共查询到20条相似文献，搜索用时 15 毫秒
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目的：探讨静脉输液安全管理方法,能尽快发现和解决静脉输液护理工作过程中存在的不安全因素,保障静脉输液护理质量,维持有序的临床护理工作的顺利进行,为患者提供安全、有效的静脉输液护理,保证患者静脉输液过程的顺利、安全,避免护患不良事件的发生和医疗事故的发生。方法：根据广西中医药大学附属医院急诊科现况,找出静脉输液过程中存在的不安全的原因,制定出了静脉输液安全管理的措施。结果：广西中医药大学附属医院急诊科护理人员增强主动服务的意识,静脉输液的质量得到很大程度的提高,静脉输液的不安全因素明显下降,静脉输液护理安全管理的加强,广西中医药大学附属医院急诊科静脉输液护理的护理质量得到很大的提高,安全隐患明显降低,患者满意度明显提高。结论：对静脉输液护理进行安全管理在提高患者的治疗效果、减少患者的意外情况发生、减少医疗事故等方面,具有很强的实效意义。 相似文献
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Nora Nikolac 《Biochemia medica : ?asopis Hrvatskoga dru?tva medicinskih biokemi?ara / HDMB》2014,24(1):57-67
In the clinical laboratory setting, interferences can be a significant source of laboratory errors with potential to cause serious harm for the patient. After hemolysis, lipemia is the most frequent endogenous interference that can influence results of various laboratory methods by several mechanisms. The most common preanalytical cause of lipemic samples is inadequate time of blood sampling after the meal or parenteral administration of synthetic lipid emulsions. Although the best way of detecting the degree of lipemia is measuring lipemic index on analytical platforms, laboratory experts should be aware of its problems, like false positive results and lack of standardization between manufacturers. Unlike for other interferences, lipemia can be removed and measurement can be done in a clear sample. However, a protocol for removing lipids from the sample has to be chosen carefully, since it is dependent on the analytes that have to be determined. Investigation of lipemia interference is an obligation of manufacturers of laboratory reagents; however, several literature findings report lack of verification of the declared data. Moreover, the acceptance criteria currently used by the most manufacturers are not based on biological variation and need to be revised. Written procedures for detection of lipemia, removing lipemia interference and reporting results from lipemic samples should be available to laboratory staff in order to standardize the procedure, reduce errors and increase patient safety. 相似文献
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Rachna Agarwal 《Indian journal of clinical biochemistry : IJCB》2013,28(3):227-234
Laboratories have a major impact on patient safety as 80–90 % of all the diagnosis are made on the basis of laboratory tests. Laboratory errors have a reported frequency of 0.012–0.6 % of all test results. Patient safety is a managerial issue which can be enhanced by implementing active system to identify and monitor quality failures. This can be facilitated by reactive method which includes incident reporting followed by root cause analysis. This leads to identification and correction of weaknesses in policies and procedures in the system. Another way is proactive method like Failure Mode and Effect Analysis. In this focus is on entire examination process, anticipating major adverse events and pre-emptively prevent them from occurring. It is used for prospective risk analysis of high-risk processes to reduce the chance of errors in the laboratory and other patient care areas. 相似文献
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Smart cities employ information and communication technologies to improve: the quality of life for its citizens, the local economy, transport, traffic management, environment, and interaction with government. Due to the relevance of smart cities (also referred using other related terms such as Digital City, Information City, Intelligent City, Knowledge-based City, Ubiquitous City, Wired City) to various stakeholders and the benefits and challenges associated with its implementation, the concept of smart cities has attracted significant attention from researchers within multiple fields, including information systems. This study provides a valuable synthesis of the relevant literature by analysing and discussing the key findings from existing research on issues related to smart cities from an Information Systems perspective. The research analysed and discussed in this study focuses on number of aspects of smart cities: smart mobility, smart living, smart environment, smart citizens, smart government, and smart architecture as well as related technologies and concepts. The discussion also focusses on the alignment of smart cities with the UN sustainable development goals. This comprehensive review offers critical insight to the key underlying research themes within smart cities, highlighting the limitations of current developments and potential future directions. 相似文献
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以金龙寨食品安全事故为案例,依据《食品安全法》探讨疾控中心在食品安全事故处置中定位问题。疾控中心在食品安全事故应急处置责任是协助食品药品监督管理局做好应急工作,处于从属地位,是配角;参与应急响应工作,开展食品安全事故流行病学调查,提供调查报告。通过疾控信息系统上报突发公共卫生事件应与食品药品监督管理局保持一致。对食物中毒诊断标准及食品安全事故应急预案提出修改意见。 相似文献
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随着学校教育改革的推进,学校心理健康教育的有效开展逐渐成为共识。然而,目前有些学校对心理健康教育的认识还存在一些偏差,心理健康教育工作也常常陷入形式主义、医学倾向、师资不足等误区。如何有效开展学校心理健康教育已经成为了一个实践性的重要课题。 相似文献
