Joint Commission journal on quality and safety最新文献_第4页

Sentara Norfolk General Hospital: Accelerating Improvement by Focusing on Building a Culture of Safety 圣塔拉诺福克综合医院:通过建立安全文化加速改善

Joint Commission journal on quality and safety Pub Date : 2004-10-01 Epub Date: 2016-11-17 DOI: 10.1016/S1549-3741(04)30063-8

Gary R. Yates M.D., Rodney F. Hochman M.D., Shannon M. Sayles R.N., M.A. (Director of the Sentara Safety Initiative), Carole A. Stockmeier M.H.A. (Director of the Sentara Safety Initiative)

{"title":"Sentara Norfolk General Hospital: Accelerating Improvement by Focusing on Building a Culture of Safety","authors":"Gary R. Yates M.D., Rodney F. Hochman M.D., Shannon M. Sayles R.N., M.A. (Director of the Sentara Safety Initiative), Carole A. Stockmeier M.H.A. (Director of the Sentara Safety Initiative)","doi":"10.1016/S1549-3741(04)30063-8","DOIUrl":"10.1016/S1549-3741(04)30063-8","url":null,"abstract":"<div><h3>Background</h3><p>To accelerate progress in improving patient safety, Sentara Norfolk General Hospital (SNGH) supplemented its improvement programs with an initiative to strengthen its organizational culture of safety.</p></div><div><h3>Creating a Culture of Safety</h3><p>SNGH established and internalized behaviors in the organization that would result in safer and more reliable and productive human performance. Four areas of focus were identified: (1) creating Behavior-Based Expectations (BBEs) for error prevention for all positions, (2) establishing Red Rules to focus employees on rules with the highest level of consequence and risk if not followed exactly, (3) developing a technically based Root Cause and Common Cause Analysis process, and (4) implementing an approach to focus and simplify policies and procedures.</p></div><div><h3>Keys to Success</h3><p>The senior leadership made the safety initiative the number-one priority; operational goals were prioritized to ensure the availability of time and resources for the safety initiative. A team of five operational leaders led implementation and ensured effective communication across the organization. Medical staff provided support to the safety initiative; for example, it developed and implemented its own BBEs list. Finally, employees were engaged in all phases of the initiative. SNGH’s largest challenge remains to continue to accelerate improvement while simultaneously holding gains previously made.</p></div>","PeriodicalId":84970,"journal":{"name":"Joint Commission journal on quality and safety","volume":"30 10","pages":"Pages 534-542"},"PeriodicalIF":0.0,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1549-3741(04)30063-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24791347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 38

Methodological Issues in Public Reporting of Patient Perspectives on Hospital Quality 公开报告患者对医院质量看法的方法学问题

Joint Commission journal on quality and safety Pub Date : 2004-10-01 Epub Date: 2016-11-17 DOI: 10.1016/S1549-3741(04)30067-5

Judith K. Barr Sc.D. (Senior Scientist), Sara Banks Ph.D. (Senior Health Information Analyst), William J. Waters Ph.D. (Deputy Director), Marcia Petrillo M.A. (Chief Executive Officer)

{"title":"Methodological Issues in Public Reporting of Patient Perspectives on Hospital Quality","authors":"Judith K. Barr Sc.D. (Senior Scientist), Sara Banks Ph.D. (Senior Health Information Analyst), William J. Waters Ph.D. (Deputy Director), Marcia Petrillo M.A. (Chief Executive Officer)","doi":"10.1016/S1549-3741(04)30067-5","DOIUrl":"10.1016/S1549-3741(04)30067-5","url":null,"abstract":"<div><h3>Background</h3><p>Increasing attention is being focused on public reporting of patient satisfaction and experience with hospital care, both nationally and at the state level. Comparative reports on hospital patient satisfaction use a standard survey, but little is known about underlying methodological approaches for reporting these quality measures.</p></div><div><h3>Methods</h3><p>Literature, Web sites, and key informants were used to identify nine public reports. In-depth reviews were conducted to determine approaches to collecting, analyzing, and publicly reporting comparative data. Data were grouped into four analytic categories: survey, sampling, computation of scores, and reporting of scores.</p></div><div><h3>Results</h3><p>The reports were similar in response rates and sampling procedures but differed in the number of hospitals included, the survey instrument, and survey procedure. The reports varied considerably in the techniques for computing hospital scores and decisions about reporting scores.</p></div><div><h3>Conclusions</h3><p>Reports from nine locales illustrate the decision making necessary to produce comparative reports on hospital patient satisfaction. Differences stem from decisions about the survey instrument and statistical decisions about how to interpret and report data. These issues should be clearly delineated as part of any public reporting process.</p></div>","PeriodicalId":84970,"journal":{"name":"Joint Commission journal on quality and safety","volume":"30 10","pages":"Pages 567-578"},"PeriodicalIF":0.0,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1549-3741(04)30067-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24792364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Mary Lanning Memorial Hospital: Communication Is Key 玛丽·兰宁纪念医院:沟通是关键

