Evaluation of the Impact of Refined Quality Control Management Model on the Qualified Rate of Disinfection and Sterilization of Surgical Instruments in the Sterilization Supply Center

Objective:To evaluate the application value of a refined quality control management model for a sterilization supply center.Methods:A retrospective analysis was conducted on the work situation of the sterilization supply center from January 2021 to January 2023.The work situation before January 31,2022,was classified as the control group;a routine quality control management model was implemented,and the work situation after January 31,2022,was classified as the observation group.The quality of medical device management and department satisfaction between the two groups were compared.Results:The timely recovery and supply rate,classification and cleaning pass rate,disinfection pass rate,packaging pass rate,sterilization pass rate,and department satisfaction score in the observation group were all higher than those of the control group(P<0.05).Conclusion:Implementing a refined quality control management model in the sterilization supply center can improve the quality management level of medical devices and department satisfaction and is worthy of promotion.

Food Additives-Ascorbic Acid Quality Assay Test Intelligent Management

In this paper, based on the analysis and test methods of national standards （GB 14754-2010） and chemical analysis and test items carried out by chemical enterprises, a set of automatic processing of quality analysis test data of ascorbic acid products was developed by using access database technology and Visual Basic programming language system, and its stability was investigated. The results show that the software can manage intelligently all aspects of the quality analysis and test of ascorbic acid products, uploading timely the data and results of the analysis and inspection to the network and saving it for users, enterprises and quality management, which set up a network of information sharing platform to ensure the authenticity and reliability of measurement results, improving greatly the speed of data processing, saving valuable time, reducing production costs with good economic efficiency and social benefit. It has practical value for ascorbic acid quality analysis test data processing automatically the results of the implementation of intelligent management.

National Quality Supervision & Inspection Center for Refractories

National Quality Supervision ＆ Inspection Center for Refractories （NRQS） was set up in 1986 and was authorized in 1990 by State Bureau of Quality and Technical Supervision （SBQTS） as the state supervision ＆ inspection center （Certificate SBQTS No. 101）. In 1993, NRQS was granted Import ＆ Export Authorized Laboratory for national refractories by the State Administration for Entry Exit Inspection and Quarantine （Certificate No. 5302）. In 1995, NRQS was granted the national testing organization by State Committee of Science ＆ Technology and SBQTS. In September 2000,

Importance of Proficiency Testing in Water Quality Monitoring

The monitoring data is undoubtedly important to the water quality monitor- ing department. The proficiency testing is an important way to improve the monitor- ing capacity and enhance the quality management of laboratories. It plays an impor- tant role in ensuring the accuracy, integrity and comparability of monitoring data. In this paper, the positive role of proficiency testing in the water quality monitoring was analyzed. In addition, how to improve the water quality monitoring capacity and the quality management level of laboratories through the proficiency testing was also discussed.

Intelligent Management Based on Chemical Reagent Quality Analysis

Access database technology and Visual Basic programming language are used to develop a set of chemical reagents quality analysis and inspection of intelligent management application software, and its stability was investigated. The results show that the sotfware is used to manage intelligently the quality analysis of chemical reagents test each linkage, to upload and save the analysis of test data and results in the network in time for users, to build a network of information sharing platform for enterprises and quality management departments, and its quality of chemical reagents test results is used to manage by the computer with practical application value. The software is simple, convenient, fast, friendly interface, stable operation, accurate and reliable results, with a high value to promote the application.

On the Limits to Manage Air-Quality in Glacier Bay

In Glacier Bay National Park, about 95% of the visitors come on board of cruise ships. The National Park Service has the mandate to manage park resources like air quality and visibility, while ensuring visitation. To understand the impact of cruise-ship emissions on the overall concentrations in Glacier Bay, emission-source contribution ratios (ESCR) and the interaction of pollutant from local and/or distant sources were determined using results from four WRF/Chem simulations of the 2008 tourist season (May 15 to September 15). These simulations only differed by the emissions considered: Biogenic emissions only (CLN), biogenic plus activity-based cruise-ship emissions (REF), biogenic plus all anthropogenic emissions except cruise-ship emissions (RETRO), and all aforementioned emissions (ALL). In general, ESCRs differed among pollutants. Interaction between pollutants from cruise-ship emissions and species from other sources including those advected into the bay decreased towards the top of the atmospheric boundary layer. Pollutants from different sources interacted strongest (lowest) in the west arm of the fjord where ships berthed for glacier viewing (in areas of the bay without cruise-ship travel). Pollutant interaction both enhanced/reduced NO2 concentrations by 10% (4 - 8 ppt absolute). Except for ozone, cruise-ship emissions on average governed air quality in the bay. On days with cruise-ship visits, they contributed between 60% and 80% of the bay-wide daily mean SO2 and NO2 concentrations below 1 km height. On days without visits, cruise-ship contributions still reached 40% due to previous visits. Highest cruise-ship ESCRs occurred during stagnant weather conditions. Despite the fact that all coarse particulate matter was due to anthropogenic sources, worst visibility conditions were due to meteorology. The results suggest limits as well as windows for managing air quality and visibility in Glacier Bay.

