WorldWideScience

Sample records for safety quality problems

  1. Further Understanding of the Food Safety Problem

    Institute of Scientific and Technical Information of China (English)

    Xingxing; MEI; Zhongchao; FENG; Pinghua; HE; Yawen; GAO; Yuqin; DAI

    2015-01-01

    Frequent occurrence of food quality and safety proves that it is not effective to solve the Problem only from mechanism and supervision mechanism. Instead,it may expand solution ideas from external environment inducing changes of social institutions. Edible agricultural products are raw materials of foods,so their quality and safety are decisive for food quality and safety. Combining with concept of quality and safety of edible agricultural products,from social economy,science,technology and culture,environment cognition,this paper made a further understanding of food quality and safety. It found that the quality and safety of domestic edible agricultural products are not completely resulted from human factor,and not completely quality and safety problem in practical sense. Design of problem solutions should consider such external factors as economic level and consumption concept,dual character of science and technology,cultural quality of the masses,and moral trait of the masses,and enhance matching of building of regulation tools with external environment.

  2. Leadership, safety climate, and continuous quality improvement: impact on process quality and patient safety.

    Science.gov (United States)

    McFadden, Kathleen L; Stock, Gregory N; Gowen, Charles R

    2014-10-01

    Successful amelioration of medical errors represents a significant problem in the health care industry. There is a need for greater understanding of the factors that lead to improved process quality and patient safety outcomes in hospitals. We present a research model that shows how transformational leadership, safety climate, and continuous quality improvement (CQI) initiatives are related to objective quality and patient safety outcome measures. The proposed framework is tested using structural equation modeling, based on data collected for 204 hospitals, and supplemented with objective outcome data from the Centers for Medicare and Medicaid Services. The results provide empirical evidence that a safety climate, which is connected to the chief executive officer's transformational leadership style, is related to CQI initiatives, which are linked to improved process quality. A unique finding of this study is that, although CQI initiatives are positively associated with improved process quality, they are also associated with higher hospital-acquired condition rates, a measure of patient safety. Likewise, safety climate is directly related to improved patient safety outcomes. The notion that patient safety climate and CQI initiatives are not interchangeable or universally beneficial is an important contribution to the literature. The results confirm the importance of using CQI to effectively enhance process quality in hospitals, and patient safety climate to improve patient safety outcomes. The overall pattern of findings suggests that simultaneous implementation of CQI initiatives and patient safety climate produces greater combined benefits.

  3. FOOD QUALITY MANAGEMENT AND SAFETY

    OpenAIRE

    Rizwana Khatoon; Debkumar Chakraborty; R.C. Chandni; Amar Sankar; A.V. Raghu

    2017-01-01

    Food safety system mainly focuses on identifying and preventing hazards that may lead product to deteriorate. The main important of manufacturing practice is a system that ensures that products meet food safety, quality and legal requirements. The hazard analysis and critical control point system, applies to food safety management, uses the approach of controlling critical points in food handling to prevent food safety problems. Besides enhancing food safety, other benefits of applying HACCP ...

  4. Model quality and safety studies

    DEFF Research Database (Denmark)

    Petersen, K.E.

    1997-01-01

    The paper describes the EC initiative on model quality assessment and emphasizes some of the problems encountered in the selection of data from field tests used in the evaluation process. Further, it discusses the impact of model uncertainties in safety studies of industrial plants. The model...... that most of these have never been through a procedure of evaluation, but nonetheless are used to assist in making decisions that may directly affect the safety of the public and the environment. As a major funder of European research on major industrial hazards, DGXII is conscious of the importance......-tain model is appropriate for use in solving a given problem. Further, the findings from the REDIPHEM project related to dense gas dispersion will be highlighted. Finally, the paper will discuss the need for model quality assessment in safety studies....

  5. Study on the Problems and Countermeasure in the Animal Products Quality and Safety

    Institute of Scientific and Technical Information of China (English)

    Shishan; WANG

    2013-01-01

    As the supply chain of animal products is long,there are many factors which would influence the quality safety of animal production.Therefore,by focusing on the present and having a vision for future,Jiaozuo government promulgated Ten Polices on the Food Safety in Jiaozuo City,which pushed forward the technological development,intensified measures to monitor the quality of animal products,set up a series of mechanism,and provided reference for the food quality and safety monitoring.

  6. Innovation of Supervision System for Quality and Safety of Edible Agricultural Products

    Institute of Scientific and Technical Information of China (English)

    Xingxing; MEI; Zhongchao; FENG

    2014-01-01

    This paper elaborated multidimensional characteristics of quality and safety of agricultural products,introduced current situation of quality and safety supervision of edible agricultural products in China,analyzed existing problems of quality and safety supervision system and corresponding reasons,and finally came up with recommendations for innovation of supervision system for quality and safety of agricultural products.

  7. Medical social consequences of the safety problems of oncological radiology

    International Nuclear Information System (INIS)

    Pilipenko, M.Yi.; Stadnik, L.L.; Shal'opa, O.Yu.; Rigan, M.M.; Skalets'kij, Yu.M.

