Value of improved nursing measures and enhanced nursing management to reduce the occurrence of adverse events in pediatric infusion

BACKGROUND Intravenous infusion is a common method of drug administration in clinical practice.Errors in any aspect of the infusion process,from the verification of medical orders,preparation of the drug solution,to infusion by nursing staff,may cause adverse infusion events.AIM To analyzed the value of improving nursing measures and enhancing nursing management to reduce the occurrence of adverse events in pediatric infusion.METHODS The clinical data of 130 children who received an infusion in the pediatric department of our hospital from May 2020 to May 2021 were analyzed and divided into two groups according to the differences in nursing measures and nursing management:65 patients in the control group received conventional nursing and nursing management interventions,while 65 patients in the observation group received improved nursing measure interventions and enhanced nursing management.The occurrence of adverse events,compliance of children,satisfaction of children’s families,and complaints regarding the transfusion treatment were recorded in both groups.RESULTS The incidence of fluid extravasation and infusion set dislodgement in the observation group were 3.08%and 1.54%,respectively,which were significantly lower than 12.31%and 13.85%in the control group(P<0.05),while repeated punctures and medication addition errors in the observation group were 3.08%and 0.00%,respectively,which were lower than 9.23%and 3.08%in the control group,but there was no significant difference(P>0.05).The compliance rate of children in the observation group was 98.46%(64/65),which was significantly higher than 87.69%(57/65)in the control group,and the satisfaction rate of children’s families was 96.92%(63/65),which was significantly higher than 86.15%(56/65)in the control group(P<0.05).The observation group did not receive any complaints from the child’s family,whereas the control group received four complaints,two of which were due to the crying of the child caused by repeated punctures,one due to the poor attitude of the nurse,and one due to medication addition errors,with a cumulative complaint rate of 6.15%.The cumulative complaint rate of the observation group was significantly lower than that of the control group(P<0.05).CONCLUSION Improving nursing measures and enhancing nursing management can reduce the incidence of fluid extravasation and infusion set dislodgement in pediatric patients,improve children’s compliance and satisfaction of their families,and reduce family complaints.

Management Measures for Preventing Postoperative Incision Infections in General Surgery at Primary Hospitals

Objective:To analyze the management measures and effects of preventing postoperative incision infections in the general surgery department of primary hospitals.Methods:Forty-nine surgical patients with 11 healthcare workers who were admitted to the general surgery department of the primary hospital between August 2021 and August 2022 were selected as the routine group for routine incision infection management.Forty-nine surgical patients with 11 healthcare workers admitted to the same department between September 2022 and September 2023 were selected as the prevention group for prophylactic management of postoperative incision infections.The incision infection rate,knowledge,attitude,and practice(KAP)scores,and management satisfaction of the patients as well as the management skill scores of healthcare workers were compared between the two groups.Results:The rate of postoperative incision infection in the prevention group was lower than that in the routine group;after implementing management measures,patients in the prevention group had higher KAP scores than those in the routine group;patients in the prevention group were more satisfied with the management than those in the routine group;and healthcare workers in the prevention group had higher scores than those in the routine group,with P<0.05 for the comparison between the groups.Conclusion:The implementation of preventive management for general surgery patients in primary hospitals can reduce the incidence of postoperative incision infection and improve the KAP of patients,with higher management satisfaction.It can also enhance the management skills of healthcare workers,thus improving their overall management level.

Traffic Incident Management Performance Measures: Ranking Agencies on Roadway Clearance Time

This study develops a procedure to rank agencies based on their incident responses using roadway clearance times for crashes. This analysis is not intended to grade agencies but to assist in identifying agencies requiring more training or resources for incident management. Previous NCHRP reports discussed usage of different factors including incident severity, roadway characteristics, number of lanes involved and time of incident separately for estimating the performance. However, it does not tell us how to incorporate all the factors at the same time. Thus, this study aims to account for multiple factors to ensure fair comparisons. This study used 149,174 crashes from Iowa that occurred from 2018 to 2021. A Tobit regression model was used to find the effect of different variables on roadway clearance time. Variables that cannot be controlled directly by agencies such as crash severity, roadway type, weather conditions, lighting conditions, etc., were included in the analysis as it helps to reduce bias in the ranking procedure. Then clearance time of each crash is normalized into a base condition using the regression coefficients. The normalization makes the process more efficient as the effect of uncontrollable factors has already been mitigated. Finally, the agencies were ranked by their average normalized roadway clearance time. This ranking process allows agencies to track their performance of previous crashes, can be used in identifying low performing agencies that could use additional resources and training, and can be used to identify high performing agencies to recognize for their efforts and performance.