Tianjin Automotive Test Center & National Passenger Car Quality Supervision and Inspection Center——A State Testing and Universality Techniques Research Base in China

Tianiin Automotive Test Center has a test capability as well as a capability of conducting universality techniques research. With fixed assets of around RMB 76.44 million yuan and an architectural area of 11,200 sqm, test labs mainly include: auto emission test lab, full-scale vehicle crash test lab, auto safety test lab, auto lighting and view field test lab, engine test lab,

Quality Management of Financial Shared Service Center in the Digitalization Context:A Case Study of HX Financial Shared Services Center

In the digitalization context,a financial shared services center(FSSC)is designed to engage quality management in providing standardized financial shared services and risk control,completing the fundamental financial work,and offering value-added financial services to customers.The means that all these services are delivered has drawn attention from both theoretical and practical communities.Yet few researches has been conducted so far in this regard.Based on the Grounded Theory research method,this paper looks at the related quality management methods and summarizes findings in financial shared services centers,based on the case study of HX Financial Shared Services Center.This paper also analyzes FSSC definition,FSSC quality management,digitalization applied in FSSC quality management,and FSSC e-quality management development in this digitalization context.This paper can serve as references to counterparts engaging in FSSC quality management and to supplement the prevailing theories on FSSC quality management application.

A Descriptive Longitudinal Study of Chronic Pain Outcomes and Gender Differences in a Multidisciplinary Pain Management Centre

Background: The long-term outcomes of patients with chronic pain treated in a multidisciplinary pain management center remain variable. Objective: This study aims to evaluate the changes in outcomes of patient’s self-reported pain, psychosocial status, health related quality of life and gender differences following treatment in amultidisciplinary pain management centre. Design: A prospective longitudinal cross-sectional study uses questionnaires. Treatment Setting: A pragmatic and individualized patient centered approach in a tertiary level multidisciplinary pain management center. Subjects: Patients with chronic pain referred to the centre from 2004-2010. Outcome Measures: Pain Numerical Rating Scale (NRS), Pain Temporal Description (1 - 6), Pain Self- Efficacy Questionnaire (PSEQ), Depression Anxiety Stress Scales (DASS-21) and Short Form-36 (SF- 36). Follow-up questionnaires were sent at 6 and 12 months after initial assessment. Results: Mean duration of baseline chronic pain was 8.1 years and 61% of chronic pains were involving the musculoskeletal system. At 6 and 12 month follow-ups, 273 and 180 participants had been surveyed respectively. At 6-month follow-up, there were significant improvements on pain intensity (Cohen’s d = 0.8), pain self-efficacy (Cohen’s d = 0.47), depression and stress scores (Cohen’s d = 0.16) and six out of eight domains of SF-36 (Cohen’s d = 0.2 - 0.4). At 12-month follow-up, improvements were maintained on pain intensity, self-efficacy and three out of eight domains of SF-36. There were distinctive pre- and post-treatment gender differences in these outcomes and overall females showed better short- and long-term outcomes than males. Conclusion: Multidisciplinary pain management using an individualized patient centered approach remains an effective treatment for chronic pain in both the short- (6 month) and long-term (12 month). The distinctive pre- and post-treatment gender differences particularly in the psychological outcomes, suggest that it may be beneficial to further delineate and better manage vulnerable patient subgroups.

2022年国家药品抽检质量状况分析研究

目的了解和掌握2022年国家药品抽检质量状况及可能存在的药品质量风险。方法以问题为导向,以风险防控为目标,采取“分散抽样、集中检验、探索研究、综合评价”的抽检模式。回顾国家药品抽检历年检验情况,针对2022年国家药品抽检的整体质量情况进行总体分析,重点对发现的主要质量问题及风险进行挖掘和分析。结果2022年抽检平均合格率为99.4%。中国上市后药品质量总体安全形势平稳可控,药品质量处于较高水平。结论通过开展与药品安全性、真实性、有效性等方面的探索性研究,国家抽检在全面评价药品质量状况、提升品种质量控制水平及行业标准、强化质量安全监管、打击掺杂掺假等违法违规行为、警示公众用药安全等方面发挥重要作用。

