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.

CONTINUOUS IMPROVEMENT THROUGH INTEGRATION OF QUALITY TOOLS

The relationship between major quality tools such as quality function development （QFD）, failure mode and effects analysis （FMEA）, design of experiments （DOE） and statistical process control （SPC） is analyzed through an extensive review of the literature and the concurrent quality engineering philosophy, and a basic structure for the integration of quality tools is presented. An integrated quality management system （IQMS） is developed using C＋＋ Builder, running in the Windows 2000 Server environment with the basic internet connections, and SQL Server 2000 as the platform for developing the database, An illustrative example applying IQMS to the continuous quality improvement for a crane equipment manufacturing is reported. The result shows that the application of IQMS can optimize the process of design and manufacturing, shorten the cycle time of product, reduce the cost, and realize quality improvement continuously, The proposed integrated framework with IOMS is believed to be applicable to continuous quality improvement in many manufacturing companies.

Respecting Each Other and Being Loyal to ZTE Career Providing Refined Service and Focusing on Customers' Requirements Working Hard to Create Famous ZTE Brand Improving ZTE Efficiency with Scientific Management

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The study of college secondary department student status management and countermeasures——as KunmingUniversity of engineering secondary departments for case analysis

The management of College Students’ status is a professional policy work. The point of regulating college students’learningbehavior is registration management. According to the analysis on the issue of popular education stage of college registration management,it’s important to reinforce the registration management of affi liated college and put forward work ideas, formulate detailed measures. Thatcan regulate and optimize students’ learning behavior and promote school spirit, teaching style, study style, improve the effectiveness of theeducation of students.

Strategies for Improving Enterprise Standardization Management of Tropical Crop Machinery

There are two categories of tropical crop machinery. One comprises operation machinery that is used for planting, managing and harvesting tropical crops, while the other comprises process machinery for processing tropical crops. Tropical crop machinery is distinguished from other agricultural machinery by the special crops that such machinery cultivates and processes.……

Research on Effective Access for Strengthening and Improving the Management and Benefit use of Large Instruments

The purchasement and development as well as the benefit of utilization for the large equipment in universities of China are analyzed in this paper, the paper in dicates that in utilization of large equipment the contradictions such as urgency and necessity for the purchasement and development of large equipment and serious waste in resources since inadequacy of annual utilization rate of large equipment are existed, it also raises that the key step of giving full play to the benefit of large equipment is to strengthen management and development after the equipment are purchased, the paper regards through stressing standardized management and maintenance、opening the laboratory、improving the functions of equipment、renovating technology、fully examining and scientifically deciding before purchasement, the investment benefit for the large equipment can be raised effectively.

Contemporary Currents in Japanese Machizukuri (Citizens Collaborative Community Improvements and Management) and Their Socio-Cultural Meanings

This paper studies the contemporary attempts of Japanese Machizukuri,Citizens Collaborative Community Improvement and Management,and their socio-cultural meanings in order to shed light on the sustainable planning approaches dealing with population ageing and decreasing.In recent years,as response measures for non-physical local issues such as environmental problems and welfare,and with the aim of further enhancing community-centred planning capabilities against a background of decentralisation in various fields and the establishment of civic society,new cooperative/collaborative-style planning theory is being deployed.Through this process,community improvement and management is becoming deeper,in terms of technology,systems,and technique.The study attempts to find out a solution to real-world problems-how to construct a comprehensive planning theory based on spatial and social challenges arising in modern civic communities,with local resources,social capital and systems that have resulted from such issues.It also seeks to show how to achieve a vision for the city as a whole by mutually compiling individual community improvement and management scenarios and programs,based on the autonomous determination and future vision of the organisations and residents that play leading roles in the community.

Evaluation of Combined Landscape Restoration Practices on Soil Organic Carbon Stocks in Semiarid Regions of Burkina Faso

Forest and landscape restoration (FLR) practices have been reported to improve soil organic carbon stocks (SOCs) and contributing to climate change mitigation. This study aims to evaluate the impact of combined FLR practices, mainly developed in semiarid regions, on SOCs. The SOCs, soil texture, bulk density (ρ), pH, CO2 emissions, and herbaceous biomass were determined at a 0 - 30 cm depth. The experimental design comprised degraded land without FLR practices and three sets of combined FLR practices. These practices included “zaï” + stone bunds + organic manure + assisted natural regeneration (ANR) used to convert degraded land into forest (GF) and cropland (PARL);“zaï” + stone bunds + crop rotation + crop/fallow successions + ANR used to convert degraded land into cropland (OARL) and “zaï”+ stone bunds + organic manure used to convert degraded land into cropland (KARL). SOCs were highest (20.02 t C ha−1) under OARL compared with the other combinations of FLR practices. SOCs increased by 99% (+0.2 t C ha−1⋅yr−1), 58% (+0.3 t C ha−1⋅yr−1) and 13% (+0.2 t C ha−1⋅yr−1) under GF, OARL and KARL, respectively, and decreased by 15% (−0.1 t C ha−1⋅yr−1) under PARL. This study provides additional information explaining SOC variation in restored degraded land through the implementation of a combination of FLR practices. This is useful for recommending the combination “zaï” + stone bunds + crop rotation + crop/fallow successions + ANR to improve SOCs in the semiarid agroecosystem.