眼科门诊患者就诊过程中的护理风险管理

目的 加强眼科门诊患者就诊相关环节的护理风险管理,保证护理安全.方法 通过建立门诊护理风险控制小组,改变患者治疗体位,加强护理人员相关专业知识培训,加强对患者的健康教育和心理护理,使用门诊预约系统,有计划地安排住院患者到门诊进行各项检查,开通门诊绿色通道等改进措施,确保患者就医安全,减少突发事件的发生.结果 201...     

门诊肝病患者就诊需求及管理对策

目的 探讨门诊肝病患者就诊需求及管理对策.方法 应用自行设计的门诊患者就诊需求调查表对130例肝病患者进行问卷调查.结果 门诊肝病患者对就诊流程的满意度不高,41.5%选择一般;对就诊环境和硬件的满意度仅为53.8%;对健康指导的需求度高,为78.5%,且对健康教育方式的需求多种多样.结论 门诊肝病患者就诊需求是多方面的,当前的现状未能满足其需求.从患者角度出发,优化就诊流程;改善就诊环境,提升门诊硬件设备;加强门诊护理管理,提高护士素质;进行全方位多角度的健康教育是门诊护理工作的发展方向.     

门诊肝病患者就诊需求及管理对策

目的探讨门诊肝病患者就诊需求及管理对策。方法应用自行设计的门诊患者就诊需求调查表对130例肝病患者进行问卷调查。结果门诊肝病患者对就诊流程的满意度不高，41．5％选择一般；对就诊环境和硬件的满意度仅为53．8％；对健康指导的需求度高，为78．5％，且对健康教育方式的需求多种多样。结论门诊肝病患者就诊需求是多方面的，当前的现状未能满足其需求。从患者角度出发，优化就诊流程；改善就诊环境，提升门诊硬件设备；加强门诊护理管理，提高护士素质；进行全方位多角度的健康教育是门诊护理工作的发展方向。     

门诊复诊患者分时预约就诊的实践

目的缩短门诊患者候诊的时间,提高护理服务质量。方法在口腔科门诊实施分时预约就诊服务,包括周密计划、广泛宣传,制定流程和制度并实施。结果门诊分时预约服务1年后,患者挂号和候诊时间缩短,满意度显著提高(均P<0.01),护理质量指标提升。结论门诊分时预约就诊,可节省患者候诊时间,提高患者满意度和医疗资源利用率,提高医疗护理质量。     

无接触智慧门诊就诊流程优化及实施效果

目的 探讨优化后的无接触智慧门诊运行效果,为进一步完善就诊流程提供依据.方法 在医院信息系统中的门诊系统基础上优化就诊全流程、全环节,包括线上挂号、择医、预约,智能就诊,集成信息管理等.实施1年后选取其中6个月(2020年7～12月)与优化前同期(2019年7～12月)比较效果.结果 与优化前比较,优化后门诊月均公众号...     

整形美容外科门诊的护理管理特色

门诊是重要的服务窗口,整形美容外科门诊护士的整体形象及服务水平直接影响到就诊患者的情绪和接诊质量。如何应对激烈的竞争,留住患者,充分发挥正规医疗单位的设备、技术、人才优势,是对我们护理工作者新的挑战。针对专科门诊护理工作的特点,在以患者为中心的整体护理思路指导     

应用六西格玛法缩短门诊患者血标本采集等候时间

目的探讨六西格玛法（6 Sigma）在缩短门诊患者血标本采集等候时间及提高患者满意度中的应用效果。方法将100例门诊血标本采集患者按时间先后分为对照组（50例）和观察组（50例），对照组采用常规法完成血标本采集项目，观察组采用6 Sigma法，即定义、测量、分析、改进、控制5个步骤及方法分析问题、拟定对策。结,．观察组门诊患者高峰期血标本采集等候时间显著缩短（P〈0.01）。结论采用6 Sigma管理，可有效缩短患者等候时间，在护理临床窗口产生积极效应。     

