【摘要】 目的 探討優質護理活動中應用風險管理措施提高住院老年患者安全的作用和意義。 方法 對2010年2月-2011年3月開展優質護理活動實施風險管理后，其老年住院患者安全事件預防控制情況進行回顧分析。 結果 應用風險管理措施后老年住院患者的護理不良事件發生減少，患者對護理工作的滿意度提高。 結論 加強風險管理有助于保障患者安全，提高患者滿意度，構建和諧護患關系。【Abstract】 Objective To investigate the role and the effect of risk management in good care service on the safety of elder in-patients. Methods From February 2010 to March 2011, the risk management was carried out during applying good care service. The prevention and control of the poor nursing events for the elder in-patients were retrospectively analyzed. Results The poor nursing events for the elder in-patients decreased obviously after the application of risk management, and the patients were pleased with the service of nurses. Conclusion Risk management is conducive to prove the safety of the in-patients, improve the degree of satisfaction of the patients, and make the harmonious relations between the nurses and the patients.
【摘要】 目的 探討住院患者肝功異常病因及影像學診斷意義。方法 對2008年1月—12月住院的223例18～83歲肝功異常患者進行相關實驗室檢查,以及B超、CT和MRI檢查。結果 肝臟本身疾病引起135例,占6054%,肝外疾病引起83例,占37.22%,原因不明5例,占2.24%。B超作為無創性檢查,價格低亷,準確率高,可作為常規檢查。結論 住院患者肝功損害病因復雜,以藥物性肝炎、膽道系統疾病及脂肪肝較多見。
Objective To investigate constitution and costs of inpatients with circulation system diseases in Karamay Central Hospital in 2014 and provide baseline data for further evidence-based pharmacy studies of circulation system single disease. Methods The information of drug use and expenditure of circulation system diseases were collected from the hospital information system (HIS). We analyzed the data of frequency, constituent ratio and cumulative frequency by using Excel 2007 software. Results A total of 2 898 inpatients with circulation system diseases were included. The top three diseases were cerebral infarction, angina and hypertension. The cerebral infarction and coronary heart disease accounted for the largest proportion in the cost. The top one disease of total hospitalization cost, drug expense per capita and inspection cost per capita was cerebral infraction. Conclusion Based on the above results, cerebral infraction and angina were selected as the evidence-based pharmacy study goal of single disease.
Objective To investigate drug usage and costs of children inpatients with bronchopneumonia in Karamay Central Hospital in 2014 and to provide baseline for evidence-based pharmacy study of single disease in respiratory system. Methods The information of drug use and expenditure of children inpatients with bronchopneumonia were collected from the hospital information system (HIS). We analyzed the data including frequency, proportion and cumulative proportion by Excel 2007 software. Results A total of 890 children inpatients were included, the average age was 1.00±2.17 years old. Among the antibiotics of single therapy, the frequency of amoxicillin and clavulanate potassium for injection was highest. Among the antibiotics of combination therapy, the frequency of macrolides was highest. Conclusion The mainly drugs for treatment of children inpatients with bronchopneumonia in Karamay Central Hospital in 2014 is amoxicillin and clavulanate potassium for injection.
目的 了解婦幼保健院住院患者抗菌藥物應用情況。 方法 采用橫斷面調查法，對2012年2月份患者的抗菌藥物使用情況進行調查。 結果 抗菌藥物橫斷面使用率為71.14%，其中單用率為79.27%，二聯使用率為20.73%；住院患者使用頻率排行前10位的抗菌藥物中應用最多的是頭孢硫脒；兒科抗菌藥物使用率最高為93.27%；產科抗菌藥物使用頻率強度最高為77.37，婦科為67.19；所有患者臨床微生物檢驗樣本送檢率僅為39.3%。 結論 抗菌藥物使用率及抗菌藥物使用強度不符合相關規定，需要加強其抗菌藥物臨床應用的管理。
Objective To investigate drug usage and costs of ischemic stroke inpatients in Karamay Central Hospital in 2014 and to provide evidence and reference for evidence-based pharmacy study of single disease in circulation system. Methods The information of drug use and expenditure of ischemic stroke inpatients were collected from the hspital information system (HIS). We analyzed the data including frequency, proportion and cumulative proportion by Excel 2007 software. Results We included 522 ischemic stroke inpatients in Karamay Central Hospital in 2014, the average age was 67.58±13.27 years old. Forty three kinds of drugs were used for ischemic stroke therapy. The total expenditure of drugs was 10.94 million and 1 807.99 yuan per person. The most used drugs were for symptomatic treatment which included 18 kinds of drugs. The using frequency of aspirin, edaravone, oxircetan were the highest. The secondary prevention medicines included 23 kinds of drugs. The anti-hypertensive, lipid-lowering and hypoglycemic agents were prescribed mostly. Traditional Chinese medicines were prescribed 234 times, and the injection Ligustrazine with glucose was the most used drug. Conclusion The mainly drugs for treatment of ischemia stroke inpatients in Karamay Central Hospital in 2014 are aspirin, edaravone and oxircetan; while the expenditure of clopidogrel and oxiracetam were the highest.