An investigation of radiographers' mobile phone use and the success of an awareness campaign at reducing the nosocomial infection risks

IntroductionMobile phone use by healthcare workers (HCWs) is widespread. Studies have shown that HCW’s mobile phones can harbour pathogens associated with nosocomial infections. This study investigated whether an awareness campaign will result in an improvement in radiographers’ phone and hand hygiene practices.MethodsRadiographers working in the general department of two university hospitals were invited to participate. One hospital was assigned as the experiment hospital and the other as a control. In the experiment hospital, adenosine triphosphate (ATP) testing of each participant’s mobile phone determined the cleanliness of its surface. A corresponding survey was completed to determine their current practices and level of awareness. Subsequently, an infection control poster campaign took place for a one-month period, followed by re-testing. In the control hospital, the ATP testing and survey were also completed before and after a one-month period, but without a poster campaign.ResultsRadiographers were generally unaware of the infection risks associated with mobile phone use with 44% of all participants never cleaning their phone. The campaign successfully improved phone hygiene frequency and method in the experiment hospital. However, it did not improve hand hygiene practices and actual phone cleanliness (mean ATP count reductions of 10% (experiment hospital) and 20% (control)). The ATP testing as a less direct form of intervention showed similar levels of success in comparison to the poster campaign.ConclusionsA multifaceted educational approach is likely to be most effective in raising awareness and changing radiographers’ phone and hand hygiene practices.     

Perceptions of the first family physicians to adopt advanced access in the province of Quebec,Canada

In Quebec, several primary care physicians have made the transition to the advanced access model to address the crisis of limited access to primary care. The objectives are to describe the implementation of the advanced access model, as perceived by the first family physicians; to analyze the factors influencing the implementation of its principles; and to document the physicians' perceptions of its effects on their practice, colleagues and patients. Qualitative methods were used to explore, through semi‐structured interviews, the experiences of 21 family physicians who had made the transition to advanced access. Of the 21 physicians, 16 succeeded in adopting all five advanced access principles to varying degrees. Core implementation issues revolved around the dynamics of collaboration between physicians, nurses and other colleagues. Secretaries' functions, in particular, had to be expanded. Facilitating factors were mainly related to the physicians' leadership and the professional resources available in the organizations. Impediments related to resource availability and team functioning were also encountered. This is the first exploratory study to examine the factors influencing the adoption of the advanced access model conducted with early‐adopter family physicians. The lessons drawn will inform discussions on scaling up to other settings experiencing the same problems. Copyright © 2016 John Wiley & Sons, Ltd.     

信息化下辅助生殖技术助孕夫妇护理管理

目的 以信息化平台推进辅助生殖技术助孕夫妇护理管理创新模式.方法 建立具有多重功能的助孕夫妇周期治疗护理信息软件系统.结果 在助孕治疗的不同阶段护士准确快速识别助孕夫妇身份,杜绝不安全隐患发生,提高临床护理工作效率.对助孕夫妇身份识别由传统的人工方法需要2~3分钟缩短至30秒内完成,以往依靠人工检索查询不同阶段的助孕周期数、助孕结果、婴儿数量等各项数据,通过对信息系统不同模块的点击,即可完成.结论 提升生殖医学中心护理管理规范化及科学化的水平,确保临床护理工作质量,为医院护理工作信息化发展奠定坚实基础.     

全科军医急救课程中虚拟现实技术的应用

虚拟现实技术(Virtual reality, VR)产生于20世纪60年代,其核心是利用多种技术产生逼真的虚拟环境,使用户获得身临其境的感受和体会.其在医学领域中已有着广泛的应用,而在我军兴起的全科军医教学中,虚拟现实技术同样有着巨大潜力及优势,尤其表现在战伤急救课程教学中.借鉴国外相关经验,并结合我军教学实际,展望该项技术在全科军医急救课程中的价值与未来.     

依托信息化手段开展临床路径工作的实施效果评价与分析

目的：尝试利用信息系统平台解决推行和实施临床路径管理中存在的困难。方法：无锡市第四人民医院从2016年6月起依托信息系统开展临床路径管理,比较临床路径信息系统实施后计划性剖宫产（产科）、乳腺癌根治术（乳腺外科）、乳腺癌术后化疗（肿瘤内科）、社区获得性肺炎（呼吸内科）4个病种住院患者的住院天数、术前住院日、医疗费用、治愈好转率、患者满意度等指标的变化情况。结果：院临床路径的实施显著降低了平均住院日、术前住院日以及医疗费用（P<0.05）,患者满意度显著提高。结论：院临床路径信息系统对于规范医疗行为,提高病人满意度,构建和谐医患关系具有一定意义。