Práticas Avançadas de Enfermagem ­ PAE / Advanced Nursing Practices ­ ANP

Trata de nota técnica sobre Práticas Avançadas de Enfermagem (PAE) no Brasil, elaborada por comissão e submetida à aprovação do plenário do Conselho Federal de Enfermagem (Cofen). O documento aborda conceitos, ações, implementação e regulação das práticas avançadas de Enfermagem, expandindo os limites do escopo da atuação do enfermeiro e reforçando a sua prática clínica. (AU)

This is a technical note on Advanced Nursing Practices (ANP) in Brazil, prepared by a committee and submitted for approval by the plenary of the Federal Nursing Council (Cofen). The document addresses concepts, actions, implementation and regulation of advanced nursing practices, expanding the limits of the scope of nurses' work and reinforcing their clinical practice. (AU)

Esta es una nota técnica sobre las Prácticas Avanzadas de Enfermería (PAE) en Brasil, elaborada por un comité y sometida a la aprobación del plenario del Consejo Federal de Enfermería (Cofen). El documento aborda los conceptos, acciones, implementación y reglamentación de las prácticas avanzadas de enfermería, ampliando los límites del ámbito de actuación de las enfermeras y reforzando su práctica clínica. (AU)

Optimization of on-site supervision strategy based on big data of quality risk in drug enterprises / 中国药房

On-site supervision is a risk-based regulatory system that requires the scientific development of supervision plans for quality risks and hidden dangers in pharmaceutical enterprises， the rational allocation of supervision resources based on their risk levels， and the implementation of classified supervision measures. In this study， the quality risk monitoring business support system is set up for pharmaceutical enterprises by establishing the quality risk expert database and quality risk monitoring index system for pharmaceutical enterprises based on the difficulty analysis of on-site drug supervision. Based on this support system， the quality risk classification method， the differentiated spot check strategy and business auxiliary visualization system are established. This support system is used to learn the risk level of pharmaceutical enterprises， so as to innovate supervision methods and optimize monitoring strategies. Taking Jiangxi Province as an example， it is verified that the support system can guide the risk assessment of sample enterprises， can improve the targeting of on-site drug supervision in the process of technical review， scheme editing， on-site implementation and comprehensive evaluation， and can effectively improve the quality and efficiency of supervision.

Operational nursing managers' experiences of clinical supervision at a Johannesburg Hospital

Background: Clinical supervision is pivotal in supporting nurses in rendering quality, safe patient care. Therefore, it is essential to understand clinical supervision from operational nursing managers' context to define existing challenges and propose suitable recommendations. Objectives: This study aimed to explore and describe operational nursing managers' experiences of clinical supervision within the context of an academic hospital in Gauteng province and propose evidence-based practice recommendations to improve patient safety and the quality of clinical supervision. Method: An exploratory, sequential, mixed-method design was used and implemented over two phases to take advantage of the strengths of both the qualitative and quantitative research designs. Unstructured individual interviews were conducted to collect data in phase one, and an adapted Manchester Clinical Supervision Scale (MCSS) questionnaire was used to collect data in phase two. Results: Operational nursing managers work in stressful conditions and environments with a gross shortage of staff and tools of the trade while being expected to deliver high-quality and safe nursing care. Of the sampled respondents, 36% (n = 17) were dissatisfied with the supervision they received, while 64% (n = 30) were indifferent in the sense that they did not think it was adequate or inadequate. Conclusion: Clinical supervisors should be trained and supported in clinical supervision, with regular workshops on interpersonal relations. Contribution: A clearer understanding of clinical supervision within the hospital context and evidence-based practice recommendations to improve patient safety and the quality of clinical supervision.

Sistema digital para el informe de turno de la Supervisión de Enfermería de un hospital / Digital system for the shift report of the Nursing Supervision of a hospital / Sistema digital para o relatório de plantão da Supervisão de Enfermagem de um hospital

