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Associations between the use of red yeast rice preparations and adverse health outcomes:An umbrella review of meta-analyses of randomized controlled trials
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作者 Zhen-yu Ma Shu-ping Yang +7 位作者 Ying Li Tian-tian Xu Ya-lin Yang Hui-yong Yang Heng-bing Li Le-jin Zhou Yong Diao Su-yun Li 《Journal of Integrative Medicine》 SCIE CAS CSCD 2024年第2期126-136,共11页
Background:Red yeast rice(RYR),a natural lipid-lowering agent,is widely used in clinical practice.However,the existing meta-analyses concerning the safety of RYR preparations have yielded inconsistent results,and the ... Background:Red yeast rice(RYR),a natural lipid-lowering agent,is widely used in clinical practice.However,the existing meta-analyses concerning the safety of RYR preparations have yielded inconsistent results,and the credibility of the evidence has not been quantified.Objective:This study was designed to evaluate the existing evidence and offer a comprehensive understanding of the associations between the use of RYR preparations and various adverse health outcomes.Search strategy:Seven literature databases were searched from inception to May 5,2023,using medical subject headings and free-text terms(e.g.,“red yeast rice,”“Xuezhikang,”and“Zhibitai”).Inclusion criteria:Meta-analyses that investigated and quantitatively estimated associations between the use of RYR preparations and adverse health outcomes were included in this study.Data extraction and analysis:Two researchers independently extracted data using a standardized data collection table;any disagreements were resolved by consulting a third researcher.Based on the participant,intervention,comparator and outcome(PICO)framework in each eligible meta-analysis,a series of unique associations between the use of RYR preparations and adverse health outcomes were determined.The associations’effect estimates were re-evaluated using random-effect models.Results:Fifteen meta-analyses,comprising 186(164 unique)randomized controlled trials,were identified.Based on A Mea Surement Tool to Assess Systematic Reviews version 2,3(20%)and 12(80%)of these meta-analyses had low and critically low confidence,respectively.A total of 61 unique associations between the use of RYR preparations and adverse health outcomes were extracted from eligible metaanalyses.Based on the random-effect models,10(16.4%)associations indicated a significant protective effect of RYR preparations against adverse health outcomes,while 5(8.2%)indicated an increased risk of adverse health outcomes related to uric acid,alanine transaminase and aspartate transaminase levels.The other 46(75.4%)associations showed no significant difference between the use of RYR preparations and control treatments.Regarding the credibility of the evidence,21(34.4%),34(55.7%)and 6(9.8%)associations showed moderate,low and very low credibility,respectively.Conclusion:The evidence examined in this study suggests that RYR preparations are safe;however,the credibility of the evidence was not high.Further high-quality evidence is required. 展开更多
关键词 Red yeast rice safety Adverse health outcomes Umbrella review META-ANALYSIS Systematic review
