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加强急诊综合管理 提高急诊救护质量

【摘要】 目的 探讨急诊护理的综合管理,提高急诊护士整体素质,全面提升急诊护理质量。方法 规范管理,设计操作流程图,规范护士的行为;加强培训考核力度,使护士熟练掌握急救技能,制定急救护理考核标准,并在急救护理管理中实施全面考核,提高急救护理管理质量。结果 通过实施急诊急救护理的全面考核,规范了急救护理的管理,护理质量明显提高。结论 加强急诊综合管理,提高急诊护理质量,提高患者满意度,树立医院良好形象。

以人为本的科学发展观在护理管理中的体现

【摘要】探讨运用以人为本的科学发展观在护理管理的应用。以科学发展观建立的护理管理体系主要体现在对护理人员给予以人为本的管理模式上,以人为本护理管理可以充分挖掘护理人员的潜力,调动积极性、主动性和创造性,是对护理人员行之有效的管理方法,更能为患者提供比较优质满意的服务。

血液科病区加床的护理管理

病区加床是血液科为满足患者的需求，缓解“入院难”现状而开设的，类似于日间病房的诊疗模式，有效地缓解了部分住院病房和门急诊出现的患者积压，充分提高了床位使用率。但其增加了医护工作强度，存在一定的安全隐患，对其合理管理是保障医疗护理安全的关键。

书面交接班本在神经外科的应用

【摘要】 目的 探讨适合神经外科特点的书面交接班方式，提高护理交接班质量。 方法 2007年9月起根据神经外科护理工作特点设计书面交接班本，规范书面交接班本的书写内容，实行三级质量控制。 结果 书面交接班本详细记录了交接班内容，内容全面，重点突出，降低了护理工作中漏洞的发生率，提高了护理质量。 结论 书面交接班本的应用，提高了工作效率，保障了护理工作的连续性和护理安全，有利于护理工作质量控制。

“互联网+”下中国伤口专科护理的发展

Application and effect of “1+2+4+X” nursing manpower emergency management model during coronavirus disease 2019 pandemic

After the promulgation of the “Ten New Measures” for coronavirus disease 2019 (COVID-19) pandemic, the Nursing Department of West China Hospital of Sichuan University promptly analyzed the development and changes of the epidemic situation and the key and difficult points of nursing manpower emergency management, and constructed a “1+2+4+X” nursing manpower emergency management model for COVID-19 patients, including establishing a dedicated management team, assessing manpower needs, constructing a nursing manpower management model, on-site and online training, and dynamic monitoring and adjustment. From December 7th, 2022 to February 1st, 2023, the Nursing Department mobilized a total of 693 nurses, covering 4 temporary intensive care units and 30 temporary general wards. The hospital-wide qualification rate of airway humidification management for patients in temporary general wards was 94.9%, the qualification rate of artificial airway fixation was 97.9%, and the compliance of bed head elevation was 100.0%. The “1+2+4+X” nursing manpower emergency management model constructed is helpful for the reasonable scheduling of nursing manpower during the epidemic period and provides a reference for the emergency deployment of nursing manpower for the treatment of infectious disease epidemics in large medical institutions in the future.

The Orthopedics Nursing Management Flow for the Rescue of Group Patients at the Earthquake

目的:探讨公共突发事件中大批量收治伤员时的骨科护理管理流程。方法:对汶川地震期间,四川大学华西医院骨科收治1 410名骨科地震伤员时包括紧急组织管理、护理人力资源管理、护理流程革新以及信息管理等的护理管理进行总结、分析、评价。结果:通过高效的护理应急管理,保证了在汶川地震灾害救援中的医疗、护理质量,提高了伤员的整体救护水平。结论:医院建立有效的应急管理体系,通过各部门配合,再造护理管理流程,在灾害医疗救援中具有重要意义。

Experience of Infliximab Infusion Management for Crohn’s Disease

目的　探讨英夫利西单抗治疗克罗恩病（CD）在临床护理中的有效管理措施。 方法　对2011年9月—2012年8月静脉输注英夫利西单抗的25例住院患者，在药物配伍、输注流程、配制方法等方面予以严格管理，并严密观察药物不良反应和积极做好健康宣教。 结果　经过精心的观察、护理和有效的护理管理措施，25例患者用药6周后体温恢复正常，大便次数1～2次/d，大便隐血试验阴性，腹痛、腹胀症状缓解，体重增加2～7 kg。 结论　在英夫利西单抗药物临床输注过程中，实施有效的输注护理管理措施是确保患者治疗安全以及提高护理质量的重要保障。

Design and application of nucleic acid information early warning system in medical institutions in coronavirus disease 2019 regular epidemic prevention and control

Objective To design a nucleic acid information early warning system and evaluate the effect of the application. Methods 60 nurses working in the clinical department of Zhongnan Hospital of Wuhan University from August to October 2021 were selected by convenient sampling method, and the included nurses were divided into experimental group and control group. The experimental group used the nucleic acid information early warning system, and the control group used the nucleic acid registration in a common way. Statistical duration of the nucleic acid information, nucleic acid leakage detection rate and nurses job satisfaction after application were compared between the two groups. Results After the application of nucleic acid information early warning system, compared with the control group, the statistical duration of the nucleic acid information in the experimental group was shortened [(2.0±0.4) vs. (3.8±0.7) min; t=25.827, P<0.001], nucleic acid leakage detection rate decreased [1.4% vs. 6.9%; P=0.019]. The job satisfaction of the experimental group was higher than that of the control group (P<0.001). Conclusions Applying the nucleic acid information early warning system could reduce statistical duration of the nucleic acid information, nucleic acid leakage detection rate and improve nurses job satisfaction and work experience. It will provide reference and basis for medical institutions to normalize the management of nucleic acid prevention and control in medical institutions.

患者安全评价体系在医院护理管理中的应用及研究进展

在医院的护理管理工作中，患者的生命安全是医护人员长期面临的一个问题。在搜集不良护理事件信息的基础上，制定出一套科学、合理的患者安全评价体系，有助于减少护理差错的发生，有效保障患者的医疗安全，同时还能为医院的护理规划、护理决策提供一定的信息支持，为改善患者安全保障体系提供有效的管理工具。该文主要针对患者安全评价体系在国内及国外医院护理管理中的应用进展进行了简要综述，以期为提高国内医院护理管理水平提供参考。