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Objective:To explore the application of effect of healthcare failure mode and effect analysis (HFMEA) in emergency waiting risk management.Methods:From May 2020 to April 2021, totally 87 902 emergency waiting patients from the First Affiliated Hospital of Anhui Medical University were assigned to control group by cluster sampling method. From May 2021 to April 2022, 80 594 emergency waiting patients were assigned to observed group. The patients in the control group received routine emergency waiting of itinerant management mode. In contrast, the patients in the observed group received emergency waiting risk management mode based on HFMEA. The process risk priority number (RPN) and waiting risk management index between two groups were compared.Results:The mean RPN of the observed group was (98.48 ± 8.27) points, significantly lower than that of the control group (251.27 ± 16.95) points. The nurses′ pre-identification rates of changes in the condition and adverse reaction in the observed group were 10.77%(8680/80 594) and 13.37%(10 775/80 594), which were higher than those in the control group, 5.77%(5072/87 902) and 8.12%(7134/87 902), the differences were statistically significant ( χ2 values were 1402.32 and 1221.66, all P<0.05). Conclusions:The application of HFMEA to optimize the emergency waiting management process can effectively reduce the risk of emergency waiting and improve the quality of emergency waiting management.
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OBJECTIVE To investigate the incidence and developing trends of the hospital infection among inpatients and to find out the quick path of preventing from and controlling hospital infection.METHODS Data of 188087 cases inpatients were summarized and analyzed by using the combined methods of retrospective.prospective and target monitoring.RESULTS All 5167 cases with hospital infection took place with the incidence rate of 2.75% and 6054 case-times took place with the case-times rate of 3.22%.Among the infection sites the respiratory infection ranked the first and covered 67.64%.Candida albicans was the first one among the pathogens.CONCLUSIONS Analyzing the risk factors of hospital infection and strengthening monitoring the hospital infection sources and taking measures are the important methods to prevent from and control the hospital infection.
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The effects of hyperbaric oxygen (HBO) on chromosome aberrations in peripheral lymphocytes in the rabbits induced by 60Co-ray irradiation were studied. It was found that there was no effect of HBO itself on chromosomes in peripheral lymphocytes, and definite promotive effect of HBO on repair of chromosome damage of peripheral lymphocytes induced by irradiation in rabbits.