Sectoral dynamics

1 watsopano
Nkhani Zamakampani

Zolemba zapakhomo ndi malamulo okhudzana nawo

Zotsatira za mafunso okhudzana ndi kuwongolera mphamvu za anesthesia zomwe zimatulutsidwa ndi nthambi yoyang'anira matenda a perioperative ya Chinese Society of Cardiothoracic and Vascular Anesthesia ikuwonetsa kuti 65.44% yokha ya akatswiri ogonetsa zipatala m'zipatala zapamwamba ndi omwe amadziwa kuwongolera kwamanjenje, pomwe kuchuluka kwake kumakhala kotsika. mzipatala zina.Chiŵerengero cha akatswiri ogonetsa anthu amene amakhulupirira kuti kupha tizilombo toyambitsa matenda m’makina ochititsa dzanzi m’madipatimenti awo ndikoopsa kwa chitetezo ndi 81.06%.

1. Limbikitsani kasamalidwe ka matenda a m'chipatala, kupewa ndi kuwongolera matenda a m'chipatala, ndilo mutu wamuyaya wotetezera chitetezo cha odwala ndikuwongolera khalidwe lachipatala.Chipinda chogwirira ntchito, monga dipatimenti yofunikira, chiyenera kukhazikitsidwa motsatira ndondomeko zoyendetsera matenda a chipatala m'madipatimenti akuluakulu omwe amaperekedwa ndi National Hospital Infection Office, komabe padakalibe chidziwitso chokhudza matenda.National mlingo ndi maboma osiyanasiyana m'deralo pa opareshoni chipinda, opaleshoni, kupuma ndi malo ena, ayenera okonzeka ndi opaleshoni dongosolo kupuma dera disinfection makina, anadula gwero la matenda mbali ya specifications ndi motere: 1, malinga ndi "mankhwala ochititsa dzanzi Miyezo yoyang'anira opaleshoni" ya zofunikira za chikalata: dipatimenti ya opaleshoni yachipatala yachiwiri kapena yapamwamba iyenera kukhala ndi makina ochititsa dzanzi, makina ophera tizilombo toyambitsa matenda, omwe amagwiritsidwa ntchito kuthetsa vuto la kupatsirana pakati pa opaleshoni.

 

2. Malamulo a chipangizo chachipatala
Ndime 90 pazifukwa zotsatirazi, dipatimenti yazaumoyo yoyenerera m'boma la anthu kapena kupitilira mulingo wachigawo idzalamula kuwongolera, kupereka chenjezo;akukana kuwongolera, chindapusa choposa 50,000 yuan 100,000 yuan;momwe zinthu zilili zovuta, chindapusa chopitilira 100,000 yuan 300,000 yuan, chomwe chidalamulidwa kuyimitsa kugwiritsa ntchito zida zachipatala zoyenera, mpaka dipatimenti yoyambirira yomwe idaperekayo ichotse chilolezo chochita, wogwira ntchitoyo adzalamulidwa kuyimitsa miyezi yopitilira 6 1. Yesetsani kuchita zinthu zosakwana chaka chimodzi, mpaka dipatimenti yoyambirira yoperekayo ichotse chiphaso chovomerezeka cha ogwira ntchito, woyimira milandu wagawo lolakwira, wamkulu yemwe amayang'anira, omwe amayang'anira ogwira nawo ntchito komanso ogwira ntchito ena, kulanda ndalama zomwe amapeza. unit panthawi ya kuphwanya, ndi kupereka chindapusa choposa 30% ya ndalama zomwe amapeza kuposa katatu, adzalangidwa ndi:
(A) kugwiritsidwanso ntchito kwa zida zamankhwala, zida zamankhwala zogwiritsa ntchito mayunitsi osatengera kupha tizilombo toyambitsa matenda ndi kasamalidwe.
(B) kugwiritsa ntchito zida zachipatala zimagwiritsanso ntchito zida zamankhwala zogwiritsidwa ntchito kamodzi, kapena kulephera kuwononga zida zamankhwala zogwiritsidwa ntchito kamodzi molingana ndi zomwe zaperekedwa.
(C) kugwiritsa ntchito zida zachipatala zomwe sizikugwirizana ndi zomwe zidaperekedwa pazida zazikulu zamankhwala komanso chidziwitso chazida zamankhwala zojambulidwa komanso zolembedwa muzolemba zamankhwala ndi zolemba zina zoyenera.
(D) kugwiritsa ntchito zida zachipatala mayunitsi anapeza kuti kugwiritsa ntchito zipangizo zachipatala ndi ngozi chitetezo sanasiye nthawi yomweyo ntchito, adziwitse kukonzanso, kapena kupitiriza ntchito kukonzanso akadali sangathe kukumana ntchito miyezo chitetezo cha zipangizo zachipatala.
(E) kugwiritsa ntchito zida zachipatala mayunitsi kuphwanya kugwiritsa ntchito zida zazikulu zachipatala, sizingatsimikizire chitetezo chamankhwala.

