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.

Prospects and limitations of soil amendment and irrigation techniques for the water-saving public urban greenery and ephemeral weed management in the sandy soils of the United Arab Emirates

Public urban greenery greatly contributes to the residential and tourist value of cities in the Gulf Region,but due to the hyper-arid climatic conditions,the cost of irrigation and plant maintenance is very high.Existing strategies to reduce the monetary and ecological costs involve the cultivation of native xerophytic plantations,and/or the use of soil improvers to increase water-and nutrient-holding capacity of the sandy soils.Various soil improvers based on mineral,organic,or synthetic materials have entered the United Arab Emirates(UAE)market in recent years,but there is considerable uncertainty about how they should best be used in combination with ornamental plant stands involving xerophytic native plants.The present study investigated the effect of soil amendment and deep pipe irrigation on perennial ornamental plant stands involving native plants(Tephrosia appolinea(Gel.)Link in combination with Aerva javanica(Burm.f.)Juss.ex Schult.)and native-exotic plants(T.appolinea in combination with Ruelia simplex C.Wright)either or not topsoil and subsoil amendment with bentonite and hydrophobic sand under the irrigation water supply of less than 50%of reference evapotranspiration(ET0).After one year of cultivation,T.appolinea and A.javanica(native vs.native)produced high biomass and exhibited high water use efficiency(WUE)as compared with T.appolinea and R.simplex(native vs.exotic)combination given that no significant differences were found under the soil amendment treatments.All stands thrived under irrigation water supply far below what is usually supplied to exotic ornamental stands in public parks of the Al Ain City,the UAE.However,subsoil amendment in combination with deep pipe irrigation reduced the occurrence of weeds and increased the overall plant rooting depth.Our results suggest that subsoil amendment and irrigation up to 60-80 cm depth can potentially control ephemeral weed infestation,which is a great challenge in various plant production systems of the Gulf Region.The results of the present study suggest that the impact of soil amendment on the WUE of exotic plants is marginal and might not be economically justified.Replacing exotic with native ornamental plant species seems to have a far greater water-saving potential than the amendment of the soil,while weeds can be suppressed in the absence of topsoil moisture.

The management efficiency of the overseas oil and gas business of CNPC has significantly improved

In the first half of this year,CNPC further promoted the source opening,cost reduction,and efficiency increasing of the overseas oil and gas business,deepened the system and mechanism reform and effectively managed the production and operation.As a result,key performance indicators performed exceptionally well.Since the beginning of this year, CNPC has adhered to the concept of low-cost development when conducting overseas oil and gas business.

Discussion on the Improvement of Management Mode of Student Status in Colleges and Universities

In order to improve the management of university status in China,it is necessary to actively transform the student status management model,it should be student service,and it’s turned into restraint and motivation,the mode of student service as a supplement is transformed.Under the model of service and constraint and incentive,we should strengthen the current management mode of student status in colleges and universities.And under the new model,the data quality of student status can be guaranteed,so that students’academic safety and education and teaching order can be improved accordingly,establish a good learning atmosphere,strengthening management.This paper analyzes and probes into the problems existing in the management of university status in China,this paper expounds the main contents of university student status management,and put forward the effective measures to improve the current management of university status.

Strong Seedlings of Improved Varieties and High-efficiency Cultivation of Artificial Forests Promotes the Early Realization of"Carbon Neutrality"

China is striving to achieve"carbon dioxide peaking"in 2030 and"carbon neutrality"in 2060.In addition to optimizing and upgrading the industrial structure and increasing industrial emission reduction,afforestation is an important way to increase forest carbon sinks and achieve carbon dioxide peaking and carbon neutrality.Improved seedlings are significantly better than general seedlings in terms of afforestation adaptability,growth and stress resistance.The use of improved varieties for afforestation can improve the quality of afforestation from the source.Although the growth cycle of economical tree species is short,and the carbon storage does not increase after directional cultivation,they significantly improve the quality and yield,and indirectly reduce carbon emissions compared with ordinary seedlings.Therefore,in agricultural and forestry production,the transformation and utilization efficiency of improved varieties should be improved and the planting structure should be optimized to improve the quality and efficiency and significantly improve the yield and carbon storage,and the management of plantations should be strengthened to help achieve the goal of"carbon neutrality"as soon as possible.This paper analyzed the current situation of improved varieties and plantation management in China,and put forward corresponding countermeasures.

