Risk Management and Healthcare Policy最新文献

{"title":"Associations Between Health Literacy and Chronic Disease Prevalence Among Employees in Chinese Petroleum Companies: A Cross-Sectional Study.","authors":"Huifen Ma, Yiming Su, Shichao Zhao, Ying Wang, Xiaolin Wei, Haiyan Qu","doi":"10.2147/RMHP.S514409","DOIUrl":"https://doi.org/10.2147/RMHP.S514409","url":null,"abstract":"<p><strong>Background: </strong>Employees in the petrochemical industry are exposed to numerous occupational hazards, contributing to a higher prevalence of chronic diseases. Health literacy, which reflects an individual's ability to access, understand, and use health information, is a critical factor in managing chronic diseases. However, its specific role in this workforce is not well understood.</p><p><strong>Objective: </strong>This study investigates the associations between health literacy and the prevalence and number of chronic diseases among employees in a Chinese petrochemical company.</p><p><strong>Methods: </strong>In March 2022, a cross-sectional survey collected 39,491 valid responses from employees of a large petrochemical company in Shandong Province, China. Health literacy was measured using the National Health Literacy Monitoring Questionnaire, while chronic disease prevalence and number were self-reported. Logistic and linear regression were used to examine associations between health literacy and chronic disease prevalence and count, respectively.</p><p><strong>Results: </strong>Among respondents, 72.1% reported at least one chronic disease, and 53.9% were classified as having adequate health literacy. The domain of Health-Related Skills had the lowest qualification rate (46.4%), and the dimension of Chronic Disease Prevention and Control was the lowest-scoring dimension (33.0%). Overall health literacy was not significantly associated with chronic disease prevalence but was negatively associated with the number of chronic diseases (B = -0.05, 95% CI: -0.08 - -0.02, p < 0.001). Notably, higher literacy in Chronic Disease Prevention and Control was significantly associated with both reduced prevalence (OR = 0.95, 95% CI: 0.90-1.00, p = 0.034) and fewer chronic diseases (B = -0.01, 95% CI: -0.02-0.00, p = 0.004).</p><p><strong>Conclusion: </strong>While overall health literacy was not significantly associated with chronic disease prevalence, it was negatively associated with the number of chronic diseases. Moreover, health literacy in Chronic Disease Prevention and Control showed significant associations with both lower prevalence and fewer chronic diseases.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1515-1526"},"PeriodicalIF":2.7,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing Pathological Examination Cost Control Through Process Management Information Systems: A Mixed-Methods Study.","authors":"Qin Huang, Wei Jiang, Ying He, Wei Wang, Bo Song","doi":"10.2147/RMHP.S514819","DOIUrl":"https://doi.org/10.2147/RMHP.S514819","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the effects of process management information systems used for consumable management in the Department of Pathology.</p><p><strong>Methods: </strong>Data, such as workload capacity of each work group from 2022 to 2023, consumable consumption, warehouse receiving and dispatching, and price of consumables, were extracted from the hospital information system (HIS) and the Goldisc Picture Archiving and Communication System (PACS) of West China Second University Hospital, Sichuan University. Chi-square test and 95% confidence interval (CI) analysis were performed to assess the effects of the systems in optimizing pathological examination cost control. The focus group interviews were conducted to investigate the advantages, limitations and optimization strategy of the systems.</p><p><strong>Results: </strong>The workload capacities of the cellular pathology group, molecular pathology group, frozen section group, immunohistochemistry group, and routine pathological examination group increased by 20.17%, 22.72%, 24.10%, 24.28%, and 20.11%, respectively (<i>P</i> < 0.0001) (95% CI: 19.74%, 24.81%). The difference in the quantity of medical consumables received at the warehouse between 2022 and 2023 was 148,975 (<i>P</i> < 0.0001). The difference in the quantity of dispatched medical consumables between 2022 and 2023 was 150,282 (<i>P</i> < 0.0001). The overstock inventory of medical consumables decreased from 996,527.33 (Chinese Yuan) for 2022 to 832,401.60 (Chinese Yuan) for 2023. The quantity of waste in glass slides decreased from 17,244 for 2022 to 1,538 for 2023 (<i>P</i> < 0.0001). The timeliness rate of histopathological diagnosis in 2023 increased from 65.07% (data for 2022) to 95.46%. The timeliness rate of intraoperative pathological rapid diagnosis in 2023 increased from 67.34% (data for 2022) to 89.45%.