Harmonization of pre-analytical quality indicators

Quality indicators (QIs) measure the extent to which set targets are attained and provide a quantitative basis for achieving improvement in care and, in particular, laboratory services. A body of evidence collected in recent years has demonstrated that most errors fall outside the analytical phase, while the pre- and post-analytical steps have been found to be more vulnerable to the risk of error. However, the current lack of attention to extra-laboratory factors and related QIs prevent clinical laboratories from effectively improving total quality and reducing errors. Errors in the pre-analytical phase, which account for 50% to 75% of all laboratory errors, have long been included in the ‘identification and sample problems’ category. However, according to the International Standard for medical laboratory accreditation and a patient-centered view, some additional QIs are needed. In particular, there is a need to measure the appropriateness of all test request and request forms, as well as the quality of sample transportation. The QIs model developed by a working group of the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) is a valuable starting point for promoting the harmonization of available QIs, but further efforts should be made to achieve a consensus on the road map for harmonization.     

浅谈药学新专业方向的课程设置

传统的药学教育课程设置均是以化学类学科为主,仅仅从“药”的角度进行学位教育．这样的课程设置已远远不能满足药学专业学生在其他行业的工作需求。为了能更好地适应社会需求,目前已有多所大学开设了临床药学专业及药品营销专业,为医药市场提供更多的高素质医药卫生类人才。     

临床实习阶段影响护理本科生专业承诺的相关因素及策略研究

临床实习作为护理本科生接受护理教育的最后阶段,即将面临择业和就业问题,是护理专业承诺的形成关键阶段,此时形成的专业承诺与未来职场上的专业承诺显著相关。通过探讨临床实习阶段影响护理本科生专业承诺的相关因素,制定提高护生专业承诺水平的相关策略,从而为减少护士离职率打下坚实的基础。     

Justifying an Automated Library Network

No abstract available for this article.     

ClinicalAccess: A Clinical Decision Support Tool

ClinicalAccess is a new clinical decision support tool that uses a question-and-answer format to mirror clinical decision-making strategies. The unique format of ClinicalAccess delivers concise, authoritative answers to more than 120,000 clinical questions. This column presents a review of the product, a sample search, and a comparison with other point-of-care search engines.     

手法治疗158例胸椎小关节紊乱的临床分析

本文对158例胸椎小关节紊乱患者进行了病因诊断及手法机理的临床探讨,提出了胸椎突然旋转外力是导致该症的病因。其临床症状复杂,主要是由于小关节紊乱或滑膜嵌顿引起的局部炎症和刺激植物神经的结果。手法治疗效果显著,简单实用。     

Allied healthcare undergraduate education: international students at the clinical interface

The global movement of students in higher education is a relatively recent phenomenon, which has gained momentum in the last 30 years. Much research has been focused on the experiences of this population. Relatively little is known about international allied healthcare students who undertake clinical placements as part of their undergraduate course. This study explores students’ perceptions of their clinical experience. The chosen focus group method was prefaced by a pilot study; both were conducted within the allied healthcare school of a university in the UK. Four themes emerged from the study: communication, cultural differences, relationships with professionals and survival strategies. Communication referred to both the interaction with and between the students, their patients and fellow members of the multidisciplinary team. Cultural differences were expressed in the negotiation of differing cultures at the patient interface. A third theme was the students’ relationship with clinical professionals; within this, the relationship with the student’s clinical educator was paramount. Finally, survival strategies represented the advice students wished to impart to future international students to facilitate their clinical placement abroad.     

How can a clinical research approach contribute to knowledge-building for the teaching profession?

This article explains what clinical research is and why it is necessary. The term ‘clinical’ refers to an academic way of solving practical problems. Clinical research starts from a view of science that not only acknowledges the value of rational analysis and empirical research, but also acknowledges the need for human skills and connoisseurship. In education, skills and connoisseurship can be developed by being responsibly engaged in classrooms. The (tacit) knowledge acquired in classrooms enables researchers to perceive more relevant factors in practice and enables them to understand the problems of teaching better. Clinical research is a type of action research in the sense that it acknowledges the epistemic function of doing, thus emphasizing the need for integrating scholarship and craftsmanship.     

Attitudes to cadaveric organ donation in Irish preclinical medical students

There is a worldwide shortage of organs for transplantation. It has been shown that the attitude of healthcare professionals can improve the rates of organ donation, and that educational programs aimed at improving both attitudes and knowledge base of professionals can have positive outcomes. Although there has been research carried out on this topic, there has been none in Ireland. Anatomy dissection can be a stressor to medical students-we investigate the attitudes of Irish students to organ donation and how they change with exposure to anatomy dissection. A questionnaire was administered to first year students in the School of Medicine in University College Dublin, Ireland, three times over a nine-week period at the commencement of classes in an academic year. The attitudes of the students were positive throughout regarding organ donation by a stranger, a family member, or themselves. There was, however, a significant decrease in support for the donation of a family member's organs in a minority of students. Irish students' attitudes to postmortem organ donation are positive and are not changed by exposure to the dissecting room. There is support for the donation of organs, and willingness among students to donate their own organs and support donation by family members.     

Learning of musculoskeletal ligament stress testing in a gross anatomy laboratory

Human anatomy in physical therapy programs is a basic science course serving as a foundation for subsequent clinical courses. Integration of anatomy with a clinical emphasis throughout a curriculum provides opportunities for reinforcement of previously learned material. Considering the human cadaver laboratory as a fixed cost to our program, we sought opportunities to add value to the resource via vertical integration into a clinical skills course taught later in the curriculum. We designed an opportunity for second-year physical therapy students to revisit the human anatomy laboratory to study select clinical musculoskeletal tests and the associated anatomy in a clinically relevant context. Students performed select orthopedic ligament test on human cadavers, then incised specific structures and repeated the tests. Students were able to feel and visualize the function of pertinent anatomy associated with the clinical tests. Ninety-five percent of respondents reported that the ligament stress testing experience enhanced their understanding of orthopedic clinical tests with 91% reporting an enhanced understanding of anatomy related to specific clinical tests. Likewise, the experience was perceived as enjoyable and valuable with 86% of respondents reporting the experience as enjoyable and 100% responding the experience should continue as part of the curriculum.