The Experts below are selected from a list of 11808 Experts worldwide ranked by ideXlab platform
M Miglioli - One of the best experts on this subject based on the ideXlab platform.
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safety and efficacy of home parenteral nutrition for chronic intestinal failure a 16 year experience at a single centre
Digestive and Liver Disease, 2003Co-Authors: L Pironi, F Paganelli, Antonio Maria Morselli Labate, C Merli, C Guidetti, G Spinucci, M MiglioliAbstract:Abstract Background. Comparisons between safety and efficacy of home parenteral nutrition and of intestinal transplantation for treatment of chronic intestinal failure derived from observational studies. Aims. To present the 16-year experience of home parenteral nutrition by the Chronic Intestinal Failure Centre of Bologna University. Patients. A total of 40 adult patients were enrolled between 1986 and 2001. Methods. Safety indices: survival and cause of death, catheter-related bloodstream infection, deep vein thrombosis, liver disease. Efficacy indices: nutritional and rehabilitation status, quality of life (SF36 instrument), re-hospitalisation rate. Statistics: Kaplan–Maier analysis and Cox model for survival probability and risk factors; logistic regression for catheter-related bloodstream infection risk factors. Results. Survival rates at 1, 3 and 5 years were 97, 82 and 67% respectively. Survival was higher in patients ≤40 years. One death was home parenteral nutrition-related. Incidence of catheter-related bloodstream infection: 0.30/year home parenteral nutrition, was lower in patients treated by a specialized Nursing Protocol. Incidence of deep vein thrombosis was 0.05/year home parenteral nutrition. Hepatosteatosis occurred in 55%. Body weight remained stable or increased in 80%. Rehabilitation was total or partial in 74%. Re-hospitalisation rate was 0.70/year home parenteral nutrition. Quality of life scored significantly lower than in healthy populations in six out of eight domains. Conclusions. Home parenteral nutrition is a safe and efficacious therapy for chronic intestinal failure. Survival compares favourably with survival after intestinal transplantation.
Qin Ying - One of the best experts on this subject based on the ideXlab platform.
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Nursing Protocol of allogeneic peripheral blood stem cell transplantation
2011Co-Authors: Qin YingAbstract:Objective To study the Nursing Protocol of the allogeneic peripheral blood stem cell transplantation.Methods To summarize and analyze the Nursing methods of 86 patients received the allogeneic peripheral blood stem cell transplantation.Results Established the Nursing Protocol from donor Nursing,stem cell harvest Nursing,fore treatment Nursing,stem cell transfusion Nursing to complication Nursing.Conclusions The proper and excellent Nursing plays an important role in improvement of curative effect of stem cell transplantation and quality of life as well as reduce the complication.
Zhai Hong-li - One of the best experts on this subject based on the ideXlab platform.
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The Nursing Protocol of the allogeneic peripheral blood stem cell transplantation
Henan Medical Research, 2007Co-Authors: Zhai Hong-liAbstract:Objective: To study the Nursing Protocol of the allogeneic peripheral blood stem cell transplantation.Methods: To summary and analyze the Nursing methods of 200 patients received the allogeneic peripheral blood stem cell transplantation.Results: Established the Nursing Protocol from donor Nursing、stem cell harvest Nursing,fore treatment Nursing,stem cell transfusion Nursing to complication Nursing.Conclusion: The proper and excellent Nursing plays an important role in improvement of curative effect of stem cell transplantation and quality of life as well as reduce the complication.
Robert J Rushakoff - One of the best experts on this subject based on the ideXlab platform.
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development and implementation of a subcutaneous insulin pen label bar code scanning Protocol to prevent wrong patient insulin pen errors
The Joint Commission Journal on Quality and Patient Safety, 2019Co-Authors: Heidemarie Windham Macmaster, Sabina Gonzalez, Andrew Maruoka, Craig San Luis, Joshua A Rushakoff, Daphne Stannard, Robert J RushakoffAbstract:Problem Definition Insulin, a high-alert medication, is regularly prescribed in the inpatient setting for hyperglycemia and diabetes mellitus. Although convenient, insulin pens carry a risk of blood-borne pathogens if the same pen is used on multiple patients. At the University of California, San Francisco (UCSF), a new Nursing Protocol for insulin pen administration was developed to ensure that insulin was quickly available and to identify and move to eliminate wrong-patient insulin pen errors. This Protocol involved unit-based automated dispensing machines and an electronic health record (EHR)–integrated patient-specific bar code label work flow. Approach After piloting on three hospital units, this new patient-specific bar code label process was expanded hospitalwide. "Print Label For Insulin Pen" and "Scan Insulin Pen" buttons were programmed into the EHR to enable nurses to print patient-specific bar code labels. In addition, a "wrong-patient pen alert" was activated to prevent wrong-pen insulin pen administration. Outcomes For the 162,075 inpatient insulin pen administrations during the study period (April 2017–March 2018), monthly errors (rates) ranged from 13 (0.12%) to 36 (0.23%). In total, 296 near-miss events (0.18% of all insulin pen administrations) were observed and prevented. Conclusion Insulin pen work flow and EHR changes implemented at UCSF enable subcutaneous insulin to remain a time-critical medication and ensure patient safety. The wide adoption of EHRs offers an opportunity to integrate patient safety improvements directly into the electronic medication administration record systems to maximize patient safety.
L Pironi - One of the best experts on this subject based on the ideXlab platform.
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safety and efficacy of home parenteral nutrition for chronic intestinal failure a 16 year experience at a single centre
Digestive and Liver Disease, 2003Co-Authors: L Pironi, F Paganelli, Antonio Maria Morselli Labate, C Merli, C Guidetti, G Spinucci, M MiglioliAbstract:Abstract Background. Comparisons between safety and efficacy of home parenteral nutrition and of intestinal transplantation for treatment of chronic intestinal failure derived from observational studies. Aims. To present the 16-year experience of home parenteral nutrition by the Chronic Intestinal Failure Centre of Bologna University. Patients. A total of 40 adult patients were enrolled between 1986 and 2001. Methods. Safety indices: survival and cause of death, catheter-related bloodstream infection, deep vein thrombosis, liver disease. Efficacy indices: nutritional and rehabilitation status, quality of life (SF36 instrument), re-hospitalisation rate. Statistics: Kaplan–Maier analysis and Cox model for survival probability and risk factors; logistic regression for catheter-related bloodstream infection risk factors. Results. Survival rates at 1, 3 and 5 years were 97, 82 and 67% respectively. Survival was higher in patients ≤40 years. One death was home parenteral nutrition-related. Incidence of catheter-related bloodstream infection: 0.30/year home parenteral nutrition, was lower in patients treated by a specialized Nursing Protocol. Incidence of deep vein thrombosis was 0.05/year home parenteral nutrition. Hepatosteatosis occurred in 55%. Body weight remained stable or increased in 80%. Rehabilitation was total or partial in 74%. Re-hospitalisation rate was 0.70/year home parenteral nutrition. Quality of life scored significantly lower than in healthy populations in six out of eight domains. Conclusions. Home parenteral nutrition is a safe and efficacious therapy for chronic intestinal failure. Survival compares favourably with survival after intestinal transplantation.
