医院管理系统中英文翻译资料汇编Word下载.docx

1、使用HIS实时管理各种财务单据、库存物资、药品等是解决上述问题的有效途径。如在药品管理方面，采用了国家规定的GSP管理规范，使得地方医院在药品供应管理与药品有效期管理等方面更加方便规范，大大增强医院用药的安全性。医院信息化系统的有效运行，可大幅度提高各部门的工作效率和质量，减轻各类事务性工作靠手工操作的劳动强度。同时资料精确度的提高使医院在财务、划价、下医嘱等环节人为造成的错误率降为零，使医务工作人员能够腾出更多的精力和时间服务于病人，保证病人经济利益的同时也为医院创造了经济效益。1随机模型在各种排队系统中，随机性是它们的一个共性，而且起着根本性的作用。顾客的到达间隔时间与顾客所需的服务时间中

2、，至少有一个具有随机性，否则问题就太简单了。排队论主要研究描述系统的一些主要指标的概率分布，分为三大部分：1）排队系统的性态问题研究排队系统的性态问题就是研究各种排队系统的概率规律，主要包括系统的队长、顾客的等待时间和逗留时间，以及忙期等的概率分布，包括它们的瞬时性质和统计平衡下的性态。排队系统的性态问题是排队论研究的核心，是排队系统的统计推断和最优化问题的基础。从应用方面考虑，统计平衡下的各个指标的概率性质尤为重要。2）排队系统的统计推断为了了解和掌握一个正在运行的排队系统的规律，就需要通过多次观测、搜集数据，然后利用数理统计的方法对得到的数据进行加工处理，推断所观测的排队系统的概率规律，从

3、而应用相应的理论成果来研究和解决排队系统的有关问题。排队系统的统计推断是已有理论的成果应用实际系统的基础性工作，结合排队系统的特点，发展这类特殊随机过程的统计推断方法是非常必要的。3）排队系统的最优化问题排队系统的最优化问题包括系统的最优设计和已有系统的最优运行控制，前者是在服务系统设置之前，对未来运行的情况有所估计，使设计人员有所依据。后者是对已有的排队系统寻求最优运行策略，例如库房领取工具，当排队领取工具的工人太多，就增设服务员，这样虽然增加了服务费用，但另一方面却减少了工人领取工具的等待时间，即增加了工人的有效生产时间，这样带来的好处可能远远超过服务费用的增加。学习和应用排队论知识就是要

4、解决客观系统的最优设计或运行管理，创造更好的经济效益和社会效益。1.1 系统描述 以医院门诊为研究对象，它有如下特征： 输入过程:患者的到达是相互独立，相继到达的时间间隔是随机的；一定时间的到达服从Poisson分布。 排队规则:从先到先服务,且为等待制,即患者到达时所有诊室和医生都没有空闲,他们就要排队等待。 服务时间:患者诊治时间是相互独立的,服从负指数分布。 服务窗口:多服务台,C个服务台并联排列,各服务台独立工作。1.2 模型假设及建立 假设患者平均到达率为，单个服务台的平均服务率（表示单位时间被服务 完的患者数）为，整个服务机构的平均服务率c；系统的服务强度=/c1使队长趋向无限时,

5、在平均服务率不变的情况下就只能增加服务台。下面讨论有2个服务台且他们的平均服务率相等的情况。我们可以得知2个服务台的两种服务形式平均队长L，等待时间W之比为： 2L1L2=W1W2=1+2 （2=22=3.06, 所 以接受到达率服从参数=2.1的Poisson分布。同理可检验手术时间服从参 数2.5的指数分布。用以上公式排队系统的主要数量指标如下；系统中病人数5.25 （ 人）排队等待病人数 4.41 （人）病人逗留时间 2.5 （h） 排队等待时间 2.1 （h） 服务强度=/=0.84 病人时间损失系数 5.25 手术室空闲时间的概率0.16繁忙时间的概率pn=0.84 计算 服务强度=

6、/c=0.421 增加一个规模相同的手术室后的数量 指标 系统中病人数1.02（ 人）排队等待病人数 0.18（人）病人逗留时间 0.48 （h）排队等待时间0.08（h） 两个手术室空闲时间的概率0.4只有一个手术室空闲的概率p1=0.34病人不必等待的概率0.74，病人必须等待的概率0.26。根据以上数据指标可得：科室只有一个手术室病人等待时间是手术时间的 5.25倍；手术室84%的时间是繁忙的,只有16%是空闲的。若再增加一个手术 室被利用的概率是42%，空闲的概率是58%，两个手术室空闲时间的概率0.4 ，两个手术室只有一个空闲的概率34%。根据以上数据决策者可决定是否增 加一个手术室

7、，从而为管理者提供决策支持的工具。3 结语 到医院就诊排队是一种司空见惯的现象，由于患者到达和医疗服务时间的随机性，患者来源数量在理论上是无限的，而医疗资源是有限的，如何在有限资源配置下，利用上述排队模型理论和计算机模拟，结合患者的服务记录获得的相关数据，对其做出定性、定量的数量指标，进而进行预测、分析和评价，通过优化设计，实施动态管理，根据医院的实力，完善设施和配备，合理增加医护人员的数量，提高医生的诊疗技术水平，有效缩短平均诊疗时间 及其波动程度，提高效率，缩短等候时间，统一诊疗程序，为患者排忧解难 。显然，应用排队论，一方面可以有效地解决医院服务系统中人员和设备的配置问题,为医院管理提供

