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基于FOCUS-PDCA循环提升医护一体化协作质量的实践研究
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作者 杨子晴 李颖雅 +3 位作者 何海艳 陈华丽 陈文雨 胡晓莹 《现代医院》 2026年第1期56-60,共5页
目的通过科学的方法构建医护一体化协作管理模式并实践,旨在提升医护一体化协作质量,进一步提升医疗服务的质量。方法选取2024年1-2月与2024年11-12月的病房护士作为改善前组与改善后组,观察组运用FOCUS-PDCA循环理论为指导,以量性和质... 目的通过科学的方法构建医护一体化协作管理模式并实践,旨在提升医护一体化协作质量,进一步提升医疗服务的质量。方法选取2024年1-2月与2024年11-12月的病房护士作为改善前组与改善后组,观察组运用FOCUS-PDCA循环理论为指导,以量性和质性相结合的研究方法对医护一体化工作现状进行调查,深入分析现存问题,识别协作中的关键问题和薄弱环节,提出针对性改进措施,包括建立制度、规范流程、长效培训及监督机制等举措,比较实施前后的效果。结果455名病房护士对医护一体化协作的总体评价为(75.46±9.87)分(满分85分)。改善前后护士对医护一体化协作的满意度从(3.93±0.80)分提升至(4.35±0.68)分(满分5分),差异具有统计学意义(P<0.05)。结论医护一体化协作现状不佳,基于FOCUS-PDCA循环构建医护一体化协作管理模式可有效改善医护一体化协作质量,改善医-护-患沟通,提升护士职业价值感,提高工作效率和医疗质量。 展开更多
关键词 focus-pdca循环 医护一体化 协作质量 医疗服务流程优化
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FMEA联合FOCUS-PDCA模式在改善门诊患者预约诊疗服务质量与就诊体验中的应用
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作者 黄元琦 梁波 +2 位作者 闭艳艳 赵小乐 刘国源 《右江民族医学院学报》 2026年第1期142-146,共5页
目的探讨失效模式与效应分析(FMEA)结合基于PDCA循环的持续质量改进管理模型(FOCUS-PDCA)模式在提升门诊预约服务质量及改善患者就诊体验中的应用效果。方法选取2024年6月至2025年7月广西某三甲医院门诊患者400例,将接受常规服务的200... 目的探讨失效模式与效应分析(FMEA)结合基于PDCA循环的持续质量改进管理模型(FOCUS-PDCA)模式在提升门诊预约服务质量及改善患者就诊体验中的应用效果。方法选取2024年6月至2025年7月广西某三甲医院门诊患者400例,将接受常规服务的200例患者设为对照组,将接受FMEA联合FOCUS-PDCA管理的200例患者设为观察组。比较两组的预约挂号率、就诊意愿率、挂号及候诊时长、门诊服务质量评分及患者满意度。结果与对照组相比,观察组的预约挂号率、就诊意愿率、门诊服务质量评分及患者满意度评分均更高,挂号及候诊时长更短,差异均有统计学意义(P<0.05)。结论FMEA联合FOCUS-PDCA管理模式能有效改善门诊预约诊疗服务质量、患者就诊体验及满意度,从而提高预约就诊率。 展开更多
关键词 门诊 预防诊疗 失效模式与效应分析 focus-pdca
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浅谈基于FOCUS-PDCA的医疗设备临床试用规范化管理实践与风险控制策略
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作者 于军 高婧颖 +2 位作者 陆风旗 余徐栋 夏慧 《中国设备工程》 2026年第1期62-64,共3页
目的:探讨FOCUS-PDCA模型在医疗设备临床试用规范化管理中的应用效果。方法:利用FOCUS-PDCA模型对医疗设备临床试用制度建设、需求申请、过程管理、终止试用及供应商管理等各个环节的规范化管理进行分析,采取有效措施实施改进,查验其效... 目的:探讨FOCUS-PDCA模型在医疗设备临床试用规范化管理中的应用效果。方法:利用FOCUS-PDCA模型对医疗设备临床试用制度建设、需求申请、过程管理、终止试用及供应商管理等各个环节的规范化管理进行分析,采取有效措施实施改进,查验其效果。并结合持续质量改进,提出医疗设备试用的风险控制策略。结果:执行措施后医疗设备临床试用申请全部通过审批,且未产生不良事件,显著提升了医疗安全。结论:基于FOCUS-PDCA可不断强化医疗设备临床试用的规范化管理,为降低医院运营成本和满足临床救治需要发挥积极作用。 展开更多
关键词 focus-pdca 医疗设备 试用 规范化管理 风险控制
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A precise identification-based mode decomposition and its application in mechanical fault diagnosis
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作者 Bi Li Zhinong Li +1 位作者 Fengtao Wang Deqiang He 《Chinese Journal of Mechanical Engineering》 2026年第1期88-101,共14页
Current improved Empirical Mode Decomposition(EMD)methods enhance the accurate identification of peak and valley points in mechanical signals through noise-assisted filtering techniques,thereby improving the mode deco... Current improved Empirical Mode Decomposition(EMD)methods enhance the accurate identification of peak and valley points in mechanical signals through noise-assisted filtering techniques,thereby improving the mode decomposition performance,which is of great significance in extracting fault features from mechanical signals.However,noise-assisted filtering leads to the loss of critical features in mechanical signals and introduces a large amount of residual noise into Intrinsic Mode Functions(IMFs)that obscure signal features.To address these issues,a Precise Identification-based Mode Decomposition(PIMD)method is proposed.This method directly enhances the ability of EMD to precisely identify peak and valley points by using a proposed precise identifi-cation