Target Entities of Total Quality Management Based on the New TQM and Three-Dimensional Unification Value Models

In recent years, the method of TQM (Total Quality Management) is widely recognized. However, contents of target entities for assessment are various, and it is very difficult to define the whole scope of TQM. On the other hand, it is very important to define the whole target entities of quality management about the TQM because lack of important target entities may cause significant risk of loss in future. Furthermore, target entities of TQM should correspond to needs and priority of an objective requirement and that should be based on the consideration of basic principle of quality management. In the previous study, we have proposed the “framework of new TQM” of assessment for a total quality management of organizations based on the original concept of “TQM matrix”. On the other hand, we have proposed the view point of “Three-Dimensional Unification Value Models” for an evaluation of system product. Therefore, in this paper, we propose the target entities of whole assessment of quality management of organization totally based on the consideration of “New TQM framework” and the view point of “Three-Dimensional Unification Value Models”. Also, this paper proposes the result of verification based on the result of comparison between proposed target entities of assessment and American Malcolm Baldrige Prize for Performance Excellence.

Accelerating Quantum Computing Readiness: Risk Management and Strategies for Sectors

The potential impact of quantum computing on various industries such as finance, healthcare, cryptography, and transportation is significant;therefore, sectors face challenges in understanding where to start because of the complex nature of this technology. Starting early to explore what is supposed to be done is crucial for providing sectors with the necessary knowledge, tools, and processes to keep pace with rapid advancements in quantum computing. This article emphasizes the importance of consultancy and governance solutions that aid sectors in preparing for the quantum computing revolution. The article begins by discussing the reasons why sectors need to be prepared for quantum computing and emphasizes the importance of proactive preparation. It illustrates this point by providing a real-world example of a partnership. Subsequently, the article mentioned the benefits of quantum computing readiness, including increased competitiveness, improved security, and structured data. In addition, this article discusses the steps that various sectors can take to achieve quantum readiness, considering the potential risks and opportunities in industries. The proposed solutions for achieving quantum computing readiness include establishing a quantum computing office, contracting with major quantum computing companies, and learning from quantum computing organizations. This article provides the detailed advantages and disadvantages of each of these steps and emphasizes the need to carefully evaluate their potential drawbacks to ensure that they align with the sector’s unique needs, goals, and available resources. Finally, this article proposes various solutions and recommendations for sectors to achieve quantum-computing readiness.

Evolving pattern and improvement path of China’s solid waste management policies

Systematically sorting out the evolving pattern of solid waste management policies and studying the key points and development trends of solid waste management policies are conducive to the clarification of improvement path of solid waste management policies.Based on the promulgated solid waste management policies,this study applies statistical methods to the analysis of the text structure and contents of the solid waste management policies,attempting to find out the internal evolving pattern of the solid waste management policies in China.Closely integrating the current policy requirements for the construction of‘waste-free city’,this study puts forward a policy optimization and improvement path.The findings are briefly listed blow:①The solid waste management policies have demonstrated multiple text types and various levels of effectiveness,and the policy framework system is gradually optimized.②In each edition of solid waste management policy,the hotspot issues are highlighted with distinctive characteristics of the times and dynamic evolution.The policies are covering more fields,the contents are more targeted and comprehensive,and the implementation is more specific and practical.③The policies mainly focus on harmlessness,reduction,reclamation,pollution prevention,supervision and management,secondary pollution,recycling,circular economy,etc.④The government strengthens the top-level design from the macro level,focusing on policy guidance and standardization,policy coordination,technical support,and governance improvement to promote the realization of the goals of‘harmlessness,reduction,reclamation’.⑤The diversification of tools,approaches and factors supporting solid waste management,and the growing awareness of the technical support of solid waste management,and the management mode and governance path have entered the phase of adaptive transformation.Based on practical needs,the market oriented policies and incentive mechanisms for solid waste management are inadequate,applicable technical attention is not highly paid,and the comprehensive management level and governance capabilities are in urgent need of improvement.Combined with the theoretical research,practical actions and policy initiatives of the construction of‘waste-free city’in other countries,from the perspectives of solid waste full product lifecycle management,technical support paradigm policy,main body coordination policy,guidance incentive policy,laws and regulations and other aspects,the policy improvement path and direction of China’s‘waste-free city’are thoroughly discussed in this study.

Applying knowledge management implementation model in Water Resources Management Company by the purpose of continuous improvement

This research seeks to explore the current knowledge management （KM） practice in the Water Recourses Management Company （WRMC） according to Jashpar＇s knowledge management cycle which comprises four loops, including knowledge creation, knowledge organization, knowledge sharing and knowledge leverage. This research used a qualitative method, and data were collected through questionnaires. The 92 respondents were the staff of office. The data were analyzed through SPSS software. The findings of this research reveal that, the knowledge creation and knowledge organization were in good level, but knowledge sharing condition was not suitable, therefore, it has negative effect on leveraging knowledge, hence we tried to demonstrate a knowledge management implementation model using the knowledge management concept and taking advantage from the concept of excellence model by the purpose of continuous improvement. This paper suggests proper knowledge management implementation （KMI） is a managerial approach that can turn an organization to an agile one. In order to verify and validate the performed research, the planned model has been accomplished in the Hydropower Plant Department, Water Recourses Management Company, positive and acceptable results were obtained and organizations total factor productivity increase was achieved which was appreciated by the organization.