    2015-01-01

    Actuality of the problem of patient safety in oncoradiology in Ukraine is grounded. The results of international audit TLD (IAEA/WHO) quality during dosimetry procedures cobalt-telegamma vehicles in Ukraine are investigated, as well as legal and regulatory framework providing for the safety of radiotherapy care, scientific publications on patient safety. Methods: statistical, analytical, bibliographical, systematic approach. On the example of radiation therapy using the results of the international program of the IAEA/WHO TLD audit quality dosimetry calibration devices for remote gamma therapy in Ukraine from 1998 to 2014 the attempt to assess the extent of medical and social consequences of underestimating of medical errors in oncoradiology is made. The problems of regulatory nature of medical errors in oncoradiology are preliminary identified. The problem of medical errors in the treatment of cancer radiation methods in Ukraine is extremely important. Usually the problems of errors in oncoradiology are considered in organizational, technical, personnel and technical aspects, while medical and social consequences of problem are not covered. About 10 thousand of cancer patients in year may suffer from errors related only to dose calculation according to the optimistic variant, while the number of patients for the same period on the pessimistic case can reach 15 thousand. There are a number of legal character problems in oncoradiology related to patient safety that require clarification. The first priority for improving the safety of patients in oncoradiology is the recording and analysis of radiation therapy defects and their consequences

  8. Factors impacting on the microbiological quality and safety of ...

    African Journals Online (AJOL)

    Problems with the safety and shelf life of export hake have been raised by the Namibian fishing industry. This prompted an investigation into the factors that may have an impact on the microbiological quality and safety of processed hake. Samples were collected along the processing line; the general microbiological quality ...

  9. Role of a quality management system in improving patient safety - laboratory aspects.

    Science.gov (United States)

    Allen, Lynn C

    2013-09-01

    The aim of this study is to describe how implementation of a quality management system (QMS) based on ISO 15189 enhances patient safety. A literature review showed that several European hospitals implemented a QMS based on ISO 9001 and assessed the impact on patient safety. An Internet search showed that problems affecting patient safety have occurred in a number of laboratories across Canada. The requirements of a QMS based on ISO 15189 are outlined, and the impact of the implementation of each requirement on patient safety is summarized. The Quality Management Program - Laboratory Services in Ontario is briefly described, and the experience of Ontario laboratories with Ontario Laboratory Accreditation, based on ISO 15189, is outlined. Several hospitals that implemented ISO 9001 reported either a positive impact or no impact on patient safety. Patient safety problems in Canadian laboratories are described. Implementation of each requirement of the QMS can be seen to have a positive effect on patient safety. Average laboratory conformance on Ontario Laboratory Accreditation is very high, and laboratories must address and resolve any nonconformities. Other standards, practices, and quality requirements may also contribute to patient safety. Implementation of a QMS based on ISO 15189 provides a solid foundation for quality in the laboratory and enhances patient safety. It helps to prevent patient safety issues; when such issues do occur, effective processes are in place for investigation and resolution. Patient safety problems in Canadian laboratories might have been prevented had effective QMSs been in place. Ontario Laboratory Accreditation has had a positive impact on quality in Ontario laboratories. Copyright © 2013 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.

  10. Design of agricultural product quality safety retrospective supervision system of Jiangsu province

    Science.gov (United States)

    Wang, Kun

    2017-08-01

    In store and supermarkets to consumers can trace back agricultural products through the electronic province card to query their origin, planting, processing, packaging, testing and other important information and found that the problems. Quality and safety issues can identify the responsibility of the problem. This paper designs a retroactive supervision system for the quality and safety of agricultural products in Jiangsu Province. Based on the analysis of agricultural production and business process, the goal of Jiangsu agricultural product quality safety traceability system construction is established, and the specific functional requirements and non-functioning requirements of the retroactive system are analyzed, and the target is specified for the specific construction of the retroactive system. The design of the quality and safety traceability system in Jiangsu province contains the design of the overall design, the trace code design and the system function module.

  11. Indoor Climate and Air Quality Problems

    DEFF Research Database (Denmark)

    Valbjørn, O.; Hagen, H.; Kukkonen, E.

    This report presents a stepwise method for the investigation of and remedial actions for indoor climate and air quality problems. The report gives the basis for evaluation of the prevalence and causes of building related symptoms like mucosal irritation and headache. The report adresses members...... of occupational health and safety organisations, consulting engineers and architects, and also the people responsible for the operation of buildings and installations which is essential for the indoor climate and air quality....

  12. Ecological Congress and the safety problems of the Rostov region

    International Nuclear Information System (INIS)

    Madoyan, A.A.

    2001-01-01

    A brief description of activities of the 3 research and technical conference Ecological Congress (April 16-17, 2001), dealing with problems of reliability and safety of the Rostov NPP operation, is provided. More than 25 reports on problems pertaining to radiation safety and ecology, development and introduction for new research and technical approaches, reliability of building structures, account of human factor during operation of industrial facilities, etc. were submitted. By and large, participants to the conference supported construction for facilities necessary for regional economy upsurge like the Rostov NPP, on condition of high-quality construction and safe operation [ru

  13. 30-th anniversary of nuclear power engineering in the USSR. Safety problems of nuclear engineering

    International Nuclear Information System (INIS)

    Kulov, E.V.; Sidorenko, V.A.; Kovalevich, O.M.