approach,which improves mode decomposition performance and avoids the negative impacts of noise-assisted filtering,thus benefiting the extraction of more mechanical fault features.Simulation results show that the proposed PIMD method can precisely identify peak and valley points of signals with noise of different signal-tonoise ratios and perform a highly rigorous high-low frequency decomposition,significantly outperforming EMD.Finally,mechanical fault diagnostic experiments on four bearing cases and two gear cases demonstrate that,compared to four mainstream methods,the PIMD method exhibits the best mode decomposition perfor-mance and can extract more and clearer mechanical fault features. 展开更多
关键词 Mechanical fault diagnosis Precise identification-based mode decomposition Peak and valley point identification mode decomposition performance
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Evolution of diamond film growth modes under varied plasma conditions:insights from optical emission spectroscopy
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作者 Pengfei Qu Guangdi Zhou +2 位作者 Peng Jin Xu Han Zhanguo Wang 《Journal of Semiconductors》 2026年第1期91-97,共7页
The synthesis of high-quality heteroepitaxial diamond films on iridium composite substrates is a critical step toward advancing diamond for electronic and optical applications.Microwave plasma chemical vapor depositio... The synthesis of high-quality heteroepitaxial diamond films on iridium composite substrates is a critical step toward advancing diamond for electronic and optical applications.Microwave plasma chemical vapor deposition,combined with in situ optical emission spectroscopy,enables precise control over growth modes through plasma parameter tuning.In this study,we examine how methane concentration,microwave power,and gas pressure influence plasma species and,consequently,the growth modes of heteroepitaxial diamond by optical emission spectroscopy and scanning electron microscope.At low nucleation densities,increased methane concentrations promote the transition from faceted polyhedral to ballas structures,driven by elevated C_(2) radical concentrations in the plasma.Conversely,at higher nucleation densities,gas pressure,and substrate temperature dominate growth mode determination,leading to diverse morphologies,such as planar,polycrystalline,octahedral,and step-flow growth.These findings elucidate the interplay among plasma species,growth parameters,and growth mode,offering critical insights for optimizing growth conditions and preparing heteroepitaxial diamond films in a specific growth mode. 展开更多
关键词 HETEROEPITAXY diamond films growth modes MPCVD OES
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First systematic identification of triple-mode Auroral Kilometric Radiation using Arase polarization data
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作者 YiHua He SanGuang Li +8 位作者 HongMing Yang Sai Zhang YuYue Jin Si Liu ZhongLei Gao FuLiang Xiao ZhaoGuo He JiaWen Tang Ping Li 《Earth and Planetary Physics》 2026年第1期117-125,共9页
