26所基层民营口腔诊所医务人员手卫生现况调查

 目的 调查十堰市区基层民营口腔诊所医务人员手卫生现况。方法 2019年9—11月采用便利抽样法对十堰市区民营口腔诊所医务人员手卫生现况进行隐蔽式调查,分析并比较不同岗位类别医务人员的手卫生依从率及正确率。结果 共调查民营口腔诊所26所,设有专用洗手设施的仅17所(占65.38%),配有快速手消毒剂的12所(46.15%)。隐蔽式观察102名医务人员,观察有效手卫生时机2 183次,医务人员实际执行572次,手卫生依从率26.20%,正确率25.52%(146次)。不同岗位类别医务人员的手卫生依从率、正确率比较,差异均有统计学意义(均P＜0.001)。护士的手卫生依从率(30.80%)、正确率(31.85%)较其他岗位人员高。医务人员在接触患者体液后的依从率(76.24%)和正确率(40.26%)较其他手卫生时刻高,接触患者前后的手卫生依从率最低,仅为15.38%、24.72%。医务人员不同手卫生时刻的依从率、正确率比较,差异均有统计学意义(均P＜0.001)。结论 基层民营口腔诊所医务人员手卫生依从率和正确率均较低,急需相关部门加强对基层民营口腔诊所的手卫生管理。     

Association between reactogenicity and SARS-CoV-2 antibodies after the second dose of the BNT162b2 COVID-19 vaccine

High vaccine reactogenicities may reflect stronger immune responses, but the epidemiological evidence for coronavirus disease 2019 (COVID-19) vaccines is sparse and inconsistent. We observed that a fever of ≥38℃ after two doses of the BNT162b2 vaccine was associated with higher severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spike IgG titers.     

口腔科门诊应对新型冠状病毒感染防疫探讨

目前新型冠状病毒感染疫情在全国蔓延，疫情防控成为医院工作的重点。口腔科门诊患者人流量大、口腔疾患多、口腔内病菌种类复杂、诊疗过程中患者无法戴口罩、医务人员的手和器械需要接触患者的唾液、血液、病菌等，特别是在相对封闭的环境中长时间暴露于高浓度气溶胶情况下存在经气溶胶传播的可能。本院口腔科门诊通过开诊前准备、就诊期间应急管理、消毒隔离管理等方面细化防疫措施，成果显著，有效保障医患安全。     

江苏省专科护士工作投入现状及影响因素调查分析

目的 了解江苏省省级专科护士工作投入现状及影响因素，为针对性管理提供参考。方法 采用一般资料调查问卷与专科护士工作投入量表对2 472名省级专科护士进行调查分析。结果 专科护士工作投入总均分为4.06±0.46;多元线性回归分析显示，性别、聘任方式、专科类别、工作类型、出任专科护理门诊、论文发表是专科护士工作投入的影响因素(P<0.05,P<0.01)。结论 专科护士工作投入水平较高，其影响因素较多，护理管理者应关注专科护士专业开展现况，采取针对性措施支持专科护理的有效开展，从而进一步提高专科护士的工作投入水平。     

Routine Laboratory Testing Every 4 Versus Every 6 Weeks for Patients on Maintenance Hemodialysis: A Quality Improvement Project

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Effectiveness,Patient Satisfaction,and Cost Reduction of Virtual Joint Replacement Clinic Follow-Up of Hip and Knee Arthroplasty

BackgroundTotal hip and knee arthroplasties are increasingly performed operations, and routine follow-up places huge demands on orthopedic services. This study investigates the effectiveness, patients’ satisfaction, and cost reduction of Virtual Joint Replacement Clinic (VJRC) follow-up of total hip arthroplasty and total knee arthroplasty patients in a university hospital. VJRC is especially valuable when in-person appointments are not advised or feasible such as during the COVID-19 pandemic.MethodsA total of 1749 patients who were invited for VJRC follow-up for knee or hip arthroplasty from January 2017 to December 2018 were included in this retrospective study. Patients were referred to VJRC after their 6-week postoperative review. Routine VJRC postoperative review was undertaken at 1 and 7 years and then 3-yearly thereafter. We evaluated the VJRC patient response rate, acceptability, and outcome. Patient satisfaction was measured in a subgroup of patients using a satisfaction survey. VJRC costs were calculated compared to face-to-face follow-up.ResultsThe VJRC had a 92.05% overall response rate. Only 7.22% required further in-person appointments with only 3% being reviewed by an orthopedic consultant. VJRC resulted in an estimated saving of £42,644 per year at our institution. The patients’ satisfaction survey showed that 89.29% of the patients were either satisfied or very satisfied with VJRC follow-up.ConclusionVJRC follow-up for hip and knee arthroplasty patients is an effective alternative to in-person clinic assessment which is accepted by patients, has high patient satisfaction, and can reduce the cost to both health services and patients.     

Forecasting respiratory infectious outbreaks using ED-based syndromic surveillance for febrile ED visits in a Metropolitan City

Background

Monitoring and detecting sudden outbreaks of respiratory infectious disease is important. Emergency Department (ED)-based syndromic surveillance systems have been introduced for early detection of infectious outbreaks. The aim of this study was to develop and validate a forecasting model of respiratory infectious disease outbreaks based on a nationwide ED syndromic surveillance using daily number of emergency department visits with fever.

Patient Preferences of Primary Care Support to Increase Physical Activity

A free clinic in rural New England recently implemented an exercise prescribing program. As a follow-up, a pilot survey questionnaire was sent by mail to a sample of 206 patients to assess their preferences for support of physical activity efforts. A total of 57 surveys were returned for a response rate of 28%. Patients preferred low-impact, low-cost, and low-intensity physical activity. Survey respondents identified no clear preference for group activity versus individual activity. Key findings included patient preferences for the use of low-fidelity education materials, a fitness advisor, and peer support to encourage physical activity.