A holistic strategy for quality and safety control of traditional Chinese medicines by the “iVarious” standard system

An effective quality control system is the key to ensuring the quality, safety and efficacy of traditional Chinese medicines(TCMs). However, the current quality standard research lacks top-level design and systematic design,mostly based on specific technologies or evaluation methods. To resolve the challenges and questions of quality control of TCMs, a brand-new quality standard system, named "iVarious", was proposed. The system comprises eight elements in a modular format. Meaning of every element was specifically illustrated via corresponding research instances. Furthermore, frankincense study was taken as an example for demonstrating standards and research process, based on the "i Various" system. This system highlighted a holistic strategy for effectiveness,security, integrity and systematization of quality and safety control standards of TCMs. The establishment of"i Various" integrates multi-disciplinary technologies and progressive methods, basis elements and key points of standard construction. The system provides a novel idea and technological demonstration for regulation establishment of TCMs quality standards.

The Standard System and Quality and Safety Standards for Banana in China

Banana is an important tropical fruit and China is the world's third largest banana producer. The standardization level of banana industry not only affects the yield and quality of banana,but also plays an important role in promoting the production standardization and industrialization of other tropical crops. Through the analysis of revision,publicity and implementation of banana standard system in China as well as the study on its standard system and quality and safety standards,it is found that there are some problems such as irrational banana standard structure,short period of validity of standard,low level of quality and safety standards,and loose link between standards and production. At the same time,some recommendations are put forward in order to guide the standardized production and trade,research and management of banana and promote sustained,healthy and stable development of the banana industry in China.

Thoughts on Establishment of the Agricultural Products Quality and Safety(Standards) Cooperation Center in Asia-Pacific Region

The establishment of agricultural products quality and safety cooperation mechanism and the research demonstration center in the Asia-Pacific reg coordinating each other, is not only of great ening cooperation with countries in Asia-Pacific region and for agricultural production safety of those countries in Asia- Pacific region, but also very necessary for our country to build a responsible image in the quality and safety of agricultural products, protection of the benefit of agriculture-related enterprises, increasing exports, ensuring imported food safety and China＇s national food security, as Well as nice exploration of establishing the global agricultural＇ products quality and safety cooperation center.

Standards Ensure Basic Life Quality and Safety

October 14th will be an important day for all of our colleagues engaged in standardization.The theme of the 2008 World Standards Day is'Intelli-gent and sustainable buildings'.The requirements for urban residential developments are rising daily,accompanied by increasing public awareness

Compliance of Milk Quality and Safety Measures Among Milk Producers and Milk Collection Centers in South Region of Punjab Province,Pakistan

The present study was conducted in four districts of Punjab Province to examine the attitude of milk producers and milk collection agents toward compliance of milk quality and safety parameters. In current scenario, the attitude of consumers for safe food in accordance to quality standards is ever increasing. The dairy industry in Pakistan is confronting many challenges to adapt these food safety and quality measures. This study was purposely conducted in the south region of Punjab Province, as this region has rich population of livestock and milk production. To collect essential data, field study was carded out in selected four districts of Punjab Province. Field survey for dairy farmers and milk collection centers was performed in two phases. The analysis of primary data was carried out by calculating the Likert scale mean value, analysis of variance （one-way） and other descriptive statistics tools. The results showed that 76.4% milk producers had no awareness about Punjab food quality laws; as Likert-scale mean value was 1.93. The compliance level for the management practices such as Hazard Analysis of Critical Control Point （HCCAP）, Good Animal Practices （GAP） and Good Veterinary Practices （GVP） etc. was also very poor. Approximately, 32.57% milk collectors （very frequently） applied milk quality testing parameters whereas 50.72% milk collectors merely used sensory quality inspection methods at the time of milk purchase from dairy farmers. For a sustainable supply of good quality raw milk to the dairy industry in Pakistan, it was recommended that the departments for hygiene and food inspection should be vigilant. The prescribed food safety laws relating to milk production and marketing activities should be enforced properly to improve the situation.

Challenges using electronic nursing routine data for outcome analyses:A mixed methods study

Objectives To explore the challenges of secondary use of routinely collected data for analyzing nursing-sensitive outcomes in Austrian acute care hospitals.Method A convergent parallel mixed methods design was performed.We conducted a quantitative representative survey with nursing managers from 32 Austrian general acute care hospitals and 11 qualitative semi-structured interviews with nursing quality management experts.Both results were first analyzed independently and afterward merged in the discussion.Results On average,76%of nursing documentation is already electronically supported in the surveyed Austrian hospitals.However,existing nursing data is seldom used for secondary purposes such as nursing-sensitive outcome analyses.This is due to four major reasons:First,hospitals often do not have a data strategy for the secondary use of routine data.Second,hospitals partly lack the use of standardized and uniform nursing terminologies,especially for nursing evaluation.Third,routine nursing data is often not documented correctly and completely.Fourth,data on nursing-sensitive outcomes is usually collected in specific documentation forms not integrated into routine documentation.Conclusion The awareness of the possibilities for secondary use of nursing data for nursing-sensitive outcome analyses in Austrian hospitals is still in its infancy.Therefore,nursing staff and nursing management must be trained to understand how to collect and process nursing data for nursing-sensitive outcome analyses.Further studies would be interesting in order to determine the factors that influence the decision-making processes for the secondary use of nursing data for outcome analyses.