Objetivo: desarrollar una aplicación digital para realizar el informe de turno de la supervisión con los indicadores de interés del Departamento de Enfermería en un hospital de alta complejidad de la seguridad social en Costa Rica. Metodología: investigación descriptiva estructurada en etapas para el diseño, desarrollo, e implementación de una aplicación digital denominada Supervisores enfermería WEB. Se desarrolló en un periodo de 2 años, en 4 etapas (Planificación, Desarrollo, Validación e Implementación), con la participación de supervisores de enfermería de los diferentes servicios y personal del Centro de Gestión de Informática del hospital. Resultados: La etapa de planificación del sistema contempló 2 fases. La primera, la exploración de la necesidad con el grupo de supervisión y jefaturas de enfermería y la segunda la solicitud de apoyo al Centro de Gestión Informática (CGI). Se revisaron los indicadores o información del reporte escrito y establecieron los indicadores para estructurar el sistema digital. La etapa de desarrollo contempló las fases: estructura del sistema (indicadores), y seguimiento del diseño. La etapa de validación incluyó las fases de prueba de campo y en ambiente de producción. La etapa de Implementación incluyó la socialización del sistema a todo el grupo y la utilización del sistema por parte de todo el equipo para realizar el informe de turno. Conclusión: el Sistema digital para el reporte de la supervisión de enfermería registra los indicadores de interés y responde a las necesidades de la gestión clínica y administrativa del Departamento de Enfermería en un Hospital de alta complejidad

Objective: to develop a digital application to make the supervision shift report with the in-dicators of interest of the Nursing Department in a high complexity hospital of the social security in Costa Rica. Methodology: descriptive research structured in stages for the design, development and implementation of a digital application called Nursing Supervisors WEB. It was developed over a period of 2 years, in 4 stages (Planning, Development, Validation, Implementation), with the participation of nursing supervisors from different services and personnel from the hospital's Informatics Management Center. Results: The system planning stage included 2 phases. The first was the exploration of the need with the group of supervi-sors and nursing managers and the second was the request for support from the Informatics Management Center (CGI). The indicators or information from the written report were re-viewed and the indicators were established to structure the digital system. The development stage included the following phases: system structure (indicators), and design follow-up. The validation stage included the phases of field testing and production environment. The imple-mentation stage included the socialization of the system to the whole group and the use of the system by the whole team to make the shift report. Conclusion: the Digital System for Reporting Nursing Supervision records the indicators of interest and responds to the needs of clin-ical and administrative management of the Nursing Department in a high complexity Hospital

Objetivo: desenvolver um aplicativo digital para produzir o relatório de turno de supervisão com os indicadores de interesse do Departamento de Enfermagem em um hospital de alta com-plexidade do sistema de seguridade social da Costa Rica. Metodologia: investigação descritiva estruturada em etapas para a conceção, desenvolvimento e implementação de uma aplicação dig-ital designada por Nursing Supervisors WEB. Foi desenvolvida ao longo de 2 anos, em 4 fases (Planeamento, Desenvolvimento, Validação, Implementação), com a participação de enfermei-ros supervisores dos diferentes serviços e pessoal do Centro de Gestão Informática do hospital. Resultados: A fase de planeamento do sistema incluiu 2 fases. A primeira foi a exploração da necessidade com o grupo de supervisores e gestores de enfermagem e a segunda foi o pedido de apoio ao Centro de Gestão de Informação (CGI). Foram revistos os indicadores ou informações do relatório escrito e estabelecidos os indicadores para a estruturação do sistema digital. A etapa de desenvolvimento incluiu as fases: estruturação do sistema (indicadores) e acompanhamento da conceção. A fase de validação incluiu as fases de teste no terreno e de teste em ambiente de produção. A fase de implementação incluiu a socialização do sistema a todo o grupo e a uti-lização do sistema por toda a equipa para produzir o relatório de turno. Conclusões: o sistema digital de relatório de supervisão de enfermagem registra os indicadores de interesse e responde às necessidades da gestão clínica e administrativa do Departamento de Enfermagem em um hospital de alta complexidade.

La pasantía obligatoria curricular en psicología escolar/educacional crítica: una experiencia en Piauí / O estágio obrigatório curricular em psicologia escolar/educacional crítica: uma experiência no piauí / The mandatory curricular internship in critical school/educational psychology: an experience in piauí

Este artigo partilha reflexões acerca da construção do estágio obrigatório curricular no campo da Psicologia Escolar/Educacional em uma perspectiva crítica. O estágio é um momento privilegiado da formação, por aproximar teoria e prática, em direção à práxis crítica, aspecto central nessa abordagem psicológica. Visando conhecer como tem sido construída a experiência de estágio e supervisão na área, foram realizadas entrevistas com um supervisor de estágio que atua em uma Universidade Pública do Piauí, dada a relevância de sua atuação e militância, buscando compreender: as concepções e práticas desenvolvidas pelo supervisor; os atravessamentos ético-políticos que emergem da experiência de estágio e supervisão; e os elementos de criticidade que marcam tal experiência. O artigo põe em foco as estratégias de organização do estágio, o papel da supervisão e os desafios vivenciados na relação estagiários-escola-supervisor. Esperamos contribuir com a reflexão acerca dos desafios implicados na construção de estágios supervisionados na área de Psicologia Escolar e Educacional em uma perspectiva crítica, tanto no campo, quanto nos encontros de supervisão.