8、可靠的决策依据；另一方面通过系统优化,找出患者与医院两者之间的平衡点，既减少患者排队等待时间，又不浪费医院人力物力，从而获取最大的社会效益和经济效益。医院信息管理系统的建设是一项长期而复杂的工程，它涉及到医院的方方面面，院方只有做好全局规划，精细化业务环节并对行业市场进行严格论证，最终才能取得好的效果。当然，我们也应该清楚，信息系统集成技术作为一种管理手段引入医院后，它的基本要求是规范化和严密性，医务工作人员应该改变和克服手工作业的思想意识，以适应计算机网络化管理的要求。这是对几十年来传统医疗管理的挑战，只有建立现代化的医院工作制度和规程，把医院的实际管理与应用软件的功能有机结合起来，才能够达

9、到理想的管理效果。解决排队难的问题，为病人的治疗提供一线保障。医院信息管理系统不仅仅只是医院管理现代化的标志，更重要的是已经成为医院的核心竞争能力之一，成为医院持续性发展的一个重要组成部份。随着医院改革的不断深入，加快医院信息化建设，将有利于医院管理者把握改革的大方向，有利于加强医院管理,提高社会效益和经济效益。附录2 英文原文Hospital Management SystemHospital is a complex system, from the registered patients, medical, designated prices, get medicine each ser

10、vice agencies, when a service of the existing demand for the services provided over the existing capacity, will take place in the queue, because of the arrival of Time and time required for diagnosis and treatment of patients with the randomness, controllability small, the queue is almost inevitable

11、, when the Clinic is insufficient, and often appear in the queue waiting time is too long, patient satisfaction declined, medical personnel, too hurry, easy to Error patient disputes arising from the patients and the community will have an adverse impact. So how reasonable scientific and medical equ

12、ipment for medical staff, hospital doctors and will not blindly increase unnecessary idle equipment, a waste of resources, so that patients wait as much as possible to reduce the time, how to strike a balance between, In order to improve service quality, reduce service costs, this is a modern hospit

13、al administrators must face the issue.queuing theory model, through mathematics and quantitative methods, the objective of a complex system of queuing behavior of the structure and dynamic simulation studies, science, and accurately describes the probability of the queue, the queue of operations res

14、earch is an important branch of 1, 2. In hospital management, if the queuing theory on the basis of the hospital out-patient, the queuing systems office of the structure and behavior of the scientific simulation and systems. And the doctors office to arrange for optimal design, to obtain essential c

15、haracteristics of their systems to reflect the number of indicators of results, forecast, analysis or evaluation, the maximum to meet the needs of patients and their families, will effectively avoid waste of resources.Through the queuing theory to the shortage of hospital business analysis, a comput

16、er management system for hospital use is inevitable, the report shows that implementation of information management can enhance the overall image of the hospital, the hospital people to effectively feel the standardization and modernization Management, enhance the local hospital in the influence of

17、competitiveness, so as to enhance the economic benefits of the hospital; improve the information management system can help hospitals achieve scientific accuracy of internal management. Hospital management in the past because all information is imperfect, is not accurate, timely information often do

18、 not have a patient cost leakage, run, the wrong fees; materials management of information is not accurate, the resources of its own hospitals unknown, the backlog caused by waste, And were not the best use. HIS use of real-time management of financial documents, stores, medicines to solve the above

19、 problem is an effective way. Drugs such as the management, use of the country under the GSP management standards, making local hospitals in the drug supply management and the validity of drug management, and other areas more convenient norms, greatly enhance the safety of hospital treatment. The ho

20、spital information system operate effectively, could significantly enhance the departments work efficiency and quality, reducing various services work on the manual labor intensity. At the same time improve the accuracy of information to ensure that the Hospital Finance, is zoned price, under doctor

21、s orders, and other aspects of the human error rate hits zero, so that the medical staff to release more energy and time to serve the patients and ensure economic interests of the patients at the same time Create economic benefits for the Hospital.1 Stochastic model In various queuing system, the ra

22、ndomness of them is a common, but also plays a fundamental role. The arrival time between customers and customer service requirements, at least a random, otherwise the problem too simple. Queuing theory research system described some of the major indicators of the probability distribution, divided i

23、nto three parts:1） Queuing system behavior problems Queuing system on the behavior of the problem is the study of the various laws of the probability of queuing system, including captain of the system, the customer waiting time and length of stay, and the busy period, and so the probability distribu

24、tion, including their transient nature and the balance under the Census and Statistics Behavior. Queue System is the behavior of the core line of research is queuing System of statistical inference and optimization of the foundation. Consider applications from the Census and balance the various indi

25、cators of the probability of nature is particularly important.2） The statistical system queue inferenceIn order to understand and grasp a queuing system is running in the law, through repeated observations, data collection, and then using mathematical statistics by the method of data processing, inf

26、erred by observing the law of the probability of queuing system, application of the corresponding The theoretical results to study and solve the queuing system of the problem. Queuing system has been the statistical inference is the outcome of the actual application of the basic work, combining the characteristics of queuing system, the development of s