Abstract:Objective To establish quality control indicator system for key diagnosis and treatment behaviors in hematologic diseases,providing a reference for standardizing key diagnosis and treatment behaviors,enhancing process management,and improving overall healthcare quality and safety.Methods A preliminary framework was developed through literature review,policy analysis,and key informant interviews.The Delphi method and Analytic Hierarchy Process were employed to finalize the quality control indicator system and determine weights.Results The response rates for both rounds of expert consultation were 1 00%,with expert authority coefficients of 0.97 and 0.98,respectively.Kendall's Wcoefficient increased from 0.149 to 0.1 57,and all judgment matrices achieved CR＜0.1,confirming validity.The final quality control indicator system for key diagnosis and treatment behaviors in hematologic diseases comprised 4 first-level,14 second-level,and 24 third-level indicators.Conclusion The established quality control indicator system identifies key points in the quality management of hematologic diseases,covering high-risk aspects of the diagnostic and treatment process.It demonstrates a certain degree of scientific rigor,feasibility,and practicality.With a high level of consensus among experts and strong credibility,it can serve as a quality evaluation tool for key diagnosis and treatment behaviors in hematologic diseases.

Abstract:Objective To analyze the current situation,problems and countermeasures of quality control and post-market supervision of medical equipment in China,and provide a reference basis for improving the quality and safety level of medical equipment in China.Methods Through literature research and current situation analysis,the reasons why the clinical use risks of medical equipment in China have not been effectively controlled due to post-market supervision and quality control were discovered,and targeted countermeasures and suggestions were put forward.Results lt targets the problems in the management of medical devices.Specifically,there were issues such as the ineffective implementation of post-market supervision,the lack of overall planning at the national level,and the absence of corresponding regulatory documents and operation guidelines.To address these issues,we ap-proach from three aspects:strengthening supervision,conducting coordinated management,and formulating guide-lines.Specific policy recommendations were as follows:enhance post-market supervision of medical devices to im-prove the effectiveness of medical quality risk prevention and control;establish a national quality control center to comprehensively and coordinately manage the quality of medical devices and promote balanced development;and expedite the formulation of supporting technical standards and operation guidelines,and strengthen the post-mar-ket use evaluation of medical devices.Conclusion The situation of risk prevention and control for the quality and safe-ty of medical equipment is severe and should be given sufficient attention.lt is urgent to strengthen post-market su-pervision and coordinate the quality control of medical equipment to ensure medical quality and safety and promote the healthy development of the medical equipment industry.

Abstract:Traditional funding allocation methods often only consider working hours or income ratios,making it difficult to fully measure the quality and technical complexity of medical work.Therefore,it first analyzed the difficulties in managing the cost of personnel expenses in public hospitals.Then,the limitations of two traditional allocation methods,namely the labor based econometric allocation model and the profit oriented allocation model,were analyzed.Subsequently,a work achievement sharing method based on performance bonuses in one hospital with multiple districts was proposed,which comprehensively integrates multidimensional factors such as workload,technical difficulty,surgical category,and personnel titles.The results indicate that for the allocation of personnel and hospitalization expenses,the econometric allocation model has the highest allocation ratio,which is 54.35%,Next is the profit oriented allocation model,with an allocation ratio of 30.64%.The proposed performance-based bonus based work achievement sharing method has the lowest sharing ratio of 20.55%and better reflects the quality and labor value of doctors'work.The research aims to provide reference for optimizing the cost accounting system and improving operational efficiency of public hospitals.

Abstract:Against the backdrop of the in-depth advancement of the integration of medical treatment and disease prevention strategy and the increasingly prominent challenges in public health emergency response,it is urgently necessary to build a modern health emergency management system featuring"medical and preventive collaboration and integration".By sorting out the concept,component elements and functional positioning of the emergency management system in public hospitals,it explores the basic framework and key links of the emergency management system in public hospitals,and ensures the effective implementation of the system through multi-dimensional collaborative efforts.

