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医疗安全(不良)事件主动监测与预警系统的研究 被引量:5
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作者 栾国安 王少霞 +4 位作者 张娜 刘娟 王慧 刘晓东 冯伟华 《中国卫生标准管理》 2023年第5期10-15,共6页
目的建立医疗安全(不良)事件报告系统是构建医院医疗安全风险防范体系的重要一步,而国内外实践中发现,医疗安全(不良)事件漏报问题在各级医院较为突出。本研究旨在运用信息化手段及时发现、警示并处置漏报事件以提高上报率。方法通过整... 目的建立医疗安全(不良)事件报告系统是构建医院医疗安全风险防范体系的重要一步,而国内外实践中发现,医疗安全(不良)事件漏报问题在各级医院较为突出。本研究旨在运用信息化手段及时发现、警示并处置漏报事件以提高上报率。方法通过整合某二级甲等综合医院2020年9月—2021年6月的医疗安全不良事件信息,依据相关疾病的诊疗规范和操作指南进行逻辑运算,搭建医学诊断思维模型,建立起全院医疗安全(不良)事件主动监测系统。结果该研究结果表明,每百张床位医疗安全(不良)事件上报率从改进前的19.19%提高到43.64%,每百名出院患者医疗安全(不良)事件上报率由改进前的2.19%提高到4.54%,有效地提高了医院医疗安全(不良)事件的上报率。结论该系统对减少医疗差错,促进患者安全具有重要的意义。文中体现了中国医院协会《中国医院质量安全管理团体标准(T/CHAS 10-4-6-2018)第4-6部分医疗管理医疗安全(不良)事件管理》的执行标准。 展开更多
关键词 医院等级评审 医疗质量控制 医疗(安全)不良事件 医学诊断法 主动监测 系统设计
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Meckel's diverticulum masked by a long period of intermittent recurrent subocclusive episodes 被引量:3
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作者 Daniela Codrich Andrea Taddio +2 位作者 Jurgen Schleef Alessandro Ventura Federico Marchetti 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第22期2809-2811,共3页
Meckel's diverticulum(MD) is the most frequent congenital abnormality of the small bowel and it is often diff icult to diagnose.It is usually asymptomatic but approximately 4% are symptomatic with complications su... Meckel's diverticulum(MD) is the most frequent congenital abnormality of the small bowel and it is often diff icult to diagnose.It is usually asymptomatic but approximately 4% are symptomatic with complications such as bleeding,intestinal obstruction,and inflammation.The authors report a case of a 7-year-old boy with a one-year history of recurrent periumbilical colicky pain with associated alimentary vomiting,symptoms erroneously related to a cyclic vomiting syndrome but not to MD.The clinical features and the differential diagnostic methods employed for diagnosis of MD are discussed. 展开更多
关键词 Meckel diverticulum Abdominal pain Recurrent subocclusive episodes Diagnostic imaging
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Diagnostic accuracy of a rapid fecal test to confirm H pylori eradication after therapy: Prospective comparison with a laboratory stool test
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作者 Lucio Trevisani Viviana Cifalà +5 位作者 Nadia Fusetti Giuseppe Gilli Paola Tombesi Marco Torchiaro Sergio Boccia Vincenzo Abbasciano 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第33期4484-4488,共5页
AIM: To investigate the clinical performances of rapidstool test (ImmunoCard STAT HpSA, Meridian DiagnosticInc.) in the evaluation of eradication therapy of H pyloriand to compare it with a well-known and validatedlab... AIM: To investigate the clinical performances of rapidstool test (ImmunoCard STAT HpSA, Meridian DiagnosticInc.) in the evaluation of eradication therapy of H pyloriand to compare it with a well-known and validatedlaboratory stool test (Amplified IDEA Hp StAR, Dako).METHODS: Stool samples of 122 patients wereevaluated after eradication therapy of H pylori. H pyloristatus was assessed by 13C-urea breath test (UBT).Stool specimens were tested using either the rapidimmunoassay kit or the laboratory immunoassay kit.RESULTS: Forty-three patients were infected and 79non-infected. Sensitivity and specificity of ImmunoCardSTAT and Hp StAR were 58.14% and 76.4%, and97.47% and 98.73%, respectively (P > 0.05). Overallagreement between the two tests was 92.6% (113 of122 cases).CONCLUSION: ImmunoCard STAT seems to haverather low performances, and it cannot be regarded as areliable tool in the post-treatment setting. Also Hp StARcannot be recommended to confirm H pylori eradicationafter treatment. 展开更多
关键词 HPYLORI Diagnosis FECES
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Correlation Analysis between TCM Syndromes and Physicochemical Parameters
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作者 SUN Zhan-quan XI Guang-cheng +2 位作者 Li Hai-xia YI Jian-qiang WANG jie 《Chinese Journal of Biomedical Engineering(English Edition)》 2006年第3期93-102,共10页