Auroral kilometric radiation(AKR),a fundamental plasma emission in Earth's magnetosphere,exhibits three characteristic modes:the right-handed extraordinary(R-X),left-handed ordinary(L-O)and left-handed extraordina... Auroral kilometric radiation(AKR),a fundamental plasma emission in Earth's magnetosphere,exhibits three characteristic modes:the right-handed extraordinary(R-X),left-handed ordinary(L-O)and left-handed extraordinary(L-X)modes.The role of AKR in magnetosphere−ionosphere−atmosphere coupling depends sensitively on its wave mode.While previous studies have primarily focused on the dominant R-X mode,we present the first systematic identification of all three modes using a practical polarization analysis method based on Arase satellite observations.This method employs a spin-axis-relative Ratio:when the satellite's spin axis aligns with the background magnetic field,a positive(negative)Ratio indicates the right-handed(left-handed)polarization,with reversal under anti-parallel conditions.Combined polarization-frequency analysis reveals that R-X,L-O,and L-X modes can exist in both dayside and nightside regions,with power spectral densities up to 10^(-6)mV^(2)m^(-2)Hz^(-1).This study resolves long-standing ambiguities in AKR mode classification and has implications for understanding AKR-induced electron dynamics. 展开更多
关键词 Auroral kilometric radiation wave mode POLARIZATION
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Interannual modulation of summer precipitation over North China by the coupled tropical Pacific-Atlantic SST Dipole Mode
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作者 Yanjin Mao Xiaorui Niu +3 位作者 Ping Li Xianchun Chen Libin Huang Xin Tan 《Atmospheric and Oceanic Science Letters》 2026年第1期1-6,共6页
Using multi-source reanalysis data,this study examines the relationship between the tropical Pacific-Atlantic SST Dipole Mode(TPA-DM)and summer precipitation in North China(NCSP)on the interannual timescale during the... Using multi-source reanalysis data,this study examines the relationship between the tropical Pacific-Atlantic SST Dipole Mode(TPA-DM)and summer precipitation in North China(NCSP)on the interannual timescale during the period of 1979-2022.The results show that the TPA-DM,the dominant pattern of interannual variability in the tropical Pacific and Atlantic regions,exhibits a significant negative correlation with NCSP.The positive phase of TPA-DM induces subsidence over the Maritime Continent through a zonal circulation pattern,which initiates a Pacific-Japan-like wave train along the East Asian coast.The circulation anomalies lead to moisture deficits and convergence subsidence over North China,leading to below-normal rainfall.Further analysis reveals that cooler SST in the Southern Tropical Atlantic facilitates the persistence of the TPA-DM by stimulating the anomalous Walker circulation associated with wind-evaporation-SST-convection feedback. 展开更多
关键词 Coupled tropical Pacific-Atlantic SST mode Precipitation ENSO Atmospheric teleconnection
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Mycorrhizal communities in Orchidaceae are likely shaped by plant trophic mode and biogeography but not phylogeny
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作者 Deyi Wang Vincent S.F.T.Merckx +1 位作者 Hans Jacquemyn Sofia I.F.Gomes 《Plant Diversity》 2026年第1期117-127,共11页