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A mixed method analysis of patients' complaints: Underpinnings of theory-guided strategies to improve quality of care 被引量:5
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作者 Holly Wei Yan Ming +3 位作者 Hong Cheng Hui Bian Jie Ming Trent L.Wei 《International Journal of Nursing Sciences》 2018年第4期377-382,共6页
Purpose:Patients'complaints can be predictors of patient care quality and safety.Understanding patients'complaints could help healthcare organizations target the areas for improvements.The purpose of this stud... Purpose:Patients'complaints can be predictors of patient care quality and safety.Understanding patients'complaints could help healthcare organizations target the areas for improvements.The purpose of this study is to use a mixed method analysis to a)examine the characteristics and categories of patients'complaints,b)explore the relationships of patients'complaints with professions and units,and c)propose theory-based strategies to improve care quality.Methods:This is a descriptive mixed method study.Data examined are patients'complaints filed at a university-affiliated hospital in China from January 2016 to December 2017.A qualitative content analysis was conducted to categorize complaints.A TwoStep cluster analysis was performed to provide an overall profile of patients'complaints.Chi-Square tests were conducted to investigate the relationships among complaints,professions,and units.Results:838 complaints were filed,with 821 valid cases for analysis.Six categories surfaced from the qualitative analysis:uncaring attitudes,unsatisfactory quality of treatment or competence,communication problems,the process of care,fees and billing issues,and other miscellaneous causes.Physicians received most of the complaints(56.6%).The unit receiving the most complaints were outpatient clinics and medical support units(52.7%).The cluster analysis indicated four distinct clusters.Significant relationships existed between complaints and professions(x2(20)=178.82,P<0.01),and between complaints and units(x2(15)=42.72,P<0.01).Conclusions:Patients'complaints are valuable sources for quality improvements.Healthcare providers should be not only scientifically knowledgeable,but also humanistic caring.Caring-based theories may provide guidance in clinical practice. 展开更多
关键词 Patient complaints Patient safety quality improvements quality of health care
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From Soil Pollution to “Cadmium Rice” to Public Health Impacts: An Interdisciplinary Analysis of Influencing Factors and Possible Responses 被引量:11
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作者 贺珍怡 王五一 《Journal of Resources and Ecology》 CSCD 2018年第1期1-12,共12页
This article discusses the causes of the contamination of rice with cadmium in China and considers what we know about the severity of the problem. It argues that it is misleading to extrapolate simply from levels of c... This article discusses the causes of the contamination of rice with cadmium in China and considers what we know about the severity of the problem. It argues that it is misleading to extrapolate simply from levels of cadmium in soil to health risks, because the uptake of cadmium by crops and the health impacts of the metal are affected by multiple factors. These