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21世纪,云计算作为一种以数据为中心的新型网络计算方式,已经深刻地影响到了互联网的运作和服务模式。做为公安高校专业性较强的图书馆,面对这种IT新技术带来的强烈冲击,必将受到更为严峻的挑战和考验。如今,云计算已经使图书馆的文献信息服务工作进入了一个崭新的发展阶段;应用云计算的模式,将从根本上改变公安高校图书馆传统文献信息的服务理念。所以,公安高校图书馆应该尽快适应云环境,抓住机遇,全力应对云计算泛知识环境带来的挑战;加快开发具有公安警察文化特色的专业数据库步伐,并对如何开发高质量的公安警察类特色数字资源进行了阐述。 相似文献
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An examination of major IS planning problems 总被引：1，自引：0，他引：1
Knowing what problems to expect in an IS planning exercise enhances the probability of a successful outcome. This study identifies the major IS planning problems associated with the three phases of IS planning: the launching phase, the plan development phase, and the implementation phase. Data were collected using a questionnaire survey mailed to senior IS executives in 600 firms. Of the 175 responses received, 138 responses (comprising firms practising IS planning) were used for data analysis. In all the three phases, failing to secure top management support for the IS planning effort is the most serious problem. Not having free communication flow, and not being able to obtain sufficiently qualified personnel are the other two major problems in the planning phase. In the plan development phase, respondents reported ignoring business goals and failing to translate these goals/strategies into action plans as major problems as well. Neglecting to adjust the IS plan to reflect major environmental changes is the other major problem in the implementation phase. Probable explanations were provided for these and other problems. 相似文献
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Angeles Giménez-Marín Francisco Rivas-Ruiz Ana M. García-Raja Rafael Venta-Obaya Margarita Fusté-Ventosa Inmaculada Caballé-Martín Alfonso Benítez-Estevez Ana I. Quinteiro-García José Luis Bedini Antonio León-Justel Montserrat Torra-Puig 《Biochemia medica : ?asopis Hrvatskoga dru?tva medicinskih biokemi?ara / HDMB》2015,25(3):363-376
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Gabriel Lima-Oliveira Giuseppe Lippi Gian Luca Salvagno Giorgio Brocco Gian Cesare Guidi 《Biochemia medica : ?asopis Hrvatskoga dru?tva medicinskih biokemi?ara / HDMB》2015,25(2):273-278
Introduction
In vitro human diagnostic (IVD) company recalls are a common practice aimed to either minimize a potential error or eliminate an existing failure. In this case report, we aim to provide a critical analysis of a recent IVD recall and to provide a practical framework about what to do when an IVD company recalls product(s) based on the International Organization for Standardization - ISO 15189:2012 standard.Case report
In 2014, Abbott Laboratories® (Green Oaks, IL) published an urgent field safety notice regarding a product recall (Architect Intact parathyroid hormone (PTH) Assay List Number 8K25) with immediate action required. The IVD company explained the reasons for the recall as follows: i) Abbott has confirmed that a performance shift in the Architect Intact PTH assay has the potential to generate falsely elevated results on patient samples; ii) results generated with impacted lots may demonstrate a positive shift relative to those generated with previous reagent and/or calibrator lots. This issue may also impact established Architect Intact PTH reference ranges; iii) the magnitude of shift averages approximately 13% to 45%; iv) Abbott Architect Intact PTH controls do not detect the shift; and v) all current reagent, calibrator, and control inventory are impacted. The recall could have resulted in ~40,000 inaccurate laboratory tests reported by 18 laboratories from Italy (Lombardy region).Conclusion
IVD company recalls have a serious impact on the patient safety and require a thorough investigation and responsible approach to minimize the possible damage. Medical laboratories accredited according to the ISO 15189 standard have procedures in place to manage such situations and ensure that patient safety is maintained when such recalls are issued.Key words: clinical laboratory techniques, patient safety, laboratory variability, reference standards, quality control, parathyroid hormone 相似文献13.
[目的]探索医学期刊组织专题的有效途径,为国内医学期刊提供借鉴与参考。[方法]以《放射学实践》杂志为例,介绍其通过与协办单位合作、及时报道重大科研成果、围绕突发公共卫生事件等多种方式进行专题组稿的经验和体会;比较、分析专题论文和非专题论文的质量。[结果]《放射学实践》近3年成功组织了22个专题,极大地扩大了本刊在业内的影响。专题论文的篇均被引频次和篇均下载量均明显高于非专题论文。[结论]医学期刊编辑应该结合自身杂志特点,充分发挥积极性和主动性,勇于探索,敢于创新,不断开拓专题组稿的新方法和新形式,为提高期刊质量不懈努力。 相似文献
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Corporate dynamic transparency: the new ICT-driven ethics? 总被引：1，自引：1，他引：0
The term “corporate transparency” is frequently used in scholarly discussions of business ethics and corporate social responsibility
(CSR); however, it remains a volatile and imprecise term, often defined incompletely as “information disclosure” accomplished
through standardized reporting. Based on the results of empirical studies of organizational behaviors, this paper identifies
a new set of managerial practices based on the use of information and communication technologies (ICT) and particularly Internet-based
tools. These practices are resulting in what can be termed “dynamic transparency.” ICT allows for an informational environment
characterized by two-way exchange between corporations and their stakeholders, which fosters a more collaborative marketplace.
