Dear Editor,Mountain systems have long been refuges for many species,often viewed as"islands"that promote speciation due to geographic isolation(Rahbek et al.,2019).Their high environmental heterogeneity fos...Dear Editor,Mountain systems have long been refuges for many species,often viewed as"islands"that promote speciation due to geographic isolation(Rahbek et al.,2019).Their high environmental heterogeneity fosters centers of endemism,and they harbor over 85%of global species diversity(Zhao et al.,2022).Consequently,mountains are key systems for exploring biodiversity patterns along elevational gradients,where species richness often follows four recognized models:monotonic decrease,unimodal pattern(forward and backward peak patterns),and low plateau followed by a decrease along the elevational gradient(McCain et al.,2010).展开更多
Background: The incidence of in-hospital adverse events is about 10%, with a majority of these related to surgery, and nearly half considered preventable events. In attempts to improve patient safety, the World Health...Background: The incidence of in-hospital adverse events is about 10%, with a majority of these related to surgery, and nearly half considered preventable events. In attempts to improve patient safety, the World Health Organization (WHO) developed a checklist to be used at critical perioperative moments. This meta-analysis examines the impact of the WHO surgical safety checklist (SSC) on various patient outcomes. Methods: A comprehensive search of all published studies assessing the use of the WHO SSC in patients undergoing surgery was conducted. Studies using the WHO SSC in any surgical setting, with pre-implementation and post-implementation outcome data were included. The incidence of patient outcomes (total complications, surgical site infections, unplanned return to the operating room (OR) within 30 days, and overall mortality) and adherence to safety measures were analyzed. Results: 10 studies involving 51,125 patients (27,490 prior to implementation and 23,635 after implementation of the WHO SSC) were analyzed. The implementation of the WHO SSC significantly reduced the risk of total complications by 37.9%, surgical site infections by 45.5%, unplanned return to OR by 32.1%, and mortality by 15.3%. Increased adherence to safety measures including airway evaluation, use of pulse oximetry, prophylactic antibiotics when necessary, confirmation of patient name and surgical site, and sponge count was also observed. Conclusions: The use of the WHO SSC is associated with a significant reduction in post-operative complication rates and mortality. The WHO SSC is a valuable tool that should be universally implemented in all surgical centers and utilized in all surgical patients.展开更多
OBJECTIVE:In recent years,the number of clinical research reports on acupuncture and manipulation for the treatment of greater occipital neuralgia has gradually increased,but the quality is uneven.There is currently n...OBJECTIVE:In recent years,the number of clinical research reports on acupuncture and manipulation for the treatment of greater occipital neuralgia has gradually increased,but the quality is uneven.There is currently no literature evaluating the quality of published reports,which is not conducive to the promotion of clinical use of these therapies.Therefore,this article assessed the reporting quality of randomized controlled trials on acupuncture and manipulation for greater occipital neuralgia.METHODS:Cochrane Library,PubMed,Web of Science,Embase,China National Knowledge Infrastructure(CNKI),VIP,WanFang Data,and Chinese BioMedical Literature Database(CBM)from inception to May 20,2024 were searched.The reporting quality of included randomized controlled trials was independently evaluated by two investigators using the CONSORT statement,STRICTA checklist,and Cochrane bias of risk assessment tool.A third investigator resolved any disagreement.RESULTS:A total of 62 articles were included.Based on the CONSORT statement,59.46%(22/37)of all entries had a reporting rate of less than 50%,mainly including“Identification as a randomized trial in the title(1/62,1.61%),”“How sample size was determined(7/62,11.29%),”“Implementation(1/62,1.61%),”“Blinding(1/62,1.61%),”and“Reports of Funding(4/62,6.45%).”According to the STRICTA checklist,29.41%(5/17)of all entries had a reporting rate of less than 50%,mainly including“Details of other interventions(7/58,12.07%),”“Setting and context of treatment(0/58,0%),”and“Description of participating acupuncturists(0/58,0%).”CONCLUSION:The reporting quality of randomized controlled trials on acupuncture and manipulation therapy for greater occipital neuralgia remains low.Future researchers need to make greater efforts to strictly adhere to the CONSORT statement and STRICTA checklist during trial design,implementation,and reporting.This will facilitate the standardization of research in this field and enhance the reliability and reproducibility of the research results.展开更多