The New Financial Management Measure In Forestry Industry

The Private Finance Initiative has provided the framework for the completion of a large number of capital projects managed by the public sector bodies. It secures value for money in the use of public resource and achieves a genuine transfer of risk to the private sector. PFI project shows a lot of benefits for the UK, Chinese Government also would like o use it to improve the public infrastructure.

Research and Analysis on the Application of Strategic Performance Management in Enterprises

In today’s competitive business environment,strategic performance management(SPM)is crucial for continuous growth and innovation.Therefore,it is important to realize the advantages of SPM in enterprise applications.This paper analyzes the theoretical basis,implementation framework,and application effects of SPM in enterprises by examining actual cases from different industries.It reveals the core elements of an effective performance management system,including clear goal setting,reasonable performance indicators,and periodic performance evaluations.Additionally,the paper examines the impact of China’s specific economic policy environment on the implementation of SPM and proposes strategies to optimize performance management practices,ultimately promoting the achievement of strategic goals.This paper provides specific and personalized practical guidance for enterprises.

Study on the Coordination Mechanism Between Higher Vocational Students’Career Development Planning and School Management

The coordination mechanism between the career development planning of vocational students and the management of vocational colleges is an important means to improve the quality of education and students’vocational competitiveness.The application of synergy theory in the field of education emphasizes the interaction and coordination of various elements in the system and pursues the optimization of overall efficiency.Based on the theory of coordination and its relevance to the management of higher vocational colleges,this paper analyzes the current development status and problems of the coordination mechanism and puts forward the strategy of building an efficient coordination mechanism designed to enhance the students’employment competitiveness,promote the all-round development,and provide theoretical and practical support for the reform and development of higher vocational education.

An integrated measurement and modeling methodology for estuarine water quality management

This paper describes research undertaken by the authors to develop an integrated measurement and modeling methodology for water quality management of estuaries. The approach developed utilizes modeling and measurement results in a synergistic manner. Modeling results were initially used to inform the field campaign of appropriate sampling locations and times, and field data were used to develop accurate models. Remote sensing techniques were used to capture data for both model development and model validation. Field surveys were undertaken to provide model initial conditions through data assimilation and determine nutrient fluxes into the model domain. From field data, salinity re- lationships were developed with various water quality parameters, and relationships between chlorophyll a concentrations, transparency, and light attenuation were also developed. These relationships proved to be invaluable in model development, particularly in modeling the growth and decay of chlorophyll a. Cork Harbour, an estuary that regularly experiences summer algal blooms due to anthropogenic sources of nutrients, was used as a case study to develop the methodology. The integration of remote sensing, conventional fieldwork, and modeling is one of the novel aspects of this research and the approach developed has widespread applicability.

Problems of Production Management in Agile Manufacturing Environment and their Countermeasures

Agile manufacturing is a new production mode. This pa per discusses the four problems of production management in the environment of a gile manufacturing, and some countermeasures are advanced: (1) Organization of production. Traditional MTO production or MTS production ca n not meet the requirement of agile manufacturing which request both high produc tivity and the manufacturing flexibility. For this, the paper advances best way is to use the production organization mode of MCP (Mass Customization Production ),and some strategies of MCP are discussed. (2) Production planning. The requirement of agile manufacturing to production pl anning embodies in two facets: synchronization and flexibility. The paper su ggests that the structure and function of MRPII system should be improved in ord er to meet the demand of agile manufacturing. (3) Production control. The problem of production control is how to reduce the u ncertainty of hand over time between enterprises and increase the production syn chronization level. The paper advances some research direction on improving production ability. (4) Quality control. The problems of quality management are how to transfer the information of customer’s quality requirement between different organizations an d how to keep the consistency and stability of quality. Some countermeasures are advanced. In the end of the paper, one case advanced administrates how to utilize the thou ghts of agile manufacturing to upgrade the competition ability.

