Application of Specialized Group Management in the Quality Control of Perioperative Nursing

Objective:To explore the role of specialized group management in the quality control of perioperative nursing.Methods:45 surgical nurses from our hospital were selected as the research subjects.Traditional operating room management was adopted from July 2019 to June 2020,and specialized group management was adopted from July 2020 to June 2021.The surgeon’s satisfaction,surgical nurses’core professional competence,and surgical patients’satisfaction were obtained through surveys and the results were analyzed.Results:Surgeon satisfaction before the implementation of specialized group management was significantly lower than after its implementation(P<0.05).Besides,surgical nurses’core professional competency scores before the implementation of specialized group management were significantly lower than after its implementation(P<0.05).Lastly,surgical patients’satisfaction before the implementation of specialized group management was significantly lower than after its implementation(P<0.05).Conclusion:Specialized group management helps to improve the quality of perioperative care and should be applied in clinical practice.

TOPCARES-CDIO与目标导向管理在手术室新护士培训中的应用

目的探讨以目标为导向的计算机教育改革-构思、设计、实施、运行(target oriented project centered authenticity enhanced reform of computer education based on-conceive,design,implement,operate,TOPCARES-CDIO)理念结合目标导向管理在手术室新进护士教育培训中的应用效果。方法采用前后对照研究设计,选取2019年1月—2023年6月于河北大学附属医院手术室工作不足1年的60名新进护士,随机分为对照组与试验组,每组30名。对照组采用传统的教育培训模式,试验组采用TOPCARES-CDIO理念结合目标导向管理的教育培训模式。比较2组新进护士培训前后的核心能力、护理实践行为、职业获益感、技能能力、护理质量和医患满意度等指标的变化。结果培训后,2组新进护士的核心能力、护理实践行为、职业获益感、技能能力、护理质量和医患满意度得分高于护理前,且试验组高于对照组,差异有统计学意义(P<0.05)。结论TOPCARES-CDIO理念结合目标导向管理的教育培训模式能有效提高手术室新进护士的核心能力、护理实践行为、职业获益感、技能能力、护理质量和医患满意度,有利于促进手术室新进护士的专业发展和团队协作。

Implementation of a risk management plan in a hospital operating room

A risk management program based on ASeNZS4360 risk management standards was developed and implemented in the operating room of Peking University Third Hospital.To accomplish this task,we developed a risk quantification matrix and a risk register form to identify potential risks in the operating room,and then implemented operating room policies designed to reduce or eliminate those risks.We also established a consultation mechanism and risk monitoring system designed to minimize risks to operation room nurses.Finally,we continuously seek to improve our operating room risk management capabilities,so we can continue to improve the quality of service provided and guarantee the safety of surgical patients.

Analysis of the Influence of Operating Room Nursing Care Management on the Incidence Rate of Nosocomial Infection in Orthopedic Surgery Patients

Objective:To analysis the influence of operating room nursing care management on the incidence rate of nosocomial infection in orthopedic surgery patients.Methodology:Fifty six orthopedic surgery patients who admitted into the hospital between January to December 2018 were enrolled into this study and randomly divided into two groups,which were the control group(under general management)and the observation group(under the operating room nursing care management).Further,the incidence rate of nosocomial infections,the incidence rate of irregular nursing care phenomena,the satisfaction score of nursing care management,and the quality of life score were observed and recorded.Result:The incidence rate of nosocomial infection,the incidence rate of irregular nursing care management,the satisfaction score of nursing care management,and the quality of life score of the observation group were compared to that of the control group,and the result showed P<0.05,indicates the statistical significance between the data indicators.Conclusion:The use of operating room nursing care management in patients with orthopedic surgery has shown a significant effect.