消毒供应中心对外来医疗器械全程质量管理的效果分析

目的查看消毒供应中心对外来医疗器械全程质量管理的应用效果。方法择取我院骨科外来医疗器械作为本文调查样本,共收取480件,将其随机分为对照组和实验组,其中对照组的240件外来医疗器械采用医院消毒供应中心(CSSD)传统模式进行清洗消毒灭菌;实验组的240件外来医疗器械实施全程质量管理后清洗消毒灭菌;数据评价包括:不同管理模式应用于外来医疗器械清洗灭菌效果,通过问卷的方式来分析医护人员对器械使用的满意情况。结果实验组清洗合格率为98.3%、性能完好率为99.2%,灭菌合格率100%;对照组的清洗合格率为91.7%、性能完好率为94.2%,灭菌合格率97.5%,差异有统计学意义(P<0.05)。实验组的科室满意度为98.3%高于对照组85.0%,差异有统计学意义(χ^(2)=27.994,P<0.05)。结论消毒供应中心对外来医疗器械实施清洗灭菌期间采用全程质量管理,可明显提高外来医疗器械的清洗灭菌质量,有效保证外来医疗器械的临床安全使用。

医保精细化管理助力国家骨科医学中心运行探索

随着医保DRG支付改革的不断深入和高值医用耗材集中采购的落地,国家骨科医学中心建设单位以国家公立考核以及医保支付改革为目标,以优势学科为重要管理对象,提出了以专科病种同质化管理为基础、临床诊疗组综合服务能力评价为核心,医用耗材合理性使用为抓手,资源激励为价值导向的医保精细化管理方案。通过医保精细化管理提高国家骨科医学中心运行,形成优势学科的规模效应,为国家医学中心建设和管理提出思考和建议。

国家区域医疗中心干部人才培养策略实践与思考

国家区域医疗中心的设立是解决当前医疗资源总量不足、区域发展不均衡难题的有效手段。区域医疗中心的高质量发展对推动优质医疗资源与人才资源的扩容下沉和均衡布局,提升区域医疗综合服务能力具有重要意义。围绕人才“选、育、管、用”难题,本研究以中国中医科学院广安门医院获批的3个国家区域医疗中心为例,梳理了现阶段国家区域医疗中心干部人才建设过程中存在的问题,提出了针对人才培养、人才引进、人才轮岗等不同层面的应对策略,凝练人才管理体制的具体举措,不断优化服务体系和服务模式,以期促进国家区域医疗中心在中医药新发展阶段中获得传承创新、融合提升、引领未来的新契机。

完善实验动物废物处置质量管理体系的思考:以中国食品药品检定研究院为例

科技发展是推动人类社会前进的巨大动力,而实验动物资源是生命科学、医药等领域科技发展的条件保障。但在开展医药研发、检验检测等实验过程中,使用实验动物产生的废物也为城市管理带来了新的考验。废物的分类、回收、有效利用和生物安全危害等问题接踵而至,对法规、标准、规范等的制定提出了与时俱进的要求。质量管理体系建设是检验检测机构管理的地基和框架,具备较强的操作性和检查性,可以不断提升管理水平,加强基础管理的稳定性。随着各层级新的管理办法出台,很多单位现行的质量管理体系内关于实验动物废物管理的相关内容欠妥,存在未明确非医疗机构实验动物废物处置流程、实验动物废物分类不准确、不同分类的废物未能按照不同方式处置等问题。本文针对目前存在的问题,梳理了中国食品药品检定研究院质量管理体系需要增加或者删改的流程,并制订了现行有效的标准作业流程,在如何加强监督管理方面提出了切实可行的措施,并开创性地把6S管理内容纳入质量管理体系中。因此,针对实验动物废物的管理应从完善质量管理体系的角度出发,从源头做好废物分类和管理,有效控制生物危害,最大限度地减少环境污染,为可持续发展创造条件。

基于协同理论的国家心血管病区域医疗中心高质量发展模式研究

国家区域医疗中心建设是“十四五”时期国家深入推进新型医疗服务体系改革的重要载体。针对当前国家区域医疗中心建设存在的协同机制不健全、协同动力不足以及考核评价体系缺失等问题,借鉴协同理论和个案研究法,在管理体制协同、运行机制协同和评价机制协同3个维度对国家区域医疗中心建设路径进行分析;探索构建国家区域医疗中心“13331”高质量发展管理新模式;在党建引领、医疗技术、科技创新、医教协同、品牌影响力等方面为新形势下推动国家区域医疗中心高质量发展提供经验借鉴和案例参考。