Sham acupuncture,as a control intervention in acupuncture studies,has been widely conducted to eval-uate the specific effect of acupuncture.However,there was no relevant particular reporting guideline,so the reporting...Sham acupuncture,as a control intervention in acupuncture studies,has been widely conducted to eval-uate the specific effect of acupuncture.However,there was no relevant particular reporting guideline,so the reporting quality of sham acupuncture was low,which could hinder the precise understanding and interpretation of details and implementation background of sham acupuncture by researchers.In order to standardize the reporting of sham acupuncture and improve its quality,SHam Acupuncture REporting guidelines and a checklist in clinical trials(SHARE)was developed by a research team from Beijing Univer-sity of Chinese Medicine.The SAHRE standardizes the reporting of sham acupuncture from 10 categories,including brief name,rationales,details of sham acupuncture,treatment regimen of sham acupuncture,the information informed or explained to patients,practitioner information,modifications of protocol,communication between practitioner and patient,practitioner adherence and blinding.This article elab-orates the development process and key content of SHARE in order to facilitate its application by re-searchers.展开更多
Objective:To design a preoperative checklist for coronary interventional surgery based on multidisciplinary collaboration,and verify its effect on improving the completeness rate of preoperative preparation,surgical p...Objective:To design a preoperative checklist for coronary interventional surgery based on multidisciplinary collaboration,and verify its effect on improving the completeness rate of preoperative preparation,surgical punctuality,and medical staff satisfaction.Methods:A multidisciplinary team was established involving the Department of Cardiology,Anesthesiology,Clinical Laboratory,and Interventional Surgery.Referring to the latest clinical guidelines and nursing standards,a preoperative checklist covering 8 core modules and 61 sub-items was formulated,including“1 day before surgery+day of surgery”and“doctor+nurse+patient+family member”.A total of 213 patients undergoing coronary interventional surgery in our hospital from August 2023 to February 2024(observation group)were selected to apply the checklist.The completeness rate of preoperative preparation and the on-time operation start rate were compared with 197 patients(control group)before the checklist application.The satisfaction of 34 medical staff was evaluated using a Likert 5-point scale.Results:The overall completeness rate of preoperative preparation in the observation group reached 95.72%(78.17%in the control group),among which the completeness rates of 6 sub-items such as medication,health education,and laboratory examinations reached 100%,and the completeness rate of consumables and equipment preparation was 97.1%;the on-time operation start rate was 97.3%;the satisfaction of the medical team with the checklist was 94.12%,which was significantly higher than that of the control group(82.61%),with statistically significant differences(p<0.05).Conclusion:The preoperative checklist for coronary interventional surgery designed through multidisciplinary collaboration can significantly improve the quality of preoperative preparation and surgical efficiency,and is highly recognized by the medical team,providing practical reference for perioperative safety management of interventional diagnosis and treatment.展开更多
Complete checklist records are essential to understand regional bird diversity.We update the checklist of the bird species of Jiangxi,China based on numerous reported documents.The updated checklist of the bird specie...Complete checklist records are essential to understand regional bird diversity.We update the checklist of the bird species of Jiangxi,China based on numerous reported documents.The updated checklist of the bird species of Jiangxi shows that there are 536 bird species in Jiangxi,which belong to 21 orders,74 families,246 genera.And 48.7% of them are Passeriformes species and 12.3% are Charadriiformes species.Fifty species are classified as threatened.Fourteen of these species are grade I nationally protected wild animals,and 72 species are grade II nationally protected wild animals.In addition,fauna analyses indicate that the Palearctic realm（47.7%） is dominant.As for distribution type,the Oriental type is dominant.Considering the fauna of resident birds,the Oriental realm is dominant.Additionally,the distribution of several species was revised in the checklist.展开更多
The skipper genus Pelopidas contains 11 species worldwide. 7 species are recorded in China. Pelopidas grisemarginata from Ningqiang County,Shaanxi Province,China is described and illustrated as a new species.
