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Organization of personnel and resources for airway management in the hospital and office environment

CRITICAL CARE CLINICS 2000年第3期16卷 527-+页

作者： Showan, AM Sestito, JA Univ Penn Sch Med Dept Anesthesia Philadelphia PA 19104 USA

Good airway management depends on a system that emphasizes teamwork to expedite care and minimize errors. By understanding the accreditation and licensing requirements, appropriate personnel and equipment can be allocated along cost effective guidelines. Newer techniques for management of the difficult airway, such as the laryngeal mask airway (LMA;LMA North America, San Diego, CA) and flexible fiberoptic bronchoscope, provide alternatives to the emergency cricothyrotomy. A program of continuous quality improvement and clinical guidelines will enhance patient care and suggest intelligent use of airway resources.

关键词：气道阻塞/治疗麻醉科医院/组织和管理费用效益分析卫生人员/教育卫生人员/组织和管理在职培训/组织和管理插管法气管内/经济学插管法气管内/仪器和设备插管法气管内/标准办公室管理工作/组织和管理复苏术/经济学复苏术/教育复苏术/仪器和设备复苏术/标准全面质量管理/组织和管理人类

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Systems change resulting from HIV/AIDS education and training - A cross-cutting evaluation of nine innovative projects

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EVALUATION & THE HEALTH PROFESSIONS 1999年第4期22卷 405-426页

作者： Henderson, H German, VF Panter, AT Huba, GJ Rohweder, C Zalumas, J Wolfe, L Uldall, KK Lalonde, B Henderson, R Driscoll, M Martin, S Duggan, S Rahimian, A Melchior, LA Measurement Grp Culver City CA 90230 USA Univ Mississippi Med Ctr University MS 38677 USA Univ N Carolina Chapel Hill NC 27515 USA Emory Univ Atlanta GA 30322 USA Univ Washington Seattle WA 98195 USA Univ Colorado Hlth Sci Ctr Boulder CO 80309 USA

An evaluation of nine diverse HIV/AIDS training programs assessed the degree to which the programs produced changes in the ways that health care systems deliver HIV/AIDS care. Participants were interviewed an average of 8 months following completion of training and asked for specific examples of a resulting change in their health care system. More than half of the trainees gave at least one example of a systems change. The examples included the way patient referrals are made, the manner in which agency collaborations are organized, and the way care is delivered.

关键词：卫生保健提供/组织和管理 HIV感染/治疗卫生人员/教育在职培训/组织和管理组织改革方案评价/方法问卷调查研究设计系统分析美国美国卫生资源和服务管理局青少年成年人老年人女(雌)性人类男(雄)性中年人

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Hospital trauma care in multiple-casualty incidents: A critical view

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ANNALS OF EMERGENCY MEDICINE 2001年第6期37卷 647-652页

作者： Hirshberg, A Holcomb, JB Mattox, KL Baylor Coll Med Dept Surg Houston TX 77030 USA Ben Taub Gen Hosp Joint Trauma Training Ctr Houston TX 77030 USA

During a multiple-casualty incident, a large casualty caseload adversely affects the quality of trauma care given to individual patients. From a trauma care perspective, the goal of the hospital emergency plan is to provide severely injured patients with a level of care that approximates the care given to similar patients under normal conditions. Therefore, the realistic admitting capacity of the hospital is determined primarily by the number of trauma teams that the hospital can recruit. Effective triage of these casualties is often not straightforward, with high over-triage rates. Simplified triage algorithms may be a practical alternative to more elaborate schemes. The concept of minimal acceptable care is the key to a staged management approach during a mass-casualty incident. Discrete-event computer simulation and war game tabletop exercises for key personnel are 2 new modalities that are supplementing the traditional mock disaster drill as effective planning and training tools.