Application effect of safety hazard self-examination mode in nursing risk management in hepatobiliary surgery

Objective:To explore the application effect of safety hazard self-examination mode in nursing risk management in hepatobiliary surgery.Methods:Sixty patients underwent hepatobiliary surgery in two tertiary hospitals in Shandong Province from May 2021 to October 2021.According to the different implementation time,they were divided into 30 cases in the observation group and 30 cases in the control group.The control group adopts routine risk assessment,and the observation group adopts the self-examination mode of potential safety hazards on the basis of routine risk assessment to compare the incidence of nursing risk between the two groups.Results:The observation group had a significantly lower incidence of safety hazards in terms of missing surgical instruments,lack of aseptic operation,and postoperative pressure injuries than the control group(P<0.05).Conclusion:The appropriate hazard self-examination mode in the hepatobiliary operation room is of positive significance to improve the safety awareness of operating staff and the comprehensive ability of operating room nurses.

Application of CAN Bus in Hotel Guest Room Service and Management System

Technical features about CAN bus are described. One kind of scheme in Hotel Guest Room Service and Management System based on CAN bus is presented. The system's structure and main function are expounded. The work principle and design of the system's hardware and software are explained. The realization of the system's hardware and software is detailed from aspects of improving system's anti-jamming and fault self-examined capability, and the block diagram of each part's circuit is given. Finally, features of the system are summarized, and a comparison with the system based on RS485 was made to prove the advantages of the system. By practice, CAN bus in the system can transmit data steadily and reliably.

PDCA-SDCA双循环管理法对手术间清洁质量与质量控制指标的影响

目的:探讨PDCA-SDCA双循环管理法用于手术间清洁质量管理的效果。方法:应用PDCA-SDCA双循环管理模式,对地面湿式清洁、拖地、擦拭物体表面、医疗废物处置等手术室清洁各项操作和检测进行标准化质量控制,维持实施效果。结果:实施1个月后,手术室空气菌落合格率为90.00%,手表面菌落合格率为88.33%,物体表面菌落合格率为88.33%,与实施前比较,均明显提高,差异有统计学意义(P<0.05);实施6个月后,手术室空气菌落合格率为95.00%,手表面菌落合格率为98.33%,物体表面菌落合格率为100.00%,环境卫生检测合格率较实施后仍有所上升,差异无统计学意义(P>0.05);实施1个月后保洁员拖地、物体表面擦拭、医疗废物处置、含氯消毒液配制各项作业考核评分高于实施前(P<0.05),且实施6个月后,保洁员各项作业考核评分与实施1个月后评分比较差异无统计学意义(P>0.05);实施6个月后清洁环节缺陷发生率(4.65%)与实施前(27.78%)、实施1个月后(15.00%)比较,差异有统计学意义(P<0.05)。结论:PDCA-SDCA双循环管理法用于手术室管理中,能改善手术室环境卫生质量,提高保洁员清洁作业质量,减少手术室清洁环节缺陷发生率。

Obstetrics Risk Management in 5 Iranian Hospitals (Tehran-2012)

Background: Risk management is improving quality of health care services and creating a safer system of care. We determined the main maternal and fetal risks in five Hospitals (Tehran-Iran) to offer some practical strategies to decline obstetric adverse events and provide better pregnancy outcome. Methods: A descriptive, cross-sectional study was carried out in 5 Iranian hospitals (2011-2012).?Twelve Obstetricians/perinatalogists and midwives from 5 hospitalswho were in charge of Maternity Units, were our assistants in these hospitals. We organized a secretariat including Obstetricians/perinatalogists and midwives. The principles of Obstetrics Risk Management were introduced to them in a 2 days’ workshop. Then the delegates from each hospital were asked to report the most common obstetrical complications of their hospitals. The main results were 24 complications. Then for sorting these risks we asked them to do scoring of the 24 complication with 1 - 10 grading in 4 aspects of probability of occurrence, possibility of prevention, priority of interventions and short term response to interventions. Post partum haemorrhage, labor management problems, and neonatal hypothermia got the highest scores in these regards, and then these 24 items were categorized in 2 groups of risk assessment and hospital management. Finally based on Risk Management Rules in Clinical Governance, the complications analysis was done with use of failure mode, effects analysis and practical strategies to decline obstetrical adverse events were suggested. Results: We understood all reported complications had common infrastructural problems: defects in Risk Assessment and Hospital Management Policies. We focused on basic infrastructural management in these 2 main subjects and in these two: our main problems were related to staff management and hospital management issues. Conclusion: Since managerial and staff dependent problems were our main problems, these two should be considered as our main priorities in risk management program.

