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find Keyword "危急值" 6 results
  • 老年科642例危急值报告分析

    目的 分析老年科常见危急值,讨论危急值报告的临床价值和意义。 方法 收集2010年10月-2011年10月642例危急值报告结果,分析危急值发生的时间、种类及原因。 结果 老年科危急值多发生在8︰00~18︰00时段,共484例 (75.39%),其血钾异常282例(43.93%)、肌钙蛋白增高261例(40.65%)为危急值主要表现。 结论 根据老年科危急值分布的时间特点和种类,合理安排人力资源,针对性地强化药品配置与管理,全面执行危急值报告制度是确保老年患者治疗安全的重要手段。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • Application of PDCA Cycle in Urgent Values Management in Surgical Intensive Care Unit

    ObjectiveTo discuss the application and effect of PDCA cycle in urgent values management in surgical intensive care unit. MethodsWe analyzed the quality of 141 cases of urgent value reports in surgical intensive care unit from May to July 2013 before the application of PDCA management. The quality of urgent values were totally controlled by PDCA circle. There were 135 cases of urgent value reports after the use of PDCA cycle. The data including qualify rate of specimens, record specification rate, and handover of urgent values were compared between the two groups of urgent values. ResultsAfter the application of PDCA cycle management, the awareness rate of urgent value content and disposal processes among medical staffs increased from 75% to 95%, with significant improvement in the quality rate of samples, recording and processing of urgent values and the quality rate of recording. ConclusionThe application of PDCA circle management can constantly correct the problems and ensure the policy implementation in the urgent values system in clinical departments, which can promote continuous quality improvement.

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  • 危急值报告制度在肿瘤内科住院患者诊断和治疗中的应用体会

    目的 探讨持续改进危急值报告制度对肿瘤内科住院患者诊断和治疗的作用。 方法 收集2013年1月1日-2015年1月1日肿瘤内科危急值登记本上所有数据并进行整理分析。 结果 2013年1月1日-2014年1月1日(改进前)接到相关科室报告并记录有危急值的患者共96例,2014年1月2日-2015年1月1日(改进后)接到相关科室报告并记录有危急值的患者共61例。常见的异常指标为白细胞、血小板、血清钾、血清钠、血清钙、肌酐和尿酸。与改进前比较,改进后危急值重复报告率明显降低,患者的满意度明显提高,且未发生因危急值所致的医疗纠纷,差异有统计学意义(P<0.05)。 结论 根据科室实际情况持续改进危急值报告制度能更好地指导临床工作,保障患者医疗安全。

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  • 胸外科危急值报告分析及护理对策的应用

    目的分析胸外科常见危急值的种类及原因,探讨其护理对策。 方法收集2013年1月-12月四川大学华西医院胸外科报告的所有危急值,结合患者的临床资料进行分析,针对形成原因探讨相应的护理对策,并完善危急值的管理制度。 结果危急值报告共93例次涉及82例患者,其中7例患者多次出现危急值,出现2例次危急值4例,出现3例次危急值2例,出现4例次危急值1例。排除4例次假性危急值后,其余89例次危急值发生情况:血钾异常(>6.0或<3.0 mmol/L)72例次(80.90%),血糖异常(>18.0或<2.8 mmol/L)11例次(12.36%),血培养阳性3例次(3.37),人类免疫缺陷病毒阳性2例次(2.25%),凝血功能异常1例次(1.12%)。 结论胸外科常见的危急值与术后应激状态及电解质失衡有关,提供针对性的护理对策,落实危急值报告规范,对保证术后患者的安全和康复有重要意义。

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  • 全科医学科医护一体化危急值报告管理方法及成效

    目的 探讨全科医学科医护一体化危急值管理方法对保证临床正常工作及患者安全的效果。 方法 2013 年 6 月全科医学科成立危急值报告专项管理小组,调查2013 年 7 月—12 月危急值管理中出现漏填、记录错误等风险因素。2014 年 1 月对危急值报告调查情况进行分析并制定、实施相应干预措施。分析干预前 6 个月(2013 年 7 月—12 月)和干预后 6 个月(2014 年 1 月—6 月)的微生物、电解质(钾、钠、氯、钙、镁、无机磷)的危急值项目登记合格率、护理处理合格率及医疗处理合格率的差异性。 结果 实施医护一体化危急值报告管理前后的危急值登记合格率分别为 78.86%、97.31%,护理处理合格率分别为 70.33%、98.65%,医疗处理合格率分别为 59.76%、95.07%,管理后均较管理前明显提高,差异有统计学意义(P<0.05)。 结论 医护一体化危急值报告管理有助于规范临床科室危急值报告登记,提升医疗护理质量。

    Release date:2017-01-18 08:50 Export PDF Favorites Scan
  • Analysis on the management of laboratory critical values in the Department of Cardiovascular Surgery

    Objective To review and analyze the statistics of laboratory critical values in the Department of Cardiovascular Surgery in order to improve the procedures of dealing with these values and provide references for the enhancement of the nursing level. Methods We retrospectively analyzed laboratory critical values of 236 inpatients in the Department of Cardiovascular Surgery from April 2013 to April 2014. General data of the patients including the type of critical values, the critical value, distribution, clinical processing time and complications related to the critical values. Results A total of 208 laboratory critical values of 185 inpatients were analyzed including abnormal blood potassium was involved in 99 (47.60%); abnormal blood glucose was involved in 13 (6.25%); abnormal blood sodium was involved in 11 (5.29%); abnormal blood troponin was involved in 13 (6.25%); and 72 cases had other kinds of critical values (34.62%). A total of 136 critical values were closely related to the Department of Cardiovascular Surgery. Among them, 60 cases had a processing time of 15 minutes or shorter. After re-examination, 16 were confirmed to be fake critical values; and 11 critical values did not need to be treated according to the condition of the patients. There were altogether 27 cases of complications related to critical values, including 23 cases of arrhythmia related to abnormal blood potassium, 2 cases of abnormal muscle strength caused by abnormal blood sodium, and 2 cases of hypoglycemia. After the critical values were handled, related complications disappeared without any recurrence. Conclusions Perfect regulatory regime and process of recording and handling laboratory critical values are important for nurses in our department to carry out more accurate measures in treating these critical values including abnormal blood potassium, blood glucose, blood sodium, and blood troponin, etc. In order to continuously improve medical and nursing quality, nurses should pay more attention to the identification and treatment of laboratory critical values.

    Release date:2017-02-22 03:47 Export PDF Favorites Scan
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