New Measures Taken by China for Mineral Resources Management

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Suggestions on management measures of pine forest ecosystems invaded by Bursaphelenchus xylophilus

Pine wood nematode （PWN）, Bursaphelenchus xylophilus （Steiner et Buhrer） Nickle is an important invasive alien species in forests of China and has become one of the most destructive forest diseases. In order to improve the resistance and resilience of pine forest ecosystems against B. xylophilus invasion and make the pine forest ecosystem more timely responsive to PWN invasion, we made some recommendations based on five years of intensive observations. We advocate a set of management measures with the theme “Prevention is priority, but integrated with curative techniques and ecological resilience” on the pine forest ecosystem invaded by B. xylophilus; details of accurate measures are proposed. The aim is to discover the underlying problems of present pine forest ecosys-tems and to take, correspondingly, administrative measures and strategies, which will encourage the pine forest ecosystem to develop in a benign way.

Problems and Measures in Internal Control and Risk Management of Drug Research and Development Enterprises

The internal control and risk managementof drug research and development enterprises directlyaffects the survival and development of enterprises.With the development of information technologyand the integration with the global economy,pharmaceutical companies are able to achieve moreachievements in development while facing increasingcompetitive pressures. Finance is a pivotal spine of acompany’s development. If the internal control andrisk management of a company are not complete andcomprehensive, the enterprise will inevitably turn intoa crisis. Therefore, it is necessary to strengthen theanalysis of the problems in the internal control andrisk management of drug research and developmententerprises, and propose corresponding solutions.

Common eye drops and their implications for p H measurements in the management of chemical eye injuries

Dear Sir,Eye drops(single use)commonly used in clinics do have varying pH values.The use of such drops in the initial management of chemical eye injury may influence the accuracy of pH measurement of the eye,and subsequently influence its management.Chemical eye injury is an ophthalmic emergency,which may be caused by exposure to an acidic(pH【4)or an alkali(pH】10)solution to the eye.Rinsing the eye decreases the concentration of these solutions on ocular surface.The initial management would be copious irrigation with clean or sterile water or Ringer’s solution(pH 7.3-7.4)or its equivalent,of a

Measures to strengthen engineering quality supervision in construction management

With the continuous advancement of China's urbanization process,the demand for construction projects is increasing,which is both an opportunity and a challenge for construction companies.If the enterprises themselves can grasp the background and policy conditions to maintain a high level of construction engineering,then its enterprise benefits and future development prospects will be excellent.However,there are also many companies whose own reputation and actual benefits have been affected for poor engineering quality caused by poor construction management.This is exactly what we must pay attention to.This article will analyse and explore the relevant work to improve the engineering quality of different phases of engineering construction and to guide the management of the construction unit in the future from the perspective of the construction unit to strengthen the project quality supervision.

The risk aversion measures in Architectural Engineering Project Management

With the continuous development of the construction industry, the scale and volume of the construction project is expanding. And the project management of the construction project still has the big risk problem which influenced by many factors. These risks will not only bring unnecessary interference to the construction of the project, but also may jeopardize the safety of people＇s life and property. It is the focus of this article to do a good job in risk aversion in the management of construction projects.

A Scalable Resource Management Architecture for Wide-Area Industrial Measurement Collaboration on Grids

Research on Web measurement and industrial collaboration in measurement fields in a wide-area and across-organizationally is accepted globally. This paper proposes a novel, scalable management architecture of measurement resources for the resource organization and resource access of the current wide-area collaborative measurement applications in the context of a grid. The complexity of the measurement management on a grid arises from the scale, dynamism, autonomy, heterogeneity, and distribution of the measurement systems and the relative data systems. This paper mainly discusses the interconnection, collaboration, and transparent access of the multi-measurement resources based on the proposed management architecture in the context of complexity. We first discuss the logical architecture used in the measurement fields, and then the resource management system is put at a high premium with layered architecture. Finally, the problems such as resource interconnection, sharing and collaboration are studied in the context of the proposed management environment. The typical applying instance is given to show the advancement of the proposed approach.