Joint Commission journal on quality and safety Pub Date : 2004-10-01 Epub Date: 2016-11-17 DOI: 10.1016/S1549-3741(04)30065-1

Brad Lindblad C.P.H.Q. (Director of Quality Improvement), Julie Chilcott R.N., M.S.N. (Special Projects Coordinator), Leota Rolls R.N., M.S.N. (Vice President)

{"title":"Mary Lanning Memorial Hospital: Communication Is Key","authors":"Brad Lindblad C.P.H.Q. (Director of Quality Improvement), Julie Chilcott R.N., M.S.N. (Special Projects Coordinator), Leota Rolls R.N., M.S.N. (Vice President)","doi":"10.1016/S1549-3741(04)30065-1","DOIUrl":"10.1016/S1549-3741(04)30065-1","url":null,"abstract":"<div><h3>Background</h3><p>Mary Lanning Memorial Hospital (MLMH) defines a culture of safety “as a pattern of behavior, both individual and organizational, and an underlying philosophy that seeks to minimize hazards and harm to patients that result from the processes of care.” The hospital’s strategic plan designates quality of care as its first priority, and one of its two priority goals is “To continue to identify and implement patient safety initiatives that will positively affect care delivery processes while minimizing patient safety errors, defects, and sentinel events, and striving for zero defects.”</p></div><div><h3>Patient Safety as a Leadership and Organizational Priority</h3><p>An occurrence in 2000 highlighted the need for a standardized medication administration process. It is anticipated that the ongoing bar-code point-of-care technology project will significantly reduce medication administration errors as they relate to the five rights, better capture near-miss data for further analysis, and increase nursing personnel time efficiency.</p></div><div><h3>Challenges and Lessons Learned</h3><p>MLMH has experienced three significant challenges in implementing and sustaining a culture of safety. First, as the central component of all patient safety activities, communication requires constant vigilance. Second, on the basis of the experience, for example, with the bar-code point-of-care technology project, introducing technology presents a variety of challenges. Third, although many patient safety initiatives can be accomplished with minimal funding, large-scale initiatives usually necessitate a significant financial commitment.</p></div>","PeriodicalId":84970,"journal":{"name":"Joint Commission journal on quality and safety","volume":"30 10","pages":"Pages 551-558"},"PeriodicalIF":0.0,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1549-3741(04)30065-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24792362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

The Johns Hopkins Hospital: Identifying and Addressing Risks and Safety Issues 约翰霍普金斯医院:识别和解决风险和安全问题

Joint Commission journal on quality and safety Pub Date : 2004-10-01 Epub Date: 2016-11-17 DOI: 10.1016/S1549-3741(04)30064-X

Lori A. Paine R.N., M.S. (Patient Safety Coordinator), David R. Baker M.B.A. (Quality and Innovation Coach), Beryl Rosenstein M.D. (Vice President for Medical Affairs), Peter J. Pronovost M.D., Ph.D. (Medical Director)

