PICC专科护理门诊在二级医院的开放管理

目的：探讨在基层医院顺利开放PICC门诊管理方法。方法通过对PICC门诊在基层医院顺利开展步骤：PICC技术开展、管道维护需求评估，合理选择建立PICC门诊必要性与管理运作。结果PICC门诊顺利开放并良好运作。结论在基层医院顺利开展PICC门诊中，组织系统化管理运作至关重要，门诊顺利开展为带管出院患者提供便捷、优质的服务，值得开展。     

门诊西药房退药原因分析与应对策略

目的 通过对本院门诊西药房退药情况进行调查分析,提出应对策略,减少和规范退药。方法 对门诊退药处方进行统计分析,探讨应对策略。结果 退药原因排在前三位的分别是处方错误、患者拒用、不良反应,共110人次,占全部退药的61.7%。结论 退药现象不可避免,应针对原因,完善制度,减少和规范退药。     

The patient perspective,experience and satisfaction of day case unicompartmental knee arthroplasty: A short-term mixed-methods study

BackgroundDay case unicompartmental knee arthroplasty (UKA) is increasingly being performed worldwide. When performed in the appropriate patient, day case UKA has been demonstrated to be safe, cost effective and improve resource allocation. Limited evidence highlights increased patient satisfaction of day case UKA when compared with inpatient UKA. A detailed study of the patient perspective, experience and satisfaction following day case UKA has not been described before.MethodsA retrospective case series review of 21 consecutive patients (19 unilateral, 2 bilateral) undergoing day case UKA in an elective orthopaedic centre was undertaken. A qualitative and quantitative patient assessment of the day case UKA experience was administered. A five-point Likert scale satisfaction questionnaire, Oxford Knee Score (OKS) and open-ended interview was undertaken. The qualitative responses underwent thematic analysis.ResultsOne hundred percent of patients expressed satisfaction (76.2% completely satisfied, 33.8% moderately satisfied) with day case UKA. The majority of patients (90.5%) reported that if they had to undergo UKA again they would prefer a day case over an inpatient procedure. Patients consider surgical outcome, physiotherapy provision, discharge planning, postoperative medications and follow up as key aspects of day case UKA care. One patient was re-admitted following discharge.ConclusionsThe present study demonstrates a high level of patient satisfaction with day case UKA. The results reported herein are subject to the study limitations of sample size, recall bias and inclusion criteria. We recommend that the themes identified by patients are addressed through a multidisciplinary approach with well-defined clinical pathways for a high-quality patient-centred experience.     

Errores en la atención de los pacientes con enfermedad inflamatoria intestinal: estudio «ERRATA»

IntroductionErrors are very common in daily clinical practice; however, they can be prevented. Our aim was to identify the most common errors in the outpatient management of inflammatory bowel disease (IBD) patients.Material and methodsPatients diagnosed with IBD, being treated at our IBD Unit and who were referred for a second opinion were consecutively enrolled. Data on the strategies implemented by their previous physicians were obtained. These strategies were compared with the currently recommended diagnostic and therapeutic procedures.ResultsSeventy-four IBD patients were enrolled. Prior to care in our Unit, screening for tobacco use had been performed in 50% of Crohn's disease patients, while smoking cessation counselling had been provided in 29%. At the time of IBD diagnosis, the hepatitis B virus immunization status had been investigated in 16% of the patients, the hepatitis C virus status in 15%, and the varicella status in 7%. Seven percent of the patients had been vaccinated against hepatitis B virus, and 3% against influenza, tetanus and pneumococcus. Sixty-seven percent of the patients with an indication for use of 5-aminosalicylic acid and 37% of those with an indication for immunosuppressants had received the indicated drug.DiscussionErrors in the outpatient management of IBD patients are very common and relevant.     

心理护理在儿科门诊中的应用价值

目的分析心理护理应用在儿科门诊中的价值。方法 2014年10月至2016年2月在沈阳市沈河区妇幼保健所儿科门诊接收治疗的患者中选取252例患儿和陪同家长作为研究对象,将接受心理护理的126例作为观察组,同时选取同期未接受心理护理的126例作为对照组。对比两组患儿的依从性和家长的满意度。结果观察组患儿依从性和家长满意度均显著优于对照组,差异有统计学意义(P0.05)。结论心理护理能够改善患儿依从性,提高家长满意度,值得儿科诊室普及。     

Outpatient Care Participation and Six-Month Status: Results with an Inner City Impoverished Alcoholic Veterans Population

One hundred and thirty-seven impoverished, inner city, predominately Black alcoholic veterans were divided into four groups based on the frequency of their attendance at an outpatient clinic. They were assessed 6 months after their joining the clinic. In general, many variables reflecting lessened alcohol consumption were connected with greater amounts of clinic attendance. In most instances a month or more of attendance at the clinic appeared necessary before the positive changes started to occur.     

门诊输液护理差错原因分析与防范对策

目的 分析门诊输液护理差错发生的原因,并提出防范对策.方法 回顾性分析2011年5月～2014年5月本院门诊输液室发生26例护理差错的资料.结果 护理差错类型包括医嘱转抄错误、注射错误及液体外渗等,护理差错主要发生在白班,工作年限5年内护士护理差错的发生率高于其他工作年限的护士（P＜0.05）.结论 未严格执行“三查七对”是发生差错的重要原因.科学管理、完善各项规章制度是预防门诊输液护理差错的主要对策.