Objective The purpose of the present study is to provide scientific evidence for the implementation of standardized management of the loaner instruments by examining the process of receiving through issuing steps and ...Objective The purpose of the present study is to provide scientific evidence for the implementation of standardized management of the loaner instruments by examining the process of receiving through issuing steps and analyzing challenges encountered by the CSSD of our hospital. Methods The loaner instruments were collected and categorized into the control group( 2 639 pieces during the period of January 2013 to December 2014) and the observation group( 2 418 pieces during the period of January 2015 to December 2016). The possible causes of the challenges were carefully investigated and analyzed. Results After the implementation of standardized management procedures,the efficiency and qualified care of the loaner instruments was significantly improved by measuring qualified rate. The difference in the qualified rate between control and observation groups was statistically significant( P < 0. 01). Conclusion The implementation of the standardized management procedures is important for central sterilization supply departments in guarantee of safe supplies of the loaner instruments,reducing operation risks,and ultimately ensuring patient safety.展开更多
目的通过循证证据的临床转化,探索规范预防和干预新生儿操作性疼痛的方法,为新生儿减轻或消除生理与心理的不良影响提供帮助。方法选取聊城市人民医院儿科2022年1月1日—3月31日收治的60例新生儿作为研究对象。根据预防与管理新生儿操...目的通过循证证据的临床转化,探索规范预防和干预新生儿操作性疼痛的方法,为新生儿减轻或消除生理与心理的不良影响提供帮助。方法选取聊城市人民医院儿科2022年1月1日—3月31日收治的60例新生儿作为研究对象。根据预防与管理新生儿操作性疼痛干预实施前后分为对照组(2022年1月1日—2月14日)与试验组(2022年2月15日—3月31日),每组30例,均实施静脉留置针穿刺。对照组实施传统疼痛干预措施。试验组以《Prevention and management of procedural pain in the neonate:an update,American Academy of Pediatrics,2016》《新生儿疼痛评估与镇痛管理专家共识(2020版)》作为预防与管理新生儿操作性疼痛的最佳循证证据,参照胡雁教授等提出的复旦循证护理实践途径,经过证据传播、证据应用和证据生成等环节进行临床循证证据的临床转化;同时将制定的新生儿镇痛管理方案及流程为依据进行留置针穿刺时开展规范化疼痛干预,使用汉化版婴儿疼痛行为指征量表(Chinese-behavior indicators of infant pain,C-BIIP)在干预前后进行疼痛评估。并对聊城市人民医院儿科病房35名护士开展循证证据临床转化前后对新生儿操作性疼痛相关知识认知度进行问卷调查,将所得数据经SPSS 22.0进行统计学比较。结果(1)疼痛干预前后效果评价对比,试验组留置针穿刺过程中2 min与留置针穿刺操作后1 min的疼痛评分分别为(6.00±0.87)分、(5.17±1.42)分,均明显低于对照组的(4.10±1.03)分、(1.80±1.42)分,比较差异均有统计学意义(P<0.001)。(2)循证证据临床转化后35名护士对新生儿操作性疼痛相关知识中的新生儿疼痛认知、疼痛评估、疼痛干预等方面及总体认知度评分均高于转化前,比较差异均有统计学意义(P<0.001)。结论循证证据临床转化的实践过程可能帮助护士进一步规范预防和干预新生儿操作性疼痛,提升护士对新生儿操作性疼痛的预防和管理水平。展开更多
终端区航空器的飞行密度和复杂度较高,此管制区域的处理能力是制约航空体系效率的瓶颈,对进场航空器管制效率进行量化研究,有助于提高管制工作处理能力和质量。首先,提出以区域导航(RNAV,regional area navigation)标准仪表进场程序的...终端区航空器的飞行密度和复杂度较高,此管制区域的处理能力是制约航空体系效率的瓶颈,对进场航空器管制效率进行量化研究,有助于提高管制工作处理能力和质量。首先,提出以区域导航(RNAV,regional area navigation)标准仪表进场程序的标称里程为计算基准量化进场管制效率,通过随机搜索聚类算法的结果得到航空器使用的RNAV标准仪表进场程序,选用在北京首都国际机场着陆的航空器为分析对象,计算航空器的进场管制效率,结合航迹讨论不同RNAV标准仪表进场程序下航空器的运行方式及特点。其次,对进场管制效率的影响因素进行分析,并采用灰色关联分析法量化各影响因素的影响程度与权重,结果显示:雷达引导度和航行三要素改变次数对进场管制效率具有显著影响,飞行流量和RNAV标准仪表进场程序的标称里程对进场管制效率的影响相对较小。继而,从影响因素角度出发评估整体进场管制效率,得到更为全面客观的整体进场管制效率。最后,尝试从RNAV进场程序路径以及优良管制行为模式两方面寻求进场管制效率的提升途径和方法。展开更多
基金Special Fund of Academic Competence Improvement Project in Nursing of Integrated Traditional Chinese and Western M edicine(TG20180002g)
文摘Objective The purpose of the present study is to provide scientific evidence for the implementation of standardized management of the loaner instruments by examining the process of receiving through issuing steps and analyzing challenges encountered by the CSSD of our hospital. Methods The loaner instruments were collected and categorized into the control group( 2 639 pieces during the period of January 2013 to December 2014) and the observation group( 2 418 pieces during the period of January 2015 to December 2016). The possible causes of the challenges were carefully investigated and analyzed. Results After the implementation of standardized management procedures,the efficiency and qualified care of the loaner instruments was significantly improved by measuring qualified rate. The difference in the qualified rate between control and observation groups was statistically significant( P < 0. 01). Conclusion The implementation of the standardized management procedures is important for central sterilization supply departments in guarantee of safe supplies of the loaner instruments,reducing operation risks,and ultimately ensuring patient safety.