Este artículo intercambia reflexiones acerca de la construcción de la pasantía obligatoria curricular en el campo de la Psicología Escolar/Educacional en una perspectiva crítica. La pasantía es un momento privilegiado de la formación, por acercar teoría y práctica, en dirección a la praxis crítica, aspecto central en ese abordaje psicológico. Visando conocer de qué forma ha sido construida la experiencia de pasantía y supervisión en el área, se realizaron entrevistas con un supervisor de pasantía que actúa en una Universidad Pública da Piauí, dada la relevancia de su actuación y militancia, buscando comprender: las concepciones y prácticas desarrolladas por el supervisor; los atravesamientos ético-políticos que surgen de la experiencia de pasantía y supervisión; y los elementos de criticidad que marcan tal experiencia. El artículo pone de relieve las estrategias de organización de la pasantía, el papel de la supervisión y los desafíos vivenciados en la relación alumno en formación-escuela-supervisor. Esperamos contribuir con la reflexión acerca de los desafíos implicados en la construcción de pasantías tuteladas en el área de Psicología Escolar y Educacional en una perspectiva crítica, en el campo y en los encuentros de supervisión.

This article shares reflections about the construction of mandatory curricular internship in the field of School and Educational Psychology from a critical perspective. The internship is a privileged moment in training, as it brings theory and practice closer together, towards critical praxis, a central aspect of this psychological approach. In order to know how the experience of internship and supervision in the area has been constructed, interviews were conducted with an internship supervisor who works at a Public University of Piauí, given the relevance of his work and militancy, seeking to understand: the concepts and practices developed by the supervisor; the ethical-political crossings that emerge from the internship and supervision experience; and the elements of criticality that mark such an experience. The article focuses on internship organization strategies, the role of supervision and the challenges experienced in the relationship between interns-school-supervisor. We hope to contribute to reflection on the challenges involved in building supervised internships in the area of School and Educational Psychology from a critical perspective, both in the field and in supervisory meetings.

Descorna bilateral em bovino: aspectos anestésicos e cirúrgicos relato de caso / Bilateral dehorning in cattle: anesthetics and surgical aspects / Descorne bilateral en bovinos: aspectos anestésicos y quirúrgicos reporte de caso

Descorna cirúrgica em bovinos é uma prática bastante realizada na medicina veterinária, com indicação principalmente para evitar acidentes com fraturas, trabalhadores e outros animais. O objetivo do presente relato seria ressaltar o uso de analgésicos e sedativos em bovinos submetidos a este procedimento cirúrgico, compartilhar técnica cirúrgica utilizada, informações de monitoramento de sinais vitais no trans cirúrgico e recomendações pré, trans e pós-cirúrgicas, assim como possíveis complicações. Foi atendido um bovino da raça Jersey, fêmea, 1 ano de idade, pesando cerca de 222kg, submetido a descorna bilateral devido ao comportamento agressivo. Contido em tronco de contenção e tranquilizado com acepromazina, recebeu meloxicam e associação de sulfa com trimetropim. Após tricotomia e antissepsia foi realizado bloqueio perineural do ramo cornual do nervo zigomático temporal e bloqueio infiltrativo ao contorno de cada corno com lidocaína sem vasoconstritor. Com os cornos insensíveis, se deu início ao procedimento de descorna cirúrgica pela associação das técnicas de serra de gigli com o alicate do tipo Dick Kaber. Concluímos ser de extrema importância a execução da técnica cirúrgica por médico veterinário apto, realizando o procedimento de forma asséptica e com analgesia visando o bem estar do animal. No caso em questão, a associação das técnicas de serra de gigli com o alicate do tipo Dick Kaber foi parcialmente satisfatória, o animal apresentou boa margem de fechamento da sutura e sem deiscência dos pontos, porém houve dificuldades de retirada de margens ósseas pontiagudas após uso do alicate. A tranquilização associada ao bloqueio local foi efetiva para tal procedimento.(AU)