Mycorrhizal symbioses are prevalent in terrestrial ecosystems and play essential roles in plant nutrition and health.However,the relative importance of plant evolutionary history,physiology,and eco-geographical factor... Mycorrhizal symbioses are prevalent in terrestrial ecosystems and play essential roles in plant nutrition and health.However,the relative importance of plant evolutionary history,physiology,and eco-geographical factors in shaping mycorrhizal fungal community assembly remains poorly understood.Here,we investigate how plant phylogeny,trophic mode,biogeographic distribution and environmental niche collectively influence the diversity and composition of mycorrhizal fungal communities across the Orchidaceae,spanning broad phylogenetic and ecological scales.By using family-wide orchid-fungal associations and global occurrence data,our analyses showed that the variation in fungal diversity and community structure can be partially explained by orchids’trophic mode,biogeographic distribution and environmental niche,but not by their overall phylogenetic relatedness.Among trophic modes,partially mycoheterotrophic orchids exhibited the highest level of fungal diversity(the lowest level of fungal specificity)in association with a broad range of phylogenetically dispersed fungal partners.Between biogeographical regions,a significantly higher level of fungal specificity was found for orchid species distributed in Australia than those in Eurasia and Africa.Furthermore,multivariate analyses showed that a small portion of the variation in fungal community structure was significantly related to broad climate,soil and vegetation variables,indicating the existence of large-scale habitat filtering on orchid mycorrhizal communities.Altogether,our findings indicate that mycorrhizal communities in the orchid family are likely shaped by multiple,intertwined factors related to orchid ecophysiology and biogeography on a global scale. 展开更多
关键词 Orchid mycorrhiza Fungal community assembly Phylogenetic relatedness Trophic mode BIOGEOGRAPHY
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Evaluation of spatial variability characteristics based on anisotropic modes of random fields
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作者 Kejing Chen Qinghui Jiang 《Journal of Rock Mechanics and Geotechnical Engineering》 2026年第1期494-508,共15页
This paper introduces a framework for modeling random fields,with a particular emphasis on analyzing anisotropic spatial variability.It establishes a clear connection between the correlation function and the Kriging v... This paper introduces a framework for modeling random fields,with a particular emphasis on analyzing anisotropic spatial variability.It establishes a clear connection between the correlation function and the Kriging variogram across various anisotropic modes,providing mathematical models to enhance our understanding of random fields.A new anisotropy index,called LSAI,is introduced to quantify anisotropy based on the autocorrelation length and the orientation of the principal axes within the variogram.An LSAI value closer to one indicates a lower degree of anisotropy.The present study examines how the degree of anisotropy varies with different autocorrelation lengths and angles between the principal axes,providing valuable insights into these relationships.To improve the accuracy of parameter probability distribution estimations,this study integrates limited field test data using a Bayesian inference approach.Additionally,the Markov chain Monte Carlo simulation method is employed to develop a conditional random field(CRF)for the deformation modulus.By incorporating data from field bearing plate tests,the posterior variance data for the deformation modulus are derived.This process facilitates the construction of a detailed and reliable CRF for the deformation modulus. 展开更多