The Impact of Total Quality Management on Health Services Improvement, Sana’a Hospitals, Yemen (2017-2020)

Background: Total quality management (TQM) plays a major role in quality health services improvement. The aims of the study are to identify the concepts of total quality management in health institutions to know the nature of the relationship between the application of TQM and improving the quality of health services in Sana’a Governorate. Method: This applied research is a descriptive cross-sectional study in which the TQM of 13 affiliated Sana’a Governorate hospitals during “2017-2020”, were evaluated based on self-administered questionnaires. Data were collected by questionnaires including demographical variables, TQM dimensions variables. Data were analyzed by using SPSS version 16. Results: A total of 281 users 98.6% had responded. The employee’s responses for sixth study dimensions were the top manager’s commitment (TMC) 80.46%, customers focusing CF 81.55%, continuous improvement (CI) 82.32%, training (T) 71.51%, and strategic planning of the quality (SPQ) 74.76%, health services quality improvement (HSQI) 74.25%. There is a strong relationship between TQM and HSQI. There is no relationship between demographic factors gender, profession, years of experience, except age with TMC, T, HSQI, qualification with the TMC, CI, T, HSQI and job with all study variables. Conclusion: The application of TQM at hospitals in quality of health services improvement has several challenges, lacking staff experience and lacking leadership support, weakness of the training, customers focusing, continuous improvement, and strategic planning of the quality. Therefore, benefiting from the experiences of leading hospitals in implementing total quality management programs by sending some cadres to these hospitals for training and gaining experience or by hosting experienced cadres to conduct training courses is recommended.

Application of PDCA in improving hand hygiene compliance and nosocomial infection quality in orthopedics

Objective:To explore the effect of the Plan-Do-Check-Action(PDCA)cycle on hand hygiene and nosocomial infection quality of or thopedic medical staff.Methods:The whole year of 2021 was selected to monitor the quality of hand hygiene and hospitalization.Follow-up monitoring and real-time recording during the period of morning shift and medical operation concentration time,and compare the compliance of hand hygiene before and after implementation,and evaluate the quality of nosocomial infection.Results:The hand hygiene compliance of doctors and nurses in stage P was 82%.The compliance of medical staff in stage D was 93%.The compliance of stage C was 94%and that of stage A was 95%.The quality score of hospital self-examination nosocomial infection was also significantly increased.Conclusions:The PDCA management cycle can effectively improve the compliance of hand hygiene and the nosocomial infection quality,which is wor thy of circulatory application in or thopedic nosocomial infection quality control,especially improving the quality of hand hygiene.

Technology and Health持续质量改进模式在医院卫生管理中的应用价值研究

探讨持续质量改进模式在医院卫生管理中的应用价值。选取2020年1月—2022年7月收治的100例住院患者为研究对象,以2021年1月为时间节点,此前实施常规院内卫生管理(对照组),参与患者50例;2021年1月后医院卫生管理中实施持续质量改进模式(观察组),参与患者50例,均由50名专科医护人员进行卫生管理,随即针对不同卫生管理模式下医务人员的综合能力、院内不良事件发生概率、患者对院内管理满意度、卫生管理质量进行对比评估。经数据对比,观察组医护人员综合能力中,其卫生知识考评积分、卫生质量评分、监督评估积分均较对照组高(P<0.05);同时观察组院内感染、手卫生不合格、废料处理不及时、自我防护不到位等不良事件发生率低于对照组(P<0.05);观察组患者对其所处模式的满意度显著高于对照组(P<0.05);观察组卫生管理质量评估积分中,其安全管控、作业实操、手卫生/消杀、多重耐药菌处理、废料处置等专项积分均较对照组高(P<0.05)。研究发现,通过在医院卫生管理中为患者实施持续质量改进模式,可显著提高院内医护人员个人能力,强化对院内卫生管理重视程度,增加患者对卫生常识的认知,提高患者治疗满意度,降低医护人员错误操作、不当行为的发生率,有着较高临床应用价值。

The positioning of the occupational role and the improvement of the abilities of the college counselors

For the college students, the instructors are the guides and helpers of the healthy growth of them, who play an important role in their establishment of a correct outlook on life, and values, and the cultivation of the good moral qualities. At present, in the team of the college counselors, there exist the problems that the responsibilities are fuzzy, and their own qualities need to be improved, and the construction of the occupation is slow, and so on, which require that we should recognize the positioning of the counselors＇ occupational role, and focus on the enhancement of the abilities of the counselors. Therefore, this paper puts forward the path to improve the abilities of the role of the counselors, in order to speed up the construction of the professionalism and specialization of the team of the college counselors, making them more capable of supporting the growth of the physical and mental health of the college students.

