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Research on the Application of Evidence-Based Quality Control Circle to Improve the Implementation Rate of Airway Management Measures in Adult Critically Ill Patients
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作者 yujiao yan Jing Wu +4 位作者 Juan Liu yanting Yuan Lixin Liu Huaxin Ye Juan Ding 《Yangtze Medicine》 2024年第1期8-19,共12页
Objective: To explore the effect of evidence-based quality control circle (QCC) in improving the implementation rate of airway management measures in adult critically ill patients. Methods: Based on the Joanna Briggs ... Objective: To explore the effect of evidence-based quality control circle (QCC) in improving the implementation rate of airway management measures in adult critically ill patients. Methods: Based on the Joanna Briggs Institute (JBI) evidence-based health care model, the best evidence of airway management in adult critically ill patients was obtained and applied to the clinic. Results: The total implementation rate of airway management measures in adult critically ill patients increased from 23.62% before the implementation of quality control circle to 88.82%, and the pulmonary infection rate in critically ill patients decreased from 42.31% to 21.74%, with statistical significance between the two groups (P 0.05). Conclusion: Evidence-based quality control circle activities can standardize the practice standards of airway management in critically ill patients, reduce the occurrence of patients’ airway related complications, and improve clinical outcomes. 展开更多
关键词 Critically Ill Patients Airway Management Be Evidence-Based Quality Control Circle Intensive Care Unit (ICU)
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The Role of Whole-Process Quality Management Mode in the Self-Protection and Safety of First-Line Medical Staff of COVID-19 被引量:2
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作者 Juan Ding yujiao yan Mo Fu 《Yangtze Medicine》 2021年第1期61-69,共9页
At present, the COVID-19 has spread all over the world. In the face of sudden outbreak, it has brought great challenges to the management of nosocomial infection prevention and control. In this battle, how to do well ... At present, the COVID-19 has spread all over the world. In the face of sudden outbreak, it has brought great challenges to the management of nosocomial infection prevention and control. In this battle, how to do well the prevention and control of hospital epidemic situation scientifically and reasonably is the key to hospital management and an important link to ensure the safety of first-line medical staff. Through the clinical practice of our hospital to combat the COVID-19 epidemic situation, we summarize the key points and functions of quality management, and provide management strategies for domestic and foreign countries. 展开更多
关键词 COVID-19 Quality Management SAFETY
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血清中Kim-1浓度对糖尿病肾病早期诊断的临床意义 被引量:5
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作者 陈玉姣 黄炎 《西北国防医学杂志》 CAS 2017年第4期227-231,共5页
目的:探讨血清、尿肾损伤分子-1(Kim-1)检测在糖尿病肾病(diabetic nephropathy,DN)早期诊断及病情发展中的预测价值。同时寻找Kim-1与临床诊断指标尿白蛋白(U-mALB)、血肌酐(SCr)及血清胱抑素C(CysC)之间的相关性。方法:选取我院内分... 目的:探讨血清、尿肾损伤分子-1(Kim-1)检测在糖尿病肾病(diabetic nephropathy,DN)早期诊断及病情发展中的预测价值。同时寻找Kim-1与临床诊断指标尿白蛋白(U-mALB)、血肌酐(SCr)及血清胱抑素C(CysC)之间的相关性。方法:选取我院内分泌科住院的2型糖尿病(type 2diabetes mellitus,T2DM)患者186例,根据尿清蛋白排泄率(UAER)分为3组:正常清蛋白尿组或单纯糖尿病组(NA组);微量清蛋白尿组(MI组);大量清蛋白尿组(MA组);53例健康体检者为正常对照组(NC组)。采用酶联免疫吸附法(ELISA)检测各组血清、尿标本中的Kim-1浓度;化学发光法检测U-mALB;以及乳胶增强免疫比浊法检测血清CysC水平,并且分析不同组Kim-1水平与不同临床检测指标间的相关性。结果:NA、MI、MA组血清、尿Kim-1水平与NC组比较均显著升高,差异有统计学意义(P<0.05),但NA组尿Kim-1水平与MI组相比无显著性差异(P>0.05);同时,MA组血清Kim-1与SCr呈正相关(R^2=0.1472,P<0.05)。NA、MI及MA组UAER、FPG、HbAic、U-mALB及血清CysC浓度较NC组明显升高(P<0.01)。NA组BUN、SCr与NC组比较差异无统计学意义(P>0.05),MI、MA组与NC组比较BUN、SCr增高(P<0.01)。结论:血清、尿Kim-1随UAER增加而升高,并且DN早期血清中Kim-1浓度就呈现明显的升高,是DN早期诊断的敏感指标,有望用于临床监测。 展开更多
关键词 糖尿病肾病 肾损伤分子-1 尿白蛋白 血清胱抑素C
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