关键词 Conditional random field(CRF) Anisotropic mode KRIGING Bayesian method VARIOGRAM
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Predictable and Unpredictable Modes of Northern Hemisphere Atmospheric Circulation in CMIP6:Evaluation and Projections
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作者 Kairan YING Dabang JIANG Linhao ZHONG 《Advances in Atmospheric Sciences》 2026年第1期135-156,共22页
Climate models are essential for understanding past,present,and future changes in atmospheric circulation,with circulation modes providing key sources of seasonal predictability and prediction uncertainties for both g... Climate models are essential for understanding past,present,and future changes in atmospheric circulation,with circulation modes providing key sources of seasonal predictability and prediction uncertainties for both global and regional climates.This study assesses the performance of models participating in phase 6 of the Coupled Model Intercomparison Project in simulating interannual variability modes of Northern Hemisphere 500-hPa geopotential height during winter and summer,distinguishing predictable(potentially predictable on seasonal or longer timescales)and unpredictable(intraseasonal and essentially unpredictable at long range)components,using reanalysis data and a variance decomposition method.Although most models effectively capture unpredictable modes in reanalysis,their ability to reproduce dominant predictable modes-specifically the Pacific-North American pattern,Arctic Oscillation,and Western Pacific Oscillation in winter,and the East Atlantic and North Atlantic Oscillations in summer-varies notably.An optimal ensemble is identified to distinguish(a)predictable-external modes,dominated by external forcing,and(b)predictable-internal modes,associated with slow internal variability,during the historical period(1950-2014)and the SSP5-8.5 scenario(2036-2100).Under increased radiative forcing,the leading winter/summer predictable-external mode exhibits a more uniform spatial distribution,remarkably larger trend and annual variance,and enhanced height-sea surface temperature(SST)covariance under SSP5-8.5 compared to historical conditions.The dominant winter/summer predictable-internal modes also exhibit increased variance and height-SST covariance under SSP5-8.5,along with localized changes in spatial configuration.Minimal changes are observed in spatial distribution or variance for dominant winter/summer unpredictable modes under SSP5-8.5.This study,from a predictive perspective,deepens our understanding of model uncertainties and projected changes in circulations. 展开更多
关键词 interannual mode of atmospheric circulation CMIP6 predictable unpredictable EVALUATION PROJECTION
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Multi-dynamic torque coordination control strategy for a power-split hybrid electric vehicle during mode shift
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作者 Kun Huang Weida Wang +2 位作者 Jiankang Cheng Chao Yang Changle Xiang 《Chinese Journal of Mechanical Engineering》 2026年第1期486-495,共10页
