Objective To discuss the design and content management of the nursing case records for patients with acute cerebrovascular disease.Methods We modified the former nursing case records(NCR)by adopting the "filling in the blank" recording style and reducing time cost for repeated writing.The new NCR demonstrated the time characteristic of vital signs changes and neurological signs changes such as consciousness,pupil and paralyzed muscle strength.It could also superintend the record of admission,hospitalization and discharging of patients.Results It met a standardized nursing record management after the modification and showed the specialized nursing services with simplified and integral characteristics.The new NCI fitted legal requirement,pretected the rights of nurses and favored for the quality control and management of nursing cases.Conclusion The newly modified NCI contributes to the nursing quality for hospitalized patients with acute cerebrovascular disease.

0.05);the difference on d3 with that on d9 was significant(P0.05);the difference on d3 with that on d7 and d9 was significant(P

Objective To investigate the application effects of bedside billing integration based on human factors integration theory in hospitalized patients.Methods Selected 322 patients from November 2012 to February 2016 the department of our hospital,according to the hospital bedside settlement time they were divided into observation group (March 2014-February 2016,settle account at bedside)and control group (November 2012-February 2014,settle account regularly),and the effects of nursing management,discharge waiting time,nurse′s satisfaction and patient′s satisfaction were compared.Results In observation group, nurse-patient relationship,nursing responsibility,and up-to-date hospital information were significantly better than that of control group;however,the discharge waiting time was significantly lower than that of control group (P <0.05 ).In 37 nurses,the work environment satisfaction,level of business satisfaction,interpersonal satisfaction,and nursing error rate were 91.89%,86.49%,89.19%,0.00% in observation group,while in 46 nurses of control group,they were 76.09%,76.09%,67.39%,4.35%.A total of 162 patients in observation group,discharged flow satisfaction,satisfaction with the quality of care,care attitude satisfaction and complaint rates were 98.15%,93.83%,91.98%,0.00%,they were 88.13%,81.88%,78.13%, 2.50% in 160 patients of control group.Conclusions Bedside billing integration based on human factors theory can obviously improve nurse′s and patient′s satisfaction,shorten the hospital waiting times,optimize discharge processes,so it is worthy of promotion.

Objective To explore the construction, application advantages and values of the ECG network system under Wise Information Technology.Methods A total of 240 patients enrolled in Department of Neurology, the First Affiliated Hospital of Wenzhou Medical University from March 2016 to May 2016 were randomly divided into two groups: conventional ECG group (control group) and network ECG group (experimental group), with 120 cases respectively. The ECG test time and satisfaction of patients and nurses were compared between two groups.Results Compared with the conventional ECG group, patients in network ECG group took less time to have an ECG examination, which decreased from an average of 33.32 min to 9.59 min. And the time required for nurses decreased from an average of 10.27 min to 4.82 min. The differences were statistically significant (P<0.001). Patients' satisfaction increased from 89.8% to 99.5%, while medical staff's satisfaction increased from 91.5% to 99.3%. The differences were statistically significant (P<0.001). Conclusions Network ECG examination greatly reduces the waste of human resources and saves operating costs, enhances the health care staff satisfaction and is worth further promotion in the clinical application.

Objective On account of the traditional unit selection and lack of ergonomics during the design process , the optimized and selection of the bed units were presented based on ergonomics . Methods Based on ergonomics theory and the systematic characteristic of wards units , the full integration of general hospital beds , electric automatic control of beds , alternative transport flatcar , bedside cabinets plus electronic locks and cancel thermos storage , and treatment were adopted to the individual needs , in order to achieve the goal of “meeting human needs” and take the “human” factor into the hardware construction .The ward bed unit selection and design was optimized .Results The overall quality of hospital hardware was improved, and it was convenient for the patients and medical staff .It achieved the overall transfer function and improved the safety of patients′transportation , so it ensured the safety of patients during hospitalization . Conclusions The optimization and selection based on ergonomics theory in ward bed can improve the quality of service, work efficiency and economic benefit , which can make the hospital management more humanized , systematic and scientific .

Objective To investigate the application of digital working system for the serving counter in major operation room. Methods We reestablished the streamline of the work at serving counter, we invented coordinate system of surgery arrangement platform-sign in-clothing changing machine-locker, established the rules of counter gate control system as well as protocol for clothing management in order to improve the overall quality and efficiency of the serving counter in the operation room. Results The digital working system of the serving counter could make the serving process running more programmed, normalized, standardized, institutionalized in the operation room. The satisfaction of first operation attendance rate, the dirty operating clothing collect rate, and operation management satisfaction from doctors were 92. 0%, 96. 0%, 97. 0%, which were higher than those of the control group (χ2 = 89. 90, 145. 72, 15. 34, respectively;P < 0. 01 ). Conclusions The application of digital working system can facilitate the service progress, normalize the management of the operation room, improve the efficiency of the operating room and upgrade the level of the management of infection in the operation room.

Objective To introduce admission-discharging distributed management characteristics and practice in nurse station, to analyze the new process value in improving nurse-patient friendliness. Methods The method of admission-discharging distributed management had been re-engineering which based on internet technology in nursing station, and been compared patients satisfaction with the status before. We explored the utilization of new process. Results The patients′satisfaction were 96. 0%, 97. 0%, 94. 0%, 98. 0%, 90. 0%for admission process, discharging process, payment method, service attitude, and medical information acquirement after re-engineering that all were better than before (P<0. 01). 7 months after re-engineering, the rate of admission and discharging by new process reached 47. 50% and 57. 26%. Conclusions After carrying out the admission-discharging distributed management in nurse station, the section of admission and discharging are reduced, and the nurse-patient friendliness have been improved.

Objective? To monitor and analyze the temperature of different positions in the cold closet of an air-cooled refrigerator in a Class Ⅲ Grade A hospital, and provide guidance for nurses in the ward to use air-cooled refrigerators properly. Methods? Totally 3 air-cooled refrigerators from a ClassⅢ Grade A hospital in Zhejiang Province were selected by convenient sampling during June to July 2017. Temperature of 23 different positions from 3 compartments of the cold closet of each refrigerator were monitored, compared, and analyzed, covering the front, back, left, right, middle, storage box, air supply outlet, return air inlet, panel, and real- time temperature meter of the refrigerator, etc. Results?(1) The temperature of the front, back, left and right compartment of the air-cooled refrigerator was compared, temperature of the left and right of the middle and lower compartment was compared, temperature of the front and the back of the upper compartment was compared, all difference of the above showed no statistical significance (P＞ 0.05). The difference between the front and the back of the middle and lower compartment showed statistical significance (P＜0.01). (2) The difference between the refrigerator door and the monitoring point in the middle of the refrigerator was statistically significant (P＜0.01). (3)The temperature difference between the air supply outlet and the return air inlet was statistically significant (P＜0.01). (4)The real-time temperature detected in the refrigerator box was statistically different from the temperature detected in the middle of the refrigerator body (P＜0.01). Conclusions? Nurses should master the cold closet temperature features of air-cooled refrigerators, the temperature difference between different spatial positions, and the time difference of temperature changes after temperature modification and use the refrigerators correctly, so as to meet the temperature requirements for medicine storage in the wards.