Establishment and application of networked full-coverage multi-disciplinary team management mode under hospital administrative guidance / 中华医院管理杂志

Multi-disciplinary team(MDT)mode is regarded as the key to standardized diagnosis and treatment of malignant tumors. The model, however, encounters such roadblocks in the current form of MDT organization, as costly clinical resources and time consumption, low efficiency, poor management of participating experts in MDT, and lack of enforceability of the therapeutic decisions made. This paper summarized the practical MDT experiences of the Affiliated Cancer Hospital of Shandong First Medical University. It introduced the construction of an intranet-based MDT system covering a large proportion of newly diagnosed malignant tumor patients, and the practices and achievements of such MDT management system under hospital administrative guidance. The authors proposed to use reporting ratio as the main assessment indicator in promoting MDT, and that to define the performance, responsibilities and rights in MDT practice. These measures aim at to upgrading individual behaviors of doctors to organizational behaviors of hospitals, and providing cancer patients with more standardized, comprehensive and personalized diagnosis and treatment decisions.

Hospital Networked Medical Equipment Safety Management / 中国医疗器械杂志

With the continuous improvement and wide application of hospital information, more and more medical equipment is integrated into the hospital information systems, which brings new work contents and challenges for the traditional clinical engineers. This paper reviews and evaluates the current situation of networked medical equipment in the hospital. By applying the ISO 80001 and the MDS(Manufacturer Disclosore Statement for Medical Device Security), the paper puts forward the measures and suggestions for the security management of networked medical equipment.

Establishment and application of networked information management system for clinical laboratories in community of Suzhou City / 临床检验杂志

Objective To establish a networked information management system for clinical laboratories in community of Suzhou and evaluate its clinical application.Methods Based on dedicated network of public health information in Suzhou City,laboratory information management system (LIS) and hospital information management system (HIS),the management for centralized detections of clinical samples from the health institutions of intra-regional community were performed as the key mission,and a regional,networked and informationized management system was designed for the clinical laboratories of community.Results The informationized management of whole process including test application,specimen collection,delivery and receiving,report releasing and payment,etc.was achieved on line.The information of clinical laboratories among the communities was transferred and shared in whole Suzhou City.Conclusion The established system should be safe,convenient and efficient online network-based information management system between the Suzhou clinical laboratory center and the laboratories in each local community,by which the centralized detections in the clinical laboratories of community could be performed readily.

Presencia social en entornos virtuales de aprendizaje: Adaptación al español de la Networked Minds Social Presence Measure / Social presence in virtual learning environments: Spanish adaptation of the Networked Minds Social Presence Measure

El objetivo de este trabajo es, por una parte, la adaptación al español de la Medida de la presencia social de las mentes en red (Networked Minds Social Presence Measure) de Harms & Biocca (2004) de 36 ítems, y en particular a entornos virtuales del aprendizaje, y por otra, la obtención de una versión reducida de la misma. Para ello se analizó la fiabilidad de la escala, se llevaron a cabo análisis factoriales de carácter exploratorio y confirmatorio y se estudió, además, la relación entre la presencia social y el aprendizaje percibido, a través de dos muestras transversales de estudiantes universitarios (n = 270 y 315, respectivamente). Los resultados muestran una buena fiabilidad del instrumento, replican la estructura factorial de la escala original y confirman una relación positiva de la presencia social con el aprendizaje percibido. La escala adaptada arroja una reducción a 17 ítems. Esto permite disponer de un instrumento más breve y adaptado a la medición de la presencia social en entornos virtuales de aprendizaje.

The aim of this paper is, on the one hand, to perform the Spanish adaptation of the Networked Minds Social Presence Measure (Harms & Biocca, 2004) with 36 items, and specifically, to virtual learning environments, and on the other hand, to obtain a shortened version of it. In doing so, the scale reliability was analyzed, exploratory and confirmatory factor analyzes were performed, and also the relationship between social presence and perceived learning was studied, by means of two cross-sectional samples of university students (n = 270 and 315, respectively). Results show good instrument reliability, reproduce the original scale factor structure, and confirm a positive relationship of social presence with perceived learning. The adapted scale was reduced to 17 items. This allows us to have a shorter instrument which is adapted to the measure of social presence in virtual learning environments.

Analytical Performance Evaluation of Glucose Monitoring System Following ISO15197 / 대한진단검사의학회지

BACKGROUND: We have evaluated the analytical performance of SureStep Flexx (Johnson and Johnson, USA) which can report the plasma equivalent glucose test results and be connected to the hospital information networks, following ISO15197 analytic procedure for glucometer for the first time. METHODS: Adopting the guidelines of ISO15197, we measured the precision of ten glucometers from their repeatability and intermediate precision, and determined the accuracies of the glucometer, comparing to those of GEM Premier 4000 (Instrumentation Laboratory, USA). In addition, the guidelines of CLSI EP9-A2 and EP6-A were applied to correlate between data of glucometer and those of laboratory reference method by TBA-200FR (Toshiba Medical Systems, Japan) and to examine its linearity of glucose concentrations measured by SureStep Flexx. We used the clinical specimens and commercial control materials. RESULTS: Repeatabilities and intermediate precisions of those glucometers were 4.0-7.3%, and 4.3-6.2%, respectively. When glucose levels are under 75 mg/dL, the difference between results of those meters and the reference values were within +/-6 mg/dL. However when glucose levels are over 75 mg/dL, those differences were within +/-12.7%. These results were acceptable for the ISO15197 criteria in all glucose concentrations. The glucose concentrations showed the clinically relevant linearity in the range from 36 mg/dL to 491 mg/dL. Moreover, Error Grid Analysis showed that all glucose results were in "zone A", which means that these values were clinically accurate. CONCLUSIONS: This study showed that SureStep Flexx can provide reliable results for patients and clinicians to manage the diabetes mellitus, satisfying the ISO15197 criteria.