 

3. "Kupewa ndi Kuwongolera Matenda Opatsirana Lamulo la People's Republic of China" limapereka kuti: m'madipatimenti ochititsa opaleshoni amayenera kukhala ndi makina opha tizilombo toyambitsa matenda, makina opha tizilombo toyambitsa matenda opha tizilombo toyambitsa matenda.Ndime 69 mabungwe azachipatala mophwanya malamulo a lamuloli, chimodzi mwa zinthu zotsatirazi, dipatimenti yoyang'anira zaumoyo wa boma la anthu kapena pamwamba pa chigawocho idzalamula kuwongolera, kudziwitsa anthu otsutsa, kupereka chenjezo ...... ... (e) osati molingana ndi zomwe zidaperekedwa ndi zida zachipatala zopha tizilombo, kapena molingana ndi zomwe zidagwiritsidwa ntchito kamodzi sizikuwononga, kugwiritsidwanso ntchito;...

 

4. "njira kasamalidwe yolera" anasonyeza momveka bwino kuti disinfection ndi yotsekereza njira yofunika kwambiri kupewa ndi kulamulira matenda a chiyambi chachipatala, "Hospital Management Year" matenda nosocomial, opaleshoni yochititsa munthu kudwala ayeneranso kuyankhidwa.

 

5. M'buku la "Hospital Infection Control Guide" lolembedwa ndi Geng Lihua, Mutu 3, Gawo 1, akutchulidwa kuti pamwamba pa dongosolo loyang'anira opaleshoni, makina opangira opaleshoni ndi zipangizo zina zokhudzana nazo ziyenera kukhala zoyera, ziyenera kutsukidwa, kutetezedwa ndi tizilombo toyambitsa matenda. ndi chosawilitsidwa pambuyo ntchito malinga ndi malamulo.Makina opangira opaleshoni ayenera kutetezedwa ndi tizilombo toyambitsa matenda nthawi zonse, ndipo pamene odwala omwe ali ndi matenda a kupuma amagwiritsira ntchito makina ochititsa dzanzi ayenera kuwonjezera zosefera za bakiteriya ndi makina opha tizilombo toyambitsa matenda atangogwiritsa ntchito.

 

6. "Modern Medical Disinfection", Chaputala 20, Gawo 2 la buku lolembedwa ndi Yang Minghua ndi Yi Bin: "Kuwonongeka kwapang'onopang'ono kwa anesthesia ndi zida zopumira zomwe zimachitika chifukwa cha matenda amkati mwachipatala zakopa chidwi cha azachipatala. matenda ofala chifukwa cha mankhwala ochititsa dzanzi ndi zipangizo kupuma ndi kupuma bakiteriya matenda, makamaka amene amayamba chifukwa cha Mycobacterium tuberculosis ndi Mycobacterium atypicalum, koma posachedwapa HBV ndi HCV matenda apezekanso, ndi HIV kuipitsidwa kwapezeka pa mpweya Choncho, kufunika kogwira mtima kupha tizilombo toyambitsa matenda omwe amagwiritsidwa ntchito ndi odwala komanso zida zopumira".