Abstract:Objective To explore the current situation and problems of clinical use management of medical devices in Chinese hospitals,providing a basis for optimizing the management system.Methods A multi-stage stratified random sampling method was used to select hospitals of different levels across the country for investigation,analyzing their resource allocation,management mechanisms,and implementation effects.Results There are significant differences in the management of medical devices among hospitals of different levels and regions.Tertiary hospitals have a clear advantage over secondary hospitals in terms of resource investment and the completeness of management structures.There are significant differences in aspects such as medical device investment among regions,human resource allocation,and the implementation of management responsibilities(P＜0.05).In the clinical use management of medical devices,there generally exist several issues.For example,the proportion of self-maintenance is relatively low;the allocation of medical engineering management personnel is unbalanced;the implementation rate of clinical use evaluation responsibilities is relatively low;and the level of informatized management needs to be enhanced.Conclusion It is recommended to establish a hierarchical collaborative mechanism in order to reduce the disparity in management standards across regions and hospital levels.Diversified models of technical support should be developed to improve hospitals'independent capabilities in medical device maintenance.The talent development system in medical engineering should be strengthened,and the professional competence of management teams should be enhanced accordingly.Clinical utilization evaluation of medical devices should be improved to achieve full-process,closed-loop management.Additionally,the construction of intelligent platforms should be accelerated to overcome data silos and address challenges in the closed-loop management of healthcare services.Through the implementation of the aforementioned strategies,the overall management efficiency of clinical medical device usage can be significantly enhanced.

Abstract:Objective By analyzing the current status and challenges of electronic medical record(EMR)system construction in medical institutions in Shanghai,it proposes targeted optimization strategies to provide references for advancing hospital informatization centered on EMR systems.Methods A random sampling method was employed to survey 54 secondary and tertiary medical institutions in Shanghai that have implemented EMR systems.Key informant interviews were also conducted to examine the current status and major issues in EMR system development.Results The development of EMR systems in Shanghai's medical institutions has progressed steadily,with continuous improvements in smart hospital development.However,challenges such as incomplete functionalities,limited application scope,and substandard data quality persist.Conclusion Further optimization of EMR system construction should focus on quality control standards,platform development,training and promotion efforts,and independent development capabilities to enhance its role as a robust tool for improving healthcare quality and efficiency.

Abstract:Focusing on the management of tumor ablation therapy technology,it explores management strategies and practical approaches for percutaneous lung tumor ablation in specialized hospitals from the perspectives of institutional systems,operational platforms,disciplinary teams,and supporting infrastructure.The aim is to achieve rapid growth in the number of ablations performed and continuous optimization of ablation structures,while simultaneously reducing average length of stay and average hospitalization costs year over year,and maintaining stable medical quality.lt further proposes a development model characterized by high-standard management systems,high-level technical pathways,high-intelligence information systems,and high-quality cohort studies.

Abstract:Objective To investigate the current situation of medical record writing and management in lnternet hospitals in Chongqing.Methods The medical record writing,medical record management and medical record risk of 45 lnternet hospitals in Chongqing were investigated by questionnaire and expert consultation.Results ln terms of lnternet medical record management,80.95%of them are structured medical records.61.90%had the quality control standard for medical records of lnternet hospitals.76.19%took the current quality control standard of medical records of general outpatient service as the quality control standard of medical records of lnternet hospitals.59.52%of them had a special person responsible for the quality control of medical records on the lnternet.ln terms of lnternet writing,47.62%of the current lnternet electronic medical records are simpler in format and content than the outpatient medical records of physical medical institutions,and 45.24%are consistent.Only 28.57%of people believe that the identity information of guardians of young children or patients with mental disorders needs to be recorded in medical records.ln terms of the risks of lnternet medical records,78.57%believed that there were risks in the management and writing of lnternet medical records.After medical disputes occurred,85.72%of the lnternet medical records as a legal support were at risk,of which 33.33%thought the risk was high,and 7.14%thought the risk was particularly high.Conclusion Chongqing's lnternet medical record writing and management ability needs to be further improved.lt is of practical significance to establish national or local or online medical record writing and management standards.