A checklist of Tessaratomidae from China, including 2 subfamilies, 12 genera, and 36 species, is presented. This compilation contains the complete geographical distribution for each species in China. Pycanum ponderosu...A checklist of Tessaratomidae from China, including 2 subfamilies, 12 genera, and 36 species, is presented. This compilation contains the complete geographical distribution for each species in China. Pycanum ponderosum Stal, 1854 and Dalcantha inermipes Stal, 1863 are newly recorded from China.展开更多
A provisional species checklist of the Oriental subfamily Orthogoninae is provided. Orthogonius dupuisi Tian et Deuve, 2006 （from Indonesia） is treated as a junior homonym of O. dupuisi Basilewsky, 1948 （from Rhode...A provisional species checklist of the Oriental subfamily Orthogoninae is provided. Orthogonius dupuisi Tian et Deuve, 2006 （from Indonesia） is treated as a junior homonym of O. dupuisi Basilewsky, 1948 （from Rhodesia）, and therefore O. dupuisianus n. nom. is proposed. Actenocus punctatus Tian et Deuve, 2006 is confirmed as a good species, rather than a junior synonym of Orthogonius crassicrus Chaudoir, 1871 proposed by Kirschenhofer （2010）.展开更多
This review describes the history of taxonomic research on scorpions and provides an updated checklist and key of the scorpions currently known in China. This checklist is based on a thorough review of the extant lite...This review describes the history of taxonomic research on scorpions and provides an updated checklist and key of the scorpions currently known in China. This checklist is based on a thorough review of the extant literatures on scorpion species whose presence has been confirmed in China through field expeditions and examination of scorpion collections, excepting a few members that have no clear distribution or are currently in doubt. Totally, the scorpion fauna of China consists of 53 species and subspecies belonging to 12 genera crossing five families, with 33 species(62.3%) and one genus being recorded as endemic. Additionally, identification key and the distribution of scorpions from China are provided.展开更多
Processes to ensure world-wide best-practice for critical care delivery is likely to minimize preventable death, disability and costly complications for any healthcare system's sickest patients, but no large-scale...Processes to ensure world-wide best-practice for critical care delivery is likely to minimize preventable death, disability and costly complications for any healthcare system's sickest patients, but no large-scale efforts have so far been undertaken towards these goals. The advances in medical informatics and human factors engineering have provided possibility for novel and user-friendly clinical decision support tools that can be applied in a complex and busy hospital setting. To facilitate timely and accurate best-practice delivery in critically ill patients international group of intensive care unit(ICU) physicians and researchers developed a simple decision support tool: Checklist for Early Recognition and Treatment of Acute Illness(CERTAIN). The tool has been refined and tested in high fidelity simulated clinical environment and has been shown to improve performance of clinical providers faced with simulated emergencies. The aim of this international educational intervention is to implement CERTAIN into clinical practice in hospital settings with variable resources(included those in low income countries) and evaluate the impact of the tool on the care processes and patient outcomes. To accomplish our aims, CERTAIN will be uniformly available on either mobile or fixed computing devices(as well as a backup paper version) and applied in a standardized manner in the ICUs of diverse hospitals. To ensure the effectiveness of the proposed intervention, access to CERTAIN is coupled with structured training of bedside ICU providers.展开更多
BACKGROUND:Shared decision-making(SDM)has broad application in emergencies.Most published studies have focused on SDM for a certain disease or expert opinions on future research gaps without revealing the full picture...BACKGROUND:Shared decision-making(SDM)has broad application in emergencies.Most published studies have focused on SDM for a certain disease or expert opinions on future research gaps without revealing the full picture or detailed guidance for clinical practice.This study is to investigate the optimal application of SDM to guide life-sustaining treatment(LST)in emergencies.METHODS:This study was a prospective two-round Delphi consensus-seeking survey among multiple stakeholders at the China Consortium of Elite Teaching Hospitals for Residency Education.Participants were identified based on their expertise in medicine,law,administration,medical education,or patient advocacy.All individual items and questions in the questionnaire were scored using a 5-point Likert scale,with responses ranging from"very unimportant"(a score of 1)to"extremely important"(a score of 5).The percentages of the responses that had scores of 4-5on the 5-point Likert scale were calculated.A Kendall’s W coefficient was calculated to evaluate the consensus of experts.RESULTS:A two-level framework consisting of 4 domains and 22 items as well as a ready-touse checklist for the informed consent process for LST was established.An acceptable Kendall’s W coefficient was achieved.CONCLUSION:A consensus-based framework supporting SDM during LST in an emergency department can inform the implementation of guidelines for clinical interventions,research studies,medical education,and policy initiatives.展开更多