include not only background levels of cadmium and pollution from mining and industry, but also soil quality, climatic conditions and the type and variety of crops grown. Social and cultural factors, including dietary habits, other exposure sources, nutritional quality and general health status will also affect the intake of cadmium and the severity of health impacts. For these reasons we argue that interdisciplinary analysis is crucial to a better understanding of patterns of risk to health from cadmium pollution, and to the design of effective responsive measures. 展开更多
关键词 soil pollution food safety CADMIUM rice environmental health China
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Translation, Cultural Adaption and Validation of Hospital Survey on Patient Safety Culture in Kosovo
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作者 Naime Brajshori Johann Behrens 《Open Journal of Nursing》 2016年第6期483-490,共8页
Background: An essential condition to improve patient safety is considered to ensure a supportive patient safety culture. Measuring the culture of patient safety in all health care institutions may be a first step to ... Background: An essential condition to improve patient safety is considered to ensure a supportive patient safety culture. Measuring the culture of patient safety in all health care institutions may be a first step to target improvements. Creating a culture of safety requires eliminating the culture of blame. In order to formulate actions for improvement, it is important for hospitals to assess their baseline scores for the existing safety culture and to determine the areas of priority. Aim: The aim of this study was first to measure the use, translation in Albanian and adaptation of the Hospital Survey on Patient Safety Culture (HSOPSC) assessment as a tool for improving patient safety in Kosovo Hospitals. The second aim was to measure the level of patient safety culture in Kosovo, in seven hospitals and one University Clinical Center (hospitals with over 50 beds, including psychiatric hospitals). Method: The questionnaire (HSOPSC) was translated into Albanian for use in the Kosovo. It was used forward-backward translation: the questions were translated into Albanian by one translator and then translated back into English by an independent translator who was blinded to the original questionnaire. Results: In the eight-factor model, the internal consistency of the factors and the construct validity of the HSOPSC questionnaire were mostly satisfactory. The construct validity was sufficient for all subscales, except for the 4 other subscale regarding intention to report incidents which correlated poorly with other subscales. In total, HSOPSC has 12 dimensions. Cronbach’s α showed that in Kosovarian society, we could use only 8 dimensions model. Conclusion: The hypothesis that HSOPSC would be a suitable instrument to provide important indicators for the improvement of patient safety culture was tested and it was confirmed, that HSOPSC could be used as 8 dimension model. HSOPSC is suitable to improve patient safety culture and provide each hospital with a basic profile on patient safety culture and recommendations for an oriented intervention plan. 展开更多