门诊患者对医院标识的认可度与需求状况调查

目的了解门诊患者对医院标识的认可度与需求状况,为标识的制作和摆放提供依据。方法采用自行设计的问卷对320例门诊患者进行标识认可度与需求状况的调查。结果 15.3%的患者认为门诊标识不清楚;50.6%的患者认为最容易看到的是地上标识;55.9%的患者希望医院标识为蓝底白字,35.0%为绿底白字;方位指引标识的需求为48.8%,其次为功能分区标识(39.4%);77.5%的患者希望标识离地面距离为140~160cm;45.9%的患者建议完善地上标识。结论门诊患者对医院标识的需求具有一定的倾向性,管理者可依据患者需求制作和摆放,以便更好地为患者服务。     

门诊的护理管理

<正> 护理管理是医院的重要组成部分,护理工作的好坏直接影响着护理质量的高低,而护理质量又是评价医院质量的重要指标,门诊作为医院的窗口单位更应重视护理质量的管理。医院门诊的特点,病人多、流量大,就诊环节多,应诊时间短,医务人员不稳定,护理管理具有一定的难度,门诊工作又是医院工作     

门诊护理管理中的人性化管理与探讨

目的探讨人性化管理理念在医院门诊护理管理中的应用价值。方法回顾性分析800例就诊患者的一般资料,医院实施人性化管理,门诊所有医护工作人员为患者提供人性化服务,调查患者对护理人员工作的满意情况。结果通过实施人性化管理,提高了医护人员的工作积极性,使得人性化服务贯穿于整个工作中,患者对医院的门诊环境及管理、护士的行为举止、服务态度、专业技术的满意率均在92．0％以上。结论将人性化管理实施到医院门诊护理管理日常工作中,能够提高护士的素质和工作的积极性,患者对医院的满意度及医院护理质量,融洽护患关系,为医院赢得医疗市场,具有积极的作用。     

子宫内膜异位症患者的中医慢病护理门诊管理

目的 评价中医慢病护理门诊对子宫内膜异位症患者的管理效果。方法 采用历史对照法,将2020年1-12月行腹腔镜手术的子宫内膜异位症门诊就诊的痛经患者88例作为对照组,按常规行术后门诊复诊及随访;2021年1-12月行腹腔镜手术的门诊就诊的88例痛经患者为观察组,在对照组基础上实施子宫内膜异位症中医慢病护理;干预3个月。干预后3、6、12个月评估干预效果。结果 两组各85例患者完成研究及随访。两组痛经评分、自我管理能力评分及生存质量评分比较,组间效应、时间效应及交互效应差异有统计学意义(均P<0.05)。结论 对子宫内膜异位症患者实施中医慢病护理门诊管理,可更有效地改善痛经症状,提高疾病自我管理能力和生存质量。     

门诊老年患者跌倒风险因素及安全管理策略的研究进展

从患者、环境、医务人员、家庭、器械设备等方面多维度深入剖析门诊老年患者的跌倒风险因素,归纳分析了相关的跌倒风险评估工具,并总结了注意义务、预见性护理和细节管理等预防门诊患者跌倒干预策略的相关内容,为指导医护人员实施针对门诊老年患者可行、有效的预防跌倒安全实践提供参考,保障老年患者就医安全。     

融合视域下门诊慢性创面患者的一体化管理

目的 探讨门诊慢性创面患者一体化管理效果。 方法 将60例门诊慢性创面患者按照随机数字表法分成对照组和观察组各30例。对照组采用常规管理模式,观察组实施多学科跨专业融合的一体化管理,比较两组患者创面治疗效果、HAMA焦虑评分、平均就诊次数和平均诊疗时间。 结果 观察组创面治疗效果显著优于对照组,干预后HAMA焦虑评分显著低于对照组,平均就诊次数及诊疗时间显著少于或短于对照组（均P＜0.05）。 结论 融合视域下门诊慢性创面一体化管理可促进患者创面愈合,改善负性情绪,减轻家庭负担。     

Patient-specific prompts in the cholesterol management of renal transplant outpatients: results and analysis of underperformance