关键词：算法计算机模拟决策树救灾计划/组织和管理急诊室医院/组织和管理策略实验性卫生保健公平提供/组织和管理医院病床数在职培训/组织和管理领导多处创伤/治疗医师的作用卫生保健质量创伤学/教育创伤学/组织和管理伤病员分拣/组织和管理工作负荷量人类

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Competency and confidence: Procedures in the emergency department

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ANNALS OF EMERGENCY MEDICINE 2001年第6期37卷 686-687页

作者： Hsiao, AK Hedges, JR Newman, DH Oregon Hlth Sci Univ Dept Emergency Med Portland OR 97201 USA Univ Pittsburgh Pittsburgh PA USA

[Hsiao AK, Hedges JR. Competency and confidence: procedures in the emergency department. Ann Emerg Med. June 2001;37:686-687.]

关键词：医务工作者的态度临床工作能力/标准教育医学研究生/组织和管理急救医学/教育急诊处理/标准在职培训/组织和管理实习医师和住院医师职务/组织和管理医务人员医院/教育医务人员医院/心理学自我效验人类

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Executive summary: Developing objectives, content, and competencies for the training of emergency medical technicians, emergency physicians, and emergency nurses to care for casualties resulting from nuclear, biological, or chemical (NBC) incidents

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ANNALS OF EMERGENCY MEDICINE 2001年第6期37卷 587-601页

作者： Waeckerle, JF Seamans, S Whiteside, M Pons, PT White, S Burstein, JL Murray, R Amer Coll Emergency Phys Irving TX 75038 USA

Study Objective: The task force assessed the needs, demands, feasibility, and content of training for US civilian emergency medical responders (paramedics, nurses, and physicians) for nuclear/biological/chemical (NBC) terrorism. Methods: A task force representing key professional organizations, stakeholders, and disciplines involved in emergency medical response conducted an iterated instructional-design analysis on the feasibility and content of such training with input from educational professionals. We then analyzed 6 previously developed training courses for their congruence with our recommendations. Results: The task force produced descriptions of learning groups, content and learning objectives, and barriers and challenges to NBC education. Access to training and sustainment of learning (retention of knowledge) represent the significant barriers. The courses analyzed by the task force did not meet all objectives and challenges addressed. Conclusion: The task force recommends training programs and materials need to be developed to overcome the identified barriers and challenges to learning for these audiences. Furthermore, the task force recommends incorporating NBC training into standard training programs for emergency medical professionals.

关键词：生物恐怖化学战临床工作能力/标准课程/标准教育继续/组织和管理急救技师/教育急救医学/教育急症护理/教育可行性研究指导方针(主题) 在职培训/组织和管理医务人员医院/教育需求估价/组织和管理护理人员医院/教育组织目标规划制订辐射损伤/治疗美国人类

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Implementing and evaluating a rotating surveillance system and infection control guidelines in 4 intensive care units

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AMERICAN JOURNAL OF INFECTION CONTROL 2001年第2期29卷 89-93页

作者： Lemmen, SW Zolldann, D Gastmeier, P Lütticken, R Univ Hosp Rhein Westfal TH Aachen Dept Infect Control D-52057 Aachen Germany Free Univ Berlin Inst Hyg D-1000 Berlin Germany Univ Hosp Rhein Westfal TH Aachen Inst Med Microbiol Aachen Germany

Background: In clinical practice, scientific evidence about infection control is often ignored and hygiene rituals are followed. Methods: Within an evidence-based infection control program, a quarterly rotating surveillance program for nosocomial infections was implement ed in 4 intensive care units (ICUs) at the Aachen University Hospital, Germany. Results: For the first time, the unit-specific nosocomial infection situation was made clear to the clinical staff by interpretive feedback of the surveillance data. This led to an increased awareness of infection control and a critical review of hygiene practices. After the first surveillance period, the hygiene practices of each ICU were revised and modified. The Centers for Disease Control and Prevention/Hospital Infection Control Practices Advisory Committee guidelines for the prevention of nosocomial infections were adopted and established in tight collaboration with the ward staff. Conclusions: Within the surveillance process, communication and team spirit between infection control and patient care personnel showed a remarkable improvement. Awareness and compliance with hospital hygiene and infection control practices could be raised without directive interaction.