Abstract:Objective To assess the impact of the"one hospital with multiple districts"model on the quality of care and operational efficiency of inpatient surgical services in a tertiary care general hospital.Methods With 2019(before reform)and 2023(after implementation)serving as the observation nodes,the branch hospital district was designated as the intervention group and the main hospital district was allocated tothe control group.An empirical analysis was conducted with the method of Difference-in-Differences(Dl D),and the model robustness was verified by parallel trend test and placebo test.Fourteen core indicators were selected from four dimensions:medical capability,safety management,service efficiency and cost control,to assess the effect.Results After the reform,the medical capabilityindicators and service efficiency indicators were significantly optimized(P＜0.1);the mortality rate,the infection rate in class l incisionand 7-day readmission rate in the safety management indicators were significantly reduced(P＜0.1),but the rate of complications of inpatients undergoing elective surgery was significantly increased(P=0.007);the average hospitalization expenses,the average drug expenses and the average consumable expenses in the cost control indicators were significantly reduced(P＜0.10),and the increase in the average surgery cost was not statistically significant(P=0.765).Conclusion The"one hospital with multiple districts"model has achieved economies of scale through the integration and allocation of resources,improving medical capacity and operational efficiency without negative impact on cost control.

Abstract:Promoting the construction of compact urban medical group has become an important part of building a high-quality,efficient,equitable,and accessible integrated integrated medical service system.Based on the policy orientation of the state to promote the construction of compact urban medical groups,it selects typical practical cases from Minhang(Shanghai),Luohu(Shenzhen),Hefei,and Qiqihar.lt analyzes their current explorations in organizational models and operational mechanisms,summarizes the main challenges they face,and accordingly proposes targeted optimization pathways,aiming to provide a reference for optimizing integrated medical service systems and forming establishing a orderly medical seeking system.

Abstract:Against the dual backdrop of increasingly mature big data applications and structural constraints in traditional human resource management models,comprehensive digital governance and reform of human resource management systems have become major challenges for public hospitals.By examining the core challenges faced by public hospitals in the big data era,it analyzes the implementation pathway of digital governance for human resource in public hospital,taking Guangdong Second People's Hospital as a practical case.lt summarizes the application effectiveness and the value of big data technology applucations in human resource management,providing support for talent system development.

Abstract:Objective To establish quality control indicators for medical equipment,with the aim of promoting and popularizing quality control for medical equipment,and improving the overall level of quality control for medical equipment.Methods A preliminary framework and content for medical equipment quality control indicators were developed through field research,and expert inquiries were conducted using the Delphi method to ultimately construct medical equipment quality control indicators.Results Two rounds of expert questionnaires were conducted with 41 experts,both achieving 100%response rates.The expert authority coefficients were 0.91 and 0.93,respectively,with all index variation coefficients less than 0.15.Kendall's Wcoefficients of concordance were 0.185 and 0.134(P＜0.05).The reliability coefficient of the second-round questionnaire was 0.840,with all l-CVl exceeding 0.8.The universal agreement S-CVl was 0.833,and the average S-CVl was 0.972.Thus,this questionnaire demonstrates good reliability and validity.A set of 12 quality control indicators for medical devices was finally developed.Conclusion The quality control indicators for medical equipment constructed are relatively scientific,objective,reasonable,and operable.The results are highly credible and provide effective references for improving the quality control level of hospital medical equipment.