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

ZTE Corporation is China’s largest listedtelecommunications equipment provider spe-cialized in offering a full range of tailor-madesolutions for customers in high-,middle-andlow-end markets.

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.

Performance of a Horizontal Flow Constructed Reed Bed Filter for Municipal Wastewater Treatment: The Case Study of the Prototype Installed at Gaston Berger University, Saint-Louis, Senegal

In Saint-Louis, Senegal, a constructed wetland with horizontal flow reed beds (FHa and FHb) has demonstrated significant efficacy in treating municipal wastewater. Analyzing various treatment stages, the system showed only a slight temperature variation, from an influent average of 26.3°C to an effluent of 24.7°C. Electrical conductivity decreased from 1331 mS/cm to 974.5 mS/cm post-primary treatment, with suspended solids (SS) dramatically reduced from 718.9 mg/L to 5.7 mg/L in the final effluent. Biochemical oxygen demand (BOD5) and chemical oxygen demand (COD) saw a notable decrease, from initial levels of 655.6 mg/L and 1240 mg/L to 2.3 mg/L and 71.3 mg/L, respectively. Nitrogenous compounds (N-TN) and phosphates () also decreased significantly, indicating the system’s nutrient removal capacity. Microbiological analysis revealed a reduction in fecal coliforms from 7.5 Ulog/100ml to 1.8 Ulog/100ml and a complete elimination of helminth eggs. The presence of Phragmites and Typha was instrumental in enhancing these reductions. The system’s compliance with the Senegalese standards for disposal into natural environments, WHO recommendations for unrestricted water reuse in irrigation, and the European legislation for water reuse was established. The effluent quality met the stringent criteria for various classes of agricultural reuse, illustrating the system’s potential for sustainable water management. This wetland model presents a robust solution for water-stressed regions, ensuring environmental protection while supporting agricultural needs. The study calls for ongoing research to further refine the system for optimal, reliable wastewater treatment and water resource sustainability.

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.

How to Optimize the Management of Science and Technology Funds in Colleges and Universities Based on the Policy of Streamlining Administration,Delegating Powers,Improving Regulation,and Strengthening Services

To advance the field of science and technology,we need to revitalize the development of science and technology through innovation.The development of science and technology has many beneficial implications on the revitalization of the country.For this reason,universities in China should give full attention to their role as the main propeller of science and technology.“Streamlining administration,delegating powers,improving regulation,and strengthening services”is a policy issued by the Chinese government for the management of science and technology funds in colleges and universities.Based on the policy of“streamlining administration,delegating powers,improving regulation,and strengthening services,”colleges and universities must optimize the management of science and technology funds for their efficient use.In this paper,we analyzed the importance of the policy and put forward an effective management strategy,aiming to improve the management of science and technology funds in colleges and universities.

Environmental Anthropological Study of Watershed Management‐Water Quality Conservation of Forest as a Catchment Area in the Southern Part of Australia

Authors have conducted an experiment of irradiation using sound waves (frequency) including ultrasonic waves into water such as drinking water, sea water and forest water and wastewater so far. As a result, almost the same effect of improvement of water quality was confirmed for each sound wave. Then, an environmental anthropological study of watershed management based on the sound was carried out assuming that a water quality management using the sound could be possible. The Goulburn River basin in the southern part of Australia in which indigenous peoples (Yorta Yorta) have been concerned with the management for a long time so far was selected as an objective drainage basin this time. As a result, a couple of environmental anthropological perspectives on watershed management were proposed.

KEY MEASURES FOR ESTABLISHING THE FAST-GROWING AND HIGH-YIELD LARCH PLANTATIONS

Ecological stable, fast-growing and high-yield larch plantations can be established through intcgrative nutricnt management and utilization of improved varieties. The integrative nutrient management can be conducted by accelcrating nutrient cycling through regulating stand structure and litter composition and by proper silvicultural manipulation. The improved varieties can be used by establishing recurrent cuttings orchards, and applying vegetative propagation of the following materials: seedlings of superior families; superior seedlings of good provenance and seed orchard; stump sprouts of elite trees in mature stand, improved clone of established seed orchards and second-generation elite trees in fast -growing period.