Surgical dehorning in cattle is widely performed practice in veterinary medicine, primarily indicated to prevent accidents involving workers, fights between animals, and skull fractures. This procedure involves the removal of the horns of the horns of cattle and should be performed using ethical methods by a qualified veterinarian. The objective of this case report is to highlight the use of analgesics and sedatives in cattle undergoing this surgical procedure, share the surgical technique employed, information on vital sign monitoring during the procedure, and pre-, intra-, and post-surgical recommendations, as well as potential complications. A Jersey cattle, female, 1 year old, weighing approximately 222kg, underwent bilateral dehorning due to aggressive behavior. Restrained in a cattle chute and tranquilized with acepromazine, she received meloxicam and a combination of sulfadiazine with trimethoprim. After trichotomy and antiseptic preparation, perineural blockade of cornual branch of the zygomatic temporal nerve was performed, follows by infiltrative blockade around each horn with lidocaine without vasoconstrictor. With the horns desensitized, the surgical dehorning procedure began using a combination of Gigli saw and Dick Kaber-type wire snare. In conclusion, it is of utmost importance for the surgical technique to be performed by a qualified veterinarian, ensuring aseptic procedure and correct analgesia for the well-being of the cattle. In this case, the combination of Gigli saw and Dick Kaber-type wire snare was partially satisfactory; the animal had a good suture closure margin and did not present suture dehiscence, but there were difficulties in we moving pointed bony margins after using the wire snare. Tranquilization combined with local blockade was effective for this procedure.(AU)

El descornado quirúrgico del ganado bovino es una práctica muy utilizada en medicina veterinaria, indicada principalmente para prevenir accidentes que involucren fracturas, trabajadores y otros animales. El objetivo de este informe sería resaltar el uso de analgésicos y sedantes en bovinos sometidos a este procedimiento quirúrgico, compartir la técnica quirúrgica utilizada, información sobre el monitoreo de signos vitales durante la cirugía y recomendaciones pre, trans y posquirúrgicas, así como posibles complicaciones. Se trata de una hembra bovina Jersey, de 1 año de edad, con un peso aproximado de 222 kg, siendo sometida a descornado bilateral por comportamiento agresivo. Se recibieron contenidos en un baúl de contención y tranquilizados con acepromacina, meloxicam y una combinación de sulfas y trimetopim. Mediante tricotomía y antisepsia se realizó bloqueo perineural de la rama cornual del nervio temporal cigomático y bloqueo infiltrativo en todo el contorno de cada miembro con lidocaína sin vasoconstrictor. Con cuerpos insensibles se inició el procedimiento de descornado quirúrgico, combinando técnicas de aserrado con alicates Dick Kaber. Concluimos que es de suma importancia realizar la técnica quirúrgica por un veterinario calificado, realizando el procedimiento de manera aséptica y con analgesia administrada para el bienestar del animal. En el caso que nos ocupa, la asociación de técnicas de la sierra con la pinza tipo Dick Kaber fue parcialmente satisfactoria, el animal presentó un buen margen de cierre de sutura y ninguna dehiscencia de los puntos, sin embargo, hubo dificultades para eliminar los márgenes óseos afilados después de usar alicates La tranquilidad asociada al bloqueo local fue eficaz para este procedimiento.(AU)

Research on the focus of ethical governance in the field of artificial intelligence in medicine / 中国医学伦理学

Objective:To explore the focus of ethical governance in the field of artificial intelligence(Al)in medicine.Methods:By comprehensively reviewing relevant literature to compare the relevant laws and regulations of the field of AI in medicine between China and foreign countries,analyze the governance focus of potential ethical issues,and propose the corresponding governance strategies.Results:At present,the laws,regulations,and regulatory systems related to the field of AI in medicine in China need to be improved.The emphasis of ethical governance should focus on core issues such as protecting privacy rights,ensuring the transparency and fairness of algorithms,clarifying the demarcation and allocation of responsibilities,and clarifying public perceptions and attitudes.Conclusion:The government and all sectors of society should actively learn from international legislative experience,and build an omnidirectional and multi-level ethical governance system from the aspects of policy formulation,legal framework,scientific research,and technological research and development by strengthening top-level design,improving policies and regulations,attaching importance to public feedback,and strengthening interdisciplinary cooperation.

