Application of PDCA Cycle in Hand Hygiene Management of Psychiatric Medical Staff

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.

Key technologies, engineering management and important suggestions of shale oil/gas development: Case study of a Duvernay shale project in Western Canada Sedimentary Basin

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.

An updated review and conceptual model for optimizing WEEE management in China from a life cycle perspective

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.