目的:探讨CDIO模式在新生儿科住院医师规范化培训中的应用效果.方法:选取2019～2020年于医院新生儿科住院医师规范化培训基地参加培训的25名住院医师作为观察组.选取2017～2018年于医院新生儿科基地培训的25名住院医师作为对照组.在普通新生儿病房轮转时,观察组采取构思-设计-实现-运行(CDIO)教学模式;对照组采取传统临床带教模式.出科时通过临床考核比较两组的培训考核成绩及采用问卷调查比较两组住院医师对教学模式满意度及认可度.结果:观察组住院医师出科时的理论成绩、病例分析成绩均高于对照组(P＜0.05).观察组住院医师对教学模式满意度以及在提高职业素养、专科诊疗能力、沟通合作能力、科研能力的认可度均高于对照组的(P＜0.05).结论:CDIO模式能够提高新生儿科住院医师规范化培训的教学效果,提高培训满意度和认可度.
OBJECTIVE To observe the effects of the storage and transportation of sterile items of the operating rooms and central sterile supply department after the automatic vertical lift system was adopted so as to raise the work efficiency .METHODS The difference in the management of the sterile items was observed before and after the automatic vertical lift system was applied .RESULTS The automatic vertical lift system saved 60% to 80% space of storage of the sterile items ,and the accuracy of picking up goods was improved by around 300% to 400% .The use of the software system ensured easier picking up sterile items in FIFO as well as valid date management ,the safety of storage and accuracy of extraction of the sterile items were assured ,thereby boosting the working effi-ciency ,saving resources ,reducing costs ,and being environmentally friendly as well as ensuring occupational safe-ty .The level of management of the sterile items was fundamentally enhanced .CONCLUSION The use of dynamic storage system ,automatic vertical lift system ,allows the complex storage work for the sterile items to become simple ,actualizes the effective information management for the sterile items , and make the items-picking up process convenient ,time-efficient ,accurate ,and safe .
目的:总结婴幼儿复杂先心病患者术后呼吸道管理的体会。方法:对92例婴幼儿复杂先心病术后机械辅助通气时加强护理细节管理:气管插管固定、气囊管理、气道湿化、镇静、气管内吸痰、意外脱管的抢救等;重视无创呼吸机支持以及拔管后护理道管理等,确保呼吸功能顺利恢复。结果:本组病例除1例术后低心排死亡,1例严重肺动脉高压死亡上,余90例康复出院。结论:复杂先心病继发的肺血管病变严重,加之较长时间的体外循环对肺的损伤,呼吸衰竭已经成为小儿危重心病术后的重要死亡原因。在术后加强呼吸道护理的细节管理,及时的发现问题,分析原因,尽早的采取有针对的处理,是确保功能顺利恢复的最有效的方法。
医院消毒供应中心是向全院提供各种无菌器材、敷料和其他无菌物品的保障科室,又是预防和减少感染发生的重危科室,消毒供应中心是医院医疗、护理、科学科研所需各种无菌器材、敷料和用品的供应中心,又是消毒灭菌、防止交叉感染的重要基地,因此,消毒供应中心在医院建设与管理运作循环中,起着极为重要的作用.
器械是医院的主要资产且占去医院固定资产总额的大部分,如何通过正确的方法维护好器械的使用价值以及增加器械的耐用性是及其重要的.
我院供应室提供的无菌物品种类繁多,仍不能完全满足临床各科室的应用需求,临床科室仍需根据各自的需求自备无菌器械,这不仅增加了使用科室的工作程序,而且也增加了职能部门的管理难度,更不利于保证质量,在对临床科室自备代消器械包存在的问题进行调查和分析后,对各科室自备的灭菌包改由供应室集中供应等管理对策,现报告如下:
