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1+3 mo shi zai qi guan tao guan huan zhe fang she zhi liao guan li zhong de ying yong
Author(s): 
Pages: 16-17
Year: Issue:  4
Journal: Hospital Management Forum

Abstract: 我科2010年10月发生两起喉癌术后气管套管放射治疗的患者因呼吸道阻塞引起的窒息事件,引起我科的高度重视.对此我科应用“1+3模式”查找问题的主要原因.通过设定改进目标,进行安全分析讨论,制定相关工作制度和流程,减少了事件的发生,并推广改进后的经验.
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