</p><p><strong>Conclusion: </strong>Intelligent information management modules should be configured for medical consumables to optimize the allocation of medical resources and reduce the cost of pathological examinations. The process management information systems could significantly optimize pathological examination cost control.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1477-1491"},"PeriodicalIF":2.7,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12054542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in Combinatorial Endocrine Therapy for Breast Cancer Across Six Cities in China(2016-2021).","authors":"Chen Wang, Bo Chen, Qin Chen, Jie Chen, Liucheng Li","doi":"10.2147/RMHP.S511682","DOIUrl":"https://doi.org/10.2147/RMHP.S511682","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to assess the prescribing patterns and combinations of endocrine therapy medications for breast cancer across six cities in China over a six-year period.</p><p><strong>Methods: </strong>Data on outpatient prescriptions were sourced from the China Hospital Prescription Analysis Cooperative Project database. The study analyzed trends in endocrine therapy medications, focusing on the number of prescriptions, total costs, defined daily doses (DDDs), and defined daily costs (DDC). The study also examined the use of two-drug combinations separately for premenopausal and postmenopausal women.</p><p><strong>Results: </strong>The number of prescriptions increased by 49.6% from 55,339 in 2016 to 82,791 in 2021. During the same period, annual costs ranged from 47.71 million to 88.37 million Chinese Yuan (CNY), marking an 85.2% increase. Tamoxifen, which led in DDDs in 2016, fell to sixth place, while exemestane rose from fifth to first place. Anastrozole's rank dropped from first to fourth, with letrozole consistently holding the second position in DDDs. Fulvestrant and goserelin consistently ranked among the top two in DDC. Conversely, toremifene and tamoxifen consistently occupied the lowest two positions in DDC. The combination of aromatase inhibitors (AI) and ovarian function suppression (OFS) represented the largest proportion among drug combinations, with its usage significantly increasing over the years (<i>P</i> = 0.015).</p><p><strong>Conclusion: </strong>The use of endocrine therapy drugs has increased, with AI being the most frequently used. Additionally, the combination of AI and OFS has become the most prevalent treatment approach.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1503-1511"},"PeriodicalIF":2.7,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12054535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Diagnostic Knowledge and the Management of Bell's Palsy Among Primary HealthCare Physicians in Saudi Arabia.","authors":"Mothana Yousif Al Jaber, Ahmad Al Shammari, Faisal Talal Al Subaie, Zakaria Alhowaish, Mahmoud Mohammed Al Harbi, Saud A AlNaaim","doi":"10.2147/RMHP.S514912","DOIUrl":"https://doi.org/10.2147/RMHP.S514912","url":null,"abstract":"<p><strong>Purpose: </strong>Bell's palsy is a common cause of acute peripheral facial nerve paralysis. Its symptoms can mimic other severe conditions, posing diagnostic challenges for primary care physicians (PCPs). This study aimed to assess the diagnostic knowledge and management preparedness of PCPs in Saudi Arabia regarding Bell's palsy. Particular emphasis was placed on identifying critical knowledge gaps that may affect clinical decision-making, especially in corticosteroid dosing and standardized diagnostic approaches.</p><p><strong>Patients and methods: </strong>A cross-sectional observational study was conducted in Al-Ahsa, Saudi Arabia. A total of 204 physicians participated in the study. Non-probability convenience sampling was used to recruit participants, which included general practitioners and family medicine physicians with at least 1 year of clinical experience. Structured surveys were distributed both online and in person to collect data on demographic information, knowledge of Bell's palsy, diagnostic confidence, treatment approaches, and perceived barriers. Data analysis was performed using descriptive statistics and binary logistic regression in SPSS version 26.</p><p><strong>Results: </strong>The mean knowledge score was 11.06 (standard deviation = 3.01), with significant gaps in areas such as the House-Brackmann grading system (57.8% correct) and the recurrence of Bell's palsy (54.4% correct). Although most respondents correctly identified the cranial nerve (94.1%) and treatment timeline (65.7%), their knowledge of corticosteroid dosage was suboptimal (56.4%). Family medicine physicians had higher knowledge levels than general practitioners (p = 0.004). Moreover, 52.5% reported no diagnostic barriers, whereas 47.5% mentioned issues such as unclear diagnostic criteria (17.2%) and limited tools (8.3%). Among those interested in additional education, 94.1% preferred online training.