Risk Management and Healthcare Policy最新文献

{"title":"On-Site Evaluation and Improvement Strategies of Radiation Occupational Hazard Prevention and Control Effectiveness in Medical Institution Construction Projects.","authors":"Hong-Xia Xie, Ming-Qing Zhang, Zhi-Xiang Li, Huai-Liang Zhao","doi":"10.2147/RMHP.S505085","DOIUrl":"10.2147/RMHP.S505085","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the control effectiveness of medical institution construction projects, and to summarize and analyze the radiation protection management status and improvement strategies of relevant medical institutions.</p><p><strong>Methods: </strong>A total of 40 medical institutions in our city were evaluated for control effectiveness through measures such as data research, on-site investigations, equipment quality testing, and radiation health protection inspections.</p><p><strong>Results: </strong>The compliance rates of personnel configuration, verification of protective measures, and radiation protection management and emergency response were 95.0%, 67.5%, and 70.0%, respectively. Compared to earlier evaluation periods (eg, before the implementation of new DR performance testing standards, where compliance rates were below 60%), there has been a marked improvement in compliance with performance and protection testing, particularly after the introduction of updated evaluation criteria. The first-pass rates of performance testing for DSA, DR, CT, and dental equipment were 100%, 84.0%, 92.0%, and 100%, respectively. The first-pass rates of radiation protection inspection for related equipment rooms were 100%, 100%, 92.0%, and 100%, respectively. New DR performance testing standards introduced specialized testing items, such as dark noise, detector dose indication (DDI), and signal transmission characteristics (STP), which presented initial challenges due to the unavailability of pre-processing images in some manufacturers' products. Additionally, higher monitoring values were identified at doors, door gaps, and cable penetration points in equipment rooms. Regarding radiation protection management and emergency response, issues such as overly rigid emergency response plans, insufficient personal dose management, and inadequate occupational health examinations remain, requiring systematic adjustments.</p><p><strong>Conclusion: </strong>At present, the awareness of radiation hazard prevention and control in medical institutions has been improved. Compared to earlier periods of testing and evaluation, there has been a significant improvement in the degree of compliance with performance and protection testing. Medical institutions have strengthened equipment annual inspections, quality control, and other management work, further enhancing the level of radiation protection management.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"409-417"},"PeriodicalIF":2.7,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434406","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":"What Factors Influence Patient Measures of Safety Among Adults?","authors":"Yujeong Kim, Eunhee Nam","doi":"10.2147/RMHP.S497337","DOIUrl":"10.2147/RMHP.S497337","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to examine the level of patient measures of safety and identify the influencing factors of patient measures of safety among Korean.</p><p><strong>Methods: </strong>This study was a cross-sectional study. From February 7 to February 12, 2024, data were collected through a structured on-line questionnaire consisting of items about general characteristics, patient safety knowledge, nurse-patient interaction, experience of patient participation, willingness to participate in patient safety, and patient measures of safety involving 330 adults. Since there were no incomplete responses, data from all 330 participants were included in the final analysis. The collected data were analyzed using descriptive statistics, <i>t</i>-test, chi-square test, analysis of variance, post-hoc test, correlational analysis, and regression analysis.</p><p><strong>Results: </strong>Patient measures of safety showed significant positive correlations with patients' safety knowledge, nurse-patient interaction, patient experience in participating in safety activities, and patients' willingness to participate in safety activities. The employment status, nurse-patient interaction, patient experience in safety activities, and willingness to participate in safety activities were identified as significant factors affecting patient measures of safety.</p><p><strong>Conclusion: </strong>Enhancing nurse-patient interaction-a crucial determinant of patient safety measures-would require implementing effective communication programs. Additionally, it is significant to facilitate patient expression of safety concerns and establish a patient-centered safety monitoring and feedback system. This would actively promote patient participation in safety activities.