Application of Software Restoration System in Computer Room Management

The computer laboratory of colleges and universities plays a key role in the scientific research and talent training of colleges and universities.The maintenance and management of computer room is relatively heavy.In recent years,the computer motherboard supports the development of restore function and network transmission function,which brings great convenience to the management and maintenance of computer room in colleges and universities.Among them,the representative is Tsinghua Tongfang's network with the transmission technology and Lenovo's network transmission technology,but in order to achieve the network with the transmission of this function,also need to meet a lot of conditions.This paper will mainly explore the management of college computer room cannot use the hardware network to restore the computer function.

Exploration and Discussion on Drug Management in the Operating Room

Operating room drug management work directly related to the safety of medication and the scientific nature of medication,the most important content of operating room drug management is to ensure the rational and safe use of drugs,to avoid drug abuse and misuse.This paper mainly explores the problems existing in the current operating room drug management process,points out the specific drug management model,and hopes to give full play to the role of drug management to ensure that drugs can be applied scientifically.

Obstacles to the Integrated Care of Children Aged 6 to 59 Months Suffering from Acute and Severe Malnutrition at the Chu-Me and HATC of N’Djamena/Chad

Introduction: the problem of Severe Acute Malnutrition (SAM) and its consequences concern and challenge all social actors worldwide. The objective of the study was to identify the real obstacles that actors face in the integrated management of children aged 6 - 59 months suffering from SAM at the University Hospital of Mother and Child (CHUME) and the Chad-China Friendship Hospital (HATC) of N’Djamena. Methodology: this is a cross-sectional descriptive and interpretative study conducted from January to October 2023 at the CHUME and HATC of N’Djamena. It is based on questionnaires and direct observation of two hundred and thirty-six (236) parents or guardians of malnourished children admitted to these health facilities. All 236 agreed to participate freely in this study. Results: it appears from this study that the obstacles to the integrated management of malnourished children were: poor care-care relationship (26.7%) permanent product breaks (22.9%), the direct costs of services ranged from 30,000 to 60,000 FCFA (41.53%), drugs used for the treatment of patients came from the street (66.10%), malaria and anemia occupy an important place (27.5%), 57.2% respondents had monthly income below 60,000 CFAF. Conclusion: the present study carried out has identified the real bottlenecks to the integrated management of children suffering from SAM in the therapeutic nutritional units of the city of N’Djamena. .

Prevention and Control Strategy of Reader Factors in Safety Management of Electronic Reading Room

Many libraries have built and opened the electronic reading room,electronic reading room security management has been paid more and more attention.In the specific safety management,the prevention and control of reader factors is very important.By comparing and analyzing the prevention and control of reader factors in the safety management of some electronic reading rooms,it can be found that the corresponding prevention and control situation is not ideal,and even there are some obvious problems,which also leads to great hidden dangers in the safety management level.This paper will specifically analyze the prevention and control of reader factors in the safety management of electronic reading room,and put forward more effective prevention and control strategies.

United States Healthcare Data Breaches: Insights for NIST SP 800-66 Revision 2 from a Review of the NIST SP 800-66 Revision 1

Healthcare security and privacy breaches are occurring in the United States (US), and increased substantially during the pandemic. This paper reviews the National Institute of Standards and Technology (NIST) publication base as an effective solution. The NIST Special Publication 800-66 Revision 1 was an essential standard in US healthcare, which was withdrawn in February 2024 and superseded by SP 800-66 Revision 2. This review investigates the academic papers concerning the application of the NIST SP 800-66 Revision 1 standard in the US healthcare literature. A systematic review method was used in this study to determine current knowledge gaps of the SP 800-66 Revision 1. Some limitations were employed in the search to enforce validity. A total of eleven articles were found eligible for the study. Consequently, this study suggests the necessity for additional academic papers pertaining to SP 800-66 Revision 2 in the US healthcare literature. In turn, it will enhance awareness of safeguarding electronic protected health information (ePHI), help to mitigate potential future risks, and eventually reduce breaches.

