Objective:To explore the target management model for clinical pharmacists in primary hospitals facing current shortages of clinical pharmacists,in order to improve the work efficiency and service quality of clinical p...Objective:To explore the target management model for clinical pharmacists in primary hospitals facing current shortages of clinical pharmacists,in order to improve the work efficiency and service quality of clinical pharmacy,and promote the high-quality development of clinical pharmacy in primary hospitals.Methods:Developing a target management model,adopting a wide coverage work model of“1+1+N”(that is,1 clinical pharmacist,1 resident clinical department,and N contracted clinical departments).According to the SMART principle,various work assessment indicators were quantified.This involved setting clear work goals,diversifying work methods,personalizing work methods,standardizing workflows,and using numerical assessment indicators.Regular supervision,inspection,feedback,and improvement mechanisms were implemented.Results:The implementation of the target management model has made the work effectiveness of clinical pharmacists visualized.There were more than 200 annual consultations and multidisciplinary team(MDT)cases,with an opinion adoption rate of 90.2%and a patient improvement rate of 80.6%.More than 1500 rational drug use interventions were conducted,with a suggestion adoption rate of 83.5%.In terms of pharmaceutical indicators control.The intensity of antibacterial drug use in 2024(without CMI adjustment)was 30.07 DDDs,significantly lower than the 2023 value of 33.54 DDDs,and also significantly lower than the provincial average(32.87 DDDs)and the average for hospitals of the same level(32.49 DDDs).The daily usage of intravenous infusion per bed for hospitalized patients was 2.09,a decrease from 2.15 in 2023,significantly lower than the provincial average of 2.71 and the average of 2.56 in hospitals of the same level.The amount of the second batch of national key monitoring drugs accounts for the value was 6.48%,significantly lower than the provincial average of 8.27%and the same level hospital average of 8.82%.In terms of chronic disease pharmaceutical management,taking the pharmaceutical management of patients with chronic heart failure as an example,the usage rates of renin-aldosterone-angiotensin-system inhibitors(RAAS inhibitors)and beta-blockers for heart failure in the management group were 87.88%and 80.81%,respectively,significantly higher-1 than those in the control group(62.22%and 65.56%).Heart rate in the management group(69.54±10.68 times·min-1)was significantly lower than in the control group(80.04±17.68 times·min)(P<0.001).The low-density lipoprotein cholesterol(1.69±0.57 mmol·L-1)was significantly lower than the control group(1.95±0.77 mmol·L-1)(P<0.001),and the 1-year readmission rate was 47.47%,significantly lower than the control group 56.67%.The Minnesota Living with Heart Failure Questionnaire(MLHFQ)Score was(44.20±10.78),significantly lower than the control group(55.89±11.48)(P<0.001),indicating a significant improvement in the patient’s quality of life.Conclusions:The targeted management model for clinical pharmacists can effectively enhance communication and collaboration between clinical pharmacists and clinicians,improve the work efficiency and service quality of clinical pharmacists in primary hospitals,promote the work of clinical pharmacy towards standardization and scientificization,boost the high-quality development of pharmacy in primary hospitals,and also provide new ideas and methods for the management of clinical pharmacists in other primary hospitals.展开更多
随着能源行业的快速发展和技术革新,大量的专业术语和表达方式不断更新,新词不断涌现。然而,传统的新词发现方法通常依赖于词典或规则,且难以高效率地处理和更新大量的专业术语,特别是在快速变化的能源领域。因此,结合能源领域文本数据...随着能源行业的快速发展和技术革新,大量的专业术语和表达方式不断更新,新词不断涌现。然而,传统的新词发现方法通常依赖于词典或规则,且难以高效率地处理和更新大量的专业术语,特别是在快速变化的能源领域。因此,结合能源领域文本数据特性,提出了一种融合N-Gram和多重注意力机制的能源领域新词发现方法(new word discovery method in the energy field combining N-Gram and multiple attention mechanism, ENFM)。该方法首先利用N-Gram模型对能源领域的文本数据进行初步处理,通过统计和分析词频来生成新词候选列表。随后,引入融合多重注意力机制的ERNIE-BiLSTM-CRF模型,以进一步提升新词发现的准确性和效率。与传统的新词发现技术相比,在新词的准确识别和整体效率上均有显著提升,将其于能源领域政策文本数据集,准确率、召回率和F1分别为95.71%、95.56%、95.63%。实验结果表明,该方法能够准确地在能源领域的大量文本数据中识别新词,有效识别出能源领域特有的词汇和表达方式,显著提高了中文分词任务中对能源领域专业术语的识别能力。展开更多
目的:分析“1+N”延续护理模式结合饮食干预在糖尿病患者中的护理效果及影响。方法:在东方社区中随机抽取120例糖尿病患者,就诊时间为2020年7月-2024年8月,采用数字表法,将其分为参照组、研究组,每组患者60例。参照组实施常规延续护理,...目的:分析“1+N”延续护理模式结合饮食干预在糖尿病患者中的护理效果及影响。方法:在东方社区中随机抽取120例糖尿病患者,就诊时间为2020年7月-2024年8月,采用数字表法,将其分为参照组、研究组,每组患者60例。参照组实施常规延续护理,研究组实施“1+N”延续护理及饮食干预,对比两组护理前后自我管理能力、血糖指标、生活质量。结果:护理后,研究组糖尿病自我管理能力评估量表(Summary of Diabetes Self-Care Activities,SDSCA)评分高于参照组(P<0.05);研究组空腹血糖、餐后2小时血糖、糖化血红蛋白水平均低于参照组(P<0.05);研究组糖尿病生存质量特异性评估工具(Diabetes-Specific Quality of Life,DSQL)评分低于参照组(P<0.05)。结论:“1+N”延续护理模式结合饮食干预可有效控制糖尿病患者血糖,提升自我管理能力,提高生活质量。展开更多