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"353-361"},"PeriodicalIF":2.7,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400872","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":"Development and Evaluation of an ICU Nurse Training Program on Oral Mucosal Pressure Injury Prevention and Management Using the ADDIE Model.","authors":"Tiantian Jia, Yunxia Lan, Jing Pang, Mengdan Ma, Zhe Ding, Yongting Wang, Enshe Jiang","doi":"10.2147/RMHP.S499606","DOIUrl":"10.2147/RMHP.S499606","url":null,"abstract":"<p><strong>Purpose: </strong>To construct a training course program for ICU nurses to care for oral mucosal membrane pressure injury (MMPI) and evaluate its implementation effects based on the ADDIE model.</p><p><strong>Patients and methods: </strong>A research team was established to construct the training course program in January 2024. According to the ADDIE model, a training course was designed and developed after the literature research and Delphi expert inquiry. The training course program was implemented in 138 ICU nurses from a tertiary A hospital in China from April to May 2024. The ICU nurses' knowledge, attitude, and practice in preventing medical device-related pressure injury in critically ill patients and the incidence of oral MMPI were compared before and after the training program.</p><p><strong>Results: </strong>A particular training course program for the ICU nurses to care for oral MMPI was constructed in this study. It contained three aspects of particular training subjects (professional knowledge, practical skills and professional literacy) and included 16 specific training courses. One hundred and thirty-eight ICU nurses received the training course program in the hospital. The total score of MMPI knowledge-attitude-practice of the ICU nurses was (167.73±8.13) after the training, which was significantly improved compared with the score before the training (145.81±13.57) (t = 16.283, <i>P</i><0.001). The incidence of oral MMPI after the training (5.94%) was significantly lower than that before training (22.93) (<i>x</i> ²=12.034, <i>P</i><0.001).</p><p><strong>Conclusion: </strong>The training course program for ICU nurses to care for oral MMPI based on the ADDIE module can effectively improve ICU nurses' comprehensive ability to prevent oral MMPI and reduce the incidence of oral MMPI. It can be applied in clinical nursing education and practice.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"363-372"},"PeriodicalIF":2.7,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400858","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":"Analyzing Radiation Protection Risks in Nuclear Medicine: Cause Investigation and WSR-Based Countermeasure Evaluation.","authors":"Peng Sun, Guanting Li, Yunhe Zhu","doi":"10.2147/RMHP.S508013","DOIUrl":"10.2147/RMHP.S508013","url":null,"abstract":"<p><strong>Objective: </strong>To analyze and investigate the causes of radiation protection safety risks in nuclear medicine diagnosis and treatment, formulate radiation protection safety management countermeasures, and evaluate their effectiveness.</p><p><strong>Methods: </strong>In October 2020, the Department of Nuclear Medicine at our hospital established a radiation protection safety management team, utilizing association rules to investigate and analyze the causes of radiation protection safety risks. A Wuli-Shili-Renli (WSR) system management approach was implemented, addressing physical (Wuli), procedural (Shili), and human factors (Renli) to improve technical safeguards, optimize processes, and enhance personnel awareness. A total of 1200 patients receiving diagnosis and treatment were divided into two groups. The control group (600 cases) used standard inspection-based radiation protection, while the observation group (600 cases) adopted WSR system management in addition to standard measures. Radiation protection risk control effectiveness and safety control capability scores were compared between the two groups.</p><p><strong>Results: </strong>The proportions of excessive diagnostic doses and additional radiation harm in the observation group were both lower than those in the control group (P < 0.05); the proportions of risk sources, including building environment, protective measures, dose monitoring, safety awareness, and waste disposal, in the observation group were all lower than those in the control group (P < 0.05). The observation group's scores in radiation protection theory, practical risk management skills, and radiation protection safety literacy, as well as the total score, were higher than those of the control group (P < 0.05).</p><p><strong>Conclusion: </strong>The WSR system management approach effectively reduces radiation protection safety risks, improves the diagnostic and therapeutic environment, minimizes radiation exposure to patients and staff, and enhances safety risk management levels in nuclear medicine departments.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"329-337"},"PeriodicalIF":2.7,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384096","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":"Osteoporosis Awareness, Self-Efficacy and Health Beliefs Among Staff in an Obstetrics and Gynecology Hospital: A Cross-Sectional Study.","authors":"Yun Zhou, Zheyun Xu, Zhifen Zhang, Jun Su","doi":"10.2147/RMHP.S491319","DOIUrl":"10.2147/RMHP.S491319","url":null,"abstract":"<p><strong>Background: </strong>We investigated the key factors that influence the awareness, health beliefs, and self-efficacy of osteoporosis among the staff of an obstetrics and gynecology hospital to identify the key target population for carrying out education and promotion in medical institutions, hoping to improve women's awareness and prevention and treatment consciousness of osteoporosis from the source.