ABSTRACT
Objective:To assess the nursing care experiences and curative effects of the application of wound care technologies combined with other multiple treatments in the hepatolithiasis patient who suffered from postoperative severe intestinal fistula.Methods:The wound care difficult points were analyzed,the wound care technologies combined with other multiple treatments including multiple debridement methods were applied according to the severity of the intestinal fistula:multiple debridement, new skin protection, continuous flushing and drainage with double cannula, improved negative pressure closure drainage and wound pull-in technology, combined with systemic treatment and nursing intervention.Results:The intestinal fistula was treated for 12 days, and the wound infection was controlled for 24 days. Finally the wound was healed after 43 days and patient was discharged from hospital.Conclusions:In the case of severe intestinal fistula after hepatolithiasis operation, the application of wound nursing technology combined with treatment scheme provides a new treatment idea and scheme for intestinal fistula and wound healing.
ABSTRACT
Objective To establish two grade triage safety management mode in outpatient department,and to evaluate its effects of application for outpatient nursing quality management.Methods Two grade triage safety management mode was established:improving management system for two grade triage,establishing nursing position for two grade triage,improving patient triage management software and triage management scheme.The convenience sampling method was adopted to extract the two grade triage safety management model.Satisfaction of outpatients,nursing risk warning evaluation and nursing safety management were evaluated before and after the implementation of two grade triage safety management mode.Results After the implementation of two grade triage safety management mode in outpatient department,the overall satisfaction of outpatients was improved from (4.00±0.89) points to (4.67±0.37) points (P＜0.05).The overall compliance rate of nursing risk warning evaluation index showed significant increases (P＜0.05),and the qualification rate of rescue items was increased from 84.55％ to 95.91％ after the implementation.For nursing safety management program,the utilization rate of prior passages was increased from 5.22％ to 20.45％.The usage rate of self-service blood pressure measurement was increased from 1.94％ to 54.33％.The identification rate of high-risk fall patients was increased from 13.82％ to 43.36％.All differences were statistically significant (P＜0.05).Conclusion The implementation of two grade triage safety management mode is helpful to improve satisfaction of outpatients,and promote outpatient safety quality management.
ABSTRACT
The authors introduced the development and application of an outpatient triage safety management system for hospitals. The system consists of the triage queue module, fast track module for prioritized special outpatients and subsequent outpatients, vital signs data recording module, assessment module for high fall risk outpatients, and high risk outpatient transfer module. These functions enable outpatient triage nurses to focus on pre-examination, safety factor identification, and high risk outpatient transfer, thus shortening outpatient queue time and high risk outpatient transfer to emergency, and lower adverse events. With this system, nursing safety management becomes more scientific, standardized and systematic, enabling optimized nursing staff efficiency and fine management of nursing care.
ABSTRACT
The authors introduced the development and application of an outpatient triage safety management system for hospitals. The system consists of the triage queue module, fast track module for prioritized special outpatients and subsequent outpatients, vital signs data recording module, assessment module for high fall risk outpatients, and high risk outpatient transfer module. These functions enable outpatient triage nurses to focus on pre-examination, safety factor identification, and high risk outpatient transfer, thus shortening outpatient queue time and high risk outpatient transfer to emergency, and lower adverse events. With this system, nursing safety management becomes more scientific, standardized and systematic, enabling optimized nursing staff efficiency and fine management of nursing care.