Background: Omission of patient information in perioperative communication is closely linked to adverse events. Use of checklists to standardize the handoff in the post anesthesia care unit (PACU) has been shown to ef...Background: Omission of patient information in perioperative communication is closely linked to adverse events. Use of checklists to standardize the handoff in the post anesthesia care unit (PACU) has been shown to effectively reduce medical errors. Objective: Our study investigates the use of a checklist to improve quantity of data transfer during handoffs in the PACU. Design: A cross-sectional observational study. Setting: PACU at Memorial Sloan Kettering Cancer Center (MSKCC);June 13, 2016 through July 15, 2016. Patients, other participants: We observed the handoff reports between the nurses, PACU midlevel providers, anesthesia staff, and surgical staff. Intervention: A physical checklist was provided to all anesthesia staff and recommended to adhere to the list at all observed PACU handoffs. Main outcome measure: Quantity of reported handoff items during 60 pre- and 60 post-implementation of a checklist. Results: Composite value from both surgical and anesthesia reports showed an increase in the mean report of 8.7 items from pre-implementation period to 10.9 post-implementation. Given that surgical staff reported the mean of 5.9 items pre-implementation and 5.5 items post-implementation without intervention, improvements in anesthesia staff report with intervention improved the overall handoff data transfer. Conclusions: Using a physical 12-item checklist for PACU handoff increased overall data transfer.展开更多
This review aims to fill the voids and to update the checklist of sandfly fauna along with its spatial distribution in India.Resource databases i.e.either online or offline were searched to deduce the information to s...This review aims to fill the voids and to update the checklist of sandfly fauna along with its spatial distribution in India.Resource databases i.e.either online or offline were searched to deduce the information to systematize the Indian sandfly fauna.Articles/data retrieved were screened and analysed to further update the available latest checklist.The species name and authorship were given in accord with the International Code for Zoological Nomenclature.We compiled an updated checklist of reported Indian sandfly species along with their state-wise distribution till 2022 as per published literature.Kerala has maximum number of species reports when compared to other endemic states and states with pockets of transmission.Phlebotomus argentipes is the most widely distributed,recorded so far,followed by other Sergentomiya and Phlebotomus species in India.In this review,we have also described the vector and non-vector species of sandfly prevalent in different parts of the country.Phlebotoiella eoindianensis,an amber fossil sandfly species recorded from Gujarat might be older than other records of Indian sandfly fauna.So far 69 species(4 genera and 15 subgenera/groups)of Phlebotomine sandflies have been recorded in India.Proper knowledge of species diversity and its distribution is a prerequisite for planning a systematic vector control strategy and disease management.展开更多
基金supported by grants from the National Natural Science Foundation of China(Grant No.32360333)the Guizhou Provincial Science and Technology Projects(Grant Nos.ZK[2022]540 and[2023]099)+1 种基金the Survey of Amphibian and Reptile Resources in Leigongshan National Nature Reserve and Literature Publishing Services(P5226002023000019)the Guizhou Provincial Science and Technology Innovation Talent Team Construction Project 2024[Qian Ke He Talent CXTD(2025)053].
文摘Dear Editor,Mountain systems have long been refuges for many species,often viewed as"islands"that promote speciation due to geographic isolation(Rahbek et al.,2019).Their high environmental heterogeneity fosters centers of endemism,and they harbor over 85%of global species diversity(Zhao et al.,2022).Consequently,mountains are key systems for exploring biodiversity patterns along elevational gradients,where species richness often follows four recognized models:monotonic decrease,unimodal pattern(forward and backward peak patterns),and low plateau followed by a decrease along the elevational gradient(McCain et al.,2010).
文摘Background: The incidence of in-hospital adverse events is about 10%, with a majority of these related to surgery, and nearly half considered preventable events. In attempts to improve patient safety, the World Health Organization (WHO) developed a checklist to be used at critical perioperative moments. This meta-analysis examines the impact of the WHO surgical safety checklist (SSC) on various patient outcomes. Methods: A comprehensive search of all published studies assessing the use of the WHO SSC in patients undergoing surgery was conducted. Studies using the WHO SSC in any surgical setting, with pre-implementation and post-implementation outcome data were included. The incidence of patient outcomes (total complications, surgical site infections, unplanned return to the operating room (OR) within 30 days, and overall mortality) and adherence to safety measures were analyzed. Results: 10 studies involving 51,125 patients (27,490 prior to implementation and 23,635 after implementation of the WHO SSC) were analyzed. The implementation of the WHO SSC significantly reduced the risk of total complications by 37.9%, surgical site infections by 45.5%, unplanned return to OR by 32.1%, and mortality by 15.3%. Increased adherence to safety measures including airway evaluation, use of pulse oximetry, prophylactic antibiotics when necessary, confirmation of patient name and surgical site, and sponge count was also observed. Conclusions: The use of the WHO SSC is associated with a significant reduction in post-operative complication rates and mortality. The WHO SSC is a valuable tool that should be universally implemented in all surgical centers and utilized in all surgical patients.
