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find Keyword "工作模式" 6 results
  • The Equipment and the Working Model of Pakistan International Medical Rescue Team in Wenchuan Earthquake

    Objective To analyze the equipment and the working model of Pakistan international medical rescue team in Wenchuan earthquake in order to provide the first hand references for our medical rescue. Methods We analyzed the aim, the staff composition, the medical equipment, the logistic material and the working model of the Pakistan international medical rescue team by working with the Pakistan team, and summarized its strengths and weaknesses. Result The main aim of the Pakistan international medical rescue team is to search, rescue and treat the wounded and sick in mass casualty incident. The team consisted of 28 staffs, including 2 leaders (the executive leader was an epidemic expert, and the vise leader was an administrative officer), 6 clinical doctors, 2 nurses, 3 medical technicians, 10 field search and rescue staffs and 5 logistics staffs. The medical equipment included a field ambulance, 7 field tents and 2 marine satellite phones. The medical equipment and instruments include an X-ray table, a B-ultrasound scanner, an ECG tester, a set of surgery operation equipment and 2 sets of ICU instruments. The main medicines included antibiotics, analgesics and for trauma treatment. Narcotic drugs and surgical supplies supported 200 patients; fluid infusion and drugs were enough for 500 patients; other laboratory reagents were enough for 500 patients; oral drugs, disinfection cotton and bandages were for 3 000 patients. Logistics materials contained a set of cooking appliances, 2 sets of toilet facilities and enough rice, flour and water for the whole team for two weeks. The field tent hospital was built in one day. In the field tent hospital, 1 256 patients were treated, 14 surgeries were performed, 236 X-ray and B-ultrasound examinations as well as 314 biochemical examinations were conducted within 10 days. Conclusion With complete disciplines and rational structure, the configuration of the Pakistan team is fitful for its aim, and it balances the function of search, rescue and public health. Apart from equipment and instruments enough for 300-500 patients rescue, the team also considers both its own survival and environmental protection. The outcome would be better if they could arrive at the spot in the first week after the earthquake happened.

    Release date:2016-09-07 02:13 Export PDF Favorites Scan
  • 胸外科门诊-入院-出院一体化工作模式探讨

    目的 建立胸外科患者门诊-入院-出院一体化的工作模式,提高患者就医体验的满意度,持续改进护理质量。 方法 制定胸外门诊-入院-出院一体化工作流程,比较2010年、2011年的门诊人次、出院人次,术前等待时间、平均住院时间;并自行设计护理服务满意度调查表,对2010年1月-2011年12月入住的患者,每月随机调查10例,共计240例次,分析就医体验等数据。 结果 门诊人次上升11.2%;出院人次上升4.91%;术前等待时间下降7.20% ;平均住院日下降0.66%;患者就诊体验满意度由90.83%提高到97.67%(P<0.01)。 结论 择期手术患者部分术前检查前移至门诊,缩短术前等待时间;护理评估、健康教育从门诊开始,实施一体化连续的健康教育,能提高患者对护理工作的认可度;出院后为患者提供良好的随访服务,解除患者的后顾之忧。

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  • 重症医学科构建外周静脉置入中心静脉导管医护一体的工作模式探讨

    目的在重症医学科(ICU)开展外周静脉置入中心静脉导管(PICC)医护一体合作的工作模式,以提高PICC置管的成功率,解决重症患者置管的相关问题,降低导管相关性血流感染(CRBSI)发生率。 方法选择2010年4月-2012年3月入住ICU的置入PICC的患者229例,按照入住日期单双数分为对照组和试验组,比较两组CRBSI的发生率和PICC置管成功率。 结果试验组CRBSI发生率明显低于对照组;且试验组的PICC置管成功率明显高于对照组,差异均有统计学意义(P<0.01)。 结论ICU构建PICC医护一体的工作模式,能显著提高重症患者PICC置管成功率和安全性,降低CRBSI发生率,减少了重症患者反复静脉穿刺的痛苦,保护患者外周静脉,提高护理质量及工作效率。

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  • New progress of clinical orthopedic rehabilitation

    This paper describes the latest definition, connotation, content and working mode of orthopedic rehabilitation. It points out that the main contents of orthopedic rehabilitation should include the rehabilitation of patients with orthopedic diseases after surgery and non-surgical treatment. The research progress of stem cells, especially mesenchymal stem cells, in the treatment of osteoarthritis and lumbar intervertebral disc degeneration are reviewed. The latest progress of platelet-rich plasma in the treatment of injury of articular cartilage, ligament and tendon injuries are also reviewed.

    Release date:2018-10-22 04:14 Export PDF Favorites Scan
  • Exploration and practice of “Project Work Mode of West China” for online intervention, prevention, and control of 2019-nCoV

    ObjectiveTo explore the application value of “Project Work Mode of West China” in the online prevention and control of new coronavirus (2019-nCoV).MethodBased on the rich experience of earthquake relief and project management in West China Hospital of Sichuan University, the “Project Work Mode of West China” was continuously optimized by PDCA cycle.ResultsThe “Project Work Mode of West China” could be applied to the 2019-ncov public health emergency, and the closed loop of rapid response had been established. The whole project team ran well and the system operation and maintenance were stable.ConclusionsThe “Project Work Mode of West China” provides a working path for the online epidemic prevention and control. The use of internet remote cooperative office effectively promotes the scientific emergency management of the epidemic and plays an active role in the online epidemic prevention and control.

    Release date:2020-03-30 08:25 Export PDF Favorites Scan
  • Practice of hospital infection prevention and control supervision in primary hospital: experience sharing of “Infection Prevention in Gansu Province”

    In recent years, with the increasing attention of health administrative departments and medical institutions at all levels to hospital infection, the prevention and control of hospital infection is increasing. As an important part of the quality control network, the role of provincial quality control center has a very important impact on the effectiveness of quality control work. Since its establishment, “Gansu Provincial Medical Quality Control Center of Hospital Infection Management” has actively explored the quality control mode suitable for the provincial situation, continuously strengthened the basic hospital infection quality control work, and innovated the quality control forms, especially the special quality control activities of “Infection Prevention in Gansu Province” with the core content of “supervision, training and investigation” carried out in combination with the provincial situation, which has created a new quality control work mode of the provincial quality control center. It is recognized and promoted by the national counterparts, and playes a positive role in promoting the management of hospital infection in the whole province. This article expounds the supervision practice of “Infection Prevention in Gansu Province” from four aspects in detail.

    Release date:2021-04-15 05:32 Export PDF Favorites Scan
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