基于PDCA方法的医疗设备临床应用培训探讨

详细阐述我院通过对医护人员进行基于PDCA方法的医疗设备临床应用培训,提高医院医护人员的专业知识水平和操作技能,使之能正确规范地操作医疗设备,降低由于医疗设备操作不当引起的设备故障,以提高医院医疗护理工作的质量。     

医用监护仪电池容量检测仪的设计和应用

本文阐述了一种医用监护仪电池容量检测仪的设计及应用过程。该检测仪由电压检测模块、电压显示模块、电路控制模块和电路信号输入模块组成，主要用于医用监护仪电池容量的量化检测，对提高医疗设备的质量控制水平和保障病人的转运安全非常重要。     

德尔格Evita系列呼吸机气路原理及故障排除

本文重点对德尔格Evita系列呼吸机气路原理进行了分析,利用气路原理图分析呼吸机故障的原因,排除故障。     

微创时代下腔静脉开放手术的治疗机遇

因下腔静脉在解剖学及组织学方面的特性,治疗上具有特殊性。本文通过回顾既往文献报道,对下腔静脉综合征、平滑肌肉瘤及布加综合征等下腔静脉疾病外科治疗方式的进展进行论述。下腔静脉综合征为下腔静脉部分或完全阻塞所致的临床症候群,较常见且病因多样,占位性病变中下腔静脉平滑肌肉瘤发病罕见,根治性切除是目前唯一有效的治疗手段,其中下腔静脉及肾静脉的处理为手术难点。布加综合征表现为肝后性门脉高压,外科治疗包括手术治疗及介入治疗。     

Comparison of clinical performance of four gastrointestinal bleeding risk scores in Chinese patients with atrial fibrillation receiving oral anticoagulants

Gastrointestinal bleeding is the most common bleeding complication during anticoagulant therapy. A reliable bleeding risk score can help the clinician assess risk of bleeding in individual patients and select the anticoagulant regimen. This study retrospectively analyzed the data of patients with atrial fibrillation who received anticoagulant therapy from July 2015 to December 2018 at two centers—the Fujian Medical University Union Hospital and Fuzhou Second Hospital Affiliated to Xiamen University. Demographic data, clinical findings, and laboratory results were collected from the hospital records. Patients were followed up for 6 months. The performance of four bleeding risk scores (New Score, RIETE Score, Cuschieri et al. Score, de Groot et al. Score) for prediction of gastrointestinal bleeding was assessed using the area under the curve. A total of 3462 patients (mean age, 66.3?±?11.5 years; 59.6% males; 1055 direct oral anticoagulants users and 2407 warfarin users) were followed up for 6 months. While 99/3462 (2.9%) patients had gastrointestinal bleeding. The area under the curves for the New, RIETE, Cuschieri et al., de Groot et al. scores were 0.652 (95% CI 0.576–0.728), 0.862 (95% CI 0.809–0.914), 0.606 (95% CI 0.527–0.685), and 0.873 (95% CI 0.816–0.929), respectively. Among the four BRSs evaluated, the RIETE score and the de Groot et al. score appear to have the good predictive value, while the NEW score and the Cuschieri et al. score did not sufficiently predict gastrointestinal bleeding risk within the study Chinese population.

     

病人转运中监护仪使用时间的调研及分析

危重或急诊病人为了确诊病情和治疗,通常需要在医院内转运到不同的科室做相应的诊疗,在转运过程中会给病人配备监护仪密切监测患者的生命体征.但是目前对监护仪携带电池的容量检测往往只局限在断开交流电的时候,只需要提供短暂的直流供电便可通过检测,而实际在转运过程中需要的供电时间却从来没有调研量化.所以为了保证病人的医疗安全,开展监护仪在转运过程中实际的使用时间调研分析,通过分析数据将转运过程中的监护仪电池列入监护仪定期质量检测项目就显得十分必要了.     

基于PDCA方法的医疗设备临床应用培训探讨

详细阐述我院通过对医护人员进行基于PDCA方法的医疗设备临床应用培训,提高医院医护人员的专业知识水平和操作技能,使之能正确规范地操作医疗设备,降低由于医疗设备操作不当引起的设备故障,以提高医院医疗护理工作的质量。