文摘OBJECTIVE:In recent years,the number of clinical research reports on acupuncture and manipulation for the treatment of greater occipital neuralgia has gradually increased,but the quality is uneven.There is currently no literature evaluating the quality of published reports,which is not conducive to the promotion of clinical use of these therapies.Therefore,this article assessed the reporting quality of randomized controlled trials on acupuncture and manipulation for greater occipital neuralgia.METHODS:Cochrane Library,PubMed,Web of Science,Embase,China National Knowledge Infrastructure(CNKI),VIP,WanFang Data,and Chinese BioMedical Literature Database(CBM)from inception to May 20,2024 were searched.The reporting quality of included randomized controlled trials was independently evaluated by two investigators using the CONSORT statement,STRICTA checklist,and Cochrane bias of risk assessment tool.A third investigator resolved any disagreement.RESULTS:A total of 62 articles were included.Based on the CONSORT statement,59.46%(22/37)of all entries had a reporting rate of less than 50%,mainly including“Identification as a randomized trial in the title(1/62,1.61%),”“How sample size was determined(7/62,11.29%),”“Implementation(1/62,1.61%),”“Blinding(1/62,1.61%),”and“Reports of Funding(4/62,6.45%).”According to the STRICTA checklist,29.41%(5/17)of all entries had a reporting rate of less than 50%,mainly including“Details of other interventions(7/58,12.07%),”“Setting and context of treatment(0/58,0%),”and“Description of participating acupuncturists(0/58,0%).”CONCLUSION:The reporting quality of randomized controlled trials on acupuncture and manipulation therapy for greater occipital neuralgia remains low.Future researchers need to make greater efforts to strictly adhere to the CONSORT statement and STRICTA checklist during trial design,implementation,and reporting.This will facilitate the standardization of research in this field and enhance the reliability and reproducibility of the research results.
文摘Sham acupuncture,as a control intervention in acupuncture studies,has been widely conducted to eval-uate the specific effect of acupuncture.However,there was no relevant particular reporting guideline,so the reporting quality of sham acupuncture was low,which could hinder the precise understanding and interpretation of details and implementation background of sham acupuncture by researchers.In order to standardize the reporting of sham acupuncture and improve its quality,SHam Acupuncture REporting guidelines and a checklist in clinical trials(SHARE)was developed by a research team from Beijing Univer-sity of Chinese Medicine.The SAHRE standardizes the reporting of sham acupuncture from 10 categories,including brief name,rationales,details of sham acupuncture,treatment regimen of sham acupuncture,the information informed or explained to patients,practitioner information,modifications of protocol,communication between practitioner and patient,practitioner adherence and blinding.This article elab-orates the development process and key content of SHARE in order to facilitate its application by re-searchers.
基金Taikang Xianlin Drum Tower Hospital,Affiliated Hospital of Medical School,Nanjing University(Project No.:TKKYZX20231016)。
文摘Objective:To design a preoperative checklist for coronary interventional surgery based on multidisciplinary collaboration,and verify its effect on improving the completeness rate of preoperative preparation,surgical punctuality,and medical staff satisfaction.Methods:A multidisciplinary team was established involving the Department of Cardiology,Anesthesiology,Clinical Laboratory,and Interventional Surgery.Referring to the latest clinical guidelines and nursing standards,a preoperative checklist covering 8 core modules and 61 sub-items was formulated,including“1 day before surgery+day of surgery”and“doctor+nurse+patient+family member”.A total of 213 patients undergoing coronary interventional surgery in our hospital from August 2023 to February 2024(observation group)were selected to apply the checklist.The completeness rate of preoperative preparation and the on-time operation start rate were compared with 197 patients(control group)before the checklist application.The satisfaction of 34 medical staff was evaluated using a Likert 5-point scale.Results:The overall completeness rate of preoperative preparation in the observation group reached 95.72%(78.17%in the control group),among which the completeness rates of 6 sub-items such as medication,health education,and laboratory examinations reached 100%,and the completeness rate of consumables and equipment preparation was 97.1%;the on-time operation start rate was 97.3%;the satisfaction of the medical team with the checklist was 94.12%,which was significantly higher than that of the control group(82.61%),with statistically significant differences(p<0.05).Conclusion:The preoperative checklist for coronary interventional surgery designed through multidisciplinary collaboration can significantly improve the quality of preoperative preparation and surgical efficiency,and is highly recognized by the medical team,providing practical reference for perioperative safety management of interventional diagnosis and treatment.