NBASS-APS模式护理在麻醉恢复室老年患者中的应用效果

目的:观察急性疼痛管理(NBASS-APS)模式护理在麻醉恢复室老年患者中的应用效果。方法:选取2022年5月至2023年5月该院收治的150例麻醉恢复室老年患者进行前瞻性研究,按照随机数字表法将其分为研究组和对照组各75例。对照组采用常规护理,研究组采用NBASS-APS模式护理。比较两组疼痛程度[视觉模拟评分法(VAS)]评分、舒适度[Kolcaba的舒适状况量表(GCQ)]评分和麻醉不良反应发生率。结果:入室后30 min,两组VAS评分均低于入室后5 min,且研究组低于对照组,差异有统计学意义(P<0.05);出室前3 min,两组生理、心理、精神、社会文化和环境等GCQ评分均高于入室后5 min,且研究组高于对照组,差异有统计学意义(P<0.05);研究组麻醉不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论:NBASS-APS模式护理应用于麻醉恢复室老年患者可提高舒适度评分,降低疼痛程度评分和麻醉不良反应发生率,其效果优于常规护理。

基于SpringBoot和Uni-App框架的自习室平台的设计与实现

目前,国内教育开始大规模普及在线学习模式。然而,许多现有的在线学习平台逐渐出现过度娱乐化和社交严重化的问题,这严重违背了在线学习平台诞生的初衷;此外,平台功能相对有限,难以全面管理用户的学习状态,市面上满足用户需求的产品也相当匮乏。为此,文中基于SpringBoot和Uni-App框架设计与开发了一款移动端自习室平台,专门为用户提供学习状态管理服务。该平台的主要功能包括自习状态管理、学习动态管理、排行榜、记事本、用户信息管理5大功能模块。该平台可为用户提供一系列学习状态管理服务,帮助用户养成良好的学习自制力,培养学生的自主学习能力,提高学习效率。

Room Temperature Phosphorescence of 1-Bromo-4-(bromoacetyl) naphthalene Induced by Sodium Deoxycholate

Sodium deoxycholate (NaDOC) could induce 1-bromo-4-(bromoacetyl) naphthalene (BBAN) to emit strong room temperature phosphorescence (RTP). Measurements of phosphore- scence spectra, peak intensity and polarization were used to investigate the solubilization of BBAN as a function of NaDOC concentration.

Room Temperature Phosphorescence pH Switch Based on Photo-induced Electron Transfer

In this paper, photoinduced electron transfer(PET) phosphoroionophore, N-(1-bromo- 2-naphthylmethyl)-diethanolamine (BND) was synthesized and its phosphorescent characteristics were studied. The experimental results showed that strong phosphorescence could be observed in b-cyclodextrin aqueous solution only at low pH value. This system combined AND and NOT function to produce a three-input inhibit (INH) logic gate.

基于智慧物联网的高值医用耗材二级库管理模式实践--以内蒙古自治区人民医院为例

以内蒙古自治区人民医院为例,介绍了高值医用耗材管理概况,梳理了高值医用耗材管理发展过程,指出了基于SPD的高值医用耗材管理模式存在的问题,阐述了改进措施并分析了效果。实践证明,基于智慧物联网的二级库管理模式对于介入手术室耗材的科学化、精细化、智能化管理水平的提升具有积极作用。

NICU早产儿母乳喂养链式管理效果评价

目的观察链式管理对NICU早产儿母乳喂养及喂养并发症的影响。方法将180例NICU早产儿按入院时间分为对照组和试验组各90例。对照组实施常规NICU母乳喂养策略,试验组在对照组基础上进行链式管理,构建并实施产房、产科和NICU间横向管理和各科室内部纵向管理。结果最终对照组82例、试验组81例早产儿完成研究。干预后,试验组纯母乳喂养率显著高于对照组,试验组早产儿喂养不耐受、坏死性小肠结肠炎、宫外发育迟缓和新生儿高胆红素血症发生率显著低于对照组(均P<0.05),试验组恢复至出生体质量日龄显著短于对照组,出院体质量显著大于对照组(均P<0.05)。结论链式管理有利于提高NICU早产儿的纯母乳喂养率,降低喂养并发症发生率,促进新生儿生长发育。