Mode shift is a special mechanism for a power-split hybrid electric vehicle(HEV)to realise electrically variable transmission,but the sudden change of equivalent inertia caused by topological configuration recombinati... Mode shift is a special mechanism for a power-split hybrid electric vehicle(HEV)to realise electrically variable transmission,but the sudden change of equivalent inertia caused by topological configuration recombination during mode shift induces a significant torque shock.Therefore,a smooth transient process,among other concerns,typically associated with this category of vehicles,is of great importance.The present research aims to introduce a novel control strategy to manage the dynamic torque of multiple power sources and therefore im-prove ride comfort.To this end,a dynamic model of the objective power-split HEV is first built.To resolve the contention between vehicle jerk and clutch friction loss,a model predictive control(MPC)combined with control allocation(CA)is then designed for the clutch-engaged phase.To reduce the torque fluctuation caused by the inertia torques of multiple power sources,a dynamic compensation control strategy(DCcs)that coordinates motorgenerator torque to compensate for the transition torque is proposed for the brake-disengaged phase.Finally,the proposed control strategy is validated by simulation and bench test,and results show great potential in reducing shift duration,torque variation,vehicle jerk and friction loss(the simulation results show decreases of 22%,39%,83%and 53%,and the experimental results show decreases of 21%,74%,77%,and 59%,re-spectively),thereby improving shift quality. 展开更多
关键词 Power-split hybrid electric vehicle mode shift model predictive control Control allocation Dynamic compensation control
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Energy absorption properties and failure modes of flexible UHMWPE foam protective sandwich structure subjected to low-velocity impact
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作者 Xiaoke Liu Kejing Yu Pengwan Chen 《Defence Technology(防务技术)》 2026年第2期32-48,共17页
Flexible materials play a crucial role in protecting against behind armour blunt trauma(BABT).However,their compliance complicates the understanding of failure mechanisms and energy absorption.This study used a combin... Flexible materials play a crucial role in protecting against behind armour blunt trauma(BABT).However,their compliance complicates the understanding of failure mechanisms and energy absorption.This study used a combined experimental and numerical approach to investigate the response and failure modes of a flexible ultra-high-molecular-weight polyethylene(UHMWPE)foam protective sandwich structure(UFPSS)under low-velocity impact(LVI).A finite element(FE)model,accounting for nonlinear large deformation and strain-rate-dependent material behavior,was developed for a woven-UFPSS(featuring a plain-woven fabric structure)subjected to a 50 J impact.Experimental and numerical results showed strong agreement in peak force(error<5%),maximum displacement(error<6%),and buffer time(error<8%).The impact's kinetic energy was mainly converted into internal energy of the fabric and foam materials(~50%),viscous dissipation in the foam core(12%-15%),frictional work at the contact interfaces(5%-6%),and work by the pneumatic fixture clamping force(~38%).This study provides the first investigation of the LVI performance of sandwich structures with all soft material layers,offering significant insights for the application of compliant materials in protective fields. 展开更多
关键词 Sandwich structure Ultra-high-molecular-weight polyethylene(UHMWPE) Low-velocity impact(LVI) Failure mode Energy absorption
