obvious, but the "growth effect" is not obvious. "Although the research efficiency of the 13th Five-Year Plan period has been significantly improved, there is still much room for improvement in scientific and technological innovation and international academic influence.
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Objective:Through the statistics and comparison of SCI papers jointly published by the hospital investigators and university scholars, this paper aims to provide a reference for the next step of interdisciplinary research cooperation in ″medicine, science, engineering and liberal art″.Methods:The collaborative SCI papers were searched from the Science Citation Index expanded (SCIE) database, basic information of the cooperative papers were collected. Taking into consideration of the time spots that 3 years before (2015-2017) and after (2018-2020) when the hospital became affiliated to the university. The number of the paper, paper quality, author's basic information, hospital disciplines and the distribution of department/unit in the university were analyzed.Results:The number of the collaborative papers has increased from 23 to 131. There are statistical significance in both the personnel situations and the qualifications to supervise postgraduate students of the authors. The number of the related hospital departments has increased from 7 to 22, and the number of the universities′ unit increased from 3 to 10.Conclusions:After becoming the university affiliated hospital, the interdisciplinary collaborations in medicine, science, engineering and liberal art have already made some achievements, the breadth and depth of cooperation have been continuously expanded, which is related to the various policies implemented by the hospital and the advantages of interdisciplinary collaboration in resource sharing.
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【Objective】 To supervise the clinical blood use of 19 hospitals, covering a district of Shanghai, during two years, and discover the problems in the process of blood transfusion, so as to put forward suggestions for corrective methods in grades and promote continuous improvement of clinical transfusion management. 【Methods】 A total of 19 hospitals were supervised in terms of hardware facilities, management level, professional and technical level, and blood typing test on the site, according to the Administrative Blood Management Measures for Medical Institutions, Technical Specification for Clinical Transfusion and Shanghai Medical Quality Supervision Score Statistical Table.All data were analyzed. 【Results】 These hospitals can properly perform clinical blood transfusion, but there were obvious differences.Tertiary hospitals were relatively better, yet need to strengthen the management of medical documents.Secondary hospitals remained to be improved, mainly in insufficient construction of Blood Transfusion Department (blood bank), the lack of management and maintenance of key equipment and the lack of standardization in medical documents writing.However, flaws in the supervision were general in private hospitals (most of which were affiliated hospitals), so the management of clinical blood use should be further strengthened. 【Conclusion】 For secondary hospitals or above, routinized writing of medical documents and promoted construction of Blood Transfusion Department (blood bank) should be strengthened.For private hospitals, especially affiliated hospitals, the management of clinical blood use should be further improved, including the examination rules corresponding to the blood use process and strict access and exit mechanism, so as to improve the overall management level of clinical blood use and ensure the safety of clinical blood use.
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Based on the basic situation of scientific research team cooperation between medical colleges and universities in Sichuan Province, this paper analyzes the shortcomings and weaknesses of scientific research team cooperation between the two sides at the present stage, and focuses on discussing the mechanism of scientific research innovation integration between colleges and universities from three aspects: the significance of scientific research innovation team integration between colleges and universities, how to build scientific research teams through team integration, and the construction of scientific research team system. It's expected to change the scientific research team formed in the past "free mode", build an evaluation index system for innovation and integration of scientific research teams, organize large teams with clear research directions, give full play to the advantages of medical colleges and affiliated hospitals, and meet the development needs of both sides.
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At present, the non-directly-administered affiliated hospitals generally have some problems in the teaching of clinical probation such as weak subjective teaching consciousness, few full-time teaching administrators, insufficient investment in teaching facilities, uneven teaching levels, unclear division of responsibilities and so on. Based on this, it is proposed to adopt the measures of strengthening consciousness, creating process and strengthening examination to explore the standardized teaching methods of clinical probation from four aspects: making clear the teaching purpose of the probation, making good preparation for the probation teaching, refining the teaching process of the probation teaching and paying attention to the actual effect evaluation after the probation, so as to improve the quality of clinical probation teaching in non-directly-administered affiliated hospitals.
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Objective:To understand the current status of postdoctoral team construction and scientific research capacity of a university affiliated hospital, and provide guidance and evidence for optimizing the post-doctoral management in the hospital.Methods:A self-designed questionnaire was used to collect information from all postdoctoral research fellows who entered the hospital from 2016 to 2020, statistical analysis of data collected was completed.Results:From 2016 to 2020, the hospital has recruited 38 postdoctoral research fellows in total, with an average age of 28.95±1.77 years old. The co-supervisors can provide regular and adequate guidance to postdoctoral research fellows. The average score of postdoctoral research problem-solving ability is 3.93±0.51, among which the dimensionality of retrospective and reflection ability is the highest, with an average of 4.21±0.51, and the ability to identify and discover problems is the lowest, with an average of 3.58±0.68.Conclusions:The hospital's postdoctoral team construction has begun to take shape. With the joint effort of the hospital, co-supervisors and postdoctoral research fellows, the postdoctoral personnel have got strong scientific research capabilities, have obtained certain scientific research results, and have considerable development potential. Initial success has been achieved in postdoctoral training in the hospital.
