Analyses of Incidents of Institutional Food Service Practice Management for One Year in the Kitchen of a General Hospital, Chubu Region, Japan

This study aimed to assess the incidence of institutional food service practice management errors in the kitchen of a general hospital, Chubu region, Japan. Clarifying the cause of incidents of institutional food service operation can reduce institutional food service practice management errors. This is the first study to analyze incidents at a general hospital kitchen in Japan in English. Data were collected from incident reports over the course of one year, between October 1, 2011 and November 30, 2012. Forty two reports of incidents whose locations were the kitchen were analyzed, for example, incident dates, incident times, workloads, incident contents, incident causes, accident levels, and the presence or absence of negligence. The frequency of incidents for months, for each third of month, for day of week, for time of day, for workload levels of staff member, and for types of incidents were analyzed using chi-square test following Ryan multiple comparison. The incidents were more likely to occur at the start of the business year, during the 11：00 to 12：59 time blocks, and when staffs were busy. Breakdown of incident contents of＂foreign contamination （hair）＂ was 10 reports （24%）. To prevent incidents, new staff should also be trained to acquire skills to avoid making errors during food preparation, ensuring that there is a clear route for communicating changes in the number of hospitalized patients, and building a system that allows for changes to be made to the number of meals to be served and the content of those meals in an accurate and prompt fashion. Furthermore, work uniform should be changed promptly as such contamination can reportedly be improved by having workers wear a work cap.

上海市公共卫生技术服务机构传染病防治检测技术服务能力现况调查

目的 了解上海市公共卫生技术服务机构传染病防治检测技术服务能力现状,为进一步提升传染病防治检测技术服务行业总体能级水平提出建议,为相关政策和措施制定提供科学依据。方法 2020年4—6月,对上海市开展公共卫生技术服务的社会机构和市区两级疾病预防控制机构开展问卷调查,收集2019年度开展传染病防治检测技术服务的业务量和市场供需,以及截至2020年6月在6大类40项传染病防治检测技术服务细分领域能力参数的储备情况。结果 被调查机构2019年全年共提供31 763次传染病防治领域检测技术服务。社会委托性质技术服务为主要需求方,出具社会委托性质报告占报告总数的78.3% (24 859份),社会机构为该领域检测技术服务的主要提供方,出具报告占报告总数的73.1%(23 207份)。截至2020年6月,能力储备率最高的是医疗机构环境卫生学监测项目(82.7%),最低的是消毒灭菌设备项目(11.5%)。疾病预防控制机构的传染病防治领域检测技术服务总体能力储备率(50.0%)高于社会机构(25.9%),在医疗器械及物品细菌学监测、消毒剂项目的能力储备率上疾病预防控制机构和社会机构存在差异(P<0.05)。环氧乙烷低温灭菌综合性能监测/化学监测能力参数尚为“零能力储备”。结论 上海市传染病防治领域检测技术服务市场已形成一定规模,检测技术服务能力储备已有一定基础,疾病预防控制机构总体能力储备高于社会机构。细分领域能力储备不均衡,部分能力欠缺有待提升。疾病预防控制机构和社会机构共同作为传染病防治领域检测技术服务提供方,发挥各自优势特点,依托质量控制中心平台,共同提升传染病防治领域检测技术服务能力水平,促进传染病防治领域检测技术服务行业发展。

Performance evaluation indicator system for the implementation of essential drug system in community health service institutions

Objective:This research aims to develop a more scientific and reasonable performance evaluation indicator system for the implementation of an essential drug system in community health service institutions.Methods:The Delphi method was used to establish an indicator system based on three rounds of expert consultations,and the fuzzy comprehensive evaluation method was used to determine the weights of the indicators.Results:The participation in the three rounds of consultations were 100%(10/10),90%(18/20),and 85%(17/20),which showed that the experts had real enthusiasm for participating in this research.The authority coefficients of the first-,second-,and third-level indicators were 0.75,0.76,and 0.76,respectively,which showed that the consultation results were dependable.The concordance coefficients of the second and third rounds were 0.489 and 0.487,respectively(P<0.001),indicating that the expert opinions were highly consistent.The performance evaluation indicator system consisted of three first-level indicators(supporting,implementation,and effect indicators),nine second-level indicators,and 21 third-level indicators.Conclusion:In this new performance evaluation indicator system,the selected experts were representative,the consultation results were dependable,the constructed evaluation indicator system was reasonable,and the setting of weights was scientific.