    1984-01-01

    The problems of safety and protection of personnel, population and environments from the NPP radiation effect in the Soviet Union in cases of possible accidents and in the course of normal operation are discussed. The problem of safety assurance includes scientific technological and organizational aspects. The necessity of accounting the ''national factor'' in the form of a possible NPP location, existing legislation experience gained, etc. is noted. The main trends in ensuring safety are a high quality of equipment manufacturing and assembly, quality control of equipment at all stages of operation, development and realization of efficient protective measures and devices, assurance of safety precautions at all stages of designing equipment production, NPP operation and maintenance, functioning of the system of state control of NPP safety assurance. The skill and training of personnel are necessary prerequisite for ensuring safety of nuclear power plants

  14. The influence of farmland pollution on the quality and safety of agricultural products

    Science.gov (United States)

    Ma, Z. L.; Li, L. Y.; Ye, C.; Lin, X. Y.; B, C.; Wei

    2018-02-01

    The quality and safety of agricultural products is not only a major livelihood issues for people’s health, but also the main barriers to international trade of agricultural products nowadays. The soil is the foundation to the production of agricultural products and the guarantee of agricultural development. The farmland soil quality is directly related to the quality and safety of agricultural products. Our country’s soil has been polluted by a series of pollution, Such as the excessive discharge of industrial wastes, the encroachment of household waste, and the unreasonable use of pesticides and fertilizers. Soil degradation is a serious threat to the quality and safety of agricultural products, so eliminating soil degradation is the fundamental way out for quality and safety of agricultural products. By analyzing problems of the quality and safety of agricultural products in our country, and exploring the farmland soil influence on the quality and safety of agricultural products. This article provides a reference for improving the control level of quality and safety of agricultural products and the farmland soil quality.

  15. Study on Food Quality and Safety Management Based on Hotel Management

    Directory of Open Access Journals (Sweden)

    Shi Zengye

    2017-12-01

    Full Text Available In recent years, with the frequent occurrence of food safety problems, people have begun to pay attention to food safety, especially the food safety of hotels. This paper proposed a Hazard Analysis and Critical Control Point (HACCP management system to analyze food safety issues of hotels in order to improve the food quality and safety in hotel management. Through the practical application of the HACCP management system in the hotel catering industry, it was found that the amount of bacteria greatly reduced and the pass rate of tableware disinfection increased significantly in the hotel's food processing links, while customer satisfaction greatly improved. Therefore, the HACCP management system had great applicability in improving the food quality and safety of hotels.

  16. Anatomy of safety-critical computing problems

    International Nuclear Information System (INIS)

    Swu Yih; Fan Chinfeng; Shirazi, Behrooz

    1995-01-01

    This paper analyzes the obstacles faced by current safety-critical computing applications. The major problem lies in the difficulty to provide complete and convincing safety evidence to prove that the software is safe. We explain this problem from a fundamental perspective by analyzing the essence of safety analysis against that of software developed by current practice. Our basic belief is that in order to perform a successful safety analysis, the state space structure of the analyzed system must have some properties as prerequisites. We propose the concept of safety analyzability, and derive its necessary and sufficient conditions; namely, definability, finiteness, commensurability, and tractability. We then examine software state space structures against these conditions, and affirm that the safety analyzability of safety-critical software developed by current practice is severely restricted by its state space structure and by the problem of exponential growth cost. Thus, except for small and simple systems, the safety evidence may not be complete and convincing. Our concepts and arguments successfully explain the current problematic situation faced by the safety-critical computing domain. The implications are also discussed

  17. Implementation of Programmatic Quality and the Impact on Safety

    Science.gov (United States)

    Huls, Dale Thomas; Meehan, Kevin

    2005-01-01

    and sustaining quality assurance strategy for long-term manned space flight. An analysis of the ISS waiver processes and the Problem Reporting and Corrective Action (PRACA) process implemented as quality functions. Impact of current ISS Program procedures and practices with regards to operational safety and risk A discussion regarding a "defense-in-depth" approach to quality functions will be provided to address the issue of "integration vs independence" with respect to the roles of Programs, NASA Centers, and NASA Headquarters. Generic recommendations are offered to address the inadequacies identified in the implementation of ISS quality assurance. A reassessment by the NASA community regarding the importance of a "quality culture" as a component within a larger "safety culture" will generate a more effective and value-added functionality that will ultimately enhance safety.

  18. Study on Food Quality and Safety Management Based on Hotel Management

    OpenAIRE

    Shi Zengye

    2017-01-01

    In recent years, with the frequent occurrence of food safety problems, people have begun to pay attention to food safety, especially the food safety of hotels. This paper proposed a Hazard Analysis and Critical Control Point (HACCP) management system to analyze food safety issues of hotels in order to improve the food quality and safety in hotel management. Through the practical application of the HACCP management system in the hotel catering industry, it was found that the amount of bacteria...

  19. Patient safety is not enough: targeting quality improvements to optimize the health of the population.

    Science.gov (United States)

    Woolf, Steven H

    2004-01-06

    Ensuring patient safety is essential for better health care, but preoccupation with niches of medicine, such as patient safety, can inadvertently compromise outcomes if it distracts from other problems that pose a greater threat to health. The greatest benefit for the population comes from a comprehensive view of population needs and making improvements in proportion with their potential effect on public health; anything less subjects an excess of people to morbidity and death. Patient safety, in context, is a subset of health problems affecting Americans. Safety is a subcategory of medical errors, which also includes mistakes in health promotion and chronic disease management that cost lives but do not affect "safety." These errors are a subset of lapses in quality, which result not only from errors but also from systemic problems, such as lack of access, inequity, and flawed system designs. Lapses in quality are a subset of deficient caring, which encompasses gaps in therapeutics, respect, and compassion that are undetected by normative quality indicators. These larger problems arguably cost hundreds of thousands more lives than do lapses in safety, and the system redesigns to correct them should receive proportionately greater emphasis. Ensuring such rational prioritization requires policy and medical leaders to eschew parochialism and take a global perspective in gauging health problems. The public's well-being requires policymakers to view the system as a whole and consider the potential effect on overall population health when prioritizing care improvements and system redesigns.

