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1.
通过对医改新形势下三级综合医院甲乳外科的运营分析,进行医院精细化管理的探讨。调研某三甲医院甲乳外科的运营情况,包括工作量、运行效率、损益情况等,分析其运营状况。结果显示,甲乳外科门诊、住院和超声检查患者较多,医师工作负荷重,通过计算该科室需要增加2名文员;损益分析发现甲乳外科属于“金牛科室”,且科室床位使用率较高,应适当扩大规模,新增10张床位。对医院各科室进行详细的运营分析,可为医院管理者提供决策依据,并逐步实现医院的精细化管理。  相似文献   
2.
Prolonged emergency department (ED) visits are associated with a number of adverse outcomes for patients as well as lower patient satisfaction scores and increased costs. Several factors that influence the length of ED visits are out of the control of hospital employees, but some opportunities exist to improve performance. For this study, the ED department of a 150-bed hospital in the southeastern United States wanted to improve door-to-discharge time. To do so, a subprocess of door-to-discharge time was targeted, door-to-order. After analyzing the process, the team created standard orders for the 10 most common presenting conditions in the ER with preapproval, allowing nurses to submit the orders without the provider first visiting the patient. Following the process change, daily feedback was added to increase utilization of the preapproved orders. Reductions in door-to-order times and door-to-discharge were observed and patient satisfaction remained stable. Implications for future research in this area are discussed.  相似文献   
3.
以市场需求和市场价格随机波动的二级供应链为研究对象,寻找其在信息不对称条件下绩效优化的路径。通过显示原理分别构建生产成本和销售成本信息不对称时应急供应链的数量折扣契约模型,得到最优订货量与最佳批发价策略。通过具体的算例加以验证,分析了信息不对称程度对供应链上成员及整个供应链绩效的影响。研究结果表明:当突发事件造成市场价格随机波动和市场需求变化时,供应链上的跟随者能从隐瞒私人信息中获利。但当市场需求增大时,整个供应链绩效受损,反之则反是。这与以往研究在市场需求随机、市场价格固定和信息不对称条件下的结论迥异。  相似文献   
4.
Emergency material allocation is an important part of postdisaster emergency logistics that is significant for improving rescue effectiveness and reducing disaster losses. However, the traditional single‐period allocation model often causes local surpluses or shortages and high cost, and prevents the system from achieving an equitable or optimal multiperiod allocation. To achieve equitable allocation of emergency materials in the case of serious shortages relative to the demand by victims, this article introduces a multiperiod model for allocation of emergency materials to multiple affected locations (using an exponential utility function to reflect the disutility loss due to material shortfalls), and illustrates the relationship between equity of allocations and the cost of emergency response. Finally, numerical examples are presented to demonstrate both the feasibility and the usefulness of the proposed model for achieving multiperiod equitable allocation of emergency material among multiple disaster locations. The results indicate that the introduction of a nonlinear utility function to reflect the disutility of large shortfalls can make the material allocation fairer, and minimize large losses due to shortfalls. We found that achieving equity has a significant but not unreasonable impact on emergency costs. We also illustrate that using differing utility functions for different types of materials adds an important dimension of flexibility.  相似文献   
5.
This paper presents a qualitative analysis of front‐line practices regarding emergency removals in Finnish and Irish child protection. It examines how the responses to children's immediate danger are framed by legislation and how front‐line practitioners assess the child's situation and make emergency placement decisions. The data consist of interviews with 16 Irish and 33 Finnish social workers. These child welfare protection systems respond differently to a task that appears to be similar. The Irish team‐based practice rests on the social workers' shared assessment of the child's needs, and the formal decision is made by the courts (or police officers at night‐time); and the Finnish practice involves only one single social worker who makes both the assessment and the removal decision. The Irish system is tightly time regulated, whereas the Finnish system provides a more flexible time frame. Both approaches put a lot of stress on social workers' practice, which also includes creative workarounds (e.g., “planned emergency removals” in Finland). Future research will need to explore these features from the point of view of a child's right to protection.  相似文献   
6.
基于2020年我国发生的新冠肺炎疫情防控过程中语言服务的相关事实来观察语言应急和应急语言,讨论其与社会语言生活相关的一些问题。研究认为语言应急和应急语言具有不同的领域分野,语言应急侧重从社会行为视角进行观察,可以分为自发应急和自觉应急,其内部各有表现与特征;应急语言侧重从语言符号系统视角进行观察,在需求、规划、使用三个方面各有不同的特征维度与表现。文章进一步基于语言应急和提高应急速率、应急语言和提高应急质量目的,针对语言应急体制机制建设提出了三个方面的申论和建议,希望能从语言应急和应急语言的角度对国家治理体系的建设和治理能力的提高有所贡献。  相似文献   
7.
为应对2020年肺炎紧急状态的蔓延,全国各个城市采取了一系列采集与登记公民个人信息的防控措施,以维护城市安全、社会稳定和公民健康。而这些防控措施背后存在着信息滥用的隐忧,如何平衡紧急状态与个人信息保护,社会上存在讨论和争议。有鉴于此,该文拟以健康码的应用为契点,结合我国《民法典》中新增个人信息保护的相关规定,分析提炼紧急状态下个人信息保护的特征和重点问题,提出完善我国紧急状态下个人信息保护制度的初步设想。  相似文献   
8.
企业承担必要的社会责任是企业自身伦理道德的内在要求。肺炎疫情这一重大突发公共卫生事件给中国及世界经济造成了极大的冲击和影响,这就更需要中小企业在这个特殊时期肩负起更大的社会责任。梳理了企业社会责任的相关文献,并从社会、员工、消费者、供应商等维度研究了中小企业在重大突发公共卫生事件时期应当承担的社会责任。  相似文献   
9.
Young runaways and thrown‐out children, under‐16, face a number of barriers to accessing safe emergency accommodation. The need for such accommodation is not always apparent because children sometimes make themselves invisible to services through fear of being returned or fear of being removed from inappropriate accommodation. Young people's retrospective accounts of their experiences suggest the importance of a ‘transitional person’, an adult who has a pivotal role in trust‐building and who acts as a conduit to services and helps runaway and thrown‐out children overcome internal and external barriers to uptake of emergency accommodation.  相似文献   
10.
有效快速的核事故早期应急决策,是核电站发生核事故后最后一道必要的屏障,因此决策的快速性与有效性至关重要。文章先构造效用函数,求出决策者的乐观系数,将决策判断矩阵中的区间值与模糊值精确化;在此基础上建立了个体与群体的决策模型,以提高决策的有效性。同时根据排序结果,构造群体与个体之间一致性判断矩阵,并根据判断矩阵进行交互与修改,使专家内部快速达成一致。最后通过算例说明方法的可行性。  相似文献   
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