Objective To explore the impact of digital upgrading of public hospitals on operational efficiency,and to provide theoretical and practical guidance for the application of digital technology in the medical field.Methods The digital transformation of H hospital were collected through semi-structured interviews and field observations,and the exploratory single case study method was used for analysis and discussion.Results Digital upgrading significantly improved the operational efficiency of public hospitals by promoting information flow,strengthening hospital gover-nance and optimizing human resource allocation.Hospital culture,organizational structure and information literacy af-fected the effect of digital upgrading.Conclusion Digital upgrading has played a positive role in improving the opera-tional efficiency of public hospitals.In order to maximize its benefits,hospitals can strengthen the top-level design of digital construction,strengthen the cultivation of compound talents,pay attention to data governance and infor-mation security,promote departmental coordination and promote the iterative upgrading of digital reform.

Objective To explore the impact of digital upgrading of public hospitals on operational efficiency,and to provide theoretical and practical guidance for the application of digital technology in the medical field.Methods The digital transformation of H hospital were collected through semi-structured interviews and field observations,and the exploratory single case study method was used for analysis and discussion.Results Digital upgrading significantly improved the operational efficiency of public hospitals by promoting information flow,strengthening hospital gover-nance and optimizing human resource allocation.Hospital culture,organizational structure and information literacy af-fected the effect of digital upgrading.Conclusion Digital upgrading has played a positive role in improving the opera-tional efficiency of public hospitals.In order to maximize its benefits,hospitals can strengthen the top-level design of digital construction,strengthen the cultivation of compound talents,pay attention to data governance and infor-mation security,promote departmental coordination and promote the iterative upgrading of digital reform.

Objective To explore the impact of digital upgrading of public hospitals on operational efficiency,and to provide theoretical and practical guidance for the application of digital technology in the medical field.Methods The digital transformation of H hospital were collected through semi-structured interviews and field observations,and the exploratory single case study method was used for analysis and discussion.Results Digital upgrading significantly improved the operational efficiency of public hospitals by promoting information flow,strengthening hospital gover-nance and optimizing human resource allocation.Hospital culture,organizational structure and information literacy af-fected the effect of digital upgrading.Conclusion Digital upgrading has played a positive role in improving the opera-tional efficiency of public hospitals.In order to maximize its benefits,hospitals can strengthen the top-level design of digital construction,strengthen the cultivation of compound talents,pay attention to data governance and infor-mation security,promote departmental coordination and promote the iterative upgrading of digital reform.

Objective To explore the impact of digital upgrading of public hospitals on operational efficiency,and to provide theoretical and practical guidance for the application of digital technology in the medical field.Methods The digital transformation of H hospital were collected through semi-structured interviews and field observations,and the exploratory single case study method was used for analysis and discussion.Results Digital upgrading significantly improved the operational efficiency of public hospitals by promoting information flow,strengthening hospital gover-nance and optimizing human resource allocation.Hospital culture,organizational structure and information literacy af-fected the effect of digital upgrading.Conclusion Digital upgrading has played a positive role in improving the opera-tional efficiency of public hospitals.In order to maximize its benefits,hospitals can strengthen the top-level design of digital construction,strengthen the cultivation of compound talents,pay attention to data governance and infor-mation security,promote departmental coordination and promote the iterative upgrading of digital reform.

Objective To explore the impact of digital upgrading of public hospitals on operational efficiency,and to provide theoretical and practical guidance for the application of digital technology in the medical field.Methods The digital transformation of H hospital were collected through semi-structured interviews and field observations,and the exploratory single case study method was used for analysis and discussion.Results Digital upgrading significantly improved the operational efficiency of public hospitals by promoting information flow,strengthening hospital gover-nance and optimizing human resource allocation.Hospital culture,organizational structure and information literacy af-fected the effect of digital upgrading.Conclusion Digital upgrading has played a positive role in improving the opera-tional efficiency of public hospitals.In order to maximize its benefits,hospitals can strengthen the top-level design of digital construction,strengthen the cultivation of compound talents,pay attention to data governance and infor-mation security,promote departmental coordination and promote the iterative upgrading of digital reform.

Objective To explore the impact of digital upgrading of public hospitals on operational efficiency,and to provide theoretical and practical guidance for the application of digital technology in the medical field.Methods The digital transformation of H hospital were collected through semi-structured interviews and field observations,and the exploratory single case study method was used for analysis and discussion.Results Digital upgrading significantly improved the operational efficiency of public hospitals by promoting information flow,strengthening hospital gover-nance and optimizing human resource allocation.Hospital culture,organizational structure and information literacy af-fected the effect of digital upgrading.Conclusion Digital upgrading has played a positive role in improving the opera-tional efficiency of public hospitals.In order to maximize its benefits,hospitals can strengthen the top-level design of digital construction,strengthen the cultivation of compound talents,pay attention to data governance and infor-mation security,promote departmental coordination and promote the iterative upgrading of digital reform.

