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find Keyword "原因分析" 19 results
  • 医嘱口服药执行单常见缺陷分析及对策

    【摘要】 目的 调查临床口服药执行单中存在的缺陷,分析产生原因,寻求改进对策。 方法 2009年1月-2010年12月,每月随机抽取50份在院病历,共对1 200份在院病历的口服药执行单存在的缺陷进行统计和分析。 结果 192份口服药执行单存在243处医疗缺陷,发生率为20.3%。涂改、仿签62处,多签、漏签41处,超前签字28处,满格后未及时转抄34处,转抄执行单时间与医嘱执行时间不一致26处,缺项28处,未及时起、停医嘱17处,抄错药物7处。引起医疗纠纷1起。 结论 口服药执行单存在各种缺陷。加强护士培训与学习,建立完善的质量控制体系,规范护理文书,可以有效地减少口服药执行单中存在的缺陷,规避医疗纠纷。

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
  • 高压氧治疗不依从性的原因分析

    目的 探讨高压氧治疗时患者不依从性的原因,以积累经验,指导临床工作。 方法 2011年1月-2012年1月间采用自制调查问卷进行回访,总结、分析未遵医嘱进行高压氧治疗患者的不依从性的原因。 结果 由于客观原因,患者高压氧治疗依从性与多种主观因素有关,因缺乏高压氧知识、恐舱、治疗不便等综合因素为主要原因。 结论 加强高压氧知识的普及和宣教,加强人文关怀,提高患者的依从性。

    Release date:2016-09-08 09:16 Export PDF Favorites Scan
  • Conversion to thoracotomy during minimally invasive esophagectomy: Retrospective analysis in a single center

    Objective To explore the causes of conversion to thoracotomy in patients with minimally invasive esophagectomy (MIE) in a surgical team, and to obtain a deeper understanding of the timing of conversion in MIE. Methods The clinical data of patients who underwent MIE between September 9, 2011 and February 12, 2022 by a single surgical team in the Department of Thoracic Surgery of the Fourth Hospital of Hebei Medical University were retrospectively analyzed. The main influencing factors and perioperative mortality of patients who converted to thoracotomy in this group were analyzed. Results In the cohort of 791 consecutive patients with MIE, there were 520 males and 271 females, including 29 patients of multiple esophageal cancer, 156 patients of upper thoracic cancer, 524 patients of middle thoracic cancer, and 82 patients of lower thoracic cancer. And 46 patients were converted to thoracotomy for different causes. The main causes for thoracotomy were advanced stage tumor (26 patients), anesthesia-related factors (5 patients), extensive thoracic adhesions (6 patients), and accidental injury of important structures (8 patients). There was a statistical difference in the distribution of tumor locations between patients who converted to thoracotomy and the MIE patients (P<0.05). The proportion of multiple and upper thoracic cancer in patients who converted to thoracotomy was higher than that in the MIE patients, while the proportion of lower thoracic cancer was lower than that in the MIE patients. The perioperative mortality of the thoracotomy patients was not significantly different from that of the MIE patients (P=1.000). Conclusion In MIE, advanced-stage tumor, anesthesia-related factors, extensive thoracic adhesions, and accidental injury of important structures are the main causes of conversion to thoracotomy. The rate varies at different tumor locations. Intraoperative conversion to thoracotomy does not affect the perioperative mortality of MIE.

    Release date:2023-06-13 11:24 Export PDF Favorites Scan
  • 急诊医疗纠纷分析及防范措施

    目的探讨急诊医疗纠纷发生的原因及影响因素,以便制定相应的防范对策。 方法对2008年1月-2013年12月由医疗纠纷处理部门正式受理的与急诊相关的22起医疗纠纷案例进行原因分析和评估。 结果医疗纠纷发生的主要原因为知情告知不充分9例(占40.9%),服务态度不满意6例(占27.3%),医疗技术不满意4例(占18.2%),违反规章制度、风险意识淡薄、急诊流程不满意及收费不满意共3例(共占13.6%)。 结论医疗纠纷的发生是多重因素导致的结果,涉及医疗单位、医务工作者、患者及社会因素。其中坚持以患者为中心,尊重患者,提高医疗技术水平及沟通技巧,提升服务态度是减少医疗纠纷发生的主要途径。

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  • 根本原因分析在降低门诊采血护患纠纷中的应用

    目的用根本原因分析法(RCA)分析门诊采血工作中不断增多的护患纠纷的原因,并采取相应的对策,减少护患纠纷的发生。 方法整理分析2014年某院门诊采血室护患纠纷案例发生情况,采用RCA法分析发生原因,得出其原因主要为护患沟通不良、护理人员主动服务意识不强、护理人员操作欠规范、护理人力资源不足、环境因素等,针对各原因于2015年采取综合整改措施。比较分析实施相应防范措施前后的护患纠纷发生情况。 结果2014年护士总数18人,抽血患者总数约为87万例次,发生护患纠纷72例次,护均纠纷发生率为4.0例次/护,患均纠纷发生率约为8.28/10万;2015年护士总数32人,抽血患者总数约为88万例次,发生护患纠纷20例次,护均纠纷发生率为0.6例/护,患均纠纷发生率约为2.27/10万。 结论RCA法能够找出引起护患纠纷的根本原因,优化护理环节,有效降低门诊采血室护患纠纷发生率,提高患者满意度。

