目的:探讨品管圈(QCC)活动在精神病专科医院护理质量管理中的应用效果.方法:在精神病专科医院启动QCC,鼓励临床科室参与QCC,通过培训、推进会及专家指导等方式,严格按照QCC十大步骤,完成QCC并按完成情况进行专家评审.结果:本期QCC共启动护理质量管理品管圈14个,主题涉及患者安全防护5个、护理管理4个、差错预防2个、健康教育2个及服务满意度1个;通过专家评审共结题11个,结题率78.57％,平均目标达成率109.73％,平均目标进步率57.64％;在实施过程中,质量管理工具技术的掌握率和圈能力均明显提高,通过标准化圈成果得到很好应用,促进了护理质量管理水平.结论:在精神病专科医院护理质量管理中非常适合使用QCC,且具有良好的可行性和有效性.

Objective To study the toxicity of chito-oligosaccharide and E jiao preparations.Methods The acute toxicity test of mice was used to detect the acute toxicity of chito-oligosaccharide and E jiao preparations;Ames test,bone marrow cell micronucleus test and sperm shape abnormality test of mice were performed for the genetic toxicity;and the 30-day feeding test of mice was used to detect the subacute toxicity.Results The acute toxicity test of Chito-oligosaccharide and E jiao preparations showed they were non-toxic.The results of genetic toxicity test were all negative,including Ames test,micronucleus test and sperm shape abnormality test.The results of 30-day feeding test had no toxic effect on the ob-served indexes of rats.Conclusion Chito-oligosaccharide and E jiao preparations are non-toxic substances and have no acute toxicity,genetic toxicity and subacute toxicity.

精神卫生事业的发展，不仅需要一个和谐的顺畅的工作环境，更需要一支稳定可靠的职工队伍。职工思想状况是职工队伍稳定的“晴雨表”，准确了解当前职工思想道德观念状况，分析把握职工群众特别是一线医务人员的思想脉搏，才能有的放矢地做好思想政治工作，充分调动和激发职工的积极性、创造性，为推进新医改和精神卫生事业和谐发展建功立业。为此，笔者结合当前实际，紧密围绕职工关心、反映强烈的焦点、热点、难点问题，通过问卷调查、召开座谈会、个别访谈等形式，对精神卫生机构职工队伍思想状况进行调查研究。针对当前精神卫生机构职工基本思想状况进行分析，发现存在的问题，并提出相应的对策和建议。