Traditionally, differentiation of syndromes of Traditional Chinese Medicine (TCM) mainly depends on the information obtained from four diagnosis methods. Now many physicochemical parameters are available in clinic. Th... Traditionally, differentiation of syndromes of Traditional Chinese Medicine (TCM) mainly depends on the information obtained from four diagnosis methods. Now many physicochemical parameters are available in clinic. There exists great correlation between TCM syndromes and physicochemical parameters. The objective of the paper is to analyze the correlation between TCM syndromes and physicochemical parameters quantitatively. Correlation analysis has been widely studied and many analysis methods have been developed. Mutual information based on entropy can measure arbitrary dependence between variables. It has been applied to many kinds of fields, especially to pattern recognition. But most works are restricted to discrete variables and little work has been done to study the relation between discrete and continuous variables. A novel algorithm is proposed to calculate the mutual information between discrete and continuous variables. It is used to analyze the correlation between TCM syndromes and physicochemical parameters. 展开更多
关键词 Bayesian estimation CORRELATION Mutual information ENTROPY
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Visualization of Three-dimensional Human Data Based on CT Image
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作者 HU Zhan-li ZHANG Na +3 位作者 ZOU Jing RONG Jun-yan GUI Jian-bao ZHENG Hai-rong 《Chinese Journal of Biomedical Engineering(English Edition)》 2011年第4期150-162,174,共14页
Three-dimensional medical image visualization becomes an essential part for medical field, including computer aided diagnosis, surgery planning and simulation, artificial limb surgery, radiotherapy planning, and teach... Three-dimensional medical image visualization becomes an essential part for medical field, including computer aided diagnosis, surgery planning and simulation, artificial limb surgery, radiotherapy planning, and teaching etc. In this paper, marching cubes algorithm is adopted to reconstruct the 3-D images for the CT image sequence in DICOM format under theVC++6.0 and the visual package VTK platform. The relatively simple interactive operations such as rotation and transfer can be realized on the platform. Moreover, the normal vector and interior point are calculated to form the virtual clipping plane, which is then used to incise the 3-D object. Information of the virtual slice can be obtained, in the mean while the virtual slice images are displayed on the screen. The technique can realize the real time interaction extraction of virtual slice on 3-D CT image. The cuboids structured can be zoomed, moved and eircumrotated by operating mouse to incise the 3-D reconstruction object. Real time interaction can be realized by clipping the reconstruction object. The coordinates can be acquired by the mouse clicking in the 3D space, to realize the point mouse pick-up as well angle and distance interactive measurement. We can get quantitative information about 3-D images through measurement. 展开更多
关键词 3D visualization INTERACTIVE virtual slice cuboids clipping mouse pick-up quantitative measurement medical imaging computed tomography(CT)
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Application of MRI in indirect temporomandibular joint injury without condylar fracture 被引量:2
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作者 王美豪 方一鸣 +7 位作者 黎金林 王靖虓 袁湘芝 邓勇 李建策 杨运俊 陈伟建 吴恩福 《Chinese Journal of Traumatology》 CAS 2007年第2期116-119,共4页
Objective: To discuss the application of MRI in indirect temporomandibular joint injury without condylar fracture. Methods: MRI examination on temporomandibular joint was conducted in 28 patients with indirect inju... Objective: To discuss the application of MRI in indirect temporomandibular joint injury without condylar fracture. Methods: MRI examination on temporomandibular joint was conducted in 28 patients with indirect injury to temporomandibular joint without condylar fracture. The scanning sequence included TIWI, PDWI on oblique sagittal section at both open and closed mouth positions, and T1WI, T2WI on oblique coronal section. The MRI appearance was analyzed by 2 senior radiologists. Results: Among the 56 temporomandibular joints of28 patients, 35 joints exhibited pathological changes on MRI, in which there were 9 bone injuries, 21 articular disc dislocation, 24 intracapsular hematocele and hydrops. Conclusions: MRI can clearly reveal bone injury, articular disc dislocation as well as articular capsule abnormality in the indirect injury of temporomandibular joint without condylar fracture. It is highly advocated in clinical use. 展开更多
关键词 Magnetic resonance imaging Temporomandibular joint INJURY
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