  20. Research on Cooperation Strategy of Enterprises’ Quality and Safety in Food Supply Chain

    Directory of Open Access Journals (Sweden)

    Jining Wang

    2015-01-01

    Full Text Available In order to prevent and control risk factors which harm the quality and safety of the food supply chain effectively and reduce the probability of food safety incidents, this paper investigated on some problems of the upstream and downstream enterprises of the food supply chain under the three different forms of cooperation based on the neoclassic economics and game theory method. These problems include the effectiveness of the quality and safety efforts, the profits, the effect of the losses that the food safety incidents caused on the quality efforts’ efficacy, and the social welfare comparison. Meanwhile, we constructed evolutionary game model to analyze the macro and micro factors that influenced the cooperation strategy and demonstrated the effect of diversity of decision-making parameters on evolution results based on numerical simulation. By the theoretical and simulation analysis, we found that (1 the quality efforts’ efficacy, the profits, the sensitivity coefficient of the quality efforts efficiency to the losses, and the social welfare without thinking about the externality all met their maximum under the full cooperation situation; (2 strengthening supervision over the source of the food supply chain can reduce the probability of food safety incidents; (3 macro and micro environment will be the important basis for companies’ decision-making on cooperation strategy in the food supply chain.

  1. Ensuring the quality of occupational safety risk assessment.

    Science.gov (United States)

    Pinto, Abel; Ribeiro, Rita A; Nunes, Isabel L

    2013-03-01

    In work environments, the main aim of occupational safety risk assessment (OSRA) is to improve the safety level of an installation or site by either preventing accidents and injuries or minimizing their consequences. To this end, it is of paramount importance to identify all sources of hazards and assess their potential to cause problems in the respective context. If the OSRA process is inadequate and/or not applied effectively, it results in an ineffective safety prevention program and inefficient use of resources. An appropriate OSRA is an essential component of the occupational safety risk management process in industries. In this article, we performed a survey to elicit the relative importance for identified OSRA tasks to enable an in-depth evaluation of the quality of risk assessments related to occupational safety aspects on industrial sites. The survey involved defining a questionnaire with the most important elements (tasks) for OSRA quality assessment, which was then presented to safety experts in the mining, electrical power production, transportation, and petrochemical industries. With this work, we expect to contribute to the main question of OSRA in industries: "What constitutes a good occupational safety risk assessment?" The results obtained from the questionnaire showed that experts agree with the proposed OSRA process decomposition in steps and tasks (taxonomy) and also with the importance of assigning weights to obtain knowledge about OSRA task relevance. The knowledge gained will enable us, in the near future, to build a framework to evaluate OSRA quality for industrial sites. © 2012 Society for Risk Analysis.

  2. Process safety improvement-Quality and target zero

    Energy Technology Data Exchange (ETDEWEB)

    Van Scyoc, Karl [Det Norske Veritas (U.S.A.) Inc., DNV Energy Solutions, 16340 Park Ten Place, Suite 100, Houston, TX 77084 (United States)], E-mail: karl.van.scyoc@dnv.com

    2008-11-15

    Process safety practitioners have adopted quality management principles in design of process safety management systems with positive effect, yet achieving safety objectives sometimes remain a distant target. Companies regularly apply tools and methods which have roots in quality and productivity improvement. The 'plan, do, check, act' improvement loop, statistical analysis of incidents (non-conformities), and performance trending popularized by Dr. Deming are now commonly used in the context of process safety. Significant advancements in HSE performance are reported after applying methods viewed as fundamental for quality management. In pursuit of continual process safety improvement, the paper examines various quality improvement methods, and explores how methods intended for product quality can be additionally applied to continual improvement of process safety. Methods such as Kaizen, Poke yoke, and TRIZ, while long established for quality improvement, are quite unfamiliar in the process safety arena. These methods are discussed for application in improving both process safety leadership and field work team performance. Practical ways to advance process safety, based on the methods, are given.

  3. Process safety improvement-Quality and target zero

    International Nuclear Information System (INIS)

    Van Scyoc, Karl

    2008-01-01

    Process safety practitioners have adopted quality management principles in design of process safety management systems with positive effect, yet achieving safety objectives sometimes remain a distant target. Companies regularly apply tools and methods which have roots in quality and productivity improvement. The 'plan, do, check, act' improvement loop, statistical analysis of incidents (non-conformities), and performance trending popularized by Dr. Deming are now commonly used in the context of process safety. Significant advancements in HSE performance are reported after applying methods viewed as fundamental for quality management. In pursuit of continual process safety improvement, the paper examines various quality improvement methods, and explores how methods intended for product quality can be additionally applied to continual improvement of process safety. Methods such as Kaizen, Poke yoke, and TRIZ, while long established for quality improvement, are quite unfamiliar in the process safety arena. These methods are discussed for application in improving both process safety leadership and field work team performance. Practical ways to advance process safety, based on the methods, are given

  4. Process safety improvement--quality and target zero.

    Science.gov (United States)

    Van Scyoc, Karl

    2008-11-15

    Process safety practitioners have adopted quality management principles in design of process safety management systems with positive effect, yet achieving safety objectives sometimes remain a distant target. Companies regularly apply tools and methods which have roots in quality and productivity improvement. The "plan, do, check, act" improvement loop, statistical analysis of incidents (non-conformities), and performance trending popularized by Dr. Deming are now commonly used in the context of process safety. Significant advancements in HSE performance are reported after applying methods viewed as fundamental for quality management. In pursuit of continual process safety improvement, the paper examines various quality improvement methods, and explores how methods intended for product quality can be additionally applied to continual improvement of process safety. Methods such as Kaizen, Poke yoke, and TRIZ, while long established for quality improvement, are quite unfamiliar in the process safety arena. These methods are discussed for application in improving both process safety leadership and field work team performance. Practical ways to advance process safety, based on the methods, are given.