文摘目的通过循证证据的临床转化,探索规范预防和干预新生儿操作性疼痛的方法,为新生儿减轻或消除生理与心理的不良影响提供帮助。方法选取聊城市人民医院儿科2022年1月1日—3月31日收治的60例新生儿作为研究对象。根据预防与管理新生儿操作性疼痛干预实施前后分为对照组(2022年1月1日—2月14日)与试验组(2022年2月15日—3月31日),每组30例,均实施静脉留置针穿刺。对照组实施传统疼痛干预措施。试验组以《Prevention and management of procedural pain in the neonate:an update,American Academy of Pediatrics,2016》《新生儿疼痛评估与镇痛管理专家共识(2020版)》作为预防与管理新生儿操作性疼痛的最佳循证证据,参照胡雁教授等提出的复旦循证护理实践途径,经过证据传播、证据应用和证据生成等环节进行临床循证证据的临床转化;同时将制定的新生儿镇痛管理方案及流程为依据进行留置针穿刺时开展规范化疼痛干预,使用汉化版婴儿疼痛行为指征量表(Chinese-behavior indicators of infant pain,C-BIIP)在干预前后进行疼痛评估。并对聊城市人民医院儿科病房35名护士开展循证证据临床转化前后对新生儿操作性疼痛相关知识认知度进行问卷调查,将所得数据经SPSS 22.0进行统计学比较。结果(1)疼痛干预前后效果评价对比,试验组留置针穿刺过程中2 min与留置针穿刺操作后1 min的疼痛评分分别为(6.00±0.87)分、(5.17±1.42)分,均明显低于对照组的(4.10±1.03)分、(1.80±1.42)分,比较差异均有统计学意义(P<0.001)。(2)循证证据临床转化后35名护士对新生儿操作性疼痛相关知识中的新生儿疼痛认知、疼痛评估、疼痛干预等方面及总体认知度评分均高于转化前,比较差异均有统计学意义(P<0.001)。结论循证证据临床转化的实践过程可能帮助护士进一步规范预防和干预新生儿操作性疼痛,提升护士对新生儿操作性疼痛的预防和管理水平。
文摘终端区航空器的飞行密度和复杂度较高,此管制区域的处理能力是制约航空体系效率的瓶颈,对进场航空器管制效率进行量化研究,有助于提高管制工作处理能力和质量。首先,提出以区域导航(RNAV,regional area navigation)标准仪表进场程序的标称里程为计算基准量化进场管制效率,通过随机搜索聚类算法的结果得到航空器使用的RNAV标准仪表进场程序,选用在北京首都国际机场着陆的航空器为分析对象,计算航空器的进场管制效率,结合航迹讨论不同RNAV标准仪表进场程序下航空器的运行方式及特点。其次,对进场管制效率的影响因素进行分析,并采用灰色关联分析法量化各影响因素的影响程度与权重,结果显示:雷达引导度和航行三要素改变次数对进场管制效率具有显著影响,飞行流量和RNAV标准仪表进场程序的标称里程对进场管制效率的影响相对较小。继而,从影响因素角度出发评估整体进场管制效率,得到更为全面客观的整体进场管制效率。最后,尝试从RNAV进场程序路径以及优良管制行为模式两方面寻求进场管制效率的提升途径和方法。
