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find Author "肖洁" 3 results
  • 722实时动态胰岛素泵系统血糖监测记录断线管理对策探讨

    目的分析722实时动态胰岛素泵系统血糖监测记录断线原因并探讨其护理对策。 方法分别于2013年1月-6月(管理对策实施前)与2013年9月-2014年2月(管理对策实施后)各抽取34例安置了722实时动态胰岛素泵的患者,比较722实时动态胰岛素泵监测管理对策实施前后血糖记录断线情况。 结果管理对策实施前后,探头脱落、未按时输入血糖值、信息提取器未能采集到信号的比例均明显下降,差异有统计学意义(P<0.05)。 结论熟练掌握722实时动态胰岛素泵系统的安装程序,及时发现和处理报警是保证动态血糖监测过程顺利完成及监测数据完整准确的关键。

    Release date:2016-10-02 04:54 Export PDF Favorites Scan
  • Application Value of Intraoperative Epicardial Echocardiography in Cardiac Surgery

    Objective To investigate the effect of applying intraoperative epicardial echocardiography (IEE) on preoperative monitoring and evaluating the clinical result of cardiac surgery. Methods We retrospectively analyzed the clinical data of 248 patients treated in the Affiliated 105 Hospital of People’s Liberation Army and the First Affiliated Hospital of Anhui Medical University from June 2008 to May 2015. There were 108 males and 140 females. The age ranged from 7 months to 71 years. There were 113 patients diagnosed with the congenital heart disease (CHD) at the mean age of 11.89±14.74 years. There were 135 patients diagnosed with valvular heart disease at the mean age of 47.20±14.57 years. All patients underwent IEE during operation. Results In 113 patients with CHD, we found new deformities and corrected preoperative diagnosis before cardiopulmonary bypass (CPB) and we identified surgical complications after CPB by IEE. Other deformities and left atrial thrombus were found in 135 patients with valvular heart disease by IEE before CPB. After CPB, paravalvular leak and mitral regurgitation were found, therefore we took action immediately. Conclusions IEE can improve the preoperative diagnosis and reduce perioperative complications, which has value of application during cardiac surgery.

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  • 实施持续质量改进减少内分泌代谢科电子医嘱错计费的发生率

    目的 探讨持续质量改进模式在内分泌代谢科电子医嘱错计费中的方法和应用价值。 方法 调查分析某三级甲等医院内分泌代谢科 2015 年 1 月—6 月电子医嘱错计费的情况(实施前),2015 年 7 月—12 月采用持续质量改进的方法管理医嘱(实施后),比较改进前后电子医嘱错计费发生率及总费用。 结果 实行持续质量改进前后电子医嘱合计错计费分别是 71 102.53 、6 300.00 元,其中治疗费、检查费和材料费错计费发生率比较差异均有统计学意义(P<0.05),护理费错计费发生率比较差异无统计学意义(P>0.05)。 结论 持续质量改进在控制电子医嘱错计费管理中发挥了积极作用,减少了错计费的发生。

    Release date:2017-08-22 11:25 Export PDF Favorites Scan
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