Purpose:To avoid the nursing risk of inpatients,reduce the occurrence of nursing errors and improve the safety of inpatients.Methods:We established a nursing risk early warning and control system,which includes a safe...Purpose:To avoid the nursing risk of inpatients,reduce the occurrence of nursing errors and improve the safety of inpatients.Methods:We established a nursing risk early warning and control system,which includes a safety supervisory network,risk screening and early warning tools,and a risk control process.Results:The qualified rates of risk control measures to prevent pressure ulcers,unplanned extubation and fall/fall from bed all increased.The incidence of reported nursing errors decreased.The number of mistakes in medication-giving decreased.Conclusion:The establishment of an inpatient early warning and control system could effectively avoid nursing risk,improve risk prevention abilities,improve patient safety,and improve nursing quality.展开更多
Osteoporosis is common among postmenopausal women, giving rise to morbidity and diminishing the quality of life. There is lack of information about the risk factors of Osteoporosis among local Omani women. The aim was...Osteoporosis is common among postmenopausal women, giving rise to morbidity and diminishing the quality of life. There is lack of information about the risk factors of Osteoporosis among local Omani women. The aim was to explore the risk factors of Osteoporosis among Omani women using a Modified Fracture Risk Assessment Tool. This is an exploratory research design using a simple random sampling. A pilot study was conducted among 35 local Omani women from the Muscat region, who completed the validated and reliable Modified Fracture Risk Assessment Tool (MFRAT). Bone Mineral Density (BMD) was measured among 11 women at moderate-high risk based on MFRAT. The data was analyzed using inferential statistics. Fourteen Omani women were at moderate-high risk for Osteoporotic fracture due to factors related premenopausal, Vitamin D deficiency, increased parity, increased lactation period and sedentary lifestyle. Among these five women had low BMD and required early intervention and support. Determinants of Osteoporosis can be assessed among premenopausal Omani women with a specific risk assessment tool. There is a need to construct a culturally sensitive risk assessment tool for Omani women for early screening and detection of Osteoporosis. Nurses can identify, provide intervention and education for Omani women at-risk of fracture.展开更多
背景心血管疾病是全球人类死亡的重要原因,其发病隐匿、病情复杂多变,预后不佳。早期识别并积极干预潜在危重患者对改善患者预后至关重要。目的对国内外心血管疾病风险早期预警评估工具研究进行范围综述,总结分析其评估内容及应用情况,...背景心血管疾病是全球人类死亡的重要原因,其发病隐匿、病情复杂多变,预后不佳。早期识别并积极干预潜在危重患者对改善患者预后至关重要。目的对国内外心血管疾病风险早期预警评估工具研究进行范围综述,总结分析其评估内容及应用情况,为我国心血管疾病患者早期预警评估工具的选择提供参考。方法以范围综述方法学框架为指导,系统检索中国知网、万方数据知识服务平台、维普网、中国生物医学文献数据库、PubMed、Web of Science、Cochrane Library、Embase、CINAHL、Scopus数据库。检索时限为建库至2023年5月。由2名研究者独立筛选文献和提取资料,从评估内容、研究对象、验证方法、信效度以及预测效能等方面进行分析。结果共纳入16篇文献,其中7篇关于评估工具的开发验证,9篇关于评估工具的本土化应用,涉及20个心血管疾病风险早期预警评估工具。分析结果表明,各评估工具均包含3~17个评估内容,其中出现频率较高的是年龄、收缩压、呼吸频率、血氧饱和度、心率、合并症、意识水平以及性别。2篇文献的信效度检验结果表明信度、效度良好,其他研究均缺少信效度评价。10篇文献报告了评估工具的曲线下面积(AUC),AUC为0.550~0.9269。结论心血管疾病风险早期预警评估工具种类多样,但质量仍有不足,缺少特异性评估工具。未来仍需要进一步验证现有工具的信效度,并结合疾病特征开发本土化且具备良好信效度的心血管专科早期预警评估工具。展开更多
基金This study was supported by the Shanghai Health System Advanced and Appropriate Technology Promotion Project(No.2013SY030).
文摘Purpose:To avoid the nursing risk of inpatients,reduce the occurrence of nursing errors and improve the safety of inpatients.Methods:We established a nursing risk early warning and control system,which includes a safety supervisory network,risk screening and early warning tools,and a risk control process.Results:The qualified rates of risk control measures to prevent pressure ulcers,unplanned extubation and fall/fall from bed all increased.The incidence of reported nursing errors decreased.The number of mistakes in medication-giving decreased.Conclusion:The establishment of an inpatient early warning and control system could effectively avoid nursing risk,improve risk prevention abilities,improve patient safety,and improve nursing quality.
文摘Osteoporosis is common among postmenopausal women, giving rise to morbidity and diminishing the quality of life. There is lack of information about the risk factors of Osteoporosis among local Omani women. The aim was to explore the risk factors of Osteoporosis among Omani women using a Modified Fracture Risk Assessment Tool. This is an exploratory research design using a simple random sampling. A pilot study was conducted among 35 local Omani women from the Muscat region, who completed the validated and reliable Modified Fracture Risk Assessment Tool (MFRAT). Bone Mineral Density (BMD) was measured among 11 women at moderate-high risk based on MFRAT. The data was analyzed using inferential statistics. Fourteen Omani women were at moderate-high risk for Osteoporotic fracture due to factors related premenopausal, Vitamin D deficiency, increased parity, increased lactation period and sedentary lifestyle. Among these five women had low BMD and required early intervention and support. Determinants of Osteoporosis can be assessed among premenopausal Omani women with a specific risk assessment tool. There is a need to construct a culturally sensitive risk assessment tool for Omani women for early screening and detection of Osteoporosis. Nurses can identify, provide intervention and education for Omani women at-risk of fracture.
文摘背景心血管疾病是全球人类死亡的重要原因,其发病隐匿、病情复杂多变,预后不佳。早期识别并积极干预潜在危重患者对改善患者预后至关重要。目的对国内外心血管疾病风险早期预警评估工具研究进行范围综述,总结分析其评估内容及应用情况,为我国心血管疾病患者早期预警评估工具的选择提供参考。方法以范围综述方法学框架为指导,系统检索中国知网、万方数据知识服务平台、维普网、中国生物医学文献数据库、PubMed、Web of Science、Cochrane Library、Embase、CINAHL、Scopus数据库。检索时限为建库至2023年5月。由2名研究者独立筛选文献和提取资料,从评估内容、研究对象、验证方法、信效度以及预测效能等方面进行分析。结果共纳入16篇文献,其中7篇关于评估工具的开发验证,9篇关于评估工具的本土化应用,涉及20个心血管疾病风险早期预警评估工具。分析结果表明,各评估工具均包含3~17个评估内容,其中出现频率较高的是年龄、收缩压、呼吸频率、血氧饱和度、心率、合并症、意识水平以及性别。2篇文献的信效度检验结果表明信度、效度良好,其他研究均缺少信效度评价。10篇文献报告了评估工具的曲线下面积(AUC),AUC为0.550~0.9269。结论心血管疾病风险早期预警评估工具种类多样,但质量仍有不足,缺少特异性评估工具。未来仍需要进一步验证现有工具的信效度,并结合疾病特征开发本土化且具备良好信效度的心血管专科早期预警评估工具。