{"title":"The Johns Hopkins Hospital: Identifying and Addressing Risks and Safety Issues","authors":"Lori A. Paine R.N., M.S. (Patient Safety Coordinator), David R. Baker M.B.A. (Quality and Innovation Coach), Beryl Rosenstein M.D. (Vice President for Medical Affairs), Peter J. Pronovost M.D., Ph.D. (Medical Director)","doi":"10.1016/S1549-3741(04)30064-X","DOIUrl":"10.1016/S1549-3741(04)30064-X","url":null,"abstract":"<div><h3>Background</h3><p>At The Johns Hopkins Hospital (JHH), a culture of safety refers to the presence of characteristics such as the belief that harm is untenable and the use of a systems approach to analyzing safety issues.</p></div><div><h3>Patient Safety as a Leadership and Organizational Priority</h3><p>The leadership of JHH provides strategic planning guidance for safety and improvement initiatives, involves the patient safety committee in capital investment allocation decisions and in designing and planning new hospital facilities, and ensures that safety and quality head the agenda of board-of-trustees meetings. Although JHH takes a systems approach, structures such as monitoring staff behavior trends are used to hold people accountable for job performance.</p></div><div><h3>Challenges and Lessons Learned</h3><p>JHH encountered three major hurdles in implementing and sustaining a culture of safety. First, JHH’s decentralized organizational structure contributes to a silo effect that limits the spread of ideas, practices, and culture. JHH intends to create an internal collaborative of departmental safety initiatives to foster opportunities for units to share ideas and results. Second, in response to the challenge of encouraging teams to think and act in an interdisciplinary fashion, communication and teamwork training are being used to enhance the effectiveness of interdisciplinary teams. Further development of valid and meaningful safety-related measurement and data collection methodologies is JHH’s largest remaining challenge.</p></div>","PeriodicalId":84970,"journal":{"name":"Joint Commission journal on quality and safety","volume":"30 10","pages":"Pages 543-550"},"PeriodicalIF":0.0,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1549-3741(04)30064-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24791348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 30

Advocate Health Care: A Systemwide Approach to Quality and Safety 倡导卫生保健:质量和安全的全系统方法

Joint Commission journal on quality and safety Pub Date : 2004-10-01 Epub Date: 2016-11-17 DOI: 10.1016/S1549-3741(04)30066-3

Donna Willeumier M.T.(A.S.C.P.), M.H.P.E. (Director)

{"title":"Advocate Health Care: A Systemwide Approach to Quality and Safety","authors":"Donna Willeumier M.T.(A.S.C.P.), M.H.P.E. (Director)","doi":"10.1016/S1549-3741(04)30066-3","DOIUrl":"10.1016/S1549-3741(04)30066-3","url":null,"abstract":"<div><h3>Background</h3><p>Advocate Health Care’s culture of safety is rooted in its mission, values, and philosophy and demonstrates a profound regard for the welfare of those it serves. Its five values—excellence, compassion, partnership, equality, and stewardship—provide the foundation for interactions with patients.</p></div><div><h3>Patient Safety as a Leadership and Organizational Priority</h3><p>Patient safety has been a leadership and organizational priority since 1999, when the chief executive officer and chief medical officer appointed an eight-member patient safety task force. The treatment of patient safety as a priority is reflected, for example, in sustained support for the patient safety task force’s four teams (labor and delivery, nosocomial infection prevention, medication error prevention, and delayed/missed diagnoses), in the allocation of significant financial resources to technology, and in the dedication of additional capital to create safer physical-facility designs.</p></div><div><h3>Challenges and Lessons Learned</h3><p>To implement and sustain a culture of safety, Advocate addressed three challenges: complexity of the system, underreporting of patient safety events, and medical staff’s acceptance of the disclosure policy. For example, strategies to address the underreporting challenge include creating a standardized patient safety event form, integrating disparate databases for patient safety event reporting, and providing ongoing education to reinforce the need to report events. Advocate’s most significant area for improvement is to become less reliant on risk reduction strategies that may result only in short-term improvements.</p></div>","PeriodicalId":84970,"journal":{"name":"Joint Commission journal on quality and safety","volume":"30 10","pages":"Pages 559-566"},"PeriodicalIF":0.0,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1549-3741(04)30066-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24792363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 21

Poor Interface Design and Lack of Usability Testing Facilitate Medical Error 糟糕的界面设计和缺乏可用性测试会导致医疗错误

Joint Commission journal on quality and safety Pub Date : 2004-10-01 Epub Date: 2016-11-17 DOI: 10.1016/S1549-3741(04)30068-7