关键词 Patient safety Culture of safety health Care Providers TRANSLATION ADAPTATION quality Assurance
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Role of nurses in improving patient safety: Evidence from surgical complications in 21 countries 被引量:4
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作者 Arshia Amiri Tytti Solankallio-Vahteri Sirpa Tuomi 《International Journal of Nursing Sciences》 CSCD 2019年第3期239-246,共8页
Objectives: To analyze the role of nurse staffing in improving patient safety due to reducing surgical complications in member countries of Organization for Economic Co-operation and Development (OECD).Methods: The nu... Objectives: To analyze the role of nurse staffing in improving patient safety due to reducing surgical complications in member countries of Organization for Economic Co-operation and Development (OECD).Methods: The number of practicing nurses' density per 1000 population and five surgical complications indicators including foreign body left in during procedure (FBL),postoperative pulmonary embolism (PPE) and deep vein thrombosis (DVT) after hip and knee replacement,postoperative sepsis after abdominal surgery (PSA) and postoperative wound dehiscence (PWD) were collected in crude rates per 100,000 hospital discharges for age group of 15 years old and over within 30 days after surgery based on surgical admission-related and all admission-related methods.The observations of 21 OECD countries were collected from OECD Health Statistics during 2010-2015 period.The statistical technique of panel data analysis including unit root test,co-integration test and dynamic long-run analysis were used to estimate the possible relationship between our panel series.Results: There were significant relationships from nurse-staffing level to reducing FBL,PPE,DVT,PSA and PWD with long-run magnitudes of-2.91,-1.30,-1.69,-2.81 and-1.12 based on surgical admission method as well as-6.12,-14.57,-7.29,-1.41 and-0.88 based on all admission method,respectively.Conclusions: A higher proportion of nurses is associated with higher patient safety resulting from lower surgical complications and adverse clinical outcomes in OECD countries.Hence,we alert policy makers about the risk of underestimating the impact of nurses on improving patient safety as well as the quality of health care services in OECD countries. 展开更多
关键词 Nursing staff Organization for Economic Co-Operation and development Panel data analysis Patient discharge Patient safety Perioperative complication quality of health care
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A Methodology to Develop the Integration of the Environmental Management System with Other Standardized Management Systems 被引量:1
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作者 Manuel Ferreira Rebelo Gilberto Santos Rui Silva 《Computational Water, Energy, and Environmental Engineering》 2014年第4期170-181,共12页