Construction of Medical Insurance DRG Refined Supervision and Precise Governance System:Take"Medi-cal Insurance High-speed Railway",Nanjing as An Example / 中国医院管理

Taking the reform of DRG payment methods as the background,it discusses how the medical in-surance department uses information technology to achieve refined monitoring and management of medical institu-tions,so as to improve the quality and efficiency of medical services and control the unreasonable growth of medical expenses.The three stages of"precision monitoring-refined supervision-precision governance"of medical insurance DRG based on"refined theory"are proposed;taking Nanjing's"medical insurance high-speed railway"as an example,a DRG refined supervision and governance model framework is constructed,and its analysis is carried out monitoring elements and governance elements,and finally put forward implementation suggestions,including hori-zontal collaboration led by medical insurance,establishing a service and cost evaluation mechanism that combines in-ternal and external services.

Exploration of the Practical Application of Multilateral Collaboration to Enhance the Role of External Su-pervisors in Institutions / 中国医院管理

In the management of public hospital,there are many methods to supervise,mainly divided into exter-nal supervision and internal management,aiming to improve the quality of medical management.With the develop-ment and progress of society,many hospitals are not only ensuring medical quality,but also continuously improving patients'humanistic care during medical treatment.As non-medical professionals,external supervisors,from the perspective of bystanders,provide reasonable suggestions to hospitals,which can help them better improve their medical experience during the medical service process.

Changes in the Supervisory Subjects of China's Medical Insurance Fund from the Perspective of Policy Analysis / 中国医院管理

Objective To sort out the main subjects of China's medical insurance fund supervision and their change process in different periods,to provide a basis for deepening the reform of the medical insurance fund regulation sys-tem.Methods Social network analysis method is used to quantify the national-level policies and tap the core subjects of China's medical insurance fund supervision.Results A total of 63 policies were included,and 195 regulatory sub-ject codes were obtained.The main regulatory subjects during the embryonic period of medical insurance fund super-vision were mainly insurance operators and relied on medical insurance fund supervision organizations.The main regu-latory subjects during the exploration period were mainly the insurance administration and the insurance agency and began to pay attention to social participation.The main regulatory subjects in the development period were mainly the Healthcare Security Administration and its handling agencies,with the collaboration of relevant departments.The participation of social subjects is obvious,and third-party professional institutions become important subjects.Con-clusion The supervisory subjects of China's medical insurance fund have embodied the logic of change from decen-tralization of responsibilities to centralized and unified functions,from multi-regulation to integrated multi-sectoral linkage,and from government-led to the introduction of social and market forces.The participation of multiple sub-jects is the development trend of medical insurance fund supervision in the future,and the capacity of collaborative governance of medical insurance fund supervision should be continuously improved.

Model Construction Research on Digital Supervision of Medical Insurance Fund from the Perspective of Public Value Creation / 中国医院管理

Digital supervision of the medical insurance fund is the process of using digital information technology to map real-world medical scenarios and activities into the digital world,in which the medical insurance fund is super-vised and managed.The objectives of digital supervision include not only ensuring the safe and rational use of the medical insurance fund,but also promoting the quality of medical services,safeguarding the public's rights and interests,ensuring the long-term sustainability of the medical insurance system,and promoting social equity and stability at multiple levels.Based on the theory of Public Value theory,it interprets and explores the model and critical path of digital supervision of China's medical insurance fund from the three dimensions of Public Value Proposition,Autho-rizing Environment,and Operational Capacity,which concludes that the key to digital supervision of medical insurance funds lies in the search for consistency and balance between the three of real-world value objectives.Digital regulation should be oriented towards public value creation and return to value rationality;strengthen institutional design and build a pluralistic governance pattern for digital regulation;and strengthen core capacity building to make up for the shortcomings of digital regulatory capacity.The public value of digital supervision should be created from three as-pects:concept optimization,support and guarantee,and capacity improvement.The public value of digital supervision should be created from three aspects:concept optimization,support and guarantee,and capacity improvement.