Rollin J. Fairbanks M.D., M.S., N.R.E.M.T.P. (Assistant Professor), Stanley Caplan M.S., C.H.F.P. (President)

{"title":"Poor Interface Design and Lack of Usability Testing Facilitate Medical Error","authors":"Rollin J. Fairbanks M.D., M.S., N.R.E.M.T.P. (Assistant Professor), Stanley Caplan M.S., C.H.F.P. (President)","doi":"10.1016/S1549-3741(04)30068-7","DOIUrl":"10.1016/S1549-3741(04)30068-7","url":null,"abstract":"<div><h3>Background</h3><p>A fictional scenario based on a compilation of several real events describes seven medical errors that at first appear to be caused by the paramedics and nurses involved.</p></div><div><h3>Human Factors Engineering (HFE) Analysis</h3><p>An emergency medical services paramedic attempted to use a debrillator on a 67-year-old man with ventricular tachycardia. Yet nothing happened. The defibrillator displayed an indication that it was in synchronized mode but provided no feedback to tell the user that it was not prepared to shock because of low QRS amplitude.</p></div><div><h3>Usability Testing</h3><p>A hands-on approach to discovering the difficulties and potential for error that people encounter when trying to use a product, usability testing can help to create medical devices and systems that are not only more “user friendly” and efficient—but safer.</p></div><div><h3>Recommendations</h3><p>Recommendations are presented to enable health care leaders to apply human factors considerations in their product evaluation and purchasing decisions. Medical device manufacturers should involve human factors engineers in the design process from the outset and should perform usability testing. Health care organizations should expect an optimized and tested user interface in the medical devices they purchase.</p></div><div><h3>Summary</h3><p>Many adverse events in medicine are the result of poor interface design rather than human error. The HFE concepts of usability and standardization are critical to patient safety.</p></div>","PeriodicalId":84970,"journal":{"name":"Joint Commission journal on quality and safety","volume":"30 10","pages":"Pages 579-584"},"PeriodicalIF":0.0,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1549-3741(04)30068-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24792365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 83

Introduction to the American Hospital Quest for Quality Prize℠ 美国医院追求质量奖简介

Joint Commission journal on quality and safety Pub Date : 2004-10-01 Epub Date: 2016-11-17 DOI: 10.1016/S1549-3741(04)30062-6

Gail Lovinger (Vice President, Association Governance, and Director), Don M. Nielsen M.D. (Senior Vice President for Quality Leadership)

引用次数: 0

Editorial Advisory Board 编辑顾问委员会

Joint Commission journal on quality and safety Pub Date : 2004-10-01 Epub Date: 2016-11-17 DOI: 10.1016/S1549-3741(04)30095-X

引用次数: 0

A Modified Outpatient Prescription Form to Reduce Prescription Errors 改进门诊处方表以减少处方错误

Joint Commission journal on quality and safety Pub Date : 2004-09-01 Epub Date: 2016-11-17 DOI: 10.1016/S1549-3741(04)30056-0

Amanda G. Kennedy Pharm.D. (Assistant Professor of Medicine), Benjamin Littenberg M.D. (Henry and Carleen Tufo Professor of Medicine)

