目的评估中国医院消毒供应中心(CSSD)质量管理现状及存在问题,为规范管理CSSD、预防和控制医院感染提供参考依据。方法检索2012年1月1日—2022年1月31日发表在中国知网、维普、万方、PubMed、Embase和Web of Science数据库中关于中国各...目的评估中国医院消毒供应中心(CSSD)质量管理现状及存在问题,为规范管理CSSD、预防和控制医院感染提供参考依据。方法检索2012年1月1日—2022年1月31日发表在中国知网、维普、万方、PubMed、Embase和Web of Science数据库中关于中国各地区医院CSSD质量管理现状的文献,由2名研究者进行文献筛选和数据提取,应用Stata14.0软件进行Meta分析。结果最终纳入12篇文献,共1435所医院。Meta分析结果显示,根据医院级别进行亚组分析:CSSD集中管理落实率三级医院(81%,95%CI:65%~97%)高于二级医院(61%,95%CI:30%~92%),专业人员配置与管理三级医院(86%,95%CI:76%~97%)优于二级医院(74%,95%CI:59%~89%);在建筑布局设计方面:医院CSSD建筑位置选择合理三级医院(85%,95%CI:75%~95%)优于二级医院(62%,95%CI:34%,91%);在重要设备配置方面:全自动清洗消毒器配置率三级医院(79%,95%CI:64%~94%)高于二级医院(48%,95%CI:20%~76%),医用绝缘检测仪配置率三级医院(44%,95%CI:30%~58%)高于二级医院(18%,95%CI:8%~28%),压力蒸汽灭菌器配置率三级医院(86%,95%CI:68%~105%)高于二级医院(80%,95%CI:67%~94%),信息化质量追溯系统落实率三级医院(47%,95%CI:34%~61%)高于二级医院(23%,95%CI:14%~32%)。结论中国医院CSSD在质量管理方面,存在集中管理落实不到位、专业人员配置不足及管理不规范、建筑布局设计欠合理、设备设施配置不完善以及未全面采用信息化质量追溯系统等问题,存在一定的安全隐患。建议医院应认真落实卫生行业标准要求,加强CSSD科学管理,保障医疗质量和患者生命安全。展开更多
This paper uses a spatial statistics method based on the calculation of spatial autocorrelation as a possible approach for modeling and quantifying the distribution of urban land price in Changzhou City, Jiangsu Provi...This paper uses a spatial statistics method based on the calculation of spatial autocorrelation as a possible approach for modeling and quantifying the distribution of urban land price in Changzhou City, Jiangsu Province. GIS and spatial statistics provide a useful way for describing the distribution of urban land price both spatially and temporally, and have proved to be useful for understanding land price distribution pattern better. In this paper, we apply the statistical analysis method to 8379 urban land price samples collected from Changzhou Land Market, and it is turned out that the proposed approach can effectively identify the spatial clusters and local point patterns in dataset and forms a general method for conceptualizing the land price structure. The results show that land price structure in Changzhou City is very complex and that even where there is a high spatial autocorrelation, the land price is still relatively heterogeneous. Furthermore, lands for different uses have different degrees of spatial autocorrelation. Spatial autocorrelation of commercial lands is more intense than that of residential and industrial lands in regional central district. This means that treating land price as integration of homogeneous units can limit analysis of pattern, over-simplifying the structure of land price, but the methods, just as the autocorrelation approaches, are useful tools for quantifying the variables of land price.展开更多
文摘目的评估中国医院消毒供应中心(CSSD)质量管理现状及存在问题,为规范管理CSSD、预防和控制医院感染提供参考依据。方法检索2012年1月1日—2022年1月31日发表在中国知网、维普、万方、PubMed、Embase和Web of Science数据库中关于中国各地区医院CSSD质量管理现状的文献,由2名研究者进行文献筛选和数据提取,应用Stata14.0软件进行Meta分析。结果最终纳入12篇文献,共1435所医院。Meta分析结果显示,根据医院级别进行亚组分析:CSSD集中管理落实率三级医院(81%,95%CI:65%~97%)高于二级医院(61%,95%CI:30%~92%),专业人员配置与管理三级医院(86%,95%CI:76%~97%)优于二级医院(74%,95%CI:59%~89%);在建筑布局设计方面:医院CSSD建筑位置选择合理三级医院(85%,95%CI:75%~95%)优于二级医院(62%,95%CI:34%,91%);在重要设备配置方面:全自动清洗消毒器配置率三级医院(79%,95%CI:64%~94%)高于二级医院(48%,95%CI:20%~76%),医用绝缘检测仪配置率三级医院(44%,95%CI:30%~58%)高于二级医院(18%,95%CI:8%~28%),压力蒸汽灭菌器配置率三级医院(86%,95%CI:68%~105%)高于二级医院(80%,95%CI:67%~94%),信息化质量追溯系统落实率三级医院(47%,95%CI:34%~61%)高于二级医院(23%,95%CI:14%~32%)。结论中国医院CSSD在质量管理方面,存在集中管理落实不到位、专业人员配置不足及管理不规范、建筑布局设计欠合理、设备设施配置不完善以及未全面采用信息化质量追溯系统等问题,存在一定的安全隐患。建议医院应认真落实卫生行业标准要求,加强CSSD科学管理,保障医疗质量和患者生命安全。
基金Under the auspices of the National Natural Science Foundation of China (No. 40371091), Land Monitoring Project ofthe Ministry of Land and Resources of P. R. China (No. 2005-6.1-6)
文摘This paper uses a spatial statistics method based on the calculation of spatial autocorrelation as a possible approach for modeling and quantifying the distribution of urban land price in Changzhou City, Jiangsu Province. GIS and spatial statistics provide a useful way for describing the distribution of urban land price both spatially and temporally, and have proved to be useful for understanding land price distribution pattern better. In this paper, we apply the statistical analysis method to 8379 urban land price samples collected from Changzhou Land Market, and it is turned out that the proposed approach can effectively identify the spatial clusters and local point patterns in dataset and forms a general method for conceptualizing the land price structure. The results show that land price structure in Changzhou City is very complex and that even where there is a high spatial autocorrelation, the land price is still relatively heterogeneous. Furthermore, lands for different uses have different degrees of spatial autocorrelation. Spatial autocorrelation of commercial lands is more intense than that of residential and industrial lands in regional central district. This means that treating land price as integration of homogeneous units can limit analysis of pattern, over-simplifying the structure of land price, but the methods, just as the autocorrelation approaches, are useful tools for quantifying the variables of land price.
