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基于大数据的质量管理模式在医院病区出院流程精细化管理中的应用 被引量:10
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作者 罗书立 肖志田 +2 位作者 李素芳 吕元红 徐雅南 《海南医学》 CAS 2021年第10期1302-1304,共3页
目的研究基于大数据的质量管理模式在儿童医院病区出院流程精细化管理中的应用效果。方法将深圳市儿童医院2017年66282例出院当日结算的患者作为对照组,2018年76808例出院当日结算的患者作为观察组。对照组按传统出院流程办理出院手续,... 目的研究基于大数据的质量管理模式在儿童医院病区出院流程精细化管理中的应用效果。方法将深圳市儿童医院2017年66282例出院当日结算的患者作为对照组,2018年76808例出院当日结算的患者作为观察组。对照组按传统出院流程办理出院手续,观察组利用大数据的质量管理模式对病区出院工作进行精细化管理,完善出院计划、调整病区工作流程安排,实现分时段办理出院手续。通过医院信息系统决策平台抓取出院流程各环节数据,比较两组患儿9点前出院办结率和医护患三方满意度。结果观察组患儿9点前病区平均出院办结率为28.82%,明显高于对照组的14.06%,差异有统计学意义(P<0.05);观察组患儿家属、医生、护士对深圳市儿童医院出院流程的满意度分别为(92.20±3.22)分、(95.4±1.89)分、(97.9±1.10)分,明显高于对照组的(87.80±3.61)分、(88.7±3.49)分、(86.5±3.29)分,差异均有统计学意义(P<0.05)。结论基于大数据的质量管理模式在儿童医院病区出院流程精细化管理中应用能提升患儿家长就医感受,保障医疗安全,医护患三方满意度高。 展开更多
关键词 大数据 质量管理 出院流程 精细化管理
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Construction and Characterization of Lentiviral shRNA Expression Vector Targeting Rat CD40 Gene in Dendritic Cells
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作者 SUN Mei LI Jin-dong +7 位作者 JIANG Rui JIN Cheng-yan GAO Nan luo shu-li WANG Chun-guang WANG Bin WANG Rong-you ZHANG Xing-yi 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2009年第5期666-672,共7页
To construct a lentiviral shRNA vector targeting rat CD40 gene and detect its effectiveness of gene silencing in dendritic cells(DCs), specific siRNA targets with short hairpin frame were designed and synthesized ac... To construct a lentiviral shRNA vector targeting rat CD40 gene and detect its effectiveness of gene silencing in dendritic cells(DCs), specific siRNA targets with short hairpin frame were designed and synthesized according to the mRNA sequence of rat CD40 gene. DNA oligo was cloned into lentiviral expression vector, and then PCR and sequencing analyses were conducted to verify the constructs. The verified plasmids were transfected into 293T cells that over-express recombinant CD40 in order to select the most effective siRNA targets, shRNA lentiviruses from the selected constructs were propagated and harvested with a virus packaging system, and the virus titers were determined. Western blot and Real-time PCR were performed to determine CD40 expression level in the virusinfected dendritic cells. PCR and sequencing analyses reveal that shRNA plasmids of four targets were successfully constructed. The optimal interfering target was selected, and the virus with a titer of 5 × 10^7 TU/mL was successfully packaged. CD40 expression in rat DCs was knockdown at both mRNA and protein levels by virus infection. In comparison to that of control groups, CD40 mRNA expression and protein expression were decreased by 60.9% and 61.2%, respectively. We have successfully constructed recombinant lentiviral shRNA expression vector targeting rat CD40 gene that can effectively down-regulate CD40 gene expression at mRNA and protein levels in rat DC. 展开更多
关键词 CD40 RNA interference LENTIVIRUS Dendritic cell
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