  5. Quality and safety in radiotherapy

    CERN Document Server

    Pawlicki, Todd

    2010-01-01

    The first text to focus solely on quality and safety in radiotherapy, this work encompasses not only traditional, more technically oriented, quality assurance activities, but also general approaches of quality and safety. It includes contributions from experts both inside and outside the field to present a global view. The task of assuring quality is no longer viewed solely as a technical, equipment-dependent endeavor. Instead, it is now recognized as depending on both the processes and the people delivering the service. Divided into seven broad categories, the text covers: Quality Management

  6. Aviation safety and operation problems research and technology

    Science.gov (United States)

    Enders, J. H.; Strickle, J. W.

    1977-01-01

    Aircraft operating problems are described for aviation safety. It is shown that as aircraft technology improves, the knowledge and understanding of operating problems must also improve for economics, reliability and safety.

  7. Problems of nuclear reactor safety. Vol. 1

    International Nuclear Information System (INIS)

    Shal'nov, A.V.

    1995-01-01

    Proceedings of the 9. Topical Meeting 'Problems of nuclear reactor safety' are presented. Papers include results of studies and developments associated with methods of calculation and complex computerized simulation for stationary and transient processes in nuclear power plants. Main problems of reactor safety are discussed as well as rector accidents on operating NPP's are analyzed

  8. Problems in determining the optimal use of road safety measures

    DEFF Research Database (Denmark)

    Elvik, Rune

    2014-01-01

    for intervention that ensures maximum safety benefits. The third problem is how to develop policy options to minimise the risk of indivisibilities and irreversible choices. The fourth problem is how to account for interaction effects between road safety measures when determining their optimal use. The fifth......This paper discusses some problems in determining the optimal use of road safety measures. The first of these problems is how best to define the baseline option, i.e. what will happen if no new safety measures are introduced. The second problem concerns choice of a method for selection of targets...... problem is how to obtain the best mix of short-term and long-term measures in a safety programme. The sixth problem is how fixed parameters for analysis, including the monetary valuation of road safety, influence the results of analyses. It is concluded that it is at present not possible to determine...

  9. FLIGHT SAFETY MANAGEMENT PROBLEMS AND EVALUATION OF FLIGHT SAFETY LEVEL OF AN AVIATION ENTERPRISE

    Directory of Open Access Journals (Sweden)

    B. V. Zubkov

    2017-01-01

    Full Text Available This article is devoted to studying the problem of safety management system (SMS and evaluating safety level of an aviation enterprise.This article discusses the problems of SMS, presented at the 41st meeting of the Russian Aviation Production Commanders Club in June 2014 in St. Petersburg in connection with the verification of the status of the CA of the Russian Federation by the International Civil Aviation Organization (ICAO in the same year, a set of urgent measures to eliminate the deficiencies identified in the current safety management system by participants of this meeting were proposed.In addition, the problems of evaluating flight safety level based on operation data of an aviation enterprise were analyzed. This analysis made it possible to take into account the problems listed in this article as a tool for a comprehensive study of SMS parameters and allows to analyze the quantitative indicators of the flights safety level.The concepts of Acceptable Safety Level (ASL indicators are interpreted differently depending on the available/applicable methods of their evaluation and how to implement them in SMS. However, the indicators for assessing ASL under operational condition at the aviation enterprise should become universal. Currently, defined safety levels and safety indicators are not yet established functionally and often with distorted underrepresented models describing their contextual contents, as well as ways of integrating them into SMS aviation enterprise.The results obtained can be used for better implementation of SMS and solving problems determining the aviation enterprise technical level of flight safety.

  10. Safety: Science and technique in social problems

    International Nuclear Information System (INIS)

    Smit, W.A.

    1982-01-01

    The author describes in a simple and clearly written Dutch text the relationship between scientific and technical knowledge and the social problems concerning the safety of nuclear energy. He begins with the cooling system of reactors and the safety aspects of the associated pumps. He uses this example to illustrate that the quantative determination of failure risks need not necessarily be relevant for judging the acceptance of the risk but is always relevant as a method of judging the effect of technical improvements on safety values. The author then considers the radiological effects of the operation of a nuclear plant by presenting the doses of radioactivity released if a reactor is operating normally, if there are technical problems and in the case of accidents. The corresponding biological effects on man are also presented and in an appendix the radiological consequences of reactor accidents are considered in some detail. He describes a number of models used in such calculations - for metereological distribution, dosimetry for internal radiation, cancer induction - to illustrate the margins of uncertainty in the predictions. According to the author safety aspects should not just be seen as a purely technical problem, starting with the fact that nuclear energy is desirable and then ensuring that all required safety regulations are met. Safety aspects are a social problem and should be considered by first discussing whether nuclear energy is acceptable, taking into consideration such consequences as the effects of possible accidents and the long term effects of reactor operation. (C.F.)

