Objective:To study the application effect of the plan-do-check-act(PDCA)cycle management in the hand hygiene management of psychiatric medical staff.Methods:One hundred and twenty medical staff from a psychiatric hosp...Objective:To study the application effect of the plan-do-check-act(PDCA)cycle management in the hand hygiene management of psychiatric medical staff.Methods:One hundred and twenty medical staff from a psychiatric hospital from May 2023 to December 2023 were selected and divided into two groups.The control group(May 2023 to August 2023)applied the conventional management model,and the observation group(September 2023 to December 2023)applied the PDCA cycle management.The hand hygiene compliance,hand hygiene knowledge,and hygiene qualifications were compared,including the amount of hand sanitizer used.Results:The proportion of medical staff’s hand hygiene compliance and hand hygiene knowledge mastery scores in the observation group were higher than those in the control group(P<0.05);the hand hygiene passing rate in the observation group was higher than that of the control group(P<0.05);the daily amount of hand sanitizer per patient bed and the amount of hand sanitizer used was higher than that of the control group(P<0.05).Conclusion:The PDCA cycle management model for psychiatric medical staff promoted the improvement of hand hygiene compliance and increased their hand hygiene qualifications.It is suitable for further popularization and application in future clinical practice.展开更多
The Duvernay project in Canada was taken as an example to summarize the advanced technology and engineering management model of shale oil and gas development in North America.Preliminary suggestions were put forward t...The Duvernay project in Canada was taken as an example to summarize the advanced technology and engineering management model of shale oil and gas development in North America.Preliminary suggestions were put forward to accelerate the commercial development of domestic continental shale oil and gas.The advanced technologies,valuable knowledge and rich experience were introduced,including the evaluation of geological target area of the project,rapid long horizontal drilling and completion,high-intensity fracturing,and well spacing optimization.In particular,the concept and connotation of the full-life cycle management of North American unconventional resource projects were analyzed.Its emphasis on early evaluation and risk management,and a highly competitive market environment have played an important role in promoting technological innovation and management innovation.In addition,the low-cost sharing system of industry-wide knowledge and experience and the management mode were applied.These management approaches are of great significance for reference in accelerating the exploration and development of unconventional resources in China.China possesses abundant shale oil and gas resources,which are an important replacement to guarantee the national oil and gas energy supply.However,due to the late start and special geological characteristics and engineering difficulties in China,there is a large gap in technology level and management mode compared with North America.According to the advanced experience and enlightenment of the shale oil and gas development in North America,a preliminary proposal to accelerate the development of shale oil and gas in China was made.展开更多
Waste electrical and electronic equipment (WEEE) is a rapidly growing category of solid waste. China is now facing WEEE problems from both growing domestic generation and illegal imports. Currently, the amount of WE...Waste electrical and electronic equipment (WEEE) is a rapidly growing category of solid waste. China is now facing WEEE problems from both growing domestic generation and illegal imports. Currently, the amount of WEEE formally treated has increased steadily in China. The layout of the formal sector has been basically completed. Meanwhile, by controlling illegal disassembly activities, the informal sector has been gradually transformed to formal one. Beginning with the overview of the WEEE recycling industry in China, this paper first lists the latest progress in WEEE management from such aspects as the new edition of China RollS Directive (Restriction of Hazardous Substances Directive), the updated WEEE Treatment List, the updated WEEE fund standard, the revised National Hazardous Waste List, and a brand-new plan on extended producer responsibility. In so doing, we elucidate the current challenges on WEEE management in detail: the imbalance between fund levies and subsidies, the gap in the supervision scope, the homogenization of recycling industry and the lack of life cycle approaches. Finally, a conceptual framework for integrated management of WEEE is proposed from a life cycle perspective. Overall, the life cycle management of WEEE includes three aspects: developing life cycle information for decision-making, implementing life cycle engineering with life cycle tools, and improving WEEE legislation based on life cycle thinking. By providing specific operating strategies, this life cycle framework should help to optimize WEEE management in developing countries where legislation is imperfect and the recycling system is relatively immature.展开更多
BACKGROUND with the widespread application of computer network systems in the medical field,the plan-do-check-action(PDCA)and the international classification of diseases tenth edition(ICD-10)coding system have also a...BACKGROUND with the widespread application of computer network systems in the medical field,the plan-do-check-action(PDCA)and the international classification of diseases tenth edition(ICD-10)coding system have also achieved favorable results in clinical medical record management.However,research on their combined application is relatively lacking.Objective:it was to explore the impact of network systems and PDCA management mode on ICD-10 encoding.Material and Method:a retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.AIM To study the adoption of network and PDCA in the ICD-10.METHODS A retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.RESULTS In the 3,6,12,18,and 24 months of PDCA cycle management mode,the coding accuracy and medical record completion rate were higher,and the coding time was lower in the observation group as against the controls(P<0.05).The satisfaction of coders(80.22%vs 53.45%)and patients(84.89%vs 51.72%)in the observation group was markedly higher as against the controls(P<0.05).CONCLUSION The combination of computer networks and PDCA can improve the accuracy,efficiency,completion rate,and satisfaction of ICD-10 coding.展开更多
基金2023 Guangzhou Kangning Hospital Hospital-Level Scientific Research Project(KN2023-008)。
文摘Objective:To study the application effect of the plan-do-check-act(PDCA)cycle management in the hand hygiene management of psychiatric medical staff.Methods:One hundred and twenty medical staff from a psychiatric hospital from May 2023 to December 2023 were selected and divided into two groups.The control group(May 2023 to August 2023)applied the conventional management model,and the observation group(September 2023 to December 2023)applied the PDCA cycle management.The hand hygiene compliance,hand hygiene knowledge,and hygiene qualifications were compared,including the amount of hand sanitizer used.Results:The proportion of medical staff’s hand hygiene compliance and hand hygiene knowledge mastery scores in the observation group were higher than those in the control group(P<0.05);the hand hygiene passing rate in the observation group was higher than that of the control group(P<0.05);the daily amount of hand sanitizer per patient bed and the amount of hand sanitizer used was higher than that of the control group(P<0.05).Conclusion:The PDCA cycle management model for psychiatric medical staff promoted the improvement of hand hygiene compliance and increased their hand hygiene qualifications.It is suitable for further popularization and application in future clinical practice.