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from October 15 to October 24 in 2023, and 200 staff members were randomly sampled from an obstetrics and gynecology hospital in Hangzhou city for a questionnaire survey. We used a quantile regression model to analyze the key factors influencing the scores of each item.</p><p><strong>Results: </strong>The study results showed that undergraduate degree or above, working as a doctor, work experience of <5 years or 10-20 years and high professional technical title are related to a higher level of osteoporosis knowledge. Male gender was associated with higher exercise efficacy and calcium barriers scores. Older age and long years of working experience were associated with higher susceptibility score. Lower education level was associated with higher calcium barriers score. Doctor occupation was associated with lower seriousness score, higher exercise benefits score, higher calcium benefits scores and higher health motivation score. Professional and technical title was also related to exercise and calcium benefits score.</p><p><strong>Conclusion: </strong>When carrying out education and promotion work on osteoporosis prevention and treatment targeting the group of healthcare workers, different content and emphases should be considered, and different groups should be selected for more targeted publicity and popularization.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"339-351"},"PeriodicalIF":2.7,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384102","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":"Medication Administration Through Feeding Tubes in a Tertiary Hospital: A Retrospective Observational Study.","authors":"Yuanchao Zhu, Bolin Zhu, Pengfei Jin","doi":"10.2147/RMHP.S500557","DOIUrl":"10.2147/RMHP.S500557","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to investigate the prevalence and types of errors associated with oral medication administration via feeding tubes (FTs) in a tertiary hospital in Beijing.</p><p><strong>Methods: </strong>A retrospective observational study was conducted at Beijing Hospital between January 2018 and December 2022. All inpatients aged of 18 and above who received at least one oral medication via FTs were included. Medical records were meticulously collected and analyzed.</p><p><strong>Results: </strong>A total of 7,243 patients were identified as part of the tube feeding group, representing a prevalence rate of 6.26% among hospitalized patients receiving oral medication. Compared to the general hospitalized population, patients in the tube feeding group exhibited a higher proportion of male patients (59.74% vs 48.91%), older age [(68.00±14.99) vs (59.75±16.38)], lower weight [(65.75±13.32) vs (67.82±12.72)], increased rates of being bedridden (18.06% vs 5.38%), longer hospital stay [(21.56±28.12) vs (8.88±10.38)], and a greater number of prescribed medication types [(51.21±19.37) vs (23.35±15.04)]. On average, patients in the tube feeding group were administered 8.92±6.78 types of oral medications. A significant percentage of patients in the tube feeding group experienced inappropriate medication administration, reaching 65.43%. Among these cases, the rate of inappropriate medication administration for patients receiving nasogastric tube and nasojejunal tube were 64.06% (4186/6535) and 78.11% (553/708), respectively. In total, there were 10,164 instances of inappropriate medication administration, averaging 1.40 times per patient in the tube feeding group. Inappropriate medications included enteric-coated drugs, modified-released, soft capsules, and other non-crushable drugs.</p><p><strong>Conclusion: </strong>Our results Our findings highlight a significant issue of inappropriate medication administration via FTs. Ensuring the accurate administration of orally prescribed medications to patients with FTs is a complex task that requires immediate attention.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"319-328"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11796436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256551","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":"The Severity of the COVID-19 Among Chronic Disease Patients in the Selected Hospitals in Riyadh, Saudi Arabia - A Retrospective Study [Letter].","authors":"Ahmed M Al-Wathinani, Krzysztof Goniewicz","doi":"10.2147/RMHP.S514795","DOIUrl":"10.2147/RMHP.S514795","url":null,"abstract":"","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"307-308"},"PeriodicalIF":2.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11792634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191451","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":"Nurses' Knowledge in the Prevention and Management of Nasointestinal Tube Obstruction: A Cross Sectional Study.","authors":"Lun Wang, Wanling Hou, Zhong Liu, Li Chen, Ruidua Lin, Yinying Huang","doi":"10.2147/RMHP.S487742","DOIUrl":"10.2147/RMHP.S487742","url":null,"abstract":"<p><strong>Background: </strong>The nasointestinal tube is a route of nutritional support for patients and maintaining patency is essential. Given the key role nurses play in the management and monitoring of these tubes, they need to have sufficient knowledge and skills to ensure the safety and well-being of the patients.