Quality Safety Standards of Organic Mango

This article conducts a brief analysis of the factors that affect the quality safety of organic mango, and discusses the organic production measures for improving the quality and quality safety of mango, including the choice of environment of place of origin, varieties and seedlings, fertilizers and fertilization, plant protection products and other production inputs. A test is carried out in 0.667 hm2 of base in Tianyang County, Baise City. Content of lead, arsenic and 14 kinds of pesticide residue such as BHC in the mango are not detected; the content of heavy metal such as mercury and cadmium is 0.001-0.006 mg/kg. Then the quality and quality safety indicators of organic mango are discussed, and finally the Guangxi local standards of organic mango products are developed.

Impact of Food Safety Standards on Food Export

This article research the food quality standards covered global and international regulations on food safety and quality, and public and private standards. The effect of global character of food safety and quality standardization shows that the important effect is increasing marginal costs of certification and accreditation, which puts pressure on export company profits in different countries. Main conclusions yield insights into the key following points： Increased food safety has been associated with higher income. Consumers and governments can afford to focus more on reducing food-borne safety risks once basic quantity needs for foods have been met or are in the process of being met. This suggests that policies focused on increasing income are the surest path to improving food safety in all countries. Food safety regulations should be designed to meet the food safety demands of consumers in rich countries and, at the same time, further the interests of both consumers and producers in poor countries.

中国医院协会《中国医院质量安全管理》团体标准编制与应用实践研究

中国医院协会以医疗质量安全为主题,组织开展《中国医院质量安全管理》系列团体标准编制与应用建设。文章从标准建设背景、编制特点、应用模式等方面进行阐释,并对编制中的问题进行探讨,提出提高团体标准质量及扩展应用路径和方式,充分发挥团体标准作用和价值等思考。

标准化护理干预在糖尿病肾病患者护理中的应用

目的:探讨标准化护理干预对2型老年糖尿病肾病患者血糖控制效果的影响。方法:2021年1月到2022年3月,选取100例糖尿病肾病患者为对象,每组50例,分别是观察组、对照组,前者实施标准化护理,后者实施常规护理。结果:观察组生理职能、生理机能、躯体疼痛、健康状况、精力、社会功能、情感职能、精神健康等方面评分均优于对照组(P<0.05);观察组的满意度高于对照组(P<0.05)。结论:对糖尿病肾病患者实施标准化护理,能够有效提升患者的生活质量以及护理满意率,临床应用价值显著。

针灸治疗质量安全管理标准的应用实践

中国医院协会颁布的《中国医院质量安全管理》团体标准“第2-27部分:患者服务中医药治疗”规范了针灸治疗质量与安全管理,科室人员基于此搭建针灸治疗质量安全管理标准框架,确立人员管理、治疗管理、不良事件处理3个环节、10个节点、14个要素的框架体系。标准实施后,针灸不良事件减少,门诊投诉率降低,院感防控落实度提高。

服用纺织品化学质量安全因子的识别

服用纺织品的化学质量安全因子存在差别,在因子识别时需进行区分。关于化学质量安全因子的收集,识别到对于纺织品有毒有害物质进行限制的标准有5个。部分因子只在特定的纺织产品上出现,或者出现在部分纺织品上的概率较大,其与纤维原材料、为了达到终端产品的性能要求所使用的化学品有关。基于此,分析服用纺织品上普适的化学质量安全因子,提出若干需要重点监管的特殊纺织品以及其上的化学质量安全因子,并解释引入因子及产生概率差异的原因。

《中国医院质量安全管理》团体标准应用:医疗质量安全核心指标运行监测

标准化管理已经被各级医院管理者认同与接受,并在医院管理中持续探索与实践。针对国内外医疗质量安全突出问题,中国医院协会组织并初步完成了《中国医院质量安全管理》系列团体标准编制和实践探索。介绍了试点医院在落实《中国医院质量安全管理》系列标准的实践探索。内容包括如何将标准要素和条款转化为日常标准化管理的要点,实施常态化管理;依据标准如何提炼医疗质量安全管理核心量化指标,并结合实际动态管理;如何应用信息化技术实现医疗质量安全核心指标运行监测等。