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Objective:Through the analysis of the evaluation index system of the major rankings of universities and hospitals, this paper aims to provide a reference for the discipline construction of affiliated hospitals in universities.Methods:This paper comprehensively analyzes and compares the evaluation objectives and indicators of the five major rankings of universities and the three major rankings of hospitals in China and abroad.Results:Each main rankings have its own characteristics that both positive and with possible limitations.Conclusions:Hospital management departments can refer certain indicators in order to identify possible gaps of the hospital discipline development. Also, tailored corresponding measurements for discipline development can be developed in combination with real-needs.
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Objective To understand the report of death cases in the First Affiliated Hospital of Xinjiang Medical University in the past five years, and to put forward measures to improve the quality of death case reports. Methods The death cases reported by the death registration information system of the First Affiliated Hospital of Xinjiang Medical University from January 1, 2014 to July 31, 2019 were analyzed, the timeliness of the report, the quality of the report of the root cause of death and the distribution of the root cause of death were evaluated. Results In the past five years, the main places of death were medical and health institutions. Males were significantly more than females. Ages were more concentrated in groups over 60 years old and under 80 years old. They were mostly retirees and those with junior high school or below education. Most of the diagnostic criteria were clinical + physical and physicochemical. The proportion of the time of death differ from the date of filling in the card and the proportion of the time of death differ from the date of filling in the card exceeding 7 days were gradually decreasing. The proportion of diseases directly leading to death differ from the underlying causes of death, and the proportion of diseases directly leading to death differ from ICD codes of underlying causes of death ranked first in 2017. The top three causes of death in the case of death are in turn: cause codes I, C, and J. Conclusions The timeliness of death case report in the First Affiliated Hospital of Xinjiang Medical University has increased year by year in recent five years, but the error rate of death cause coding is high, and the work of determining the underlying cause of death needs to be improved.
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On?November?11,?2011,?under?the?development?concept?of?"becoming?bigger?and?stronger",?the?general?intensive?care?unit?(GICU)?of?the?First?Affiliated?Hospital?of?Zhengzhou?University?was?established?and?the?first?critically?ill?patient?was?admitted.?With?the?support?of?national?policy,?and?the?guidance?of?the?strategic?goal?of?"being?more?careful?and?more?superior,?and?pursuing?high?quality?and?sustainable?development",?GICU?has?developed?well.?By?2018,?there?are?two?wards?in?the?Heyi?district?and?Zhengdong?district,?which?consist?of?73?beds,?and?more?than?5?000?critically?ill?patients?are?admitted?to?GICU?annually.?Since?the?establishment?of?GICU?for?7?years,?we?have?published?more?than?70?academic?papers,?received?two?national?natural?science?funds?support,?and?won?the?second?prizes?of?scientific?and?technological?progress?in?Henan?Province?two?times.
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Objective Taking the construction of full-time clinical scientific research team at Peking University Cancer Hospital as an example,explore the effective way to build a scientific research talent team in university affiliated hospitals.Methods To analyze the work of constructing a full-time clinical research team at Peking University Cancer Hospital,summarize the experiences,identify existed problems and make appropriate suggestions from following aspects:the significance of establishing the clinical full-time scientific research team,the formation process and the staged achievements.Results The full-time clinical scientific research team has begun to take shape.The hospital provides a complete career development plan and growth path.In recent years,the full-time clinical scientific research team has made significant progress in paper publication and fund application.Conclusions The establishment of full-time clinical scientific research team has effectively improved the scientific research ability of clinical departments,and has certain reference significance for the construction of talent team in university affiliated hospitals.