</p><p><strong>Objective: </strong>To investigate the status quo of nurses' knowledge of prevention and management of nasointestinal tube obstruction in six hospitals, and to analyze the influencing factors.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted using the convenience sampling method, applying a general information questionnaire and a questionnaire on knowledge of prevention and management of nasointestinal tube obstruction.</p><p><strong>Results: </strong>A total of 268 valid questionnaires were collected. The mean score for nurses' knowledge was 47.65±4.09 out of a maximum possible score of 60 points on the questionnaire, with the score for storage and use of nutritional solutions being the lowest. The univariate analysis showed that there were statistically significant differences in the knowledge scores of nasointestinal tube prevention and management among nurses with different age, educational background, professional title, hospital grade, department, length of exposure to nasointestinal tubes, qualification of nasointestinal tube placement, and training experience. The multiple linear regression analysis showed that professional title, department and training experience were the influencing factors of nurses' knowledge of nasointestinal tube obstruction prevention and management. Specifically, nurses with higher professional titles, more training experiences, or those working in intensive care units and surgical departments were more likely to achieve higher total knowledge scores in the prevention and management of nasointestinal tube occlusion.</p><p><strong>Conclusions: </strong>The study shows that nurses' knowledge of nasointestinal tube obstruction prevention and management is in the upper-middle level. Nursing managers should strengthen systematic training and improve interdepartmental exchange to promote young nurses' knowledge and quality of nasointestinal tube care.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"309-317"},"PeriodicalIF":2.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11792620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191439","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":"Erratum: The Severity of the COVID-19 Among Chronic Disease Patients in the Selected Hospitals in Riyadh, Saudi Arabia - A Retrospective Study [Corrigendum].","authors":"","doi":"10.2147/RMHP.S518494","DOIUrl":"https://doi.org/10.2147/RMHP.S518494","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.2147/RMHP.S456155.].</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"305-306"},"PeriodicalIF":2.7,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124195","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":"Association Between GABRG2 and Self-Rating of the Effects of Alcohol in a French Young Adult Sample.","authors":"Jenny Skumsnes Moe, Jørgen G Bramness, Ingeborg Bolstad, Jørg Gustav Mørland, Philip Gorwood, Nicolas Ramoz","doi":"10.2147/RMHP.S483830","DOIUrl":"https://doi.org/10.2147/RMHP.S483830","url":null,"abstract":"<p><strong>Purpose: </strong>Alcohol use is a leading risk factor for preventable death, injury, and disease globally. Low sensitivity to the effects of alcohol is influenced by genes and predicts risk for harmful alcohol use and alcohol use disorder (AUD). Alcohol induces effects partly by modulation of gamma-aminobutyric acid receptors type A (GABA_ARs). This study investigates the relationship between genetic variation in GABA_AR subunit genes and individual alcohol sensitivity among French university students.</p><p><strong>Patients and methods: </strong>The study involved 1,409 French university students (34.5% women; mean age 20.3 years). Alcohol sensitivity was measured by the Self-Rating of the Effects of Alcohol Scale (SRE). SRE-scores from initial drinking, regular drinking, and heavy drinking were investigated for correlations with alcohol consumption and for associations with single nucleotide polymorphisms (SNPs) in GABA_AR subunit genes (<i>GABRA2, GABRG2, GABRA6</i>).</p><p><strong>Results: </strong>We replicated correlations between low alcohol sensitivity and high alcohol consumption. We further found an association between the minor allele in rs211014 (<i>GABRG2</i>) and higher SRE-scores, linked to dizziness and motor incoordination. Genetic variation in <i>GABRG2</i> has previously been associated with processes involving motor coordination (alcohol withdrawal, febrile- and epileptic seizures).</p><p><strong>Conclusion: </strong>The results from our study suggest that genetic variation in <i>GABRG2</i> may influence alcohol sensitivity, which could inform strategies for assessing risk for harmful alcohol use and AUD.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"291-304"},"PeriodicalIF":2.7,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069845","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}