Traditionally the global management system of an organization is frequently split into a number of individual management systems that are defined and implemented according to specific management systems standards (MSS... Traditionally the global management system of an organization is frequently split into a number of individual management systems that are defined and implemented according to specific management systems standards (MSSs) as well as managed independently. The individual implementation of MSSs is an option that leads to several inefficiencies and sub-optimization of the global management system of an organization. As referred by ISO [1] the interested parties’ requirements increase. A more effective and efficient option for an organization is to integrate, into an integrated management system (IMS), the implementation and management of requirements of multiple MSSs. Certain difficulties are associated to the structuring process, implementation, verification, evaluation, improvement and progressive development of an IMS in the organizations. Several scholars have proposed various theoretical approaches regarding the integration of individual management systems (MSs) leading to the conclusion that there is not a common practice for all organizations as they encompass different characteristics. This paper aims to present and justify a designed methodology to be used by organizations to support the integration of various MSs. Among them are highlighted: the Environmental Management System (EMS) according ISO 14001 [2], the Quality Management System (QMS) according ISO 9001 [3], and the Occupational Health and Safety Management System (OH & SMS) according OHSAS 18001 [4]. The methodology was designed in the context of a Portuguese company, on sequence of an organizational diagnosis and a research that was performed through a questionnaire. The strategy and the research methods took into consideration the case study. 展开更多
关键词 Integrated MANAGEMENT Systems (IMS) Environmental MANAGEMENT SYSTEM (EMS) quality MANAGEMENT SYSTEM (QMS) OCCUPATIONAL health and safety MANAGEMENT SYSTEM (OH & SMS)
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Opportunities for nurses in the era of electronic health records
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作者 Tiffany Kelley 《Open Journal of Nursing》 2014年第1期15-17,共3页
Nursing leaders are currently faced with opportunities to advance nursing’s role in the use of electronic health records (EHRs). Nurse leaders can advance the design of EHRs with nurse informaticists to improve healt... Nursing leaders are currently faced with opportunities to advance nursing’s role in the use of electronic health records (EHRs). Nurse leaders can advance the design of EHRs with nurse informaticists to improve health outcomes of individual and populations of patients. 展开更多
关键词 Nurses Electronic health RECORDS quality and safety of CARE Informatics PATIENT and POPULATION health Management
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Relationship between information technology functionalities and hospital-acquired injurious fall rates in US acute care hospitals
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作者 Huey-Ming Tzeng Hsou Mei Hu +1 位作者 Chang-Yi Yin Yu Kang 《Open Journal of Nursing》 2012年第2期104-110,共7页