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  • Application of continuous quality improvement in reducing same-day cancellation rate of gynecological day surgery

    Objective To explore strategies to reduce the same-day cancellation rate of gynecological day surgery. Methods The same-day cancellation status of gynecological surgery in the Department of Day Surgery, West China Second University Hospital, Sichuan University from January to December 2021 (before improvement) was investigated. The causes of cancellation were analyzed from three aspects: patient-related factors, medical factors, and examination factors. Subsequently, management countermeasures were formulated for the controllable factors and continuous quality improvement was implemented. After improvement, the same-day cancellation rate of gynecological day surgery from September 2022 to January 2023 was collected and compared with that before improvement. Results Continuous quality improvement was implemented targeting three factors in day surgery, namely the short interval between patient’s visit time and pre-scheduled time, the irrational sequence of preoperative examinations for patients, and the non-standardized treatment of patients with abnormal vaginal discharge by physicians. The same-day cancellation rates of gynecological day surgery before and after the continuous quality improvement were 3.70% (156/4211) and 2.13% (30/1411), respectively, and the difference was statistically significant (χ2=8.231, P=0.004). ConclusionOptimizing the preoperative examination and admission process, effective preoperative education and physician-patient communication, establishing unified standards for the approval of vaginal discharge tests and standardized treatment protocols, and clarifying the responsibilities of the preoperative comprehensive assessment outpatient clinic along with the supervision system are effective measures to reduce the same-day cancellation rate of gynecological day surgery.

    Release date:2025-02-25 09:39 Export PDF Favorites Scan
  • 心理咨询患者爽约的原因分析及对策

    目的调查分析心理咨询患者爽约的原因,提出减少爽约的对策并实施,以最大限度地利用医院目前有限的心理咨询医疗资源。 方法采用自行设计的《心理咨询爽约患者就诊服务调查问卷》,对 2012 年 7 月-2013 年 7 月 1 434 例爽约的心理咨询患者采用随机抽样的方法,对其中 500 例患者进行自填式问卷调查和电话询问,分析其爽约主要原因。根据分析结果,制定相应的干预措施。 结果共收回 480 份有效问卷。因为时间问题而爽约的患者占绝大多数,是心理咨询患者爽约的主要原因,其中由于具体就诊时间不明而爽约的患者占 41.9%,取号时间错过达到 22.5%,遗忘就诊时间占 18.5%。 结论实施预约平台完善短信提示内容、挂号取号处发放就诊时间表、电话提醒次日就诊患者、规范专家出诊等干预措施,能有效地减少心理咨询患者爽约率,合理利用医疗资源。

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  • 脊髓损伤患者瘫痪肢体烫伤的原因分析及护理对策

    目的探讨脊髓损伤患者瘫痪肢体发生烫伤的原因及预防和护理对策。 方法对 2013 年 8 月-2014 年 7 月住院的 269 例脊髓损伤患者中发生瘫痪肢体烫伤的 8 例患者进行回顾性分析,找出发生烫伤的原因,总结其护理对策,并探讨预防烫伤的措施,以便更好地指导临床护理工作。 结果8 例发生瘫痪肢体烫伤患者,其原因有护理管理者安全管理落实不到位、医务人员及陪护防烫伤风险意识缺乏、护士健康教育不全面及责任心缺乏等主观因素,也有瘫痪肢体感觉功能减弱或者消失等客观因素。发生烫伤以后,对创面进行了及时、正确的处理,同时采取相应的预防措施,在住院期间,未再发生二次烫伤及烫伤相关并发症。 结论多种主客观因素均可导致脊髓损伤患者瘫痪肢体发生烫伤,因此医护人员、患者及陪护应提高烫伤的防范意识,烫伤后,对创面进行及时、正确的处理,防止其他并发症的发生。

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  • 外科监护室退药现象分析及对策

    目的 通过对外科监护室退药现象的分析,从而寻求控制退药的途径与方法。 方法 收集外科监护室2011年1月-6月发生的退药信息,并对各退药原因进行统计分析。 结果 引起退药的原因依次是患者转出占49.4%、医生调整医嘱25.9%、出院死亡8.6%、医生错开5.1%、医院信息系统不完善3.6%、操作电脑失误2.5%、其他占4.9%。 结论 降低外科监护室退药比例应从控制转出患者退药、医生更改医嘱等方面入手,同时尽量降低因医生错开、电脑系统操作失误和信息系统不完善导致的退药。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • 经外周静脉置入中心静脉导管患者首次穿刺失败的原因分析

    目的 分析导致经外周静脉置入中心静脉导管(PICC)首次穿刺失败的原因并提出应对措施,以降低其穿刺失败率。 方法 回顾性分析2015年1月-3月门诊就诊的335例PICC患者中出现首次穿刺失败的原因。 结果 335例患者中,首次穿刺失败55例,首次穿刺失败率为16.42%。二分类logistic回归分析得出性别、血管部位和血管直径对穿刺失败与否有影响(P<0.05)。 结论 性别、血管部位和血管直径是穿刺失败与否的独立影响因素。临床置管操作工作中应考虑上述因素,以降低穿刺失败率。

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