</p><p><strong>Conclusion: </strong>Although PCPs showed a strong understanding of Bell's palsy, significant gaps were identified in advanced diagnostic and management areas. Addressing these deficiencies, particularly in corticosteroid dosing and structured diagnostic frameworks, is essential to enhancing clinical preparedness. These findings underscore the need for targeted educational interventions, including online training and standardized diagnostic protocols, to bridge knowledge gaps, improve diagnostic accuracy, and optimize patient management strategies.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1493-1502"},"PeriodicalIF":2.7,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12054537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Patient Safety: Exploring the Mechanism of How Organizational Support Influences Nurses' Safety Behavior in Pediatric Intensive Care Units.","authors":"Wenjing Song, Ying Yang, Jingrong Fan, Yangfan Hu","doi":"10.2147/RMHP.S517964","DOIUrl":"https://doi.org/10.2147/RMHP.S517964","url":null,"abstract":"<p><strong>Objective: </strong>To examine the relationships among safety culture perception, organizational support, and safety behavior in nurses working in the intensive care unit (ICU) of a pediatric hospital, as well as the underlying mechanisms.</p><p><strong>Methods: </strong>We surveyed 133 ICU nurses using the Nurse Safety Behavior Scale, Nurse Culture Perception Questionnaire, and Organizational Support Questionnaire. Nurses completed questionnaires during designated breaks in their shifts. We analyzed responses using SPSS 22.0, calculated descriptive statistics, ran correlation analyses, and performed mediation analysis with bootstrapping. We set significance at P≤ 0.05.</p><p><strong>Results: </strong>The mean scores for safety behavior, safety culture perception, and organizational support were 56.26 ± 4.61, 103.92 ± 12.80, and 50.11 ± 11.32, respectively. Safety behavior was positively correlated with both safety culture perception (r = 0.367, P ≤ 0.01) and organizational support (r = 0.360, P ≤ 0.01). Mediation analysis revealed that safety culture perception partially mediated the effect of organizational support on safety behavior, explaining 30.47% of the total effect.</p><p><strong>Conclusion: </strong>Safety culture perception acts as a mediator between organizational support and safety behavior in pediatric ICU nurses. Hospital administrators can foster a culture of safety, enhance organizational support, and promote safety practices among nurses to better ensure patient safety in pediatric critical care settings. These findings have important implications for developing targeted interventions to improve safety behaviors among pediatric ICU nurses.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1467-1475"},"PeriodicalIF":2.7,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing Pin Tracts in Open Tibial Fractures: The Role of Medical Waste Rubber Bung.","authors":"Yi Hu, Yu Peng, Kaihu Li, Jun Zhang","doi":"10.2147/RMHP.S509406","DOIUrl":"https://doi.org/10.2147/RMHP.S509406","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to assess the effect of using medical waste rubber bung (MWRB) for pin-tract management in patients with open tibial fractures treated with external fixators (EFs).</p><p><strong>Methods: </strong>A retrospective analysis of 91 patients with open tibial fractures admitted to our hospital over a three-year period was conducted to compare and statistically characterize overall PTI incidence, PTI rate across five different pin-tract locations, time (days) to the first occurrence of infection, and Checketts-Otterburn classification.</p><p><strong>Results: </strong>Among the enrolled 91 patients, 88 met the criteria. After excluding deaths and losses to follow-up, they were divided into two study groups, with no significant difference in overall PTI incidence. Group A exhibited a significantly lower rate of severe infection and prolonged time to initial infection compared to Group B (both <i>P</i> < 0.05). Group A also had a significantly lower rate of PTI at the tibial telangiectasia than Group B.</p><p><strong>Conclusion: </strong>The study underscores that compression in EF management is necessary to significantly reduce the incidence of severe PTIs, especially in the tibial metaphysis, and to delay the onset of initial infection among patients with open tibial fractures.