The purpose of this exploratory study was to determine health information technology functionalities in inpatient care units that were associated with reduced fall risk among adult patients aged 65 years or older in a... The purpose of this exploratory study was to determine health information technology functionalities in inpatient care units that were associated with reduced fall risk among adult patients aged 65 years or older in acute care hospitals in the United States. This study compared the differences in the hospital-acquired injurious fall rates for hospitals in California, Florida, and New York with and without fully implemented IT functionalities in their general medical and surgical inpatient units. It used publicly available 2007 datasets, the hospital was the unit of analysis, and teaching and non-teaching hospitals were analyzed separately. Hospital-acquired injurious falls were identified based on fall-related primary and secondary diagnoses and were flagged by the hospitals as not “present on admission” in the 2007 California, Florida, and New York State Inpatient Database data. The 4 health IT functionalities in general medical and surgical inpatient units were 1) electronic clinical documentation, 2) results viewing, 3) computerized provider order entry, and 4) decision support. The research question was What are the effective health IT functionalities in the general medical and surgical units for reducing fall risk among adult patients aged 65 years or older at their hospitals? Independent t tests were used. The results showed that no significant difference was found in the hospital-acquired injurious fall rates between hospitals with and without each of the 4 functionalities and between the teaching hospitals with and without each of the 4 functionalities. Significant differences were found in the injurious fall rates between non-teaching hospitals with and without electronic clinical documentation and result viewing. Future research may focus on assessing the clinicians’ use of the IT functionalities of electronic clinical documentation and results viewing, as well as the effect of the clinicians’ use patterns on patient outcomes. 展开更多
关键词 Hospitals Accidental FALL INPATIENTS Electronic health Records Clinical Decision Support SYSTEMS Order Entry SYSTEMS safety quality of health Care
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基于FMEA方法的射线检测实验室风险管理 被引量:1
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作者 张小海 柴成勇 余欣辉 《南昌航空大学学报(自然科学版)》 CAS 2024年第1期132-140,共9页
射线检测是无损检测的主要方法,广泛应用于产品缺陷检测。X射线、γ射线是能量较高的电磁辐射,这使得射线检测实验室的管理不同于一般的实验室。基于此,应用故障模式及影响分析(FMEA)方法,参考质量、环境、职业健康安全国际管理体系标... 射线检测是无损检测的主要方法,广泛应用于产品缺陷检测。X射线、γ射线是能量较高的电磁辐射,这使得射线检测实验室的管理不同于一般的实验室。基于此,应用故障模式及影响分析(FMEA)方法,参考质量、环境、职业健康安全国际管理体系标准的要求,对射线检测实验室的质量、环境、职业健康安全三大风险进行识别、分析、评价及控制。通过设计适用于三大风险的FMEA表和评分表对射线检测实验室的质量因素、环境因素、危险源开展识别及评价,通过计算风险优先数(RPN)获得重要质量因素、环境因素、危险源,并提出有效控制措施。研究结果对高等院校射线检测实验室的风险分析、评价及管理具有一定的参考价值。 展开更多
关键词 射线检测实验室 FMEA方法 质量风险 环境风险 职业健康安全风险
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稻谷对铅富集特性的品种差异及其安全风险
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作者 林芗华 《中国稻米》 北大核心 2024年第1期63-68,共6页
以漳州当地15个水稻主栽品种为试材,采用添加铅源的盆栽试验及大田试验,考察稻谷对铅富集特性的品种差异及评价其质量安全风险。结果表明,在弱酸性(5.5<pH≤6.5)水田土壤中,盆栽试验土壤铅全量分别为22.4、103.5和204.8 mg/kg时,15... 以漳州当地15个水稻主栽品种为试材,采用添加铅源的盆栽试验及大田试验,考察稻谷对铅富集特性的品种差异及评价其质量安全风险。结果表明,在弱酸性(5.5<pH≤6.5)水田土壤中,盆栽试验土壤铅全量分别为22.4、103.5和204.8 mg/kg时,15个品种稻谷铅含量变幅分别为0.016~0.061、0.061~0.198和0.157~0.606 mg/kg;大田试验土壤铅全量分别为23.4、23.5、26.4 mg/kg时,15个品种稻谷铅含量变幅为0.016~0.056、0.014~0.056和0.024~0.069 mg/kg;同一品种稻谷铅含量与土壤铅全量呈正相关性直线关系(P<0.01)。不同品种稻谷对铅的富集能力有显著差异(P<0.05),盆栽试验和大田试验的富集系数分别为0.059%~0.296%和0.060%~0.261%;聚类分析得出有4个品种为高富集、6个品种为中富集、5个品种为低富集。依据GB2762—2017规定的稻谷中铅含量限量标准(0.2 mg/kg),低富集、中富集和高富集水稻品种,弱酸性水田土壤(5.5<pH≤6.5)铅全量风险临界值分别为204.1~274.7、113.5~180.0和82.7~107.1 mg/kg。漳州市15个水稻品种在土壤铅全量≥风险临界值的水田上种植,稻谷铅含量存在质量安全高风险(>0.2 mg/kg)。 展开更多