Quality Research on the Dilemma of Supervision of Medical Insurance Funds and Response Strategies un-der Differential Medical Care / 中国医院管理

Objective To analyze the dilemma of medical insurance fund regulation under cross-location medical treatment in China,and put forward coping strategies to provide theoretical reference and reference for enhancing the efficiency of cross-location medical treatment regulation in China.Methods A systematic search was conducted to retrieve the literature related to the regulation of health insurance funds under off-site medical care from the time of database construction to December 2023 NVivo 12 Plus software was used to code and analyse the included litera-ture.Results 38 Articles were finally retained for qualitative research through searching and screening.Fifty-three ini-tial concepts,18 initial categories and 5 main categories were extracted,and the dilemma nodes of the supervision of cross-district medical fund in the dimensions of incomplete supervision mechanism,imperfect supervision law,single supervision means,insufficient capacity of supervision subject and moral risk of supervision object and moral risk of supervision object were obtained,insufficient capacity of the regulatory body and moral risk of the regulatory object.Conclusion The supervision of medical insurance fund under the cross-location medical care is constrained by many factors,and the soundness of the supervision mechanism is the core issue;the completeness and effectiveness of the supervision law is the important basis for supervision;the innovation of the supervision means and the promotion of the improvement of the effectiveness of the supervision are the important means of the supervision of the medical insurance fund under the cross-location medical care;and the restriction of the moral hazards of the institutions in the place of medical care and of the insured persons is the key link of the super-vision process.

Problems and Countermeasures of Digital Supervision of Direct Settlement of Cross-Province Medical Treat-ment / 中国医院管理

Objective To identify and analyze the digital supervision issues of cross-province medical treatment in China,and propose countermeasures and suggestions.Methods Using literature research,expert interviews,and questionnaire surveys,from January 29,to February 132023,managers,staff from remote departments of medi-cal insurance bureau and scholar in the field of medical insurance in H province were selected.Principa l component analysis was used to extract questions,and based on the extraction results,a multiple logistic regression model to explore that have a significant impact on the digital supervision of cross-province direct settlement of medical treat-ment.Results The problems of digital supervision of direct settlement for medical treatment across provinces and re-gions in China can be divided into 7 categories,with a cumulative variance contribution rate of 63.17%.The connec-tion of digital regulatory systems,audit rules and early warning issues,as well as the lack of legal systems and defi-nitions have a significant impact on regulatory effectiveness(P＜0.05).Conclusion Incomplete construction of the digital supervision system between the place of insurance participation,and inadequate legal and institutional sateguards for the digital supervision of the direct settlement of cross-provincial cross-district medical consultations.Therefore,strengthening the basic construction of the digital supervision system for cross provincial and cross regional medical direct settlement,and improving the legal system for cross provincial and cross regional medical direct settle-ment digital supervision,have important guiding significance for the digital supervision of cross provincial and cross regional medical direct settlement in China.

Analysis of Public Willingness to Participate in Medical Insurance Fund Supervision Based on Weiner Attri-bution Theory / 中国医院管理

Objective To understand the public's willingness to participate in the supervision of medical insurance funds and their influencing factors,and to provide suggestions and references for creating a good atmosphere for the whole society to consciously pay attention to and maintain the safety of medical insurance funds.Methods Using a combination of non-proportional and convenience sampling with stratified sampling,a total of 1661 samples were collected from 28 provinces across China,and a chi-square test and binary logistic regression were used to investi-gate the factors affecting the public's willingness to participate in the supervision of medical insurance funds.Results There are 1661 valid questionnaires returned and a total of 457(27.51%)members of the public are willing to participate in supervision.The educational level in the ability dimension was the hindering factor of the public's supervision willingness(P＜0.001).Evaluation of the nature of medical insurance fraud and evaluation of the overall harm caused by medical insurance fraud in the dimension of effort,whether family members have medical insurance workers and whether they have the experience of obtaining medical assistance in the dimension of opportunity was the promoting factor of public supervised willingness(P＜0.05).Conclusion The public's willingness to participate in the supervision of medical insurance funds needs to be improved.It can focus on enhancing the public's willingness to supervise medical insurance funds from the dimensions of ability,effort and opportunity,deepen the public's aware-ness of medical insurance fraud,and continuously improve the public's enthusiasm to crack down on medical insurance fraud,and reduce and eliminate insurance fraud.

The application of intelligent medical insurance supervision system in the management of specific out-patient diseases in hospitals / 现代医院

As the medical insurance system continually evolves,the sustainable development of hospitals necessitates the establishment of an intelligent medical supervision system.With this system,hospitals can strengthen the management of specific outpatient diseases,achieve intelligent,standardized medical insurance management,and enable real-time supervision throughout the entire process.This article first outlines the background for applying the intelligent medical insurance supervision system in the management of specific outpatient diseases.It then delves into the problems in the application of this system and proposes strategies for solving the problem.These strategies include continuation of effective medical insurance cost control and decision-making management,improvement of a payment supervision system for specific diseases,establishment of an intelligent evaluation and review system for specific outpatient diseases,and development of a financial management system for specific diseases.