Objective To explore the impact of digital upgrading of public hospitals on operational efficiency,and to provide theoretical and practical guidance for the application of digital technology in the medical field.Methods The digital transformation of H hospital were collected through semi-structured interviews and field observations,and the exploratory single case study method was used for analysis and discussion.Results Digital upgrading significantly improved the operational efficiency of public hospitals by promoting information flow,strengthening hospital gover-nance and optimizing human resource allocation.Hospital culture,organizational structure and information literacy af-fected the effect of digital upgrading.Conclusion Digital upgrading has played a positive role in improving the opera-tional efficiency of public hospitals.In order to maximize its benefits,hospitals can strengthen the top-level design of digital construction,strengthen the cultivation of compound talents,pay attention to data governance and infor-mation security,promote departmental coordination and promote the iterative upgrading of digital reform.

Objective To explore the impact of digital upgrading of public hospitals on operational efficiency,and to provide theoretical and practical guidance for the application of digital technology in the medical field.Methods The digital transformation of H hospital were collected through semi-structured interviews and field observations,and the exploratory single case study method was used for analysis and discussion.Results Digital upgrading significantly improved the operational efficiency of public hospitals by promoting information flow,strengthening hospital gover-nance and optimizing human resource allocation.Hospital culture,organizational structure and information literacy af-fected the effect of digital upgrading.Conclusion Digital upgrading has played a positive role in improving the opera-tional efficiency of public hospitals.In order to maximize its benefits,hospitals can strengthen the top-level design of digital construction,strengthen the cultivation of compound talents,pay attention to data governance and infor-mation security,promote departmental coordination and promote the iterative upgrading of digital reform.

Objective     To explore the relationship between preoperative fasting plasma glucose (FPG) and postoperative pulmonary complications (PPCs) in type 2 diabetic patients undergoing elective thoracoscopic lung resection, and provide a reference for prediction and prevention of PPCs in the clinic. Methods     A retrospective analysis was performed on the type 2 diabetic patients who underwent elective thoracoscopic lung resection for the first time in our hospital from January 2017 to March 2021. According to the level of FPG one day before the operation, the patients were divided into three groups: a hypoglycemia group (<6.1 mmol/L), a medium level blood glucose group (≥6.1 mmol/L and <8.0 mmol/L) and a high blood glucose group (≥8.0 mmol/L). Besides, the patients were divided into a PPCs group and a non-PPCs group according to whether PPCs occurred. The risk factors for PPCs were analyzed by logistic regression analysis, and the predictive value of preoperative FPG level on PPCs was estimated by the area under the receiver operating characteristic curve (AUC). Results     A total of 130 patients were included, including 75 (57.7%) males and 55 (42.3%) females with an average age of 63.5±9.0 years. Logistic regression analysis showed that compared to non-PPCs patients, the level of preoperative FPG (P=0.023) and smoking history ratio (P=0.036) were higher and the operation time was longer (P=0.004) in the PPCs patients. High FPG level on preoperative day 1 and longer operation time were associated with PPCs risk. Besides, the preoperative FPG of 6.79 mmol/L was the threshold value to predict the occurrence of PPCs [AUC=0.653, 95%CI (0.559, 0.747), P=0.003]. Conclusion     There is a certain correlation between preoperative FPG level and postoperative PPCs, which may be used as an index to predict the occurrence of PPCs.

Preoperative sleep loss can amplify post-operative mechanical hyperalgesia. However, the underlying mechanisms are still largely unknown. In the current study, rats were randomly allocated to a control group and an acute sleep deprivation (ASD) group which experienced 6 h ASD before surgery. Then the variations in cerebral function and activity were investigated with multi-modal techniques, such as nuclear magnetic resonance, functional magnetic resonance imaging, c-Fos immunofluorescence, and electrophysiology. The results indicated that ASD induced hyperalgesia, and the metabolic kinetics were remarkably decreased in the striatum and midbrain. The functional connectivity (FC) between the nucleus accumbens (NAc, a subregion of the ventral striatum) and the ventrolateral periaqueductal gray (vLPAG) was significantly reduced, and the c-Fos expression in the NAc and the vLPAG was suppressed. Furthermore, the electrophysiological recordings demonstrated that both the neuronal activity in the NAc and the vLPAG, and the coherence of the NAc-vLPAG were suppressed in both resting and task states. This study showed that neuronal activity in the NAc and the vLPAG were weakened and the FC between the NAc and the vLPAG was also suppressed in rats with ASD-induced hyperalgesia. This study highlights the importance of preoperative sleep management for surgical patients.
Rats ; Animals ; Hyperalgesia/metabolism* ; Sleep Deprivation/metabolism* ; Rats, Sprague-Dawley ; Periaqueductal Gray/pathology* ; Proto-Oncogene Proteins c-fos/metabolism* ; Pain, Postoperative/pathology*