BACKGROUND: Renal transplant recipients have an increased risk of cardiovascular disease compared with age- and gender-matched controls. It is recommended that "high-risk" patients are treated with hydroxymethylglutaryl CoA reductase inhibitors to reduce cholesterol levels. METHOD: We evaluated the effect of a computer-based decision support algorithm in delivering patient-specific prompts to manage cholesterol in renal transplant outpatients. Data were analyzed retrospectively for a 2-year period with attention to changes in cholesterol levels, prescribing patterns of statins, and causes of underperformance. RESULTS: At baseline, 36.7% of patients achieved a total serum cholesterol level less than 5.0 mmol/L, compared with 67.2% at 2 years, with mean values of 5.6+/-0.1 mmol/L and 4.8+/-0.1 mmol/L (P<0.0001). At baseline, 24% of the patients were receiving statin therapy, increasing to 61% at 2 years. There were no significant changes in creatinine phosphokinase, trough cyclosporine levels, or total cyclosporine dose. Alkaline phosphatase levels increased (166.1+/-3.6-184.6+/-6.1 mmol/L, P=0.009), but remained within the normal clinical range; creatinine clearance increased (58.6+/-1.0-61.0+/-1.2 mL/min, P=0.05). For patients followed concurrently in two units without the algorithm, serum cholesterol measurements decreased from 5.57 mmol/L and 5.34 mmol/L to 5.31 mmol/L and 5.27 mmol/L, respectively (P=0.05), both higher than that achieved contemporaneously at St. James's. Underperformance depended less on medical noncompliance than with systematic features of the methodology and patient preference/collaboration with treatment. CONCLUSIONS: The introduction of the algorithm coincided with a significant reduction in cholesterol levels, an increase in the number of patients receiving appropriate therapy, and no serious adverse effects. Our results illustrate the positive effect of computer-generated prompts and decision support software.     

Information cards and informed consent. Proposal of 12 information cards for plastic and aesthetic surgery

Obligation to deliver full information and obtaining enlightened assent are now, for the whole French practitioner, a necessary preliminary to each operation. Henceforth, in case of suit, the practitioner must prove the reality and the quality of preoperative information. The National Medical French Council (CNOM) called scientific societies attention to propose to their members some index standard cards, corresponding to main medical and surgical records. The National Agency for Accreditation and Evaluation in Health (Anaes) defined the main characteristics of these documents. The authors propose twelve information cards corresponding to the most currently operations of plastic and aesthetic surgery. They will being clear and simple, with a large agreement, strictly informative and yearly up to date. They have the label and therefore the scientific guaranty of French Society of Plastic Reconstructive and Aesthetic Surgery.     

Information cards and enlightened assent. Proposition of twelve informant cards for plastic and aesthetic surgery

Obligation to deliver full information and obtaining enlightened assent are now, for the whole french practitioner, a necessary preliminary to each operation. Henceforth, in case of suit, the practitioner must prove the reality and the quality of preoperative information. The National Medical French Council (CNOM) called scientific societies attention to propose to their members some index standard cards, corresponding to main medical and surgical records. The National Agency for Accreditation and Evaluation in Health (Anaes) defined the main characteristics of these documents. The authors propose twelve information cards corresponding to the most currently operations of plastic and aesthetic surgery. They will being clear and simple, with a large agreement, strictly informative and yearly up to date. They have the label and therefore the scientific guaranty of French Society of Plastic Reconstructive and Aesthetic Surgery.     

Information cards and informed consent. A proposal of 12 information cards for plastic and esthetic surgery

Obligation to deliver full information and obtaining enlightened assent are now, for the whole french practitioner, a necessary preliminary to each operation. Henceforth, in case of suit, the practitioner must prove the reality and the quality of preoperative information. The National Medical French Council (CNOM) called scientific societies attention to propose to their members some index standard cards, corresponding to main medical and surgical records. The National Agency for Accreditation and Evaluation in Health (Anaes) defined the main characteristics of these documents. The authors propose twelve information cards corresponding to the most currently operations of plastic and aesthetic surgery. They will being clear and simple, with a large agreement, strictly informative and yearly up to date. They have the label and therefore the scientific guaranty of French Society of Plastic Reconstructive and Aesthetic Surgery.