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Suppression of Dry-Coupled Rubber Layer Interference in Ultrasonic Thickness Measurement:A Comparative Study of Empirical Mode Decomposition Variants
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作者 Weichen Wang Shaofeng Wang +4 位作者 Wenjing Liu Luncai Zhou Erqing Zhang Ting Gao Grigory Petrishin 《Structural Durability & Health Monitoring》 2026年第1期302-316,共15页
In dry-coupled ultrasonic thickness measurement,thick rubber layers introduce high-amplitude parasitic echoes that obscure defect signals and degrade thickness accuracy.Existing methods struggle to resolve overlap-pin... In dry-coupled ultrasonic thickness measurement,thick rubber layers introduce high-amplitude parasitic echoes that obscure defect signals and degrade thickness accuracy.Existing methods struggle to resolve overlap-ping echoes under variable coupling conditions and non-stationary noise.This study proposes a novel dual-criterion framework integrating energy contribution and statistical impulsivity metrics to isolate specimen re-flections from coupling-layer interference.By decomposing A-scan signals into Intrinsic Mode Functions(IMFs),the framework employs energy contribution thresholds(>85%)and kurtosis indices(>3)to autonomously select IMFs containing valid specimen echoes.Hybrid time-frequency thresholding further suppresses interference through amplitude filtering and spectral focusing.Experimental results demonstrate the framework’s robustness,achieving 92.3%thickness accuracy for 5 mm steel specimens with 5 mm rubber coupling,outperforming conventional methods by up to 18.7%.The dual-criterion approach reduces operator dependency by 37%and maintainsΔT<0.03 mm under surface roughness up to 6.3μm,offering a practical solution for industrial nondestructive testing with thick dry-coupled interfaces. 展开更多
关键词 Empirical mode decomposition complete ensemble EMD with adaptive noise(CEEMDAN) dry-coupled ultrasonic testing thickness measurement signal interference suppression
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基于FOCUS-PDCA模式的持续改进项目对病原学样本送检率的影响
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作者 章艳菊 周小娣 +3 位作者 张海峰 陈红 焦碧鸯 顾李琴 《海军军医大学学报》 北大核心 2025年第6期824-830,共7页
目的探讨基于FOCUS-PDCA模式的持续改进项目在住院患者抗菌药物治疗前病原学样本送检率的应用效果。方法南通大学附属医院于2023年6-7月采用FOCUS-PDCA模式开展住院患者抗菌药物治疗前病原学样本送检率持续改进项目,选取2023年1-5月(改... 目的探讨基于FOCUS-PDCA模式的持续改进项目在住院患者抗菌药物治疗前病原学样本送检率的应用效果。方法南通大学附属医院于2023年6-7月采用FOCUS-PDCA模式开展住院患者抗菌药物治疗前病原学样本送检率持续改进项目,选取2023年1-5月(改进前)的住院患者为对照组,2023年8-12月(改进后)的住院患者为改进组。比较两组抗菌药物使用率、病原学样本送检率、临床微生物样本送检率和重点监测多重耐药菌检出率等指标。结果改进组治疗性抗菌药物使用率和抗菌药物使用强度低于对照组[32.18%vs 32.93%,P=0.003;39.99限定日剂量(DDD)/100人天vs 44.19 DDD/100人天],抗菌药物治疗前病原学样本送检率和联合使用重点抗菌药物前病原学样本送检率高于对照组(52.01%vs 23.64%、87.74%vs 77.71%,均P<0.001),临床微生物样本合格率高于对照组(88.77%vs 80.11%,P<0.001),重点监测多重耐药菌总检出率及耐碳青霉烯类肺炎克雷伯菌检出率均低于对照组(40.45%vs 48.42%、29.65%vs 43.17%,均P<0.001)。结论基于FOCUS-PDCA模式的持续改进项目实施能提高住院患者抗菌药物治疗前病原学样本送检率、降低多重耐药菌检出率,通过不断循环逐步促进规范化、标准化医院感染质量管理。 展开更多
关键词 focus-pdca 持续改进 病原学样本送检率 抗菌药物 多重耐药菌
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FOCUS-PDCA循环管理在医院医疗设备管理中的应用 被引量:1
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作者 王聪颖 张明 《医疗装备》 2025年第12期45-47,51,共4页
目的 探讨FOCUS-PDCA循环管理在医院医疗设备管理中的应用效果。方法 前瞻性选取2022年1月至12月潍坊市人民医院的893台医疗设备作为对照组,实施常规管理;选取2023年1月至12月医院的946台医疗设备作为观察组,实施FOCUS-PDCA循环管理。... 目的 探讨FOCUS-PDCA循环管理在医院医疗设备管理中的应用效果。方法 前瞻性选取2022年1月至12月潍坊市人民医院的893台医疗设备作为对照组,实施常规管理;选取2023年1月至12月医院的946台医疗设备作为观察组,实施FOCUS-PDCA循环管理。比较两组管理质量、安全问题发生率及使用人员的满意度。结果 观察组管理质量评分及使用人员的满意度高于对照组,安全问题发生率低于对照组(P<0.05)。结论 FOCUS-PDCA循环管理可提升医院医疗设备管理质量,降低安全问题发生率,提高使用人员的满意度。 展开更多