关键词：医务工作者的态度交叉感染/流行病学交叉感染/病因学交叉感染/预防和控制教育考核循证医学德国坚持准则健康知识态度实践医院大学感染控制/组织和管理感染控制/标准在职培训/组织和管理重症监护病房/组织和管理重症监护病房/标准医务人员医院/教育医务人员医院/心理学模型组织管理护理人员医院/教育护理人员医院/心理学诊疗准则(主题) 规划制订/方法方案评价/方法前瞻性研究问卷调查人类

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A clash of cultures: A&E and mental health

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Accident and Emergency Nursing 2000年第1期8卷 2-8页

作者： Crowley, John J. Community Psychiatric Nurse St. Nicholas Centre London SE18 1BB 79b Tewson Road United Kingdom

Accident and emergency (A&E) departments have attracted little attention from psychiatric services, with the exception of emergencies and the management of self harm. Emergency staff gravitate towards those attenders with concrete physical needs, typifying mental health attenders as low status. The aim of this project, which took place over a 12 month period, was to improve the quality of care provided to persons attending an A&E department with mental health needs, through a staff development programme. It was initiated for the generic A&E nurse with no formal training in mental health care. The programme was based on knowledge generated through a collaborative approach using an action research process. This article particularly focuses on the mindsets, values and strategies which evolved through the study. The project indicated that facets of the A&E culture such as staff values, technology, communication patterns and the environment give mental health a low status. Conflict is generated between the individual and the macro culture, dominated by the excitement of trauma care and the short-term, immediate nature of the work. © 2000 Harcourt Publishers Ltd.

关键词：医务工作者的态度教育护理继续/组织和管理急症护理/教育健康知识态度实践卫生服务需求卫生服务研究在职培训/组织和管理精神障碍/护理护理人员医院/教育护理人员医院/心理学组织文化精神病护理学/教育质量保证卫生保健/组织和管理人类

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设置障碍法在新护士规范化培训中的应用

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中国误诊学杂志 2011年第22期11卷 5420-5421页

作者：周小妹杨芳叶香枝解放军第九二医院护理部福建南平353000

护士规范化培训是指在完成医学院校基础教育后,接受规范的护理专业培训。它是护理学科发展的关键环节,也是护理人才梯队培养的重要任务之一。本院于2008年起正式开展了护士规范化培训。通过规范化培训能提高护士的业务水平和实践能力,... 详细信息

护士规范化培训是指在完成医学院校基础教育后,接受规范的护理专业培训。它是护理学科发展的关键环节,也是护理人才梯队培养的重要任务之一。本院于2008年起正式开展了护士规范化培训。通过规范化培训能提高护士的业务水平和实践能力,对促进人才的成长及提高本院护理服务水平起到了积极的推动作用。

关键词：护士在职培训/组织和管理

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Qualitative issues related to the transprofessional modelof end-stage aids care

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Home Health Care Services Quarterly 1998年第1期17卷 93-100页

作者： Melchior, Lisa A. De Veauuse, Natasha Huba, G.J. The Measurement Group Culver CA United States

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关键词：获得性免疫缺陷综合征/治疗按人收费信息交流社区保健护理/经济学社区保健护理/组织和管理数据收集在职培训/组织和管理洛杉矶模型组织管理转诊和会诊社会支持临终医护/经济学临终医护/组织和管理成年人女(雌)性人类男(雄)性中年人

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THE HELPING COMMUNITY - ISSUES IN THE EVALUATION OF A PREVENTIVE INTERVENTION TO PROMOTE INFORMAL HELPING

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JOURNAL OF COMMUNITY PSYCHOLOGY 1982年第3期10卷 199-209页

作者： DAUGELLI, AR VALLANCE, TR The Pennsylvania State University

AbstractThis report addresses conceptual and practical problems in evaluating the effectiveness of an intervention which used a pyramid training model for improving helping skills for informal helpers in two rural communities. Against a background for a study of help‐giving and help‐seeking patterns, the transmission of helping skills from professional to community trainers to local helpers was studied. Impacts of the intervention on other aspects of the community are repor

关键词：社区精神卫生服务/人力帮助行为在职培训/组织和管理模型理论宾夕法尼亚农村人口自助小组社会环境社会支持人类

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