  11. New Paradigm in Nuclear Safety from Quality Assurance to Safety Management System

    International Nuclear Information System (INIS)

    Lim, Nam-Jin; Park, Chan-Gook; Nam, Ji-Hee; Kim, Kwan-Hyun; Kwon, Hyuk-il; Lee, Young-Gun Lee

    2006-01-01

    The initial concept of Quality Control (QC) controlling the quality of products is now evolving toward the Management System (MS) achieving safety, through Quality Assurance (QA) ensuring the quality of products and Quality Management (QM) managing the quality by a systematic approach. Nuclear safety can be achieved through an integrated MS that ensures the health, environmental, security, quality and economic requirements being considered together with nuclear safety requirements. MS approach is developed through realizing that most of nuclear accidents had occurred not by the malfunction of hardware or equipment, but by the human error. The MS is a set of inter-related or interacting elements (system) that establishes policies and objectives and which enables those objectives to be achieved in an efficient and effective way

  12. Problems of probabilistic safety assessment after Fukushima Daiichi nuclear power plant accident

    International Nuclear Information System (INIS)

    Sugiyama, Naoki

    2011-01-01

    Probabilistic safety assessment (PSA) methodology to assure nuclear safety is had great expectations of lessons learned from Fukushima Daiichi nuclear power plant (NPP) accident and on the other hand this accident made actualized technical problems of PSA. Effectiveness of current PSA methodology for risk assessment was confirmed by comparing the accident development with accident scenario of PSA and equipment failure rate. From a viewpoint of nuclear safety objective and defense in depth approach of IAEA, technical problems of PSA were (1) extension of PSA for spent fuel pool and waste disposal system as well as level 3PSA for broader environmental contamination and (2) overlapping of accident scenario of plural unit site, balance of high quality plant management and preceding negation, treatment of uncertainty of external events, severe accident measure and human reliability analysis and reflection of disaster prevention capability to level 3PSA. In order to upgrade PSA technology, six proposals were described for nuclear safety and defense in depth, comprehensive evaluation scope and catch-up of latest technology, necessity of strategic preparation of PSA standard, human resources fostering and risk communication. (T. Tanaka)

  13. Problems of nuclear reactor safety. Vol. 2

    International Nuclear Information System (INIS)

    Goncharov, L.A.

    1995-01-01

    Theses of proceedings of the 9 Topical Meeting on problems of nuclear power plant safety are presented. Reports include results of neutron-physical experiments carried out for reactor safety justification. Concepts of advanced reactors with improved safety are considered. Results of researches on fuel cycles are given too

  14. Patient Safety and Healthcare Quality

    Directory of Open Access Journals (Sweden)

    Aikaterini Toska

    2012-01-01

    Full Text Available Introduction: Due to a variety of circumstances and world-wide research findings, patient safety andquality care during hospitalization have emerged as major issues. Patient safety deficits may burdenhealth systems as well as allocated resources. The international community has examined severalproposals covering general and systemic aspects in order to improve patient safety; several long-termprograms and strategies have also been implemented promoting the participation of health-relatedagents, and also government agencies and non-governmental organizations.Aim: Those factors that have negative correlations with patient safety and quality healthcare weredetermined; WHO and EU programs as well as the Greek health policy were also reviewed.Method: Local and international literature was reviewed, including EU and WHO official publications,by using the appropriate keywords.Conclusions: International cooperation on patient safety is necessary in order to improvehospitalization and healthcare quality standards. Such incentives depend heavily on establishing worldwideviable and effective health programs and planning. These improvements also require further stepson safe work procedures, environment safety, hazard management, infection control, safe use ofequipment and medication, and sufficient healthcare staff.

  15. Quality and Safety Assurance - Priority Task at Nuclear Power Projects Implementation

    International Nuclear Information System (INIS)

    Nenkova, B.; Manchev, B.; Tomov, E.

    2010-01-01

    Quality and safety assurance at implementation of nuclear power engineering projects is important and difficult task for realization. Many problems arise during this process, when many companies from different countries participate, with various kinds of activities and services provided. The scope of activities necessary for quality and safety assurance is therefore quite expanded and diverse. In order to increase the safety and reliability of Kozloduy NPP Plc (KNPP) Units 5 and 6, as well as to bring the units in conformity with the newest international requirements for quality and safety in the field of nuclear energy, a program for their modernization on the basis of different technical studies and assessments was implemented. The Units 5 and 6 Modernization Program of Kozloduy Nuclear Power Plant was composed of 212 modifications aimed to improve the safety, operability, and reliability of the Units. The Program was realized by stages during yearly planned outages since year 2002 to 2007, without additional outages. A major Program Objective was to extend the Units Life Time in at least 15 Years, under a continuous, safe, and reliable operation. The Modernization Program of Units 5 and 6 of the Bulgarian Nuclear Power Plant in Kozloduy was the first and for the time being the only one in the world, program in the field of nuclear power engineering, by which the full scope of recommendations for improvement of the Kozloduy NPP units was applied. The main goal of the National Electric Company, which is the Employer for the construction of new nuclear facility in Bulgaria, is after completion of all activities regarding construction of Belene NPP the plant to meet or exceed the requirements of the respective national and international quality and safety codes and standards, as well as the IAEA guidelines, as they are established. The objective of this report is to describe different aspects of the quality assurance according to the requirements of quality and

  16. 2011 John M. Eisenberg Patient Safety and Quality Awards. The effect of a novel Housestaff Quality Council on quality and patient safety. Innovation in patient safety and quality at the local level.

    Science.gov (United States)

    Fleischut, Peter M; Faggiani, Susan L; Evans, Adam S; Brenner, Samantha; Liebowitz, Richard S; Forese, Laura; Kerr, Gregory E; Lazar, Eliot J

    2012-07-01

    In 2008 New York-Presbyterian Hospital (NYP)/Weill Cornell Medical Center, New York City, the largest not-for-profit, nonsectarian hospital in the United States, created and implemented a novel approach--the Housestaff Quality Council (HQC)--to engaging house-staff in quality and patient safety activities. The HQC represented an innovative collaboration between the housestaff, the Department of Anesthesiology, the Division of Quality and Patient Safety, the Office of Graduate Medical Education, and senior leadership. As key managers of patient care, the housestaff sought to become involved in the quality and patient safety decision- and policy-making processes at the hospital. Its members were determined to decrease or minimize adverse events by facilitating multimodal communication, ensuring smart work flow, and measuring outcomes to determine best practices. The HQC, which also included frontline hospital staff or managers from areas such as nursing, pharmacy, and information technology, aligned its initiatives with those of the division of quality and patient safety and embarked on two projects--medication reconciliation and use of the electronic medical record. More than three years later, the resulting improvements have been sustained and three new projects--hand hygiene, central line-associated bloodstream infections, and patient handoffs--have been initiated. The HQC model is highly replicable at other teaching institutions as a complementary approach to their other quality and patient safety initiatives. However, the ability to sustain positive momentum is dependent on the ability of residents to invest time and effort in the face of a demanding residency training schedule and focus on specialty-specific clinical and research activities.

