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相关概念视频

Hospitals-II00:59

Hospitals-II

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Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
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Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
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Resultant of a General Distributed Loading01:13

Resultant of a General Distributed Loading

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While designing structures exposed to non-uniform loads, it is crucial to consider the resultant force and its location. This resultant force is a single vector representing the net force applied due to the distributed load.
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When multiple forces act on an object in two-dimensional space, the concept of the net moment can be used to understand the tendency of these forces to induce rotational motion about a fixed point. The scalar formulation of the resultant moment is a helpful tool in analyzing the equilibrium of structures subjected to multiple forces.
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Surveying near highways, rough terrain, or power lines involves significant risks. Working along highways is particularly dangerous and requires the use of warning signs and flagmen. It is safest to avoid working directly on roads and use offsets whenever possible. When highway work is unavoidable, it must follow all safety guidelines. Surveyors should wear bright clothing, such as orange reflective vests, to ensure visibility to motorists, coworkers, and hunters. In construction zones, wearing...
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When a force is applied to an object, the tendency of the object to rotate about a point is known as its moment. If multiple forces are acting on an object, the sum of moments of all the forces acting on a body can be expressed as the resultant moment of the system. The resultant moment can be considered a vector quantity that can be added and subtracted like any other vector.
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在安全网医院优化 OncotypeDX 结果交付时间的工作流程

Jennifer Wu1, Christie Hung2, Hye G Sin1

  • 1Laura and Isaac Perlmutter Cancer Center of NYU Langone Health, New York, NY, USA.

Global journal on quality and safety in healthcare
|January 21, 2026
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概括

一项新的策略显著减少了早期乳腺癌患者的OncotypeDX测试周转时间 (TAT). 这种更快的报告有助于在公共医院环境中及时做出治疗决策.

关键词:
辅助性化疗是一种辅助性化疗.乳腺癌 乳腺癌 乳腺癌获得医疗保健的机会.质量改善 质量改善

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科学领域:

  • 在瘤学瘤学.
  • 基因组医学是基因组医学.
  • 医疗保健服务研究 医疗服务研究

背景情况:

  • 型DX测试对于指导早期,激素受体阳性,HER2阴性乳腺癌的辅助化疗决定至关重要.
  • 及时提供OncotypeDX结果对于快速有效的治疗计划至关重要.
  • 优化型DX测试工作流程是大型城市公共安全网医院的优先事项.

研究的目的:

  • 实施和评估一项旨在缩短 OncotypeDX 测试报告周转时间 (TAT) 的战略.
  • 为了提高OncotypeDX的效率,将乳腺手术结果传送到电子病历 (EMR).
  • 在公共医院系统内,促进乳腺外科,病理学,供应商和医疗瘤学之间的跨学科合作.

主要方法:

  • 采用"计划-做-研究-行动"模式的质量改进计划.
  • 在EMR中创建了一个智能短语,以简化对符合条件的患者进行乳房手术的OncotypeDX订购.
  • 交付时间 (TAT) 在战略实施之前 (2021年5月至2022年3月) 和之后 (2023年6月至2024年2月) 进行了比较.

主要成果:

  • 患者人口统计,包括年龄和少数民族代表,在实施前和实施后的组之间是相似的.
  • 在实施后,观察到来自医疗服务不足的地区和人口 (MUAs和MUPs) 的患者比例更高.
  • 在战略实施后,型DX结果的平均TAT从42天减少到30天.

结论:

  • 一个涉及乳腺手术,病理学,供应商和医疗瘤学的合作战略,在一个大型安全网卫生系统中有效地减少了瘤类型DX TAT.
  • 优化的工作流程证明了成功,尽管来自医疗服务不足地区的患者人数不断增加.
  • 通过EMR集成和部门间沟通来简化OncotypeDX订购流程,大大提高了乳腺癌治疗决策的效率.