It is proposed that such dynamic information sharing, conducted by means of ICT, drives organizations to display greater openness
and accountability, and more transparent operations, which benefit both the corporations and their constituents. One of the
most important outcomes that will accrue to consumers and other individuals is the “right to know,” especially about corporate
strategies and activities that might directly affect their quality of life. This paper demonstrates that dynamic transparency
is more desirable and more effective than the more common “static transparency” where firms’ information disclosure is one-way,
usually in response to government regulation. We present three ethical arguments to justify the implementation by business
firms of dynamic transparency and demonstrate that their doing so is related to CSR and to augment and complement stakeholder
engagement and dialogue. The paper concludes with a summary of the possible limits to and the problems involved in the implementation
of dynamic transparency for corporations, and suggests some strategies to counter them. 相似文献
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2019年通过的《中华人民共和国基本医疗卫生与健康促进法》,提出了各级人民政府应当普及健康科学知识,向公众提供科学、准确的健康信息。医疗卫生、教育等机构应当开展健康知识的宣传和普及工作。《中国健康科普作品创作与传播专家共识》指出,要构建覆盖“诊前—诊中—诊后”医疗全流程、贯穿“出生—成长—衰老—死亡”生命全周期的健康科普教育体系,全方位保障公众健康。因此,该文从医学院校实施健康科普的必要性、医学院校实施健康科普的作用、医学院校实施健康科普的目的、医学院校实施健康科普的条件以及医学院校健康科普效果评价等几个方面阐述了医学院校实施健康科普的思考。 相似文献
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[目的/意义] 新型冠状肺炎防治的科研信息报道是公众关注的重要话题,极易引发网络信息泛滥和社会公众恐慌。如何引导突发公共卫生事件科研信息报道网络舆情走向成为重要课题。[方法/过程] 本文选取"双黄连事件"作为研究案例,在新浪微博上分别爬取原始话题和回应话题下的发帖、转发和评论等数据,通过统计分析法、情感分析法等方法讨论科研信息报道的社会热度和公众态度,分析官方媒体和权威专家的回应对事件舆情发展的影响。[结果/结论] 研究结果发现,公众高度关注科研信息报道,并表现出较为极端的情绪;而官方媒体和专家的权威回应会影响到事件的话题热度,进而影响公众情感取向。官方媒体具有强大的传播力和影响力,成为公众获取科研信息的主要途径。在此基础上,构建了"官方媒体-权威专家-普通公众"三方协同的管控机制,以有效应对突发公共卫生事件科研信息报道所引发的网络舆情。 相似文献
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Cristiano Ialongo Sergio Bernardini 《Biochemia medica : ?asopis Hrvatskoga dru?tva medicinskih biokemi?ara / HDMB》2016,26(1):17-33
The evidence-based paradigm has changed and evolved medical practice. Phlebotomy, which dates back to the age of ancient Greece, has gained experience through the evolution of medicine becoming a fundamental diagnostic tool. Nowadays it connects the patient with the clinical laboratory dimension building up a bridge. However, more often there is a gap between laboratory and phlebotomist that causes misunderstandings and burdens on patient safety. Therefore, the scope of this review is delivering a view of modern phlebotomy to “bridge” patient and laboratory. In this regard the paper describes devices, tools and procedures in the light of the most recent scientific findings, also discussing their impact on both quality of blood testing and patient safety. It also addresses the issues concerning medical aspect of venipuncture, like the practical approach to the superficial veins anatomy, as well as the management of the patient’s compliance with the blood draw. Thereby, the clinical, technical and practical issues are treated with the same relevance throughout the entire paper.Key words: phlebotomy, venipuncture, laboratory testing, preanalytical phase, preanalytical variability, patient safety, evidence based medicine 相似文献
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提高畜禽产品质量安全,确保畜禽健康和消费者安全已成目前养殖者和监督管部门的重要课题。文章从养殖环境、动物疫病、投入品使用等方面剖析影响畜产品质量安全的因素,提出加强畜产品质量安全的对策建议。 相似文献
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慢性心力衰竭(chronic hear failure,CHF)是一种极为复杂的临床综合征,是各种心脏病发展的最终阶段,严重危害患者及家属的生命安全和心理健康。生活质量能较全面评价生活优劣。近年来对影响心力衰竭患者生活质量的因素及干预措施不断涌现。文章结合循证医学证据和国内外最新研究,对慢性心力衰竭的生活质量及干预措施研究进展作一综述。 相似文献