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Objective To design a medical order pre-evaluation tool for perioperative prophylactic application of antibiotics,and to improve the efficiency of antibiotics management in hospitals during the perioperative period.Methods Using the open-source software R as the platform,a web application was built with tidy verse and shiny package based on related documents and guidelines.The discharge records of Affiliated Hospital of North Sichuan Medical College from April 1,2021,to December 31,2022,were retrospectively reviewed using the constructed pre-evaluation tool and compared with previous manual evaluation results using McNemar's Chi-squared test.Results This medical order pre-evaluation tool can quickly complete perioperative antibiotics order sampling,batch pre-evaluation,result statistics,visualization,and result output,and flexibly adjust the evaluation rules according to actual needs.The pre-evaluation tool is more efficient,with a review speed of 13.46 ms per medical record.Among the 2 642 discharge medical records of manual review,there was no significant difference between systematic pre-evaluation and manual evaluation results(ratio of prophylactic use:76.85%vs.78.21%)in terms of the type of use(preventive or curative)(P= 0.078).Among the 1 857 discharge records judged to be prophylactic for both manual and systematic reviews,the difference in unreasonable detection rate(39.90%vs.30.32%)was statistically significant(P＜0.001).Among the 63 typical ludicrous medical records confirmed by the review of clinical pharmacists with senior professional titles,60 were judged and limited by the pre-evaluation tool,and the detection rate of typical unreasonable was 95.24%.Conclusions The pre-evaluation tool based on R in this study can improve the efficiency of perioperative antibacterial drug evaluation.The evaluation conclusions and statistical results are reliable and are worthy of further development and application.
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Based on the International Federation of Nursing Anesthetists (IFNA) education and training base, our hospital has built a training base for anesthesia specialized nurses in Nanjing from the following aspects: the application for training base of anesthesia specialized nurses, the qualification and examination of students' and teachers' qualification, the settings of training curriculum, the examination contents and methods, and the evaluation of post-training effect. This article summarizes the construction experience of this base, therefore, providing support and standard for the training of anesthesia specialized nurses.
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Objective To study the exact clinical efficiency of "Sanhuang powder" in treatment of human papillo-mavirus (HPV) infection. Methods The 160 patients suffered from cervicitis with HPV infection persisted from January 2012 to January 2015 at Nanhai District Maternity and Child Healthcare Hospital were selected and randomly divided into treatment group and control group. The treatment group included 81 patients were given "sanhuang powder". The control group included 79 patients were given Recombinant human interferon α-2b suppository. The medication were given 2 weeks after menstruation, and continued treatment for 3 months, all the patients came back to accept gyneco-logical examination one month after stoping medicine, TCT and HPV-DNA test and electronic vaginal examination be-fore and after treatment were observed and analyzed respectively. Results The effect of HPV of two groups had no sig-nificant difference(P>0.05). Conclusion"Sanhuang powder"has anti-HPV infection and exact clinical efficiency, is suit able for clinical application.