{"title":"A Modified Outpatient Prescription Form to Reduce Prescription Errors","authors":"Amanda G. Kennedy Pharm.D. (Assistant Professor of Medicine), Benjamin Littenberg M.D. (Henry and Carleen Tufo Professor of Medicine)","doi":"10.1016/S1549-3741(04)30056-0","DOIUrl":"10.1016/S1549-3741(04)30056-0","url":null,"abstract":"<div><h3>Background</h3><p>Given current knowledge of prescribing errors, standard paper prescription forms are inadequate for promoting high-quality outpatient prescriptions. A modified prescription form was designed and evaluated to reduce outpatient prescription errors.</p></div><div><h3>Methods</h3><p>Eleven providers (nine physicians, two nurse practitioners) in an adult internal medicine clinic participated in a before-after trial of a modified paper prescription form. The modified form contained prompts for medication name, form, strength, dose, route, frequency, refills, quantity, indication, and additional directions. Writing the indication has face validity and has been recommended in the literature and has been useful in the practice. Providers used the modified prescription forms for one month. Prescriptions were reviewed using the records of the outpatient pharmacy located within the same building as the clinic.</p></div><div><h3>Results</h3><p>A total of 443 prescriptions were reviewed during the study period; 150 (34%) were completed using modified forms. Pharmacists documented problems with 2.3% of prescriptions (9/293 standard and 1/150 modified). Modified prescription forms significantly reduced clinically important prescribing problems compared to standard forms (<em>p</em> = .007). Based on the legal requirements of a prescription, modified forms decreased omission errors compared to standard forms (<em>p</em> = .01).</p></div><div><h3>Discussion</h3><p>Modified prescription forms reduced clinically important prescribing problems and prescription omission errors compared to standard forms</p></div>","PeriodicalId":84970,"journal":{"name":"Joint Commission journal on quality and safety","volume":"30 9","pages":"Pages 480-487"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1549-3741(04)30056-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40907075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 23

Using Focus Groups to Understand Physicians’ and Nurses’ Perspectives on Error Reporting in Hospitals 利用焦点小组了解医生和护士对医院错误报告的看法

Joint Commission journal on quality and safety Pub Date : 2004-09-01 Epub Date: 2016-11-17 DOI: 10.1016/S1549-3741(04)30055-9

Donna B. Jeffe Ph.D. (Research Assistant Professor), William Claiborne Dunagan M.D. (Associate Professor), Jane Garbutt M.B., Ch.B. (Research Assistant Professor), Thomas E. Burroughs Ph.D. (Division Director of the Center for Outcomes Research), Thomas H. Gallagher M.D. (Assistant Professor), Patricia R. Hill R.N., B.S.N. (Clinical Research Coordinator), Carolyn B. Harris M.P.H. (Research Coordinator), Kerry M. Bommarito M.P.H. (Research Coordinator), Victoria J. Fraser M.D. (Professor)

{"title":"Using Focus Groups to Understand Physicians’ and Nurses’ Perspectives on Error Reporting in Hospitals","authors":"Donna B. Jeffe Ph.D. (Research Assistant Professor), William Claiborne Dunagan M.D. (Associate Professor), Jane Garbutt M.B., Ch.B. (Research Assistant Professor), Thomas E. Burroughs Ph.D. (Division Director of the Center for Outcomes Research), Thomas H. Gallagher M.D. (Assistant Professor), Patricia R. Hill R.N., B.S.N. (Clinical Research Coordinator), Carolyn B. Harris M.P.H. (Research Coordinator), Kerry M. Bommarito M.P.H. (Research Coordinator), Victoria J. Fraser M.D. (Professor)","doi":"10.1016/S1549-3741(04)30055-9","DOIUrl":"10.1016/S1549-3741(04)30055-9","url":null,"abstract":"<div><h3>Background</h3><p>To increase error reporting, a better understanding of physicians’ and nurses’ perspectives regarding medical error reporting in hospitals, barriers to reporting, and possible ways to increase reporting is necessary</p></div><div><h3>Methods</h3><p>Nine focus groups—four with 49 staff nurses, two with 10 nurse managers, and three with 30 physicians—from 20 academic and community hospitals were conducted in May–June 2002 in the St. Louis metropolitan area. Qualitative analysis of focus group transcripts characterized participants’ perspectives.</p></div><div><h3>Results</h3><p>Although participants knew they should report errors associated with serious adverse events, there was much uncertainty about reporting less serious errors or near misses. Nurses were more knowledgeable than physicians about how to report errors. All groups mentioned barriers to reporting, such as fear of reprisals and lack of confidentiality, time, and feedback after an error is reported. Some physicians doubted the benefit of reporting errors, but, generally, both physicians and nurses agreed that reporting was intended to change practice and policy to promote patient safety.</p></div><div><h3>Conclusions</h3><p>A culture characterized by anonymous reporting, freedom from repercussions, and feedback about error reports should promote error reporting.</p></div>","PeriodicalId":84970,"journal":{"name":"Joint Commission journal on quality and safety","volume":"30 9","pages":"Pages 471-479"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1549-3741(04)30055-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40907074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 128