Moving patients is a task that requires force, and poses musculoskeletal risk among practical nurses. The use of an equipment to assist patient lifting and transferring can reduce musculoskeletal risk. This study was ...Moving patients is a task that requires force, and poses musculoskeletal risk among practical nurses. The use of an equipment to assist patient lifting and transferring can reduce musculoskeletal risk. This study was a quasi-experimental research measuring the effectiveness of a patient moving device for a period of 4 weeks among practical nurses in a hospital. The 33 subjects were selected based on the inclusion criteria. The data were collected by using the rapid upper limb assessment (RULA) tool. The results showed that the patient moving device could reduce musculoskeletal risk which included the work posture significantly (P < 0.05). This study could be used as a practical basis for hospital to bring in the equipment for assisting moving of patients.展开更多
Transferring patients with critical illnesses from general wards to intensive care units (ICUs) is a crucial and time-sensitive process. This article presents strategies for improving the efficiency of patient transfe...Transferring patients with critical illnesses from general wards to intensive care units (ICUs) is a crucial and time-sensitive process. This article presents strategies for improving the efficiency of patient transfers, particularly in hospitals where intensive care units are located in buildings separate from general wards. Patient transfers comprise several steps: physicians issue orders, relatives are notified, equipment is prepared, and medical staff coordinate. We identified three factors that influence transfer time: preparation time for bed transfer, time required for shift handovers, and time required for between-ward patient movement. Unfamiliarity with transfer routes and long elevator wait times were factors that also influenced transfer time. The following strategies were proposed: develop a standardized material checklist, design key notes for patient transfers, and optimize transfer routes. These strategies reduced transfer times by 40% to 43%. This study demonstrates that by addressing logistical challenges and streamlining relevant procedures, hospitals can enhance safety and quality of care during patient transfers.展开更多
目的对危重患者院内转运不良事件影响因素的相关研究进行范围综述,以期为未来相关研究及应用提供参考。方法遵循澳大利亚乔安娜布里格斯研究所发布的范围综述指南为方法学框架,检索包括中国知网、万方数据库、维普数据库、中国生物医学...目的对危重患者院内转运不良事件影响因素的相关研究进行范围综述,以期为未来相关研究及应用提供参考。方法遵循澳大利亚乔安娜布里格斯研究所发布的范围综述指南为方法学框架,检索包括中国知网、万方数据库、维普数据库、中国生物医学文献服务系统、PubMed、Web of Science、Embase、Cochrane Library、CINAHL,检索时限为建库至2024年11月30日,对文献进行纳入和汇总。结果共纳入27篇文献。危重患者院内转运不良事件影响因素包括患者因素、治疗因素、转运系统资源配置因素、转运过程因素等。结论本研究揭示了危重患者院内转运不良事件的多因素影响机制,强调了在转运过程中对患者进行细致评估和准备的重要性。目前我国关于危重患者院内转运不良事件影响因素的多中心、前瞻性的大样本研究较少,建议未来研究开展多中心协作研究,建立标准化的数据采集系统,为制定科学规范的危重患者院内转运指南提供更可靠的循证依据。展开更多
Rotator cuff tears(RCTs) occur more commonly with advanced age,with most rotator cuff abnormalities in patients less than 30 years old being painful tendinoses or partial-thickness RCTs.Irreparable postero-superior cu...Rotator cuff tears(RCTs) occur more commonly with advanced age,with most rotator cuff abnormalities in patients less than 30 years old being painful tendinoses or partial-thickness RCTs.Irreparable postero-superior cuff tears has been reported as frequent as 7% to 10% in the general population,and the incidence of irreparable RCTs in young patients is still unknown.Several surgical procedures have been proposed for young patients with irreparable postero-superior RCTs,such as rotator cuff debridement,partial rotator cuff repair,biceps tenotomy/tenodesis,rotator cuff grafting,latissimus dorsi tendon transfer,and reverse shoulder arthroplasty.After being thoroughly investigated in open surgery,arthroscopic techniques for latissimus dorsi tendon transfer have been recently described.They have been shown to be an adequate option to open surgery for managing irreparable postero-superior RCTs refractory to conservative management.展开更多
文摘Moving patients is a task that requires force, and poses musculoskeletal risk among practical nurses. The use of an equipment to assist patient lifting and transferring can reduce musculoskeletal risk. This study was a quasi-experimental research measuring the effectiveness of a patient moving device for a period of 4 weeks among practical nurses in a hospital. The 33 subjects were selected based on the inclusion criteria. The data were collected by using the rapid upper limb assessment (RULA) tool. The results showed that the patient moving device could reduce musculoskeletal risk which included the work posture significantly (P < 0.05). This study could be used as a practical basis for hospital to bring in the equipment for assisting moving of patients.
文摘Transferring patients with critical illnesses from general wards to intensive care units (ICUs) is a crucial and time-sensitive process. This article presents strategies for improving the efficiency of patient transfers, particularly in hospitals where intensive care units are located in buildings separate from general wards. Patient transfers comprise several steps: physicians issue orders, relatives are notified, equipment is prepared, and medical staff coordinate. We identified three factors that influence transfer time: preparation time for bed transfer, time required for shift handovers, and time required for between-ward patient movement. Unfamiliarity with transfer routes and long elevator wait times were factors that also influenced transfer time. The following strategies were proposed: develop a standardized material checklist, design key notes for patient transfers, and optimize transfer routes. These strategies reduced transfer times by 40% to 43%. This study demonstrates that by addressing logistical challenges and streamlining relevant procedures, hospitals can enhance safety and quality of care during patient transfers.
文摘目的对危重患者院内转运不良事件影响因素的相关研究进行范围综述,以期为未来相关研究及应用提供参考。方法遵循澳大利亚乔安娜布里格斯研究所发布的范围综述指南为方法学框架,检索包括中国知网、万方数据库、维普数据库、中国生物医学文献服务系统、PubMed、Web of Science、Embase、Cochrane Library、CINAHL,检索时限为建库至2024年11月30日,对文献进行纳入和汇总。结果共纳入27篇文献。危重患者院内转运不良事件影响因素包括患者因素、治疗因素、转运系统资源配置因素、转运过程因素等。结论本研究揭示了危重患者院内转运不良事件的多因素影响机制,强调了在转运过程中对患者进行细致评估和准备的重要性。目前我国关于危重患者院内转运不良事件影响因素的多中心、前瞻性的大样本研究较少,建议未来研究开展多中心协作研究,建立标准化的数据采集系统,为制定科学规范的危重患者院内转运指南提供更可靠的循证依据。
文摘Rotator cuff tears(RCTs) occur more commonly with advanced age,with most rotator cuff abnormalities in patients less than 30 years old being painful tendinoses or partial-thickness RCTs.Irreparable postero-superior cuff tears has been reported as frequent as 7% to 10% in the general population,and the incidence of irreparable RCTs in young patients is still unknown.Several surgical procedures have been proposed for young patients with irreparable postero-superior RCTs,such as rotator cuff debridement,partial rotator cuff repair,biceps tenotomy/tenodesis,rotator cuff grafting,latissimus dorsi tendon transfer,and reverse shoulder arthroplasty.After being thoroughly investigated in open surgery,arthroscopic techniques for latissimus dorsi tendon transfer have been recently described.They have been shown to be an adequate option to open surgery for managing irreparable postero-superior RCTs refractory to conservative management.