文摘Complete checklist records are essential to understand regional bird diversity.We update the checklist of the bird species of Jiangxi,China based on numerous reported documents.The updated checklist of the bird species of Jiangxi shows that there are 536 bird species in Jiangxi,which belong to 21 orders,74 families,246 genera.And 48.7% of them are Passeriformes species and 12.3% are Charadriiformes species.Fifty species are classified as threatened.Fourteen of these species are grade I nationally protected wild animals,and 72 species are grade II nationally protected wild animals.In addition,fauna analyses indicate that the Palearctic realm（47.7%） is dominant.As for distribution type,the Oriental type is dominant.Considering the fauna of resident birds,the Oriental realm is dominant.Additionally,the distribution of several species was revised in the checklist.
基金supported by the National Natural Science Foundation of China (30499341)
文摘The skipper genus Pelopidas contains 11 species worldwide. 7 species are recorded in China. Pelopidas grisemarginata from Ningqiang County,Shaanxi Province,China is described and illustrated as a new species.
基金supported by the National Natural Science Foundation (30870328,J0930005)
文摘A checklist of Tessaratomidae from China, including 2 subfamilies, 12 genera, and 36 species, is presented. This compilation contains the complete geographical distribution for each species in China. Pycanum ponderosum Stal, 1854 and Dalcantha inermipes Stal, 1863 are newly recorded from China.
基金sponsored by Museum National D’histoire Naturelle,Paris and the National Natural Science Foundation of China (30670249)
文摘A provisional species checklist of the Oriental subfamily Orthogoninae is provided. Orthogonius dupuisi Tian et Deuve, 2006 （from Indonesia） is treated as a junior homonym of O. dupuisi Basilewsky, 1948 （from Rhodesia）, and therefore O. dupuisianus n. nom. is proposed. Actenocus punctatus Tian et Deuve, 2006 is confirmed as a good species, rather than a junior synonym of Orthogonius crassicrus Chaudoir, 1871 proposed by Kirschenhofer （2010）.
基金supported by grants from the National Natural Sciences Foundation of China(31071942)the Basic Project of Ministry of Science and Technology of China(2007FY210800)the 973 program(2010CB529800)
文摘This review describes the history of taxonomic research on scorpions and provides an updated checklist and key of the scorpions currently known in China. This checklist is based on a thorough review of the extant literatures on scorpion species whose presence has been confirmed in China through field expeditions and examination of scorpion collections, excepting a few members that have no clear distribution or are currently in doubt. Totally, the scorpion fauna of China consists of 53 species and subspecies belonging to 12 genera crossing five families, with 33 species(62.3%) and one genus being recorded as endemic. Additionally, identification key and the distribution of scorpions from China are provided.
文摘Processes to ensure world-wide best-practice for critical care delivery is likely to minimize preventable death, disability and costly complications for any healthcare system's sickest patients, but no large-scale efforts have so far been undertaken towards these goals. The advances in medical informatics and human factors engineering have provided possibility for novel and user-friendly clinical decision support tools that can be applied in a complex and busy hospital setting. To facilitate timely and accurate best-practice delivery in critically ill patients international group of intensive care unit(ICU) physicians and researchers developed a simple decision support tool: Checklist for Early Recognition and Treatment of Acute Illness(CERTAIN). The tool has been refined and tested in high fidelity simulated clinical environment and has been shown to improve performance of clinical providers faced with simulated emergencies. The aim of this international educational intervention is to implement CERTAIN into clinical practice in hospital settings with variable resources(included those in low income countries) and evaluate the impact of the tool on the care processes and patient outcomes. To accomplish our aims, CERTAIN will be uniformly available on either mobile or fixed computing devices(as well as a backup paper version) and applied in a standardized manner in the ICUs of diverse hospitals. To ensure the effectiveness of the proposed intervention, access to CERTAIN is coupled with structured training of bedside ICU providers.