关键词 水稻 品种 稻谷 富集特性 质量安全 风险评价
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氟化物毒性效应与水质基准标准研究进展与展望
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作者 米屹东 周凌峰 +5 位作者 冯承莲 苏海磊 陈艳卿 梁为纲 许子寒 吴丰昌 《生态毒理学报》 CAS CSCD 北大核心 2024年第2期148-164,共17页
氟摄入过低或过高,都会对人体健康产生负面影响,此外,水体中的氟化物含量过高也会对水生生物产生危害。本文综述了氟化物的主要来源与分布,以及氟化物的毒性效应,从保护人体健康和水生生物2个角度分析了国内外氟化物水质基准/标准研究现... 氟摄入过低或过高,都会对人体健康产生负面影响,此外,水体中的氟化物含量过高也会对水生生物产生危害。本文综述了氟化物的主要来源与分布,以及氟化物的毒性效应,从保护人体健康和水生生物2个角度分析了国内外氟化物水质基准/标准研究现状,并针对氟化物人体健康效应的双阈值性、氟化物摄入源地区差异性、氟化物水生生物毒性受温度、硬度和氯离子浓度等影响的特征,展望了我国氟化物水质基准研究和标准修订的未来发展方向:(1)深入探讨氟化物保护人体健康的最适区间;(2)将氟化物总摄入量的地区差异性纳入地方性水质标准制定的考虑范畴;(3)加强水质参数(如硬度、温度和氯离子浓度等)修正的氟化物水生生物水质基准研究。 展开更多
关键词 氟化物 水质基准 水质标准 人体健康 生态安全
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稻鳖综合种养关键技术及其产品质量安全管控分析
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作者 江云珠 楼光明 +3 位作者 杨帅 李真 姚佳蓉 戴芬 《中国稻米》 北大核心 2024年第6期91-94,共4页
基于稻鳖综合种养的生产实际,本文梳理了稻田养鳖的关键技术,并简明介绍了稻田工程改造、品种选择、栽培管理、养殖管理及水质调控等关键技术要点。同时对当前稻鳖综合种养中存在的问题进行了探讨,并提出运用农产品质量安全管控技术、... 基于稻鳖综合种养的生产实际,本文梳理了稻田养鳖的关键技术,并简明介绍了稻田工程改造、品种选择、栽培管理、养殖管理及水质调控等关键技术要点。同时对当前稻鳖综合种养中存在的问题进行了探讨,并提出运用农产品质量安全管控技术、生产技术标准化等措施来加强稻渔产品生产管理。规范这些关键技术有利于提升农产品质量安全水平,促进综合种养模式的推广和应用,对培育优质稻渔农产品及品牌、增加农业收入、实现粮食稳产增效目标具有重要意义。 展开更多
关键词 水稻 稻鳖综合种养 关键技术 质量安全管控
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模拟训练在提高肿瘤护理质量和患者安全中的应用:范围综述 被引量:1
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作者 Nadia Al Wachami Mohamed Chahboune +3 位作者 Ibtissam Youlyouz-marfak Mohamed Reda Mesradi Hajar Lemriss Abderraouf Hilali 《International Journal of Nursing Sciences》 CSCD 2024年第2期187-196,I0002,共11页
目的模拟训练(simulation-based training,SBT)是一种有效的教育方法,广泛应用于包括肿瘤学在内的多种临床环境中。该文对肿瘤学中与SBT相关的研究进行了范围综述,全面了解SBT在提高医护人员技能方面的作用,从而提高护理质量和患者安全... 目的模拟训练(simulation-based training,SBT)是一种有效的教育方法,广泛应用于包括肿瘤学在内的多种临床环境中。该文对肿瘤学中与SBT相关的研究进行了范围综述,全面了解SBT在提高医护人员技能方面的作用,从而提高护理质量和患者安全。方法根据Arksey和O’Malley提出的范围综述方法框架,在Medline、Scopus和Web of Science数据库中检索于2012年至2022年发表的,与SBT在提高肿瘤科医护人员技能方面的相关研究文献,仅纳入经过同行评审的英文或法语文献。由2名研究员独立进行文献的筛选、提取和分析。结果检索出1013篇文章,共纳入29篇文献。其中25篇文献侧重于非技术技能,如决策技能、沟通和团队合作技能以及认知能力;13篇文献侧重于技术技能。纳入文献研究结果表明,通过SBT项目,肿瘤科医护人员的技能得到了显著提高。其中14篇文献对SBT的应用进行了主观评估,9篇文献对其进行了客观评估,6篇文献采用了主观和客观相结合的评估方法。结论SBT是提高肿瘤科医护人员技能的有效方法,支持和推广SBT对提供高质量的医疗服务和确保患者安全至关重要。 展开更多
关键词 护士 肿瘤科 患者安全 卫生保健质量 模拟训练
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安全卫生管理模式对医院卫生管理质量的效果分析
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作者 曲文英 贾惠茹 郑文玲 《中国卫生产业》 2024年第15期88-91,共4页
目的评估安全卫生管理模式在提高医院卫生管理质量中的效果。方法选取2022年1月—2023年12月潍坊市中医院的25名医务人员为研究对象。2022年1—12月采用常规健康管理措施为对照组,2023年1—12月实施安全卫生管理模式为观察组。比较两组... 目的评估安全卫生管理模式在提高医院卫生管理质量中的效果。方法选取2022年1月—2023年12月潍坊市中医院的25名医务人员为研究对象。2022年1—12月采用常规健康管理措施为对照组,2023年1—12月实施安全卫生管理模式为观察组。比较两组医务人员的综合能力评分、不良事件发生情况及医务人员的满意度。结果观察组医务人员的沟通能力、理论知识、操作能力、综合能力得分均高于对照组,差异有统计学意义(P均<0.05)。观察组出现1例手卫生不合格、1例院内感染以及1例投诉;对照组现2例手卫生不合格、1例院内感染以及2例投诉。观察组医务人员对医院的工作环境、人际关系、工作制度等方面的卫生管理制度满意度均高于对照组,差异有统计学意义(P均<0.05)。结论安全卫生管理模式能有效降低不良事件,提高医护人员对医院卫生管理制度的满意度与医务人员的综合能力。 展开更多
关键词 安全卫生管理模式 医院卫生管理质量 效果分析
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郑州市市售蔬菜重金属Pb和Cd污染评价
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作者 杨海龙 张珂 +3 位作者 武华云 李营营 白保勋 刘楠 《中国瓜菜》 CAS 北大核心 2024年第1期123-130,共8页