关键词 focus-pdca循环 医疗设备 管理质量
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网格化管理结合FOCUS-PDCA模式在提升PPIs临床合理用药的研究
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作者 詹剑玲 崔明 +2 位作者 欧志莲 郑小棵 曹堃 《安徽医专学报》 2025年第3期5-7,19,共4页
目的:探讨网格化管理结合焦点管理循环(FOCUS-PDCA)模式在提升质子泵抑制剂(PPIs)临床合理用药水平中的应用价值。方法:以实施网格化管理+FOCUS-PDCA为分界点,分为干预前组(2022年5月-2023年5月使用PPIs住院患者病例,该组纳入300例)和... 目的:探讨网格化管理结合焦点管理循环(FOCUS-PDCA)模式在提升质子泵抑制剂(PPIs)临床合理用药水平中的应用价值。方法:以实施网格化管理+FOCUS-PDCA为分界点,分为干预前组(2022年5月-2023年5月使用PPIs住院患者病例,该组纳入300例)和干预后组(2023年6月-2024年6月使用网格化管理+FOCUS-PDCA管理模式干预的PPIs住院患者病例,该组纳入300例)。比较两组患者PPIs用药治疗期间不合理事件发生率、PPIs使用费用情况的差异。结果:干预后组PPIs各项不合理用药事件发生率均较干预前组明显更低(P<0.05)。干预后组PPIs每月用药金额、用药频度以及DUI均较干预前组明显更低(P<0.05)。结论:网格化管理与FOCUS-PDCA模式联合应用有助于提升PPIs临床用药的合理性,可预防患者不良反应发生,还能减轻患者经济压力,值得临床推广应用。 展开更多
关键词 网格化管理 focus-pdca模式 质子泵抑制剂 临床合理用药
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FOCUS-PDCA理论的手术室风险管理及体温保护标准化对大面积烧伤患者苏醒质量的影响
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作者 沈珊艺 苏增标 +1 位作者 黄书润 骆静瑶 《中国医药指南》 2025年第27期160-163,共4页
目的分析大面积烧伤患者采用FOCUS-PDCA理论的手术室风险管理及体温保护标准化对苏醒质量的影响。方法本研究纳入中国人民解放军联勤保障部队第九一〇医院2023年2月至2025年2月手术治疗大面积烧伤患者,共入组92例,依照随机数字表法划分... 目的分析大面积烧伤患者采用FOCUS-PDCA理论的手术室风险管理及体温保护标准化对苏醒质量的影响。方法本研究纳入中国人民解放军联勤保障部队第九一〇医院2023年2月至2025年2月手术治疗大面积烧伤患者,共入组92例,依照随机数字表法划分2个组别,各46例。其中对照组予以常规手术室护理,观察组予以FOCUS-PDCA理论的手术室风险管理及体温保护标准化干预。根据术中护理差错事件、围手术期体温指标、苏醒指标、术后并发症综合评价两组干预效果。结果观察组术中护理差错事件总发生率相比对照组下降(P<0.05)。对比围手术期(进入手术室、麻醉后1 h、完成手术时、出PACU)体温指标,观察组相比对照组均更高(P<0.05)。对比苏醒时间、PACU停留时间,观察组相比对照组均缩短(P<0.05)。对比两组术后并发症,观察组总发生率相比对照组下降(P<0.05)。结论大面积烧伤患者采用FOCUS-PDCA理论的手术室风险管理及体温保护标准化,可减少术中护理差错事件,维持恒定体温,提高苏醒质量,降低术后并发症风险。 展开更多
关键词 大面积烧伤 focus-pdca理论 手术室风险管理 体温保护标准化 苏醒质量
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应用FOCUS-PDCA模式减轻手足外伤老年患者的就诊焦虑
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作者 梁亚琴 邱萍 王亚梅 《内蒙古医学杂志》 2025年第6期760-763,共4页
目的探讨应用FOCUS-PDCA模式减轻手足外伤老年患者就诊焦虑的方法,提升患者就医体验感,提高患者满意度。方法采用FOCUS-PDCA模式,分析手足外伤老年患者就诊焦虑的原因,优化手足外伤老年患者就诊流程,实施从急诊到住院治疗的各个环节的... 目的探讨应用FOCUS-PDCA模式减轻手足外伤老年患者就诊焦虑的方法,提升患者就医体验感,提高患者满意度。方法采用FOCUS-PDCA模式,分析手足外伤老年患者就诊焦虑的原因,优化手足外伤老年患者就诊流程,实施从急诊到住院治疗的各个环节的全面干预。比较采用FOCUS-PDCA模式后患者住院前与出院时的SAS、SDS评分,比较2023年1—6月收治的手足外伤老年患者与2023年7—12月采用FOCUS-PDCA模式后收治的手足外伤老年患者的满意度。结果FOCUS-PDCA模式后患者总满意度提高了21.3%,就诊过程满意度提高了27.3%。SAS评分由住院前的(66.56±11.06)分下降到出院时的(51.50±9.26)分;SDS评分由住院前的(56.99±3.06)分下降到出院时的(51.11±2.18)分。结论采用FOCUS-PDCA模式可优化就诊流程,减轻手足外伤老年患者就诊焦虑,提升患者就医体验感,提高护理服务满意度。 展开更多
关键词 focus-pdca模式 就诊焦虑 老年患者 手足外伤 干预效果 护理管理
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“互联网+”与FOCUS-PDCA模式在基层医院护士健康教育中的应用研究
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作者 夏雪中 陈美芝 卜晴 《当代护士(中旬刊)》 2025年第12期76-80,共5页
目的探讨“互联网+”与FOCUS-PDCA模式对提升基层医院护士健康教育能力及改善患者健康教育效果的作用。方法于益阳市某行政区域内选取14家基层医院,在调研其护士健康教育现状与需求后,初步构建“互联网+”与FOCUS-PDCA模式。将各医院符... 目的探讨“互联网+”与FOCUS-PDCA模式对提升基层医院护士健康教育能力及改善患者健康教育效果的作用。方法于益阳市某行政区域内选取14家基层医院,在调研其护士健康教育现状与需求后,初步构建“互联网+”与FOCUS-PDCA模式。将各医院符合纳排标准的护士作为研究对象,按医院护士规模配对后,采用随机抽签法将配对医院分为干预组与对照组。对照组护士接受常规培训,并对患者采用传统口头结合纸质资料的健康教育方式;干预组护士则应用“互联网+”与FOCUS-PDCA模式进行系统化培训与实践。干预12个月后,比较两组护士的健康教育能力,以及其所负责患者的健康教育知晓率与满意度。结果干预组护士的健康教育能力评分显著高于对照组,其患者的健康教育知晓率与满意度均优于对照组,差异具有统计学意义(P<0.05)。结论“互联网+”与FOCUS-PDCA模式能有效提升基层医院护士的健康教育能力,进而提高患者对健康教育的知晓率与满意度,具有推广应用价值。 展开更多
关键词 互联网+ focus-pdca 基层医院 护士 健康教育能力 患者健康教育知晓率 患者满意度
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