  17. On the increasing of NPP safety operation by the way of improving the quality of mounting works

    International Nuclear Information System (INIS)

    Girnis, V.V.

    1987-01-01

    The problem on the necessity of improving the quality of pipeline mounting to provide NPP operation safety is considered. Ways for improving the quality of NPP production equipment and pipelines welding and fit-up are given

  18. Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature.

    Science.gov (United States)

    Braithwaite, Jeffrey; Marks, Danielle; Taylor, Natalie

    2014-06-01

    Getting greater levels of evidence into practice is a key problem for health systems, compounded by the volume of research produced. Implementation science aims to improve the adoption and spread of research evidence. A linked problem is how to enhance quality of care and patient safety based on evidence when care settings are complex adaptive systems. Our research question was: according to the implementation science literature, which common implementation factors are associated with improving the quality and safety of care for patients? We conducted a targeted search of key journals to examine implementation science in the quality and safety domain applying PRISMA procedures. Fifty-seven out of 466 references retrieved were considered relevant following the application of exclusion criteria. Included articles were subjected to content analysis. Three reviewers extracted and documented key characteristics of the papers. Grounded theory was used to distil key features of the literature to derive emergent success factors. Eight success factors of implementation emerged: preparing for change, capacity for implementation-people, capacity for implementation-setting, types of implementation, resources, leverage, desirable implementation enabling features, and sustainability. Obstacles in implementation are the mirror image of these: for example, when people fail to prepare, have insufficient capacity for implementation or when the setting is resistant to change, then care quality is at risk, and patient safety can be compromised. This review of key studies in the quality and safety literature discusses the current state-of-play of implementation science applied to these domains. © The Author 2014. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

  19. Food quality and safety: Consumer perception and demand

    DEFF Research Database (Denmark)

    Grunert, Klaus G.

    2005-01-01

    choice and consumer demand, addressing questions of price perception and the validity of willingness-to-pay measurements. It is concluded that food quality and safety are central issues in today's food economics, though many research questions remain to be addressed. Udgivelsesdato: SEP 1......Research on consumer quality perception is reviewed using the Total Food Quality Model as a structuring device. The relationship between food safety and quality is addressed, and is discussed in the context of research on consumer risk perception. Quality and safety perception is linked to food...

  20. Food quality and safety: Consumer perception and demand

    DEFF Research Database (Denmark)

    Grunert, Klaus G.

    2005-01-01

    Research on consumer quality perception is reviewed using the Total Food Quality Model as a structuring device. The relationship between food safety and quality is addressed, and is discussed in the context of research on consumer risk perception. Quality and safety perception is linked to food...... choice and consumer demand, addressing questions of price perception and the validity of willingness-to-pay measurements. It is concluded that food quality and safety are central issues in today's food economics, though many research questions remain to be addressed. Udgivelsesdato: SEP 1...

  1. [Discussion on agricultural product quality and safety problem from ecological view].

    Science.gov (United States)

    Xiao, Ming; Dong, Nan; Lyu, Xin

    2015-08-01

    There are many different perspectives about the sustainable agriculture, which had been proposed since the last three decades in the world. While China's ecologists and agronomists proposed a similar concept named 'ecological agriculture'. Although ecological agriculture in China has achieved substantial progress, including theory, models and supporting technologies nearly several decades of practice and development, its application guidance still is not yet clear. The organic agriculture model proposed by European Union is popular, but it is limited in the beneficiary groups and the social and ecological responsibility. In this context, the article based on an ecological point of view, analyzed the shortcomings of ecological imbalance caused by a single mode of agricultural production and the negative impact on the quality of agricultural products, and discussed the core values of ecological agriculture. On this basis, we put forward the concept of sustainable security of agricultural products. Based on this concept, an agricultural platform was established under the healthy ecosysphere environment, and from this agricultural platform, agricultural products could be safely and sustainably obtained. Around the central value of the concept, we designed the agricultural sustainable and security production model. Finally, we compared the responsibility, benefiting groups, agronomic practices selection and other aspects of sustainable agriculture with organic agriculture, and proved the advancement of sustainable agricultural model in agricultural production quality and safety.

  2. IAEA code and safety guides on quality assurance

    International Nuclear Information System (INIS)

    Raisic, N.

    1980-01-01

    In the framework of its programme in safety standards development, the IAEA has recently published a Code of Practice on Quality Assurance for Safety in Nuclear Power Plants. The Code establishes minimum requirements for quality assurance which Member States should use in the context of their own nuclear safety requirements. A series of 10 Safety Guides which describe acceptable methods of implementing the requirements of specific sections of the Code are in preparation. (orig.)

  3. Quality and Safety as a Core Leadership Competency.

    Science.gov (United States)

    Bleich, Michael R

    2018-05-01

    A leader's toolbox of competencies comprises knowledge, skills, and abilities in clinical care, finance, human resource management, and more. As essential as these are, a strong command of quality and safety competencies is sovereign in leading and managing, ensuring an optimal patient experience. Four core areas of quality and safety competencies are presented: systems science, knowledge workers, implementation science and big data, and quality safety tools and techniques. J Contin Educ Nurs. 2018;49(5):200-202. Copyright 2018, SLACK Incorporated.