氟化物毒性效应与水质基准标准研究进展与展望

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。

日间医疗的规范化发展思考

日间医疗在我国历经了20多年的发展,逐步完善成为24 h内全住院流程诊疗服务的医疗模式。近10年来,在国家相关政策的引导下,日间医疗的发展规模进一步扩大、发展速度进一步提升,为更多患者提供了高效率、低花费的诊疗服务,对公立医院的高质量发展起到了杠杆的作用。但日间医疗的发展也面临着医保政策的支持力度、绩效考核、同质化发展等诸多因素带来的挑战。在推动公立医院高质量发展、改善医疗服务就医体验等新形势和理念下,日间医疗服务模式发挥了更多的医疗价值,但如何推动日间医疗走得稳、走得远,是一个值得探讨的话题。本文旨通过梳理我国日间医疗的发展历程和概况,以期为未来日间医疗的进一步发展提供思路。

新标准视角下某地市级三级医院等级复审实践与思考

等级医院复审是衡量医院持续质量安全管理的方法,也是促进医院不断迈向规范化、科学化、标准化、现代化发展的重要手段。文章通过运用管理学原理的5大步骤:计划、组织、指挥、控制、协调,以学习标准-对标自查-持续改进为时间轴探索等级医院复审方法及医院建设要点,医院在质量管理、制度体系管理、综合实力等方面均有明显提高,实现医院等级复审成功目标。但同时通过复审检验发现医院存在短板,如各部门之间沟通不畅、人才稳定工作有待加强、科研产出与转化成果不足、信息化建设任重道远等。可为等级医院复审和医院医疗质量安全管理提供参考与借鉴。

生食牡蛎从离水到餐桌的安全与质量管理现状与对策

生食牡蛎的安全与质量是影响其销售价格的关键要素。本文首先回顾了各国关于生食牡蛎的安全质量管理现状,并从食用安全性、活力状态、风味质量三个方面进行综述。然后从流通链的角度,系统分析了养殖、捕捞、清洗、净化、运输、销售等关键节点对生食牡蛎品质的影响。牡蛎从养殖到销售的整个过程中,可能受到多重安全危害因子的影响,对其食用安全性造成潜在威胁,其中主要包括贝类毒素、重金属、有害微生物、病毒等,通过规范的养殖和流通管理可消除这些危害。此外,从离水到餐桌,牡蛎暴露于一系列可能引发应激反应的环境压力源(干露、温度、氧气、密度等),导致活力状态和风味品质下降严重,也造成了重大经济损失。由于胁迫方式、胁迫强度、持续时间等差异,不同节点上相同或不同的应激源的影响非常复杂。快速准确的活力评价是进行流通中质量管理的基础,本文综述了牡蛎流通过程中遭遇多重胁迫时,其代谢与活力的关联,以及代谢物对风味特性的影响,为生食牡蛎进行精准的品质控制提供理论依据。

基于预制菜安全与质量水平提升建议

近年来,随着人们生活节奏和方式的改变,预制菜行业迅速崛起,并持续保持高速增长,市场发展潜力大。本文深入探讨了预制菜行业的发展现状及未来趋势,针对行业内存在的产品质量、安全监管及创新技术等问题进行了全面分析。结合行业实际情况,提出了一系列发展建议,包括建立健全预制菜标准体系、加大质量安全监管力度、强化品牌建设、推动技术创新以及加强行业自律等。以期通过这些建议,有助于提升预制菜行业的整体质量和安全水平。

借力DRG支付模式 提升医疗质量安全

在医疗支付面临老龄化社会与医保可持续性挑战的当下,疾病诊断相关分组(diagnosis related group,DRG)不仅是支付管理工具,且涉及预算管理、医疗质量安全等多个方面,构建了全面的医疗管理工具组套。然而,如何进一步发掘DRG支付模式的潜力、激发内生动力、充分发挥其正向激励作用,仍需不断探索和实践。本文从诊疗规范化、指南本土化、医源性损害最小化、经济学评价普及化等维度展开,阐述在DRG支付模式下如何优化诊疗流程、规范诊疗行为,以及应对平衡成本控制与临床技术创新的挑战与机遇。

标准化在食品质量安全管理中的应用研究

食品质量安全关乎民生福祉,标准化在其治理中扮演着关键角色。本文在分析标准化在食品质量安全管理中的重要性基础上,剖析了标准化在食品质量安全管理中的应用存在问题,并提出了加强食品质量安全管理标准化建设的对策建议。通过标准化手段的创新应用,有望为提升我国食品质量安全治理能力、保障人们“舌尖上的安全”提供参考。