Abstract:Objective lt focuses on the pivotal role of physician-scientists as a central driving force in the advancement of research-oriented hospitals,with particular emphasis on mapping the cultivation pathways and structural framework of their core competencies,while integrating existing evidence to propose optimization strategies.Methods A systematic review was conducted using PubMed,Web of Science,Embase,CNKl,and Wanfang databases to identify studies published between 2000 and 2024 concerning the core competencies of physician-scientists.Results A total of 29 studies were included.The synthesized core competency framework comprises four domains:clinical research capacity,interdisciplinary integration ability,teamwork ability and leadership,and professional integrity and accountability.Conclusion The core competencies of physician-scientists exhibit a progressive trajectory aligned with career development.Future efforts should further clarify the professional role of physician-scientists and accelerate the research on the core competencies of physician-scientists in line with the requirements of job competence,thereby advancing the high-quality development of research-oriented hospitals.

Abstract:Objective To analyze the interaction effect between the new talent policy and the retention of healthcare personnel,and propose suggestions for improving talent administration.Methods Grassroot health personnel in 12 prefecture level cities in Zhejiang,Sichuan,and Henan Provinces were selected as the research subjects.Policy text analysis and multilevel linear models were used to analyze the interaction effect between talent policies and healthcare workforce retention.Results A total of 2 156 grassroots health personnel completed the survey.The completeness of policy tools had a significant positive impact on retention(coefficient=0.23,P＜0.001),and the stability of institutional environment also showed a positive impact(coefficient=0.18,P=0.002);Meanwhile,the stability of the institutional environment positively moderated the relationship between occupational commitment and retention(interaction coefficient=0.12,P=0.003).lndividuals with high human capital were more susceptible to the influence of career development tools(coefficient=0.27,P＜0.001),while those with low human capital relied more on basic security tools(coefficient=0.21,P＜0.001).Conclusion The interactive effect between the new talent policy and the retention of grassroots health personnel was confirmed.The new talent policy should focus on improving the completeness of policy tools and the stability of the institutional environment.

Abstract:Objective To explore the application of the"multi-level-digitalization-project-based"collaborative quality control model in hospital medical quality control and improvement.Methods The t-tests and chi-square tests were used to compare the situation before and after implementation of the"multi-level-digitalization-project-based"collaborative quality control model.Results After the implementation of the"multi-level-digitalization-project-based"collaborative quality control model,the medical quality and safety indicators such as a reduction of 3.68 DDDs in the intensity of antibacterial drug use and a decrease of 0.21 percentage points in the incidence of surgical patient complications,the work efficiency indicators of medical staff such as an increase of 8.55 percentage points in the completion rate of work tasks,the medical efficiency indicators such as a decrease of 1 1.42 min in waiting time for medical treatment,the satisfaction indicators of medical staff such as an increase of 0.84 points in job satisfaction,and the patient satisfaction indicators such as an increase of 0.48 points in satisfaction with medical experience,the differences in various indicators were all statistically significant(P＜0.001).Conclusion The"multi-level-digitalization-project-based"collaborative quality control model has achieved remarkable results in improving hospital quality and safety,reducing the incidence of adverse events,and enhancing the satisfaction of patients and medical staff.This quality control model is simple to construct and highly replicable,and can be promoted and piloted in public medical institutions at or above the second level nationwide.

Abstract:Objective To analyze the influence path of medical students'professional identity on positive defensive medical behaviors and examine the mediating effect of medical risk perception between the two,aiming to provide theoretical support and practical reference for medical education to actively adapt to the demands of the medical and health system reform and promote the scientific guidance of positive defensive medical behaviors.Methods ln 2020,a questionnaire survey was conducted among medical students from four medical colleges in Heilongjiang Province using cluster sampling method,and data analysis was performed using SPSS 27.0 software.Results Medical students'professional identity showed a significant positive correlation with their positive defensive medical behavior(β=0.225,P＜0.001),with medical risk perception acting as a partial mediator(indirect effect accounting for 19%of the total effect).Professional identity(β=0.183,P＜0.001)and medical risk perception(β=0.195,P＜0.001)exerted direct positive effects on positive defensive medical behavior.Conclusion Medical students'professional identity drives them to adopt positive defensive medical behaviors by strengthening their sense of responsibility ethics and risk cognition ability,and medical risk perception is a key mediating variable in this process.Educational management should integrate policy-oriented clinical decision-making training and balance medical safety and efficiency through the collaborative mechanism of"professional identity-risk perception-behavioral practice".