"Procurement"-"management"separation new model for the procurement system in public hospitals / 现代医院

Procurement constitutes a cornerstone of daily operations in public hospitals,involving medical equipment,medical materials,pharmaceuticals,infrastructure projects,office supplies,and service-oriented projects.The responsibility for procurement used to rest on various functional departments overseeing business management,a situation that often led to a lack of transparency and standardization due to decisions made by a single department or a few key cadres.To standardize procurement practices,the national policy has introduced a"procurement"and"management"separation model.In public hospitals,pro-curement includes two main aspects:"procurement"entails the actual execution of purchasing activities,including market re-search,price negotiation,tender document formulation,and contract signing;and"management"involves the preliminary re-search,budgeting and project initiation,installation and commissioning,inventory acceptance,maintenance quality control,and usage management of procured items.The separation of"procurement"and"management"is an important part of the procure-ment management unit in the modern hospital administration.This process-based division ensures the functional distinction be-tween procurement and management,fostering interdepartmental collaboration and mutual oversight,thereby mitigating procure-ment integrity while safeguarding procurement quality.

Construction and application of performance appraisal data monitoring and management system for tertiary public hospitals / 现代医院

The performance appraisal of public hospitals is the most official and authoritative assessment and evaluation of tertiary public hospitals in China,and it is an important measure to guide hospitals to improve their internal management level and achieve high-quality development.In this study,a data monitoring management system based on the performance appraisal indicators of national tertiary public hospitals was developed and constructed through intelligent collection and reporting,report in-tegration,visual analysis,data drilling,etc.,which realized the one-stop dynamic management of indicators,optimized the data filling process of national examination indicators,improved the data quality and credibility,and promoted the integration of na-tional assessment and hospital assessment.the intelligent management level of the hospital has been improved,which provides strong support for the hospital's refined operation management and scientific decision-making.

Current status of standards and national supervision and sampling inspection of disposable sterile urethral catheter / 医疗卫生装备

The disposable sterile urethral catheter was described in terms of the current status of the standards of foreign countries and China and its regulation and registration.The national supervision and sampling inspection and exploratory research of the disposable sterile urethral catheter in 2018,2019 and 2021 were introduced,and the problems found and the causes were analyzed and then the countermeasures were proposed accordingly.References were provided for guiding and standardizing the development of catheter products industry.[Chinese Medical Equipment Journal,2024,45(1):84-88]

Analysis and research of online teaching supervision based on the characteristics of medical disciplines / 中华医学教育探索杂志

Given the systematic, rigorous, and practical characteristics of medical disciplines, ensuring the teaching quality of online courses has become a significant focus. In traditional teaching models, teaching supervision is an important method to guarantee instructional quality, and introducing teaching supervision into online teaching activities is of great significance. This article systematically reviews and summarizes the domestic and international experience of conducting online medical courses. We explore the instructional supervision of online medical courses from the following perspectives: the meaning of supervision, the necessity of online supervision, online supervision methods and technical approaches, the feedback and application of supervision information, and the establishment of a standardized online supervision process.

Investigation and Analysis of Pharmacovigilance Inspection of Drug Marketing Authorization Holders / 医药导报

Objective To investigate the current situation,problems and suggestions of pharmacovigilance activities conducted by drug marketing authorization holders(MAH)and pharmacovigilance inspections carried by regulatory authorities.Methods A questionnaire survey was conducted on relevant institutions and personnel responsible for pharmacovigilance inspections in 31 provinces,autonomous regions,municipalities and the Xinjiang Production and Construction Corps.The MAH pharmacovigilance activities were rated from 5 aspects(5 major items and 27 specific items).Results The average overall score for 5 major items was 3.46;The average score for 27 specific activities was 3.50.The MAH scored the highest in terms of pharmacovigilance organization,personnel,and resources,and scored the lowest in terms of drug risk identification and assessment.Conclusion MAH needs to further strengthen their awareness of primary responsibility,gradually improve the pharmacovigilance system,and constantly improve the ability and level of pharmacovigilance;The drug regulatory department should also provide guidance to enterprises,establish and improve the team of inspectors,and systematically advanced various aspects of pharmocovigilance inspection.