In November 2009, through Republic Act 9792, Davao Medical Center was renamed Southern Philippines Medical Center (SPMC). This act also provided for the increase in the bed capacity of the hospital from 600 to 1,200 beds.1 The set of implementing rules and regulations for the legislation subsequently specified the increase in the number of health human resources in SPMC to cope up with the hospital's growing number of clients.2 Currently, SPMC has a total of 4,737 personnel, composed of 3,329 employees with plantilla positions and 1,408 employees with non-plantilla positions, deployed to the different divisions of the hospital. Roughly a third of the total personnel are administrative staff, and two thirds are medical and allied medical staff. The Medical Center Chief (MCC) oversees the operations of the whole hospital. Five administrators directly assist the MCC in hospital management: the Chief of Medical Professional Services, the Chief Nurse, the Chief Administrative Officer, the Financial and Management Officer, and the Chief of Allied Professional Services. Due to the increasing bed occupancy rates and the pressing need to increase health human resources in SPMC, an increase in the institution’s bed capacity from 1,200 to 1,500 is presently being proposed through House Bill 7061.3 Once the bill is passed into law, it is expected that additional plantilla items will be created in order to meet the greater operational demands of a bigger hospital.
Hospital Administration ; Hospital Administrators

OBJECTIVETo analyze the effect of HIS hospital management system in medical equipment.

METHODSFrom April 2012 to 2013 in our hospital 5 100 sets of medical equipment as the control group, another 2013 in our hospital from April 2014 may 100 sets of medical equipment as the study group, comparative analysis of two groups of medical equipment scrap rate, usage, maintenance score and the score of benefit etc.

RESULTSControl group and taken to hospital information system, his research group equipment scrap rate, there was a significant difference, the research group of equipment maintenance score and efficiency scores were higher than those of the control group (P < 0.05), the study group of equipment maintenance score and efficiency scores were higher than those of the control group.

CONCLUSIONHIS hospital management system for medical equipment management has positive clinical application value, can effectively improve the use of medical equipment, it is worth to draw and promote.

Management of medical consumables is an important part of modern hospital management. In modern medical behavior, drugs and medical devices act directly on the patient, and are important factors affecting the quality of medical practice. With the increasing use of medical materials, based on practical application, this article proposes the management model of medical consumables, and discusses the essence of medical materials logistics management.
Hospital Administration ; Materials Management, Hospital ; organization & administration

Based on HRP (Hospital Resource Planning) system's device management module, A new online information management system is proposed and realized to meet the new challenge of medical devices' repairing and maintenance. the traditional telephone report or online report can all be deal. the repair progress can be visualized in real time PM planning and it's early warning are added.
Equipment and Supplies, Hospital ; Maintenance and Engineering, Hospital

Medical equipment from the characteristics and the current situation, and explore the new situation to adapt to the equipment management model. A hospital medical equipment, large-scale integration of management concepts, multilevel personnel structure are satisfactorily managed a necessary condition for large-scale equipment.
Equipment and Supplies, Hospital ; Materials Management, Hospital ; methods

With the continuous improvement of the difficulty of surgery, we need to investigate and analyze the current situation, to understand the structure and related attributes of medical consumables. Rely on the information construction of medical consumables; Improve the supervision method and further improve the refined management effect; Establish multi-modal procurement management; Improve management methods; Maximize the benefits of transformation structure and study the trace management of medical consumables in the key areas of the hospital's full life process at the same time. Provide data decision-making services for hospitals through the early warning management of medical consumables based on clinical quality management, and use tools such as HB-HTA to further construct a reasonable evaluation system for medical consumables.
Equipment and Supplies, Hospital ; Hospitals ; Materials Management, Hospital

Background and Objective: Patients with liver cirrhosis have an increased risk for poor postoperative outcomes after non-hepatic surgery, with liver dysfunction being the most important predictor of poor outcomes. This study aims to determine the association of the albumin-bilirubin (ALBI) grade, aspartate aminotransferase-platelet ratio index (APRI) score, and ALBI-APRI score with postoperative outcomes among cirrhotic patients who have undergone non-hepatic surgery. Methods: This was a retrospective cohort study involving 34 patients. Age, ASA class, urgency of surgery, etiology of liver cirrhosis, preoperative Child-Turcotte-Pugh (CTP) score, Model for End-Stage Liver Disease (MELD) score, ALBI grade, APRI score, and ALBI-APRI score were documented. The outcomes analyzed were postoperative hepatic decompensation (POHD) and in-hospital mortality. Bivariate analysis using the Mann-Whitney U test and Fisher’s exact test was performed. Receiver operating characteristic (ROC) curve analysis was performed to compare the ability of the liver scoring systems to predict the occurrence of study outcomes. Binary logistic regression was performed to measure the odds ratio. Results: The ALBI grade and ALBI-APRI score were significantly associated with both POHD and in-hospital mortality. Both scores were non-inferior to the CTP and MELD scores in predicting study outcomes. Compared to CTP and MELD scores, the ALBI grade was more sensitive but less specific in predicting POHD and as sensitive but more specific in predicting in-hospital mortality. The ALBI-APRI score was less sensitive but more specific than the ALBI grade in predicting both POHD and in-hospital mortality. Conclusions The ALBI grade and ALBI-APRI score were both associated with postoperative hepatic decompensation and in-hospital mortality and were noninferior to the CTP score and MELD score in predicting short-term in-hospital outcomes among cirrhotic patients after non-hepatic surgery.
liver cirrhosis ; in-hospital mortality ; hospital mortality

In medical database systems of security environments, multiple versions are used so as to prevent covert channel between transactions with different security level. Like the existing database systems, multilevel secure medical database systems can also occur various failures. Although the system was fault, the consistency and security for medical information must be guaranteed to establish reliable system from failures. It is difficult issues to prevent covert channel and maintain the serializability of transactions from various failures. This paper proposes multilevel secure recovery algorithms to solve failures from dynamic multiversion control and proves the correctness as to them. The proposed algorithms are very good for the multilevel secure reliability of long read-only transactions.
Hospital Information Systems*

No abstract available.
Emergencies* ; Emergency Service, Hospital*

BACKGROUND: This study was designed to evaluate the performance of FAN-aerobic bottles (FANA) in comparison with standard-aerobic bottles (STD-A) in BacT/Alert3D blood culture system. METHODS: A total of 596 pairs of blood cultures, submitted from Emergency Department of Pusan National University Hospital between July and December 2004, were evaluated. In addition to the routine blood culture protocol using standard blood culture bottles, 5 ml of blood samples was inoculated into FAN-A bottles for this study. RESULTS: Microorganisms were grown in 84 (14.1%) of 596 cultures; of those, 15 were positive in STD-A only (2.5%), 35 in FAN-A only (5.9%), and 34 in both (5.7%). The positive rate in FAN-A bottles was significantly higher than that in STD-A bottles (P<0.001). The species of isolates and detection time showed no difference between the blood culture bottles. CONCLUSION: In the BacT/Alert3D blood culture system, the use of FAN-A bottles instead of the standard aerobic bottles should yield a higher positive rate.
Busan ; Emergency Service, Hospital