Alarmed: sensory approaches to improving medical alarm systems

Medical alarms sound incessantly, loudly, and dissonantly, contributing to an already noisy ICU and OR soundscape, and ultimately harming both patients and staff. Sometimes triggered in error, the sheer number of alarms distracts health care professionals and results in sensory overload that contributes to hospital staff’s alarm fatigue. In turn, staff become increasingly likely to ignore alarms instead of acting on them. Furthermore, the patients’ sensitivity to alarms disturbs their hospital stay, raises their stress levels, and impedes their recovery process, with sometimes lasting effects. This article considers the sensory effects of hospital alarms and possibilities for redesigning future alarm systems, with the goal of eventually creating a more calming, less stressful, and safer hospital soundscape environment for all.     

电子商务网站特征对心流体验的影响研究

文章基于文献回顾与深度访谈,提出了电子商务环境下网站特征对心流体验影响的研究模型.该模型聚焦于网站的互动性与生动性这两个主要特征对心流体验的影响作用.并通过问卷调查收集数据,运用层级回归分析法进行假设检验.研究发现:网站互动性与生动性对心流体验均有显著正向影响;网站互动性显著正向影响心流体验的控制、专注与好奇维度,而对愉悦维度没有显著影响;网站生动性对心流体验的控制、专注、好奇与愉悦四个维度均有显著正向影响.研究结果不仅丰富了在线心流体验理论,而且为电子商务企业提供了有益的借鉴.     

民营医院集团化治理的实践与体会

治理结构的不稳定?不科学是造成民营医院集团管理不利的最根本原因?文章以江苏华世伟业集团为研究对象,对其集团化发展模式进行了实证分析?江苏华世伟业集团在构建出所有权?经营权?监督权三权分立治理结构的基础上,进一步完善集团层面的集约化管理模式和医院层面的无形资产构建,对民营医疗集团制定发展模式具有普遍参考意义?     

某三甲医院员工满意度现状分析研究

目的:通过医院员工满意度现状调查,针对问题提出对策,提高员工满意度,改善医疗服务质量,为医院提高员工满意度提供决策依据。方法:采用满意度问卷调查表收集数据,采用SPSS20.0软件进行统计分析。结果:员工满意度总体情况接近比较满意水平;影响因素有工作岗位、学历水平、专业技术职称等方面。结论:医院应当关注员工满意情绪管理,建立员工满意度调查制度,关注不同影响因素和不同群体差异,以提高员工工作满意度。     

我国公立医院补偿机制转化的系统动力学分析

取消药品加成,改革以药补医机制是公立医院补偿机制改革的核心内容。文章运用系统动力学方法,通过因果关系分析明确取消药品加成后,财政补偿和医疗补偿的补偿方式和补偿依据,以及补偿不足、药品路径存在漏洞时可能会对公立医院产生的影响,最后给出结论与启示。     

地方政府旅游信息网站的建设与完善

采用文献法及调查法分析目前中国省级旅游官方网站的现状,明确政府在旅游信息网站建设中的职责与任务,为地方政府旅游信息网站的构建与完善提出可行性建议。     

Material logistics in hospitals: A literature review

Hospital material management has been identified as one key cost containment lever to cope with steadily increasing healthcare costs in industrialized countries. The purpose of this work is to present the state-of-the-art of research on material logistics management in hospitals. Particular focus is given to articles that apply quantitative methods. Our contribution is threefold: First, we provide research guidance through categorizing literature and identifying major research streams. Second, we discuss applied methodologies and third, we identify future research directions. A systematic approach is undertaken in order to identify the relevant literature from 1998 to 2014. Applicable publications are categorized thematically and methodologically and future research opportunities are worked out. In total, 145 publications are identified and discussed in this work. The literature is categorized into four streams, i.e., (1) Supply and procurement, (2) Inventory management, (3) Distribution and scheduling, and (4) Holistic supply chain management. The use of optimization techniques is constantly gaining importance. The number of respective publications has continually grown and has peaked over the last three years. Optimization has been successfully applied in research streams (1), (2), and (3). Category (4) comprises a rather qualitative research field of literature dealing with supply chain management issues.     

Danish and Norwegian hospital social workers’ cross-institutional work amidst inter-sectoral restructuring of health and social welfare

Starting in the 2000s, Denmark and Norway have undergone extensive restructuring of their health-related social benefit programmes, including how they are governed. Several reforms have sought to enhance inter-sectoral collaboration. Aiming at ensuring patients’ faster return to work, policy-makers have instituted economic incentives to both individuals and the health and welfare organisations who handle them. Through an institutional logics approach, this paper explores how hospital social workers in these countries are experiencing these changes. The ‘social’ part of post-treatment care and rehabilitation receives more attention in the Norwegian institutional set-up than in the Danish, and whilst challenges are experienced in both countries, in group interviews Danish social workers in particular express concerns about the implications of the accelerated return-to-work focus. In both countries, they report increasing difficulties in ‘making their way through’ the state-municipal bureaucracy. However, by drawing on the formal health knowledge derived from medical settings and the symbolic capital it bestows on them, they often manage to negotiate the work-and-welfare services, thereby transforming the social context for the patients.     

视频网站盈利模式与运作创新

随着用户覆盖和影响力的不断提升，我国网络视频行业蕴藏的巨大市场价值正在逐步显现。但是，由于运营成本高、盈利模式单一且收入较低、受众还未建立付费收视习惯等综合因素，导致国内视频行业整体处于巨额亏损状态。虽然今年以来，优酷土豆合并与“视频内容合作组织（VCC）”的成立使得高昂的网络视频版权价格回归理性，广告收入快速增长，但行业亏损的现状在短期内还很难改变。需要在广告运营、技术手段、渠道扩展等方面探寻视频网站盈利的创新模式