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1455-1465"},"PeriodicalIF":2.7,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using the Task-Oriented Quality Control Circle to Build the Central Sterile Supply Department Quality Control System for Foreign Objects Remaining in Sterile Packages.","authors":"Shunyu Yao, Liangying Yi, Ruixue Hu, Yanhua Chen, Wei Pan, Jinhui Zhang, Xiaochun Zhao","doi":"10.2147/RMHP.S514458","DOIUrl":"https://doi.org/10.2147/RMHP.S514458","url":null,"abstract":"<p><strong>Background: </strong>The occurrence of foreign objects in sterile packages may delay surgeries and affect the quality of medical treatment.</p><p><strong>Purpose: </strong>This study aimed to use the task-oriented quality control circle (QCC) to build the central sterile supply department (CSSD) quality control system for foreign objects remaining in sterile packages.</p><p><strong>Methods: </strong>A task-oriented QCC was created under the leadership of the CSSD within our hospital. The following were investigated by determining a topic and a task, setting targets, formulating strategies and determining optimal strategies: incidence of foreign objects remaining in sorted and folded textiles; incidence of foreign objects remaining in contaminated instrument packages; incidence of foreign objects remaining in clean textiles; incidence of complaints for foreign objects remaining in sterile packages; and satisfaction among the CSSD and operating room staff.</p><p><strong>Results: </strong>The incidence of foreign objects remaining in contaminated textiles decreased from 7.1% to 0.96%. The incidence of foreign objects remaining in contaminated instrument packages decreased from 0.27% to 0.04%. The incidence of foreign objects remaining in clean textiles decreased from 2.91% to 0.21%. The incidence of complaints received from operating room staff for foreign objects remaining in sterile packages decreased from 41.69% to 0. Satisfaction among the operating room and CSSD staff was improved from 53.7% to 100%.</p><p><strong>Conclusion: </strong>The task-oriented QCC could reduce the incidence of foreign objects remaining in sterile packages, thereby reducing the quality defect rates in instrument packaging.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1441-1454"},"PeriodicalIF":2.7,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12046524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Survey Study of Oral Care Given by Nurses in Intensive Care Units.","authors":"Muhammet Burak Yavuz, Ekim Onur Orhan, Cemre Eksi, Mari Ainola, Katariina Nurmi, Kari K Eklund, Arzu Beklen","doi":"10.2147/RMHP.S513905","DOIUrl":"https://doi.org/10.2147/RMHP.S513905","url":null,"abstract":"<p><strong>Purpose: </strong>The study aims to analyze whether having a specialty certification (SC) among intensive care unit (ICU) nurses is associated with their knowledge, attitudes, and practices regarding oral care and related complications during hospitalization.</p><p><strong>Patients and methods: </strong>This cross-sectional study included 188 ICU nurses in Eskisehir, Turkey, between April and June 2021. A 20-item questionnaire was used to assess demographic data, knowledge, attitudes, and practices regarding oral care. Chi-square tests (p = 0.05) were used to analyze relationships.</p><p><strong>Results: </strong>A highly significant proportion of nurses having SC were satisfied with the level of oral hygiene instructions they had received, <i>X</i> ² = 12.29, d.f. = 1, n = 188, p < 0.001, and the factor of awareness of its benefits associated with SC education, <i>X</i> ² = 6.55, d.f. = 1, <i>p</i> = 0.010. Nurses who spend less time on oral hygiene performed less oral examinations, <i>X</i> ² = 16.73, d.f. = 4, p = 0.002, and there was an inverse relationship between the number of ICU patients per nurse and the time spent on oral care per patient, <i>X</i> ² = 33.24, d.f. = 8, p < 0.001. The majority of nurses carried out oral care for 2-5 minutes per patient daily (n = 72, 38.29%). SC nurses preferred manual toothbrush with toothpaste over foam stick or sodium carbonate, <i>X</i> ² = 4.16, d.f. = 1, p = 0.04. Regardless of the specialization, a highly significant relationship was observed between the duration of oral care and the experience of nurse in ICU, d.f. = 4, p < 0.001.</p><p><strong>Conclusion: </strong>Having SC significantly affects ICU nurses' ability and willingness to prioritize oral care to improve patients' oral hygiene.