1.Anti-infection treatment and pharmaceutical care for a patient with severe pneumonia caused by Chlamydia psittaci
Zongqiang LAI ; Jun LI ; Yongguang SHANG
China Pharmacy 2024;35(2):242-246
OBJECTIVE To provide ideas and reference for the anti-infection treatment and pharmaceutical care for severe pneumonia caused by Chlamydia psittaci. METHODS Clinical pharmacists participated in the whole process of the treatment for a patient with C. psittaci-induced severe pneumonia. According to the patient’s medical history, clinical symptoms and test results, clinical pharmacists assisted the physician to dynamically adjust the anti-infective scheme; for C. psittaci infection, the patient was treated with tigecycline combined with azithromycin successively, and other infection therapy plans were dynamically adjusted according to the results of pathogen examination. During the treatment, the patient suffered from suspicious adverse drug reactions such as prolonged QTc interval, elevated lipase and amylase; the clinical pharmacists conducted pharmaceutical care and put forward reasonable suggestions. RESULTS The physician adopted the pharmacists’ suggestion, and the patient was discharged after treatment. CONCLUSIONS For the treatment of severe pneumonia caused by C. psittaci, the characteristics of patients, drugs and pathogens should be taken into account to develop individualized anti-infective treatment. Tetracyclines and macrolides have a definite effect on C. psittaci infection, but attention should be paid to the possible ADR caused by drugs in clinical application.
2.Research on Multi-dimensional Linkage Lean Operation Management of Hospital under DIP Payment
Yinfei LI ; Yongguang YANG ; Yang YANG
Chinese Hospital Management 2024;44(8):29-32
The implementation and implementation of DIP medical insurance payment system reform has a far-reaching impact on hospital operation and management mode,which resulted in an urgent need to adapt and optimise the way hospitals operate and manage their content.It analyzes in-depth DIP health insurance payment for the impact of hospital operations and management,from the perspective of the implementation of disease classification policy,medical insurance cost accounting control,medical service quality improvement,medical insurance after-the-fact analysis,disease category management,etc.In order to better promote the healthy and sustainable development of the hospital.
3.Research on Multi-dimensional Linkage Lean Operation Management of Hospital under DIP Payment
Yinfei LI ; Yongguang YANG ; Yang YANG
Chinese Hospital Management 2024;44(8):29-32
The implementation and implementation of DIP medical insurance payment system reform has a far-reaching impact on hospital operation and management mode,which resulted in an urgent need to adapt and optimise the way hospitals operate and manage their content.It analyzes in-depth DIP health insurance payment for the impact of hospital operations and management,from the perspective of the implementation of disease classification policy,medical insurance cost accounting control,medical service quality improvement,medical insurance after-the-fact analysis,disease category management,etc.In order to better promote the healthy and sustainable development of the hospital.
4.Research on Multi-dimensional Linkage Lean Operation Management of Hospital under DIP Payment
Yinfei LI ; Yongguang YANG ; Yang YANG
Chinese Hospital Management 2024;44(8):29-32
The implementation and implementation of DIP medical insurance payment system reform has a far-reaching impact on hospital operation and management mode,which resulted in an urgent need to adapt and optimise the way hospitals operate and manage their content.It analyzes in-depth DIP health insurance payment for the impact of hospital operations and management,from the perspective of the implementation of disease classification policy,medical insurance cost accounting control,medical service quality improvement,medical insurance after-the-fact analysis,disease category management,etc.In order to better promote the healthy and sustainable development of the hospital.
5.Research on Multi-dimensional Linkage Lean Operation Management of Hospital under DIP Payment
Yinfei LI ; Yongguang YANG ; Yang YANG
Chinese Hospital Management 2024;44(8):29-32
The implementation and implementation of DIP medical insurance payment system reform has a far-reaching impact on hospital operation and management mode,which resulted in an urgent need to adapt and optimise the way hospitals operate and manage their content.It analyzes in-depth DIP health insurance payment for the impact of hospital operations and management,from the perspective of the implementation of disease classification policy,medical insurance cost accounting control,medical service quality improvement,medical insurance after-the-fact analysis,disease category management,etc.In order to better promote the healthy and sustainable development of the hospital.