Abstract:ln the context of the high-quality development of public hospitals,research management is transitioning from a results-oriented approach to a full-process management model,necessitating the exploration of a governance system that integrates topic guidance,process support,and outcome transformation.Based on the Knowledge-to-Action and SECl model,it analyzes the construction logic and application effectiveness of the nursing research rounds mechanism at a teritary grade A hospital in Hainan Province.Through a"three-tier stratification+dual-track collaboration+full-process closed-loop"design,the mechanism bridges the chain from"clinical problem identification to research path optimization to outcome transformation",significantly enhancing research participation,research plan standardization,and research output.The findings validate the practical value of the research rounds mechanism in promoting knowledge transformation,capability enhancement,and organizational knowledge retention.

Abstract:Surgical complications,as a key focus and challenge in hospital quality management,serve as important indicators for medical quality monitoring and hospital performance evaluation.From the perspective of hospital performance evaluation,it reviews relevant indicators related to surgical complications in domestic and international hospital performance evaluation systems.lt analyzes the definition and assessment methods of surgical complications,the calculation and evaluation methods of surgical complication incidence rates,and the association between surgical complications and medical insurance payments.The aim is to provide reference guidelines for further improving China's monitoring and evaluation system for surgical complications,thereby enhancing the accuracy,scientific rigor,and fairness of performance evaluations

Abstract:Objective lt aims to identify key issues in the current informatization development of internal control over revenue and expenditure in public hospitals.The findings are intended to serve as a reference for deepening this informatization effort.Methods Following the steps and requirements of content analysis method,it involved a semi-quantitative analysis of policies and expert interviews to establish an analytical framework.Two researchers uti-lized NVivo 15 software to analyze the policy and articles.The analysis results were quantified statistically,and key is-sues were summarized.Results lt developed a content analysis framework comprising 5 primary categories and 17 secondary categories.Based on this framework,326 analytical units extracted from 81 articles were categorized and statistically analyzed.Key problems corresponding to each secondary category were summarized.Conclusion To ad-dress five key issues,it proposes a five-dimensional solution including:building a digital foundation to integrate busi-ness systems;establishing a Master Data Management platform to dismantle data silos;developing flexible ap-proval mechanismsfor medical emergencies;deploying an Al risk control hub for precise payment interception,and implementing zero-trust architecture to enhance e-bill anti-counterfeiting-ultimately forming a business-finance-in-tegrated,data-and-Al-driven,proactively secured internal control system covering budget formulation to fund su-pervision.

Abstract:Objective To construct a responsibility framework for attending physicians,clarify their roles and responsibilities in medical services,and thereby enhance hospital management efficiency and medical quality.Methods Based on the Balanced Scorecard theory,and fully considering the characteristics of different research materials,the Grounded Theory method was employed.Firstly,coding,analysis,and integration were conducted on research literature,implementation systems of the attending physician responsibility system in 4 hospitals,and semi-structured interview results of 15 medical staff from 3 hospitals.Separate analytical results from Grounded Theory for these 3 types of materials were obtained,which were then synthesized to construct the responsibility framework of the attending physician responsibility system.Results The responsibility scope of attending physicians was determined,clarifying that their responsibilities encompass 4 core areas:clinical practice,management,development,and patient services.This framework includes 12 original categories and 34 specific concepts.Conclusion ln addition to undertaking basic medical services,attending physicians should focus on leadership and management responsibilities,such as team guidance,resource allocation,and attention to sub-specialty development.The findings are conducive to clarifying the development direction of attending physicians,motivating their work enthusiasm,providing references for solving current pain points in physician management,and offering a solid basis for constructing a performance evaluation system for attending physicians.