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Objective The research aims to optimize the hospital research performance appraisal ,clarify the scientific characteristics and possible shortages of different clinic departments in various types ,to enhance the effectiveness of research performance appraisal .Methods Descriptive statistics were used to generalize hospital research performance appraisal in 2017 . Hierarchical clustering was used to cluster and analyze performance appraisal characteristics of 75 clinic departments .Results SCI papers (405) ,National projects (181) and National core journal papers (106) took 75 .2％ of total average score .The op-timal solution of the cluster was 6 types for 75 departments and the dendrogram illustrated significant varieties among the 6 types .Six departments' types were academic-conference-oriented ,national-paper-oriented ,SCI-paper-oriented ,advanced-pro-ject-oriented ,provincial/horizontal-project-oriented and attending-conference-oriented .The percentages of the oriented indica-tors that took their total average scores were 59 .4％ ,42 .0％ ,66 .7％ ,57 .0％ ,61 .8％ ,52 .3％ .Conclusions Compared with K-means method ,the results of hierarchical clustering equipped with better characteristics and interpretative power .Research performance appraisal has been further optimized .Departments in different types showed significant characteristics and weak-nesses ,which provides managers with effective guidance on countermeasures .
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The paper analyzed the status quo and dilemmas of the internal audit of an affiliated hospital of a university in Chongqing, proposing imperative reforms in the governance elements of the affiliated hospital system.These elements cover such aspects as strengthened system construction, value-added transformation, enhanced independent status, improved competency, and innovative methods and technologies.These efforts can help elevate the performance of affiliated hospitals.
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Objective To explore the improvement measures of scientific research funds management in non-directly affiliated hospitals based on the existing problems.Methods Considering the current situation about the management of scientific research funds in non-directly affiliated hospitals,the study analyzes the problems in the management and proposes some improvement measures.Results We have got some measures to improve the management of scientific research funds in non-directly affiliated hospital from different angles,such as,perfecting the function of scientific research management departments,improving the system of scientific research management,establishing credibility mechanisms,adjusting financial approaches to different conditions,strengthening business training about scientific research funds and making full use of informatization.Conclusions These measures,which we have put forward,mean a lot to the improvement of scientific research funds management.The non-directly affiliated hospitals should improve the management of scientific research funds in practice and promote the development of scientific research projects.
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Objective To explore the development and optimization of scientific research performance evaluation system (SRPES) in affiliated hospitals of university.Methods Take Xi'an Jiaotong University Second Affiliated Hospital as an example,summarize and conduct statistical analysis of SRPES data in past ten years.Results Along with the development and optimization of SRPES,the hospital makes a breakthrough in personnel training,the development of discipline construction is remarkable,the scientific research output also presents a better development trend.Conclusions Continuing navigation and improvement of SRPES and incentive policies play an important role in guiding the development of scientific research with stated objectives.
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The embedded subject service model in ubiquitous knowledge environments has gradually become an important means to deepen library service and promote its reform.The embedded subject services, established service system, its assessment and its support mechanisms were described, the embedded subject service model of medical library for affiliated hospitals in ubiquitous knowledge environments was elaborated in order to pave the way for improving the future service in college and university library.
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Objective To understand the status qua of professional abilities and training needs of young administrators in a certain Affiliated Hospital of the University in Guangzhou, and to formulate a tentative exploration of the training plan for their specialized abilities on hospital management.Methods A questionnaire was prepared on the basis of literature review, and 58 young administrators for a specified affiliated hospital of a university in Guangzhou were surveyed.Results The respondents consider that the professional abilities were rather important for them, but the scores of the status qua were generally lower than that of importance, especially in terms of the knowledge of medicine, law and psychology, and the skills of scientific research, innovation and Time management.They are also of the view that the training frequency was not enough and the forms were not as ideal as expected.Conclusion A three-stages training plan has been laid forward include Rotation Training, the Youth Management Salon and further education.
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A WeChat public platform was established according to the hospital library holdings and manpower re-sources, which can provide different kinds of individualized information service with rich contents. The advantages of WeChat public platform in providing information service for medical staff were analyzed and how to further popu-larize and improve such information service was elaborated.
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Based on the development trend of the three -in-one system of “medical treatment, teaching and scientific re-search”, the main university affiliated hospitals at home and abroad need to ensure the sustaining development of hospital scientific re-search and improve the core competitiveness of hospital by improving the scientific research management , such as focusing more atten-tion on the scientific research policy , improving the quality of management staff , constructing the diversification mechanism , integra-ting resources, constructing information platform, managing the funds and archives, and strengthening the whole process supervision.
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At the important position of the basic medical education,clinical practice and scientific research,scientific research of university affiliated hospital plays a crucial role in promoting national progress of medicine in the process of national disease prevention and the healthy level of prevention,treatment,care promotion.Under the science and technology plan management reform and innovation driven development strategies of the top-level design,one of the most important tasks of the discipline inspection and supervision work of hospitals in the new era is to explore how to strengthen the supervision and administration of scientific research,how to construct the scientific research work independent risk control system and how to empower university hospital research development.