6.Research on Multi-dimensional Linkage Lean Operation Management of Hospital under DIP Payment
Yinfei LI ; Yongguang YANG ; Yang YANG
Chinese Hospital Management 2024;44(8):29-32
The implementation and implementation of DIP medical insurance payment system reform has a far-reaching impact on hospital operation and management mode,which resulted in an urgent need to adapt and optimise the way hospitals operate and manage their content.It analyzes in-depth DIP health insurance payment for the impact of hospital operations and management,from the perspective of the implementation of disease classification policy,medical insurance cost accounting control,medical service quality improvement,medical insurance after-the-fact analysis,disease category management,etc.In order to better promote the healthy and sustainable development of the hospital.
7.Research on Multi-dimensional Linkage Lean Operation Management of Hospital under DIP Payment
Yinfei LI ; Yongguang YANG ; Yang YANG
Chinese Hospital Management 2024;44(8):29-32
The implementation and implementation of DIP medical insurance payment system reform has a far-reaching impact on hospital operation and management mode,which resulted in an urgent need to adapt and optimise the way hospitals operate and manage their content.It analyzes in-depth DIP health insurance payment for the impact of hospital operations and management,from the perspective of the implementation of disease classification policy,medical insurance cost accounting control,medical service quality improvement,medical insurance after-the-fact analysis,disease category management,etc.In order to better promote the healthy and sustainable development of the hospital.
8.Research on Multi-dimensional Linkage Lean Operation Management of Hospital under DIP Payment
Yinfei LI ; Yongguang YANG ; Yang YANG
Chinese Hospital Management 2024;44(8):29-32
The implementation and implementation of DIP medical insurance payment system reform has a far-reaching impact on hospital operation and management mode,which resulted in an urgent need to adapt and optimise the way hospitals operate and manage their content.It analyzes in-depth DIP health insurance payment for the impact of hospital operations and management,from the perspective of the implementation of disease classification policy,medical insurance cost accounting control,medical service quality improvement,medical insurance after-the-fact analysis,disease category management,etc.In order to better promote the healthy and sustainable development of the hospital.
9.Clinical application of CT angiography-derived fractional flow reserve in evaluating the risk stratification of coronary artery stenosis and the myocardial function
Yongguang GAO ; Ping XIA ; Yibing SHI ; Yu LI ; Jinyao ZHANG ; Yufei FU ; Yayong HUANG ; Yuanshun XU ; Gutao LI
Journal of Interventional Radiology 2024;33(9):956-960
Objective To discuss the clinical application of coronary CT angiography(CCTA)-derived fractional flow reserve(CT-FFR)in evaluating the risk stratification of the coronary artery stenosis and atherosclerotic plaque quantitative parameters.Methods A total of 122 patients,who received CCTA examination at the Xuzhou Municipal Central Hospital of China,were enrolled in this study.The patients were divided into non-ischemia group(CT-FFR>0.8,n=66)and ischemia group(CT-FFR0.8,n=56).The characteristics of atherosclerotic plaque were compared between the two groups.Logistic regression analysis was used to analyze the correlation between plaque characteristics and ischemic lesions.Results There were 218 vessels having a CT-FFR>0.8 and 174 vessels having a CT-FFR ≤0.8.Statistically significant differences in the total plaque volume,calcified plaque volume,plaque length,and stenosis ratio>50%existed between the two groups(all P<0.05).Logistic regression analysis indicated that the total plaque volume,calcified plaque volume,plaque length,and stenosis ratio>50%were the risk factors for myocardial ischemia.Conclusion CT-FFR can be used for the risk stratification of coronary stenosis and atherosclerotic plaque characteristics,which can evaluate the local myocardial blood supply condition from the anatomical stenosis and functional level so as to optimize the diagnosis and treatment measures.
10.Research on Multi-dimensional Linkage Lean Operation Management of Hospital under DIP Payment
Yinfei LI ; Yongguang YANG ; Yang YANG
Chinese Hospital Management 2024;44(8):29-32
The implementation and implementation of DIP medical insurance payment system reform has a far-reaching impact on hospital operation and management mode,which resulted in an urgent need to adapt and optimise the way hospitals operate and manage their content.It analyzes in-depth DIP health insurance payment for the impact of hospital operations and management,from the perspective of the implementation of disease classification policy,medical insurance cost accounting control,medical service quality improvement,medical insurance after-the-fact analysis,disease category management,etc.In order to better promote the healthy and sustainable development of the hospital.

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