基金Supported by the Key Intergovernmental Special Project on International Science and Technology Innovation Cooperation(2016YFE0102400)
文摘The Duvernay project in Canada was taken as an example to summarize the advanced technology and engineering management model of shale oil and gas development in North America.Preliminary suggestions were put forward to accelerate the commercial development of domestic continental shale oil and gas.The advanced technologies,valuable knowledge and rich experience were introduced,including the evaluation of geological target area of the project,rapid long horizontal drilling and completion,high-intensity fracturing,and well spacing optimization.In particular,the concept and connotation of the full-life cycle management of North American unconventional resource projects were analyzed.Its emphasis on early evaluation and risk management,and a highly competitive market environment have played an important role in promoting technological innovation and management innovation.In addition,the low-cost sharing system of industry-wide knowledge and experience and the management mode were applied.These management approaches are of great significance for reference in accelerating the exploration and development of unconventional resources in China.China possesses abundant shale oil and gas resources,which are an important replacement to guarantee the national oil and gas energy supply.However,due to the late start and special geological characteristics and engineering difficulties in China,there is a large gap in technology level and management mode compared with North America.According to the advanced experience and enlightenment of the shale oil and gas development in North America,a preliminary proposal to accelerate the development of shale oil and gas in China was made.
基金The authors would like to acknowledge the financial supports from the National Natural Science Foundation of China (No. 41501598) and Innovation Program of Shanghai Municipal Education Commission (No. 15ZZ 102). We also thank the Open Foundation of the State Key Laboratory of Urban and Regional Ecology of China (No. SKLURE2017-2-1) for funding and support.
文摘Waste electrical and electronic equipment (WEEE) is a rapidly growing category of solid waste. China is now facing WEEE problems from both growing domestic generation and illegal imports. Currently, the amount of WEEE formally treated has increased steadily in China. The layout of the formal sector has been basically completed. Meanwhile, by controlling illegal disassembly activities, the informal sector has been gradually transformed to formal one. Beginning with the overview of the WEEE recycling industry in China, this paper first lists the latest progress in WEEE management from such aspects as the new edition of China RollS Directive (Restriction of Hazardous Substances Directive), the updated WEEE Treatment List, the updated WEEE fund standard, the revised National Hazardous Waste List, and a brand-new plan on extended producer responsibility. In so doing, we elucidate the current challenges on WEEE management in detail: the imbalance between fund levies and subsidies, the gap in the supervision scope, the homogenization of recycling industry and the lack of life cycle approaches. Finally, a conceptual framework for integrated management of WEEE is proposed from a life cycle perspective. Overall, the life cycle management of WEEE includes three aspects: developing life cycle information for decision-making, implementing life cycle engineering with life cycle tools, and improving WEEE legislation based on life cycle thinking. By providing specific operating strategies, this life cycle framework should help to optimize WEEE management in developing countries where legislation is imperfect and the recycling system is relatively immature.
文摘BACKGROUND with the widespread application of computer network systems in the medical field,the plan-do-check-action(PDCA)and the international classification of diseases tenth edition(ICD-10)coding system have also achieved favorable results in clinical medical record management.However,research on their combined application is relatively lacking.Objective:it was to explore the impact of network systems and PDCA management mode on ICD-10 encoding.Material and Method:a retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.AIM To study the adoption of network and PDCA in the ICD-10.METHODS A retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.RESULTS In the 3,6,12,18,and 24 months of PDCA cycle management mode,the coding accuracy and medical record completion rate were higher,and the coding time was lower in the observation group as against the controls(P<0.05).The satisfaction of coders(80.22%vs 53.45%)and patients(84.89%vs 51.72%)in the observation group was markedly higher as against the controls(P<0.05).CONCLUSION The combination of computer networks and PDCA can improve the accuracy,efficiency,completion rate,and satisfaction of ICD-10 coding.