1.Application of fine management in management of nurse′s aide in operating room
Chinese Journal of Modern Nursing 2016;22(25):3676-3678
Objective To explore the application of fine management in management of nurse′s aide in operating room under the condition of informatization without full coverage. Methods The fine management was carried out in nurse′s aide of operating room from July 2015 involving human resource integration, perfecting training system and job responsibilities, optimizing the workflow. And then, we compared the differences in the satisfaction of medical staff with the nurse′s aide, rate of cleaning in health department of responsibility, incidence of sharp instrument injury and dropout rate of nurse′s aide before ( January 2015 to June 2015) and after ( July 2015 to December 2015) implementation. Results After the implementation of fine management, the satisfaction rate of medical staff increased from 90% to 95%; the rate of cleaning in health department of responsibility increased from 80% to 95%; the incidence of sharp instrument injury decreased from 25.0% to 12.5%; the dropout rate of nurse′s aide decreased from 18.7% to 12.5%. There were statistically significant differences in all of them before and after implementation (χ2=12.53,8.12,6.78,7.93;P<0.01).Conclusions The application of fine management in nurse′s aide of operating room improves the satisfaction rate of doctors and nurses as well as the satisfaction rate of nurse′s aide with a win-win situation.
2.Application of three-level management model in operation room management
Chinese Journal of Modern Nursing 2017;23(28):3675-3677
Objective To explore the effects of the three-level management model in Operation Room (OR) management.Methods A vertical management system covering head nurses, special team leaders and team members, namely, a three-level management model, was built. The general management conducted in 2015 were selected as a control group, while the three-level management model adopted in 2016 was investigated as an observation group. Then the nursing quality aspects such as preoperative material preparation, skilled procedure coordination, timely passing of instrument, professional knowledge and aseptic processing as well as the satisfaction among doctors, patients and instrament respair rate, damage rate and loss rate in OR were compared between the two groups.Results After the three-level management model was adopted, patients, doctors showed higher satisfaction in their self-evaluation than before (P<0.05). Instrument respair rate, damage rate and loss rate were lower than before the implementation(P<0.05).Conclusions The three-level management model, when applied in OR management, can improve the nursing quality and motivate OR nurses, thus accelerating the cultivation of OR nursing staff and specialized construction.
3.Epidemiological Analysis of Pathogens in Acute Respiratory Infections During the 2023—2024 Autumn-Winter Season in Beijing: A Case Series of 5556 Patients at Peking Union Medical College Hospital
Yan CAO ; Yu CHEN ; Jie YI ; Lingjun KONG ; Ziyi WANG ; Rui ZHANG ; Qi YU ; Yiwei LIU ; MULATIJIANG MAIMAITI ; Chenglin YANG ; Yujie SUN ; Yingchun XU ; Qiwen YANG ; Juan DU
Medical Journal of Peking Union Medical College Hospital 2024;16(3):680-686
To analyze the epidemiological characteristics of acute respiratory infections (ARIs) during the autumn-winter season in Beijing, providing evidence for the prevention, control, diagnosis, and treatment of ARIs. A convenience sampling method was employed, enrolling patients who visited Peking Union Medical College Hospital (PUMCH) between September 2023 and February 2024 due to ARIs. Nasopharyngeal swabs were collected, and real-time fluorescence quantitative PCR was used to detect six common respiratory pathogens[influenza A virus (FluA), influenza B virus (FluB), human rhinovirus (HRV), A total of 5556 eligible patients were included. The overall positivity rate for the six common respiratory pathogens was 63.7%, with single-pathogen positivity at 54.0%, dual-pathogen positivity at 8.9%, and triple or more pathogen positivity at 0.7%. The predominant pathogens detected were FluA(16.1%) and RSV(15.7%), followed by ADV(11.1%), MP(11.1%), HRV(10.0%), and FluB(10.0%).No significant difference in overall pathogen positivity was observed between genders.However, significant differences were found between autumn and winter( The prevalence of respiratory pathogens in Beijing is associated with age and season. Targeted preventive measures should be implemented in different seasons and for key populations.