Analysis of The Impact of Excellent Event Management on the Safety of Patients and Clinical Caregivers

Objective: To investigate the impact of excellent event management in improving patient safety and nursing staff care satisfaction. Methods: The study was analyzed by retrospective comparison, and routine management from January 2022 to December 2022 was set as the control group, and excellent event management from January 2023 to January 2024 was set as the study group. The differences in nursing outcomes between both groups were compared. Results: The rate of adverse events in the study group (0.61%) was lower than that in the control group (0.96%), and the rate of excellent events in the study group (2.57%) was higher than that in the control group (0.97%) (P < 0.05). Meanwhile, the satisfaction level of nursing safety in the study group reached 98.81%, which was much higher than in the control group (92.21%) (P < 0.05). Conclusion: Nursing excellent event management had a positive impact on improving patient care safety satisfaction, reducing the rate of adverse events, and increasing the rate of reporting excellent events.

MR-guided laser interstitial thermal therapy for drug-resistant lesional epilepsy:a single-center experience

Background To describe and report the efficacy and safety of MR-guided laser interstitial thermal therapy(MRgLITT)in the treatment of drug-resistant epilepsy.Methods A retrospective review of all MRgLITT procedures in our hospital was performed.All procedures were performed using a surgical laser ablation system.Demographic and outcome data were compiled and analyzed.Results A total of 19 patients underwent MRgLITT procedures from June 2021 to November 2021.The average age at surgery was 18.1 years(3-61.4 years).The average length of hospitalization post-surgery was 4.95 days(4-7 days).Surgical substrates included 8 patients with hypothalamic hamartomas,5 with medial temporal lobe epilepsy,3 with deep focal cortical dysplasia,1 with tuberous sclerosis,1 with a cavernous malformation,and 1 with Lennox-Gastaut syndrome who underwent anterior corpus callosotomy.Complications occurred in three patients.After an average follow-up of 1 year,6 patients were seizure-free(Engel I,31.6%),1 had significant seizure control(Engel II,5.3%),7 had seizure control(Engel III,36.8%),and 5 had no improvement in their seizures(Engel IV,26.3%).Fisher’s exact tests did not reveal statistical significance for the association between Engel class outcome and epileptic disease.Conclusion This study confirmed that MRgLITT,as a method for treating drug-resistant epilepsy,is minimally invasive,safe,and efficient and that it can reduce the incidence of surgery-related complications.