基金supported by the China Medical BoardOpen Competition Program(20-378)Peking University Third Hospital Fund for Returned Scholars(BYSYLXHG2020004)+1 种基金JX was supported by the Peking Union Medical College Fund for Informatization of Postgraduate Courses(2021YXX001)YLZ was supported by the Sichuan University Graduate Education Reform Project(GSSCU2021046)。
文摘BACKGROUND:Shared decision-making(SDM)has broad application in emergencies.Most published studies have focused on SDM for a certain disease or expert opinions on future research gaps without revealing the full picture or detailed guidance for clinical practice.This study is to investigate the optimal application of SDM to guide life-sustaining treatment(LST)in emergencies.METHODS:This study was a prospective two-round Delphi consensus-seeking survey among multiple stakeholders at the China Consortium of Elite Teaching Hospitals for Residency Education.Participants were identified based on their expertise in medicine,law,administration,medical education,or patient advocacy.All individual items and questions in the questionnaire were scored using a 5-point Likert scale,with responses ranging from"very unimportant"(a score of 1)to"extremely important"(a score of 5).The percentages of the responses that had scores of 4-5on the 5-point Likert scale were calculated.A Kendall’s W coefficient was calculated to evaluate the consensus of experts.RESULTS:A two-level framework consisting of 4 domains and 22 items as well as a ready-touse checklist for the informed consent process for LST was established.An acceptable Kendall’s W coefficient was achieved.CONCLUSION:A consensus-based framework supporting SDM during LST in an emergency department can inform the implementation of guidelines for clinical interventions,research studies,medical education,and policy initiatives.
文摘Background: Omission of patient information in perioperative communication is closely linked to adverse events. Use of checklists to standardize the handoff in the post anesthesia care unit (PACU) has been shown to effectively reduce medical errors. Objective: Our study investigates the use of a checklist to improve quantity of data transfer during handoffs in the PACU. Design: A cross-sectional observational study. Setting: PACU at Memorial Sloan Kettering Cancer Center (MSKCC);June 13, 2016 through July 15, 2016. Patients, other participants: We observed the handoff reports between the nurses, PACU midlevel providers, anesthesia staff, and surgical staff. Intervention: A physical checklist was provided to all anesthesia staff and recommended to adhere to the list at all observed PACU handoffs. Main outcome measure: Quantity of reported handoff items during 60 pre- and 60 post-implementation of a checklist. Results: Composite value from both surgical and anesthesia reports showed an increase in the mean report of 8.7 items from pre-implementation period to 10.9 post-implementation. Given that surgical staff reported the mean of 5.9 items pre-implementation and 5.5 items post-implementation without intervention, improvements in anesthesia staff report with intervention improved the overall handoff data transfer. Conclusions: Using a physical 12-item checklist for PACU handoff increased overall data transfer.
基金supported by the Indian Council of Medical Research,New Delhi[Grant No.6/9-7(331)/2020/ECD-II].
文摘This review aims to fill the voids and to update the checklist of sandfly fauna along with its spatial distribution in India.Resource databases i.e.either online or offline were searched to deduce the information to systematize the Indian sandfly fauna.Articles/data retrieved were screened and analysed to further update the available latest checklist.The species name and authorship were given in accord with the International Code for Zoological Nomenclature.We compiled an updated checklist of reported Indian sandfly species along with their state-wise distribution till 2022 as per published literature.Kerala has maximum number of species reports when compared to other endemic states and states with pockets of transmission.Phlebotomus argentipes is the most widely distributed,recorded so far,followed by other Sergentomiya and Phlebotomus species in India.In this review,we have also described the vector and non-vector species of sandfly prevalent in different parts of the country.Phlebotoiella eoindianensis,an amber fossil sandfly species recorded from Gujarat might be older than other records of Indian sandfly fauna.So far 69 species(4 genera and 15 subgenera/groups)of Phlebotomine sandflies have been recorded in India.Proper knowledge of species diversity and its distribution is a prerequisite for planning a systematic vector control strategy and disease management.