标准—检测—认证体系支撑防汛抗旱产品行业高质量发展的思考

标准、检验检测和认证作为国家质量基础设施的重要组成,对产业升级、技术创新和质量提升有重要作用,已经在我国消防和环保等诸多行业发挥了重要作用。但是防汛抗旱产品领域尚未建立起成熟的标准—检测—认证体系。我国防汛抗旱产品具有种类多、类型杂、涉及行业广的特点,为规范防汛抗旱产品市场,促进防汛抗旱产品行业高质量发展,在简要分析国内外防汛抗旱领域标准—检测—认证制度基础上,针对我国防汛抗旱产品行业发展现状,提出了在防汛抗旱产品领域建设标准—检测—认证体系的相关建议。

儿童本位:儿童有声读物内容精品化实践的应然方向

《中华人民共和国人口与计划生育法》的修改利好作为童蒙教育“第二课堂”的儿童有声读物产业,但精品内容的稀缺仍是当下儿童有声读物发展的桎梏,儿童本位可成为改善这一问题的应然理念。文章结合入选“全国有声读物精品出版工程”的作品以及其他国内外优秀儿童有声读物作品,从媒介可供性维度分析了精品儿童有声读物需匹配儿童阅读体验的媒介可供性、融合化传播可供性提升、转向云技术辅助的数字分发平台等趋势。从形式内容符号维度提出了强化听觉触点管理;重视供给侧原创IP符号开发;重返儿童日常生活,利用多元选题拓宽儿童有声读物的符号能指;拓展交互性叙事创新,提升儿童有声读物的童蒙教育效果等儿童本位视野下的实践路径。

关于理想森林及其经营的遗传学思考

我国是当今全球森林资源增长最多的国家。如何在此基础上科学、生态、节俭地提高森林生态系统稳定性和林地生产力,充分发挥森林的多功能作用,是我国林业界今后相当长的时间内必须面对的问题。本文首先基于森林永续利用思想理论的回顾,提出遗传学层面的理想森林概念,即拥有与分布区自然地理相适应的树种组成及群体遗传结构,优势树种持续保持丰富的群体遗传多样性,以及自然稀疏和自然更新能力,且生长等目标性状相关基因的正向等位变异高度聚合,可在更短时间内形成与立地环境相匹配的生态适应性和最高生产力的森林。通过不同森林类型的遗传特点分析,进一步提出基于遗传学和生态学原理,充分利用自然选择和竞争等生物间及其与环境间的互作机制等自然力,并采取一定的人工辅助措施促进森林群体遗传进展和稳定性,培育生产力高的健康森林的理想森林经营概念。认为遗传基础窄化的商品林适合采取法正林类模式集约经营,而遗传基础宽泛的商品林则适合采取理想森林经营。并针对我国森林遗传品质劣化的问题,提出从良种抓起,铸牢森林遗传基础,推动森林遗传进展,重塑森林遗传品质的理想森林经营基本路径。建议在今后的森林质量提升工作中,应以理想森林为目标,建立森林经营国家机制,重构国家公益林和商品林比重,严格森林分类管理和分类经营,加强森林基础科学研究,按种子区划育种、制种和用种,通过专业化的理想森林经营,实现国家森林越采越多、越采越好。

供应流程优化管理对消毒供应中心器械清洗消毒及包装质量的影响

目的探究供应流程优化管理对提高消毒供应中心器械清洗消毒剂包装质量的作用。方法选取2021年1月—2023年12月济南市市中区人民医院消毒供应中心的10名工作人员为研究对象。2021年1月—2022年6月记为参照组,2022年7月—2023年12月记为研究组。参照组行一般管理方法,研究组加用供应流程优化管理。比较两组的操作合格情况、器械不合格情况、工作人员工作质量及工作人员工作满意度。结果研究组灭菌、洗涤、包装及发放合格率均高于参照组,差异有统计学意义(P均<0.05)。研究组器械缺失、标签错误、包装错误及有效期错误发生率低于参照组,差异有统计学意义(P均<0.05)。研究组工作人员工作积极性、工作责任心、专业知识及技能操作评分均高于参照组,差异有统计学意义(P均<0.05)。研究组工作人员服务态度、需求满足、器械质量及回收发放满意度评分均高于参照组,差异有统计学意义(P均<0.05)。结论供应流程优化管理能够提高消毒供应中工作人员操作合格率,降低器械不合格率,提高工作人员工作质量及工作满意度。