ABSTRACT
Objective To build scientific and sensitive nursing quality indicators on hepatic encephalopathy, so as to provide and promote the improvement of nursing quality. Methods The hepatic encephalopathy nursing-sensitive quality indicators was eventually built through literature reviews、evidence classification、indicators selected、experts consultations、data analysis. Results Eighteen hepatic encephalopathy nursing sensitive quality indicators, such as percentage of driving risk disclosure, percentage of nutritional assessment regularly were identified. The positive coefficients in the two rounds of expert consultation were 78.95% and 93.33%. And the authoritative coefficients were 0.930 and 0.945. The coefficients of variation ranged from 0.00 to 0.29. Conclusions The hepatic encephalopathy nursing-sensitive quality indicators are scientific and practical,which can be applied to clinical utilization.
ABSTRACT
OBJECTIVE To control the spread of multi-drug resistant(MDR) bacteria in hospital and to ensure patients′ medical safety.METHODS We had established a network monitoring system,improved MDR monitoring,enhanced management of antibiotics rational use and cut off the transmission of MDR bacteria.RESULTS After taken these measures,the standard preventing of medical workers,handwashing compliance and specimen censorship rate had been greatly improved.Antimicrobial drug use was more standardized.In the last two years,we hadn′t found any epidemic outbreak due to MDR bacteria event.CONCLUSIONS Taking comprehensive prevention and control measures can prevent and control the development and proliferation of MDR bacteria and ensure patients′ medical safety.
ABSTRACT
OBJECTIVE To investigate the incidence of hospital infection in patients with indwelling catheter and its risk factors, the inpatients were monitored and the measures were taken to prevent the patients from infection. METHODS Monitoring 617 patients with indwelling catheter, retrospective survey and analysis study were available , including a plan to detect microbe, to study the medical history and to examine the patients. RESULTS Eighty nine patients with 106 cases-times of urinary tract infection happened, and its incidence rate was 14.42 percent with the highest rate in all the hospital infection cases. The main risk factors of urinary tract infection included inserting catheter, unclean operation, delayed removing of catheter and unreasonable application of antibiotic . CONCLUSIONS Controlling the indication, shortening the time of indwelling catheter, keeping urinary aseptic manipulation and rational application of antibiotic are effective measurement for the patients with indwelling catheter.