文摘Objective:To explore the target management model for clinical pharmacists in primary hospitals facing current shortages of clinical pharmacists,in order to improve the work efficiency and service quality of clinical pharmacy,and promote the high-quality development of clinical pharmacy in primary hospitals.Methods:Developing a target management model,adopting a wide coverage work model of“1+1+N”(that is,1 clinical pharmacist,1 resident clinical department,and N contracted clinical departments).According to the SMART principle,various work assessment indicators were quantified.This involved setting clear work goals,diversifying work methods,personalizing work methods,standardizing workflows,and using numerical assessment indicators.Regular supervision,inspection,feedback,and improvement mechanisms were implemented.Results:The implementation of the target management model has made the work effectiveness of clinical pharmacists visualized.There were more than 200 annual consultations and multidisciplinary team(MDT)cases,with an opinion adoption rate of 90.2%and a patient improvement rate of 80.6%.More than 1500 rational drug use interventions were conducted,with a suggestion adoption rate of 83.5%.In terms of pharmaceutical indicators control.The intensity of antibacterial drug use in 2024(without CMI adjustment)was 30.07 DDDs,significantly lower than the 2023 value of 33.54 DDDs,and also significantly lower than the provincial average(32.87 DDDs)and the average for hospitals of the same level(32.49 DDDs).The daily usage of intravenous infusion per bed for hospitalized patients was 2.09,a decrease from 2.15 in 2023,significantly lower than the provincial average of 2.71 and the average of 2.56 in hospitals of the same level.The amount of the second batch of national key monitoring drugs accounts for the value was 6.48%,significantly lower than the provincial average of 8.27%and the same level hospital average of 8.82%.In terms of chronic disease pharmaceutical management,taking the pharmaceutical management of patients with chronic heart failure as an example,the usage rates of renin-aldosterone-angiotensin-system inhibitors(RAAS inhibitors)and beta-blockers for heart failure in the management group were 87.88%and 80.81%,respectively,significantly higher-1 than those in the control group(62.22%and 65.56%).Heart rate in the management group(69.54±10.68 times·min-1)was significantly lower than in the control group(80.04±17.68 times·min)(P<0.001).The low-density lipoprotein cholesterol(1.69±0.57 mmol·L-1)was significantly lower than the control group(1.95±0.77 mmol·L-1)(P<0.001),and the 1-year readmission rate was 47.47%,significantly lower than the control group 56.67%.The Minnesota Living with Heart Failure Questionnaire(MLHFQ)Score was(44.20±10.78),significantly lower than the control group(55.89±11.48)(P<0.001),indicating a significant improvement in the patient’s quality of life.Conclusions:The targeted management model for clinical pharmacists can effectively enhance communication and collaboration between clinical pharmacists and clinicians,improve the work efficiency and service quality of clinical pharmacists in primary hospitals,promote the work of clinical pharmacy towards standardization and scientificization,boost the high-quality development of pharmacy in primary hospitals,and also provide new ideas and methods for the management of clinical pharmacists in other primary hospitals.
文摘随着能源行业的快速发展和技术革新,大量的专业术语和表达方式不断更新,新词不断涌现。然而,传统的新词发现方法通常依赖于词典或规则,且难以高效率地处理和更新大量的专业术语,特别是在快速变化的能源领域。因此,结合能源领域文本数据特性,提出了一种融合N-Gram和多重注意力机制的能源领域新词发现方法(new word discovery method in the energy field combining N-Gram and multiple attention mechanism, ENFM)。该方法首先利用N-Gram模型对能源领域的文本数据进行初步处理,通过统计和分析词频来生成新词候选列表。随后,引入融合多重注意力机制的ERNIE-BiLSTM-CRF模型,以进一步提升新词发现的准确性和效率。与传统的新词发现技术相比,在新词的准确识别和整体效率上均有显著提升,将其于能源领域政策文本数据集,准确率、召回率和F1分别为95.71%、95.56%、95.63%。实验结果表明,该方法能够准确地在能源领域的大量文本数据中识别新词,有效识别出能源领域特有的词汇和表达方式,显著提高了中文分词任务中对能源领域专业术语的识别能力。
文摘目的:分析“1+N”延续护理模式结合饮食干预在糖尿病患者中的护理效果及影响。方法:在东方社区中随机抽取120例糖尿病患者,就诊时间为2020年7月-2024年8月,采用数字表法,将其分为参照组、研究组,每组患者60例。参照组实施常规延续护理,研究组实施“1+N”延续护理及饮食干预,对比两组护理前后自我管理能力、血糖指标、生活质量。结果:护理后,研究组糖尿病自我管理能力评估量表(Summary of Diabetes Self-Care Activities,SDSCA)评分高于参照组(P<0.05);研究组空腹血糖、餐后2小时血糖、糖化血红蛋白水平均低于参照组(P<0.05);研究组糖尿病生存质量特异性评估工具(Diabetes-Specific Quality of Life,DSQL)评分低于参照组(P<0.05)。结论:“1+N”延续护理模式结合饮食干预可有效控制糖尿病患者血糖,提升自我管理能力,提高生活质量。