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1429-1440"},"PeriodicalIF":2.7,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12042831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CT-Detected Arterial Calcification and Ischemic Cardiovascular Risk Assessment in Patients with Upper Urinary Tract Calculi: A Case-Control Study.","authors":"Zhan Qu, Wenbo Yang, Shijun Liu, Mingqing Wang, An Zheng, Caipeng Qin, Yiqing Du, Xiaodong Zhu, Tao Xu","doi":"10.2147/RMHP.S510109","DOIUrl":"https://doi.org/10.2147/RMHP.S510109","url":null,"abstract":"<p><strong>Objective: </strong>Arterial calcification (AC) is frequently observed in computed tomography (CT) scans of patients with upper urinary tract calculi (UUTC). This study aimed to investigate the relationship between AC detected by CT in UUTC patients and the risk of ischemic cardiovascular diseases (ICVD).</p><p><strong>Methods: </strong>In this retrospective case-control study, clinical data of 596 patients were collected. Bone mineral density (BMD) of L1 vertebra and calcification of major/medium arteries were analyzed. Differences in clinical data, CT images and 10-year ICVD risk scores were compared between groups. Univariate analysis and multivariate logistic regression identified independent risk factors for AC in UUTC patients. A scoring system to assess concurrent AC risk in UUTC patients was developed and validated.</p><p><strong>Results: </strong>A total of 396 UUTC patients and 200 controls were included. AC prevalence was higher in UUTC group (71.7% vs 63.5%, <i>P</i> = 0.041), remained valid after controlling for specific confounding factors. UUTC patients exhibited lower BMD of L1 vertebra. Their 10-year ICVD risk scores were elevated (male: OR = 2.450, 95% CI = 1.262-4.758, <i>P</i> = 0.007; female: OR = 4.340, 95% CI = 2.203-8.550, <i>P</i> < 0.001). Multivariate analysis confirmed L1 vertebra BMD < 160 Hounsfield units (OR = 3.660, 95% CI = 2.107-6.358, <i>P</i> < 0.001) as an independent AC risk factor. The presence of AC was associated with a 13.7-fold increased odds of high-risk group classification (OR = 13.689, 95% CI = 8.021-23.346, <i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>AC and the risk of ICVD are associated with UUTC. Our study establishes an innovative integration of UUTC with CT-based AC assessment and ICVD risk stratification, highlighting the need for cardiovascular surveillance in UUTC-affected individuals.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1419-1427"},"PeriodicalIF":2.7,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current Status and Influencing Factors of Nursing Care Insufficiency in Intensive Care Units: A Cross-Sectional Study Focusing on Staff Shortages, Workload, and Care Omissions.","authors":"Yan Yang, Lihua Zhou, Lin Zhang, Miao Wang, Shaohua Hu","doi":"10.2147/RMHP.S494860","DOIUrl":"https://doi.org/10.2147/RMHP.S494860","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to investigate the status of nursing care omissions in intensive care units (ICUs) in China and identify factors influencing these omissions.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 1162 ICU nurses from 30 hospitals across nine provinces in China. Data were collected using questionnaires on nursing care omissions, clinical leadership (nurses' ability to influence and coordinate care), and safety attitudes (perceptions of safety culture). Descriptive statistics, correlation analysis, and multiple linear regression were performed using SPSS.</p><p><strong>Results: </strong>The mean score for nursing care omissions is 57.38±21.27, clinical leadership is 59.13±15.30, and safety attitudes is 119.00±21.16. A negative correlation is observed between ICU nursing care omission scores and clinical leadership scores (r=-.212, p<0.001), and a negative correlation is observed between ICU nursing care omission scores and safety attitude scores (r=-.241, p<0.001). The multiple linear regression analysis indicates that the factors influencing nursing care omissions in the ICU includes nurses' age, position, personnel relationships, average monthly income, satisfaction with the ward teamwork, frequency of patient safety education, and clinical leadership and safety attitudes (p<0.05).</p><p><strong>Conclusion: </strong>This study found that nursing deficiency in ICU is significant, affecting patient safety, nurse burnout, and nursing quality. Key factors include nurse age, position, and so on. It is recommended to strengthen clinical leadership training, improve safety culture, and optimize staffing to reduce nursing omissions and improve patient outcomes. It calls on health policies to pay attention to ICU nursing deficiencies and formulate support measures to ensure patient safety and nurse health.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1407-1417"},"PeriodicalIF":2.7,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}