目的 探讨凉山州第一人民医院医务人员锐器伤职业暴露的危险因素及应对措施。 方法 对医务人员在2011年8月1日－31日期间里的锐器伤发生情况进行问卷式和面对面提问式相结合的方式进行调查，共调查医务人员1 112名，包括医生288名，护士589名，医技人员180名，其他55名；采用《医务人员锐器伤调查问卷》进行筛查，筛查后与发生锐器伤的人员面对面交谈，并填写《医务人员锐器伤危险因素调查表》。用医务人员职业暴露监测系统（EPINeT）进行统计分析。 结果 发生锐器伤45例，发生率为4.05%，护士发生锐器伤的比例较高，达到了5.3%，医生为4.5%，医技人员较低为0.56%，其他人员发生锐器伤的可能性较小，经四格表的χ2检验，医生与护士锐器伤的发生率差异无统计学意义（χ2=0.010，P＞0.05）。锐器伤发生的主要时机以抽血（占16%）、拔出动静脉针（占14%）、双手回套针帽（占14%）、手术缝针（占12%）以及将针头放入锐器盒（占10%）为主；发生的场所以普通病房（占60%）和手术室（占22%）为主；锐器伤发生的器械以一次性注射器（占32%）、静脉留置针（占18%）、真空采血针（占16%）和手术缝针（占14%）为主。 结论 医生和护士是锐器伤发生的高危人群，应采取一系列措施降低其发生职业暴露的风险，包括增加医护人员数量、加强职业培训、禁止双手回套针帽、采用安全留置针和使用皮肤粘合剂以及采用腹腔镜、阴道镜进行手术等措施，尽量降低医护人员的职业暴露风险。
ObjectiveTo analyze the reasons for Non-iatrogenic Complaint in general hospital inpatients and its preventive measures. MethodsWe analyzed 338 cases of non-iatrogenic complaint from January 2008 to December 2013 in two tertiary hospitals. ResultsComplaint for poor service attitude of medical personnel and poor communication between doctors/nurses and patients accounted for 86.1% and 62.4% respectively. Complaint for poor hospital management accounted for 46.2%. Non-iatrogenic complaint which appeared in the form of medical dispute complaint due to technical factors accounted for 20.1%. The first five departments being complained were Emergency Department, Pediatrics Department, Obstetrics Department, Osteology Department, Cardiology Department, respectively. Among all complaint, the proportion of complaint from emergency patients exceeded that from nonemergency patients. The proportion of complaint from patients whose duration of hospitalization exceeded two weeks were much more than that from patients whose duration of hospitalization was less than two weeks. The proportion of complaint from patients whoes frequency of hospitalization within one year was more than two times exceeded that from patients whose frequency of hospitalization within one year was less than two times. The proportion of complaint from patients who earned their high school diploma exceeded that from patients who droped out of their high school. The proportion of complaint from town patients exceeded that from rural patients. The proportion of complaint from patients under 45 years old was more than that from patients ≥ 45. ConclusionMore weight and strengthen should be placed on doctor-patient communication in clinical practice. Humane medical service deserve special emphasis and the patientcentered service idea should also be established, so that non-iatrogenic complaint may be reduced.
Coronavirus disease (COVID-19) is currently a world-wide major public health event. Since study sites of clinical trials are primarily at healthcare institutions and investigators are primarily clinicians, the epidemic inevitably has a huge impact on a large number of ongoing clinical trials. The proper implementation of clinical trials in key aspects and the quality of core data collection will greatly influence the validity of the final results. In this paper, we analyzed the potential impact of the outbreak of a new epidemic infectious diseases on the clinical trials from seven aspects, which involves the selection of study participants, randomization, blinding, implementation of intervention measures, follow-up of primary outcomes, safety monitoring and project management. Corresponding countermeasures were put forward.
Video-electroencephalogram (VEEG) monitoring is a valuable tool for diagnosing recurrent partial epilepsy, classification of intractable epilepsy, and evaluation of epilepsy surgery. The role of video EEG in identifying and determining the type of epilepsy and determining the location of seizures has been widely demonstrated, but there is There is a lack of uniform standards for adverse events and management methods during monitoring. In order to improve the quality of long-range video EEG monitoring and reduce the possible impact on patients during monitoring, it is necessary to summarize the possible adverse reactions during monitoring.