目的:通过5G+车载CT系统,为新型冠状病毒肺炎诊疗工作提供创新服务.方法:在新型冠状病毒肺炎筛查、复查、诊断过程中,采用5G+车载CT模式,实现异地人员及时、就地检查,影像数据高速传输和在线远程诊断.结果:累计完成超过1000人次应用,有效扩大了疫情期间医疗服务半径,工作效率和服务水平明显提升.结论:5G+车载CT模式带来的5G网络高速率、低时延和车载CT的灵活、机动优势,在提升服务效率、共享专家资源、提高服务水平、防止交叉感染,保障公众健康,缓解防护物资紧缺等方面发挥了重要作用.在助力患者诊疗、抗击疫情过程中形成的方案、规范和管理策略等,可以为重大突发公共卫生事件一级响应下的医疗服务、科学防疫以及智慧医院建设等提供借鉴或参考.
Objective:To explore the values of failure mode and effect analysis applied to the construction of intravenous infusion process in general surgery.Methods:Forty patients with acute cholecystitis who were admitted into the general surgery from January, 2015 to June, 2015 were chosen as the control group, and they accepted conventional infusion nursing, another forty patients from July, 2015 to December, 2015 were selected as the observation group and they received infusion care according to the process of intravenous infusion after failure mode and effect analysis,quality of life and catheter indwelling time were analyzed,the incidences of the complications during the period of indwelling catheter were compared.Results:The observation group was lower than the control group in the proportions of infusion extravasation,thrombosis and perfusion tube removal rate during the period of infusion(P<0.05);the observation group was quicker than the control group in vein puncture time(P<0.05);lower than the control group in pain scores in the process of infusion (P<0.05);the observation group was less than the control group in the times of successful vein puncture(P<0.05),longer than the control group in the indwelling time of vein puncture needle during the time of infusion (P<0.05).Conclusion:Constructing the process of intravenous infusion in general surgery after failure mode and effect analysis could effectively reduce the infusion-related complications,raise infusion efficiency and relieve the patients'pain.