目的探讨利用个人数字助理(personal digital assistant,PDA)进行节点信息化精准管控在手术患者转运交接中的应用效果。方法采用历史对照研究,将2019年1-6月收治的11219例手术患者作为对照组,将2019年7-12月收治的11931例手术患者作为...目的探讨利用个人数字助理(personal digital assistant,PDA)进行节点信息化精准管控在手术患者转运交接中的应用效果。方法采用历史对照研究,将2019年1-6月收治的11219例手术患者作为对照组,将2019年7-12月收治的11931例手术患者作为观察组,对照组采用纸质版转运交接单进行患者转运交接,观察组采用PDA行节点信息化精准管控方式进行患者转运交接。比较2组患者转运交接单填写规范率、转运交接类不良事件发生率、手术患者转运交接单准备时间。结果观察组转运交接单填写规范率明显高于对照组(χ^(2)=193.574,P<0.001);转运过程中不良事件发生率明显低于对照组(χ^(2)=216.736,P<0.001);手术患者转运交接单准备时间明显短于对照组(t=457.923,P<0.001)。结论运用PDA行节点信息化管控,能有效提升手术患者转运交接单书写规范率,降低转运过程中不良事件的发生率,缩短转运交接准备时间,有效提高交接效率,保证患者安全。展开更多
Technological advances and evolving demands inmedical care have led to challenges in ensuring adequate training for providers of critical care. Reliance on the traditional experience-based training model alone is insu...Technological advances and evolving demands inmedical care have led to challenges in ensuring adequate training for providers of critical care. Reliance on the traditional experience-based training model alone is insufficient for ensuring quality and safety in patient care. This article provides a brief overview of the existing educational practice within the critical care environment. Challenges to education within common daily activities of critical care practice are reviewed. Some practical evidence-based educational approaches are then described which can be incorporated into the daily practice of critical care without disrupting workflow or compromising the quality of patient care. It is hoped that such approaches for improving the efficiency and efficacy of critical care education will be integrated into training programs.展开更多
Patient handoffs are transitions where communication failures may lead to errors in patient care.Face-toface handoffs are preferred,however may not always be feasible.Different models and strategies have been describe...Patient handoffs are transitions where communication failures may lead to errors in patient care.Face-toface handoffs are preferred,however may not always be feasible.Different models and strategies have been described,yet there are few experimental studies.Expanding the problem,the on-call surgeon may be responsible for many patients,few or none that they admitted.Effective handoffs improve the quality of care and result in fewer errors.Herein we review different models of patient handoffs,comment on common pitfalls,and suggest areas for new research.展开更多
Hemodialysis is the main alternative therapy for patients with end-stage renal disease;most of the hemodialysis centers in China are not designed together with the inpatient ward.During the hospitalization period,hemo...Hemodialysis is the main alternative therapy for patients with end-stage renal disease;most of the hemodialysis centers in China are not designed together with the inpatient ward.During the hospitalization period,hemodialysis patients often move back and forth between wards and hemodialysis rooms because of the treatment needed.Hemodialysis patients are a special group of hospitalized patients,most of them are elderly patients.The overall basic diseases of the patients vary very much,and the cause of the disease is complex.Moreover,the chronic inflammation progresses slowly,and immune function declines.Some of the patient are seriously ill or even hav organ failure.All these factors affect the patients in general.Therefore,the transfer safety of patients during hospitalization is facing great challenges.The researchers reviewed the status of transshipment research in Chinese hemodialysis patients and laid the foundation for the research and development of related handover tools and perfect handover mode in the future.展开更多
文摘目的探讨利用个人数字助理(personal digital assistant,PDA)进行节点信息化精准管控在手术患者转运交接中的应用效果。方法采用历史对照研究,将2019年1-6月收治的11219例手术患者作为对照组,将2019年7-12月收治的11931例手术患者作为观察组,对照组采用纸质版转运交接单进行患者转运交接,观察组采用PDA行节点信息化精准管控方式进行患者转运交接。比较2组患者转运交接单填写规范率、转运交接类不良事件发生率、手术患者转运交接单准备时间。结果观察组转运交接单填写规范率明显高于对照组(χ^(2)=193.574,P<0.001);转运过程中不良事件发生率明显低于对照组(χ^(2)=216.736,P<0.001);手术患者转运交接单准备时间明显短于对照组(t=457.923,P<0.001)。结论运用PDA行节点信息化管控,能有效提升手术患者转运交接单书写规范率,降低转运过程中不良事件的发生率,缩短转运交接准备时间,有效提高交接效率,保证患者安全。
文摘Technological advances and evolving demands inmedical care have led to challenges in ensuring adequate training for providers of critical care. Reliance on the traditional experience-based training model alone is insufficient for ensuring quality and safety in patient care. This article provides a brief overview of the existing educational practice within the critical care environment. Challenges to education within common daily activities of critical care practice are reviewed. Some practical evidence-based educational approaches are then described which can be incorporated into the daily practice of critical care without disrupting workflow or compromising the quality of patient care. It is hoped that such approaches for improving the efficiency and efficacy of critical care education will be integrated into training programs.
文摘Patient handoffs are transitions where communication failures may lead to errors in patient care.Face-toface handoffs are preferred,however may not always be feasible.Different models and strategies have been described,yet there are few experimental studies.Expanding the problem,the on-call surgeon may be responsible for many patients,few or none that they admitted.Effective handoffs improve the quality of care and result in fewer errors.Herein we review different models of patient handoffs,comment on common pitfalls,and suggest areas for new research.
基金project was supported by Health and Family Planning Commission of Chongqing Medical Research Project(No.2016ZDXM008)the outstanding young nurses in Second Hospital Affiliated to Chongqing Medical University(No.201707)Hospital Research and Construction Project of Chinese Medical Doctor Association(No.201522)
文摘Hemodialysis is the main alternative therapy for patients with end-stage renal disease;most of the hemodialysis centers in China are not designed together with the inpatient ward.During the hospitalization period,hemodialysis patients often move back and forth between wards and hemodialysis rooms because of the treatment needed.Hemodialysis patients are a special group of hospitalized patients,most of them are elderly patients.The overall basic diseases of the patients vary very much,and the cause of the disease is complex.Moreover,the chronic inflammation progresses slowly,and immune function declines.Some of the patient are seriously ill or even hav organ failure.All these factors affect the patients in general.Therefore,the transfer safety of patients during hospitalization is facing great challenges.The researchers reviewed the status of transshipment research in Chinese hemodialysis patients and laid the foundation for the research and development of related handover tools and perfect handover mode in the future.
