Objective To summarize the experience of preparation and administration of medical materials for the daytime-sickroom during the treatment of patients who were injured during Wenchuan earthquake in order to supply management experience for future emergency situations. Methods Data concerning the preparation and administration of medical materials and medical treatment for the daytime-sickroom were collected systematically. Results The high level of activity and order during the rescue provided quality care to patients injured in the earthquake. All 224 patients were treated effectively from May 12-29.Conclusion The daytime-sickroom acts as a combination sickroom, which allowed flexibility. The daytime-sickroom can manage medical materials and succesfully insure the treatement of patients when emergent events happen.
ObjectiveTo explore the diagnosis and surgical treatment of hepatic hydatid. MethodsWe collected 51 cases of liver hydatid treated in our department from January 2008 to September 2012, and retrospectively analyzed its diagnosis and surgical treatment. ResultsCT and ultrasonography were both effective in diagnosing liver hydatid (P>0.05). Several surgical methods were all effective in the treatment of hepatic hydatid. ConclusionCT and ultrasonography are effective in the diagnosis of hepatic hydatid. Economic, convenient, and noninvasive ultrasound can be used as a routine examination. Combined with CT examination, the diagnosis of hepatic hydatid can be intensely enhanced. Treatment of hepatic hydatid should be individualized.
Objective To study the application of virtual reality bronchoscopy stimulation in novice trainees. Methods Four novice bronchoscopists entered the training programby using a VR bronchoscopy in the clinical skill center. After the program, the dexterity, speed, and accuracy of all the four doctors were tested using the virtual simulation models. Results were compared to four skilled physicians as control group who had performed at least 50 bronchoscopies. Before-training and after-training test scores were compared using paired t tests. For comparisons between after-training novice and skilled physician scores, unpaired twosample t tests were used. Results All of the four trainees finished the training program. The novices significantly improved their dexterity, speed and accuracy. The percentage of observed segments increased from ( 74. 0 ±5. 1) % to ( 89. 3 ±4. 0) % . The number of contacts with the bronchial wall decreased from 87. 5 ±13. 2 to 30. 5 ±9. 3, and total time spent shortened from ( 700. 8 ±56. 6) s to ( 607. 0 ±17. 8) s. There were no statistically significant differences between novice accuracy ( the percentage of observed segments) after training and skilled physician accuracy [ ( 89. 3 ±4. 0) % vs ( 91. 3 ±3. 0) % , P = 0. 456] . Conclusion Practice using a virtual bronchoscopy simulator help novice trainees to attain a level of skill at performing diagnostic bronchoscopy, and it might play an important role in the training of chest physicians.
ObjectiveTo explore the efficacy of reforming head nurse inspection and supervision outside the eight-hour administration, in order to ensure seamless quality management. MethodsFrom January 2014, reform was carried out on the name, form, content, and standard of head nurse inspection and supervision, including the combination of casual and work wear, seamless management outside the eight-hour administration, complete management with key emphasis, fine evaluation with objectives and emphasis, the combination of feedback and summarizing, and the combination of written and oral report. ResultsAfter the implementation of 6-month reformation, the head nurses involved in inspection increased from 102 in January 2014 to 124 in June 2014, the departments involved in inspection increased from 276 to 332. After the implementation, the ward environment management and nurses' working state were improved. Adverse events (pressure ulcer, fall/drop from bed) were decreased. The qualified rate of patient identification arose. Patients and their relatives had a higher rate of medication and disease knowledge, and nurses had a higher rate of knowledge on the responsibility for diagnosis and major nursing points. The differences before and after the reform were significant (P<0.05). ConclusionThe elaborating reform can promote the efficiency of head nurse inspection and supervision, and ensure the nursing quality and safety outside the eight-hour administration.