Contrast and Comparison Between the Old and New Bar Code for Commodity Management Measures

With the development of socialism market economy, the former Bar Code ForCommodity Management Measures (being called Old Measures for short hereafter) issued by the NationalBureau of Quality and Technical Supervision can not adapt to the requirement of managing for barcode for commodity. Therefore, for the purpose of standardize bar code for commodity managementstandard, ensuring its quality, speeding up the application of it in electronic business andcirculating field and accelerating the course of being a well informed country, a new Bar Code ForCommodity Management Measures (New Measures for short) has been issued by the General Administratorof Quality Supervision, Inspection and Quarantine of P.R. China (AQSIQ) on May 30th, 2005, and putinto force in October, 2005. At the same time, the Old Measures issued on July 3rd, 1998 has beenabolished.

Effective Measures for Strengthening Dynamic Management of Mechanical and Electrical Equipment

Dynamic management of equipment is the technique of controlling the technical conditions of production equipment and providing preventive and remedial measures. The method of dynamic management is to continuously monitor the running conditions of the production equipment employing computers and network techniques to collect, analyze and process the data obtained. The purpose of this procedure is to prevent or minimize losses due to malfunctioning or breakdowns by application of preventive maintenance or predictive maintenance strategies.The end purposes are to exploit the full potential of equipment, to enhance their overall efficiency, to towr the Life Cycle Cost (LCC), to guarantee quality of products and to lower the cost of production (for adaptation to the needs of development of the market economy). In this paper, some effective measures for enhancing the dynamic management of equipment are presented. equipment, dynamic management, preventive maintenance, predictive maintenance, overall efficiency of equipment, Life Cycle Cost.

Effect of Fair Value Measurement on Earnings Management of Chinese Real Estate Listed Companies

since the fair value has been used,it has always been paid more attention to,after the financial crisis,it has caused widespread denunciation of the academic session.In the new accounting standards issued in 2014,the attention of fair value has always been very high,which can reflect the influence of enterprises on earnings management through the measurement of fair value.By describing the application of fair value under the new criteria to pave the way for the following description.The back illustrates the impact of fair value on earnings management under the new guidelines.At the end of the paper,some policies and constructive suggestions are put forward to improve earnings management in Chinese enterprises.

A Fully Adaptive Active Queue Management Method for Congestion Prevention at the Router Buffer

Active queue management(AQM)methods manage the queued packets at the router buffer,prevent buffer congestion,and stabilize the network performance.The bursty nature of the traffic passing by the network routers and the slake behavior of the existing AQM methods leads to unnecessary packet dropping.This paper proposes a fully adaptive active queue management(AAQM)method to maintain stable network performance,avoid congestion and packet loss,and eliminate unnecessary packet dropping.The proposed AAQM method is based on load and queue length indicators and uses an adaptive mechanism to adjust the dropping probability based on the buffer status.The proposed AAQM method adapts to single and multiclass traffic models.Extensive simulation results over two types of traffic showed that the proposed method achieved the best results compared to the existing methods,including Random Early Detection(RED),BLUE,Effective RED(ERED),Fuzzy RED(FRED),Fuzzy Gentle RED(FGRED),and Fuzzy BLUE(FBLUE).The proposed and compared methods achieved similar results with low or moderate traffic load.However,under high traffic load,the proposed AAQM method achieved the best rate of zero loss,similar to BLUE,compared to 0.01 for RED,0.27 for ERED,0.04 for FRED,0.12 for FGRED,and 0.44 for FBLUE.For throughput,the proposed AAQM method achieved the highest rate of 0.54,surpassing the BLUE method’s throughput of 0.43.For delay,the proposed AAQM method achieved the second-best delay of 28.51,while the BLUE method achieved the best delay of 13.18;however,the BLUE results are insufficient because of the low throughput.Consequently,the proposed AAQM method outperformed the compared methods with its superior throughput and acceptable delay.

Research and Application of Meteorological Response Measures for Civil Engineering and Data Acquisition System

Meteorological conditions have a very important impact on the development of construction projects.In order to assist project site managers to quickly and accurately deal with the engineering risks brought by meteorological conditions,meteorological risk assessment indicators for civil construction are established based on the actual impact of different meteorological conditions on each sub-project of civil engineering.A meteorological intelligent management system is created,and it will select reasonable countermeasures from the integrated existing database and push them to on-site construction managers based on meteorological risk assessment indicators.Through the pre-set construction log module,the managers can give feedback on the application effect of the pushed measures,and achieve the effect of construction data collection,correction and expansion of the existing database.