蔬菜质量安全直接关系到人们健康生活的需求,为了解郑州市主城区市售蔬菜重金属铅(Pb)和镉(Cd)污染程度,评估经摄食途径对人群产生的健康风险,在郑州市主城区农贸市场和大型商超采集9种蔬菜,采用原子吸收光谱法测定重金属Pb和Cd的含量,... 蔬菜质量安全直接关系到人们健康生活的需求,为了解郑州市主城区市售蔬菜重金属铅(Pb)和镉(Cd)污染程度,评估经摄食途径对人群产生的健康风险,在郑州市主城区农贸市场和大型商超采集9种蔬菜,采用原子吸收光谱法测定重金属Pb和Cd的含量,采用单因子污染指数法评价其污染特征,采用目标危害系数法、致癌风险系数法评估重金属污染的健康风险。结果表明,蔬菜中Pb和Cd的检出率分别为44.63%和82.71%,变异系数分别在29.7%~93.7%和38.6%~205.0%;蔬菜中Pb和Cd的目标危害系数(THQ)远远小于1;蔬菜中Pb的致癌风险系数(CR)范围为2.5×10^(-6)~13.1×10^(-6),Cd的CR值范围为4.1×10^(-4)~21.3×10^(-4),蔬菜中Cd污染具有致癌的风险,Pb污染具有致癌的潜在风险。郑州市市售9种蔬菜中Pb、Cd重金属总体污染水平较低,并且重金属含量的空间分布很不均匀,不会对人群造成明显健康危害,但是要注意潜在的致癌风险。 展开更多
关键词 蔬菜 质量安全 健康风险 污染特征 重金属
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基于区域健康数据的血站采血前健康筛查系统设计与应用
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作者 陈文迪 刘奕宇 裘琼玲 《中国卫生质量管理》 2024年第12期90-93,共4页
目的设计血站采血前健康筛查系统,协助体检医生进行献血前健康检查。方法按照国家有关献血者健康检查要求,制订相应疾病、手术、用药等分类筛查匹配规则,利用区域全民健康信息平台相关数据服务,对献血者相关历史就医诊断及药物使用等信... 目的设计血站采血前健康筛查系统,协助体检医生进行献血前健康检查。方法按照国家有关献血者健康检查要求,制订相应疾病、手术、用药等分类筛查匹配规则,利用区域全民健康信息平台相关数据服务,对献血者相关历史就医诊断及药物使用等信息进行风险筛查。结果献血前查体辅助软件能有效触发筛查匹配规则,给予医生健康风险相关提示。结论该系统能为体检医生提供有效辅助分析和判断手段,补充识别献血者健康风险,保障献血者健康和血液安全。 展开更多
关键词 血站 健康档案 健康筛查 血液质量 血液安全
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稻田综合种养土壤重金属空间变异特征与质量安全评价研究进展
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作者 董振杰 陆尧 +3 位作者 李京咏 窦志 张洪程 高辉 《中国稻米》 北大核心 2024年第1期36-38,共3页
近年来,在我国20多个省份稻田综合种养规模上得到快速扩大,模式上得以创新推进,在脱贫攻坚、乡村振兴、农业绿色发展等进程中发挥了重要作用。但在稻田综合种养尤其是稻田轮作种养中,仍存在肥药施用不合理、饲料和饲料添加剂投入量大、... 近年来,在我国20多个省份稻田综合种养规模上得到快速扩大,模式上得以创新推进,在脱贫攻坚、乡村振兴、农业绿色发展等进程中发挥了重要作用。但在稻田综合种养尤其是稻田轮作种养中,仍存在肥药施用不合理、饲料和饲料添加剂投入量大、污水灌溉等问题,致使来源不一的重金属元素持续在稻田土壤富集,长此以往将不仅影响水稻和水产禽类的正常生长发育与产量品质,也对农产品质量安全带来潜在影响。为此,本文阐述了稻田综合种养土壤重金属空间变异特征与质量安全评价研究进展,并提出研究展望,以期为促进稻田综合种养绿色高质量可持续发展提供理论参考。 展开更多
关键词 水稻 稻田综合种养 土壤 重金属 空间变异 质量安全
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混合改进AHP的矿冶工程总承包HSE管理评价
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作者 邵和东 《矿冶》 CAS 2024年第2期203-209,共7页
矿冶工程总承包的管理质量直接决定项目的安全性和效益。为提升矿冶工程总承包项目管理质量,根据矿冶集团的“健康-安全-环境(Health-Safety-Environment,HSE)”项目管理资料,构建矿冶工程总承包项目管理的评价指标体系,并基于混合改进... 矿冶工程总承包的管理质量直接决定项目的安全性和效益。为提升矿冶工程总承包项目管理质量,根据矿冶集团的“健康-安全-环境(Health-Safety-Environment,HSE)”项目管理资料,构建矿冶工程总承包项目管理的评价指标体系,并基于混合改进层次分析法设计矿冶工程总承包HSE管理评价模型。模型应用实例分析结果显示,设计的矿冶工程总承包HSE管理评价模型与专家评分的差异明显小于其余传统模型与专家评分的差异,且设计的工程总承包HSE管理模式较传统管理模式的管理质量更高。 展开更多
关键词 矿冶工程 改进层次分析法 工程总承包 健康-安全-环境 安全性 管理质量 评价模型
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大米加工过程中微生物污染及其对产品质量安全的影响
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作者 张重阳 《食品安全导刊》 2024年第2期7-9,共3页
大米作为全球范围内消费量巨大的主食之一,其生产和加工过程中的微生物安全受到广泛关注。本文分析大米加工过程中微生物污染的来源、种类及其对产品质量安全的潜在影响,并提出有效的控制策略。通过对加工环节进行深入分析,发现粮食储... 大米作为全球范围内消费量巨大的主食之一,其生产和加工过程中的微生物安全受到广泛关注。本文分析大米加工过程中微生物污染的来源、种类及其对产品质量安全的潜在影响,并提出有效的控制策略。通过对加工环节进行深入分析,发现粮食储存、处理、加工过程中的环境因素是影响大米微生物污染的关键因素,适当的储存条件、清洁的加工环境、严格的卫生操作规程可以明显降低污染风险。 展开更多
关键词 大米加工 微生物污染 产品质量安全 控制策略
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幼儿园食品安全管理与营养质量控制
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作者 邓小云 《食品安全导刊》 2024年第20期14-16,共3页
本文针对幼儿园食品安全管理与营养质量控制的现状与挑战,从食品安全法规遵循、营养膳食设计、质量控制流程、员工培训与监督、家长参与及营养教育等方面,探讨了全面优化幼儿园餐饮服务的策略与实践,旨在为儿童提供安全、营养均衡的饮... 本文针对幼儿园食品安全管理与营养质量控制的现状与挑战,从食品安全法规遵循、营养膳食设计、质量控制流程、员工培训与监督、家长参与及营养教育等方面,探讨了全面优化幼儿园餐饮服务的策略与实践,旨在为儿童提供安全、营养均衡的饮食环境,促进其健康成长。 展开更多
关键词 幼儿园食品安全 营养质量控制 健康饮食 儿童健康
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