Objective To explore the clinical value of using quality control circle to reduce the blockage alarm rate of self?ontrol analgesia pumps, in order to provide reference for formulating reasonable management measures in the future. Methods 189patients who received self-control analgesia pump treatment at a tertiary hospital in Guangzhou from December 2021 to February2022 were selected as the control group. 118 patients who received treatment from June 2022 to August 2022（after the interventionof the quality control circle）were included in the study group. The correct handling rate of self-control analgesia pump blockagealarm by nursing staff and the assessment status of nursing PCA pump blockage alarm handling operation were compared betweenthe two groups. Results The normal handling rate of PCA pump blocking alarm and the percentage of people with more than 90scores in PCA pump blocking alarm handling operation in the study group were higher than those in the control group（P＜0.05）. Conclusion It is of positive significance to take quality control circle intervention to reduce the blocking alarm rate of PCA pump, which can effectively improve the nursing staff's operating skills and raise the correct handling rate of PCA pump blocking alarm, toensure the safety of treatment.

目的 探讨基于形成性评价体系的适时教学(JITT)模式在实习护生中的应用效果.方法 选取2018年7月—2019年6月在三甲医院实习护生60名为对照组,实行传统教学模式;选择2019年7月—2020年6月在三甲医院实习护生60名为观察组,应用基于形成性评价体系的JITT模式,比较两组实习护生教学评价效果、操作考核分数及教学模式满意度.结果 干预后,观察组实习护生教学评价各维度评分均高于对照组(P<0.05);观察组基础护理操作、专科护理操作成绩均优于对照组(P<0.05);满意度优于对照组(P<0.05).结论 基于形成性评价体系的JITT模式在实习护生中的应用,可提升实习护生临床思维能力、操作考核能力和满意度.

外科手术后病人常需保留较多引流管，如腹腔引流管、胸腔闭式引流管、T 型管、盆腔引流管、肛管、导尿管等。由于下床活动时携带不方便，容易导致管道滑脱，致使病人下床活动时间延后，肠蠕动恢复慢，不利于呼吸及引流，甚至诱发下肢深静脉血栓等。为探讨一种实用、安全、舒适、方便病人自理、经济的携带引流袋的方法，笔者于2013年5月设计了一种新型医用引流袋肩带，现介绍如下。

Objective To investigate the health system responsiveness and satisfaction of the class 3A comprehensive hospital services for inpatients in Guangzhou City,in order to provide the theoretical basis for hospital to improve the quality of service.Methods After the questionnaire of health system responsiveness and satisfaction self-designed,500 inpatients from a class 3A comprehensive hospital in Guangzhou City were investigated.Results Among all of factors of responsiveness and satisfaction,hospital services technology,hardware were doing better.But the non-medical aspects,including medical environment,confidentiality,social supports,medical cost,right of choice of providers had lower health system responsiveness and satisfaction.Responsiveness and satisfaction relationship were close.Conclusion The hospital should pay attention to the non-medical health care with reasonable expectations of patients.In order to develop hospital services quality and achieve continuous improvement in competitiveness,it is necessary to let patients fully enjoy the right of privacy,reduce service process,improve the timeliness of services,improve medical environment,provide religious service and places,respect patients' right to choose and reduce medical cost.Responsiveness and satisfaction relationship are close,enhancing the responsiveness is helpful for improvement of satisfaction.