Realized new break-through on the basis of existing security management theory, tentatively and creatively carried out "realizing management theory of mine security production" and proposed "bridge" mode of realiz...Realized new break-through on the basis of existing security management theory, tentatively and creatively carried out "realizing management theory of mine security production" and proposed "bridge" mode of realizing green management theory. Green management theory has an integrated system structure. The green management system of mine security production includes three parts, the foundation of green system, the supervision system of green system operation and the safeguard system of green system. The key of "bridge" mode is to analyze the existing insecurity factors in the process of security production and establish corresponding regulations.展开更多
目的探讨医疗失效模式与效应分析(healthfailuremode and effect analysis,HFMEA)在腹腔镜手术中转开放手术配合中的应用效果。方法选取2022年1—6月厦门大学附属第一医院收治的718例腹腔镜手术患者作为实施前;选取2022年7—12月厦门大...目的探讨医疗失效模式与效应分析(healthfailuremode and effect analysis,HFMEA)在腹腔镜手术中转开放手术配合中的应用效果。方法选取2022年1—6月厦门大学附属第一医院收治的718例腹腔镜手术患者作为实施前;选取2022年7—12月厦门大学附属第一医院收治的662例腹腔镜手术患者作为实施后。2022年6月组建跨专业的多学科小组,梳理腹腔镜手术中转开放手术实施的关键环节,对中转开放手术实施过程中可能出现的失效模式进行严重度、发生的可能性、探测的可能性评分,根据危害评分矩阵评估风险优先指数(risk priority number,RPN),针对RPN>125分的5项失效模式进行改进。比较实施前后的RPN和应急抢救配合满意度。结果腹腔镜手术中转开放手术安全管理体系中包括手术间管理不符合要求、人员管理不符合要求、临床实施操作不规范、仪器及设备运行失效、手术护理记录不规范5个方面17个风险点;其中有8个风险点需要采取措施进行控制,实施控制措施后,8个风险点的RPN值均有下降,且均<8分。手术医护团队对于实施腹腔镜手术中转开放手术管理策略的实践均表示认可。结论基于HFMEA对腹腔镜手术中转开放手术配合应急抢救进行风险识别及评估,建立腹腔镜手术中转开放手术配合安全管理机制,可有效降低腹腔镜手术中转开放手术配合应急抢救RPN,保障腹腔镜手术中转开放手术配合顺利,保障患者安全。展开更多
In order to better ensure the food security in China,this paper explores the grain scale management mode in Hubei Province. It analyzes the grain production situation in Hubei Province as well as the existing scale ma...In order to better ensure the food security in China,this paper explores the grain scale management mode in Hubei Province. It analyzes the grain production situation in Hubei Province as well as the existing scale management mode,and according to the main mode of grain scale management in Hubei Province and the main problems,it puts forward related recommendations to improve the productivity of grain and promote the development of Hubei's grain scale management.展开更多
文摘Realized new break-through on the basis of existing security management theory, tentatively and creatively carried out "realizing management theory of mine security production" and proposed "bridge" mode of realizing green management theory. Green management theory has an integrated system structure. The green management system of mine security production includes three parts, the foundation of green system, the supervision system of green system operation and the safeguard system of green system. The key of "bridge" mode is to analyze the existing insecurity factors in the process of security production and establish corresponding regulations.
基金Supported by Key Humanities and Social Sciences Project of Hubei Provincial Department of Education(15D024)Open Funding Project of Hubei Collaborative Innovation Center for Grain Industry(MS2015004)
文摘In order to better ensure the food security in China,this paper explores the grain scale management mode in Hubei Province. It analyzes the grain production situation in Hubei Province as well as the existing scale management mode,and according to the main mode of grain scale management in Hubei Province and the main problems,it puts forward related recommendations to improve the productivity of grain and promote the development of Hubei's grain scale management.