  4. Software Quality Assurance for Nuclear Safety Systems

    International Nuclear Information System (INIS)

    Sparkman, D R; Lagdon, R

    2004-01-01

    The US Department of Energy has undertaken an initiative to improve the quality of software used to design and operate their nuclear facilities across the United States. One aspect of this initiative is to revise or create new directives and guides associated with quality practices for the safety software in its nuclear facilities. Safety software includes the safety structures, systems, and components software and firmware, support software and design and analysis software used to ensure the safety of the facility. DOE nuclear facilities are unique when compared to commercial nuclear or other industrial activities in terms of the types and quantities of hazards that must be controlled to protect workers, public and the environment. Because of these differences, DOE must develop an approach to software quality assurance that ensures appropriate risk mitigation by developing a framework of requirements that accomplishes the following goals: (sm b ullet) Ensures the software processes developed to address nuclear safety in design, operation, construction and maintenance of its facilities are safe (sm b ullet) Considers the larger system that uses the software and its impacts (sm b ullet) Ensures that the software failures do not create unsafe conditions Software designers for nuclear systems and processes must reduce risks in software applications by incorporating processes that recognize, detect, and mitigate software failure in safety related systems. It must also ensure that fail safe modes and component testing are incorporated into software design. For nuclear facilities, the consideration of risk is not necessarily sufficient to ensure safety. Systematic evaluation, independent verification and system safety analysis must be considered for software design, implementation, and operation. The software industry primarily uses risk analysis to determine the appropriate level of rigor applied to software practices. This risk-based approach distinguishes safety

  5. Man as a safety problem in technical systems

    International Nuclear Information System (INIS)

    Compes, P.C.; Wolff, H.A.

    1980-01-01

    Safety engineering derives its justification from the success achieved in maintaining and enlarging safety, more precisely, from activities aimed at avoiding or preventing damage caused by accidents. Man is not only affected by accidents but is also the cause of accidents, either directly or indirectly, and thus is to be regarded as the actual cause or preventer of accidents. The Second International Summer Symposium of the Society for Safety Engineering (GfS) which was held at Duesseldorf in 1980 brought into focus this aspect and the importance to be attached to the individual man and the whole mankind in the field of accident prevention. 'Man as a safety problem in technical systems' - a great and weighty field of problems, the large extent of which and the complex content of which was to be discussed by the programme with its many different contributions, on the one hand by presenting an outline as completely as possible, and on the other hand by finding further-reaching solutions for at least some problems. This was the purpose of the dialogues held between theory and practice on the one hand, and between safety engineering and, in this case, the human sciences on the other hand. (orig./RW) [de

  6. Improving patient safety through quality assurance.

    Science.gov (United States)

    Raab, Stephen S

    2006-05-01

    Anatomic pathology laboratories use several quality assurance tools to detect errors and to improve patient safety. To review some of the anatomic pathology laboratory patient safety quality assurance practices. Different standards and measures in anatomic pathology quality assurance and patient safety were reviewed. Frequency of anatomic pathology laboratory error, variability in the use of specific quality assurance practices, and use of data for error reduction initiatives. Anatomic pathology error frequencies vary according to the detection method used. Based on secondary review, a College of American Pathologists Q-Probes study showed that the mean laboratory error frequency was 6.7%. A College of American Pathologists Q-Tracks study measuring frozen section discrepancy found that laboratories improved the longer they monitored and shared data. There is a lack of standardization across laboratories even for governmentally mandated quality assurance practices, such as cytologic-histologic correlation. The National Institutes of Health funded a consortium of laboratories to benchmark laboratory error frequencies, perform root cause analysis, and design error reduction initiatives, using quality assurance data. Based on the cytologic-histologic correlation process, these laboratories found an aggregate nongynecologic error frequency of 10.8%. Based on gynecologic error data, the laboratory at my institution used Toyota production system processes to lower gynecologic error frequencies and to improve Papanicolaou test metrics. Laboratory quality assurance practices have been used to track error rates, and laboratories are starting to use these data for error reduction initiatives.

  7. The way to solve the safety problems of nuclear power

    International Nuclear Information System (INIS)

    Qian Jihui; Zhang Senru

    1991-01-01

    Based on the safety problems that the current water cooled reactor nuclear power plants have the potential danger of core melt, the paper comments upon the safety behaviors of the advanced reactors (AP-600, SIR) and passive safety reactors (PIUS, MHTGR). According to design and user's requirements for next generation water cooled reactor, the paper put forward a new concept about self safety U-ZrH reactor (SUR) which is able to solve the safety problems for water cooled reactor nuclear power plant and become a development direction for world water cooled reactor nuclear power plants. This type of reactor has been studied in NPIC (Nuclear Power Institute of China)

  8. Food quality and safety management

    Directory of Open Access Journals (Sweden)

    Agnieszka Bilska

    2014-09-01

    Full Text Available Ensuring quality and safety of food are nowadays the most important goals set by companies who produce and distribute it. As a result, regulations have been introduced in the European Union countries concerning the production and distribution of food as well as norms which oblige companies to implement and execute several quality management systems.

  9. System analysis of vehicle active safety problem

    Science.gov (United States)

    Buznikov, S. E.

    2018-02-01

    The problem of the road transport safety affects the vital interests of the most of the population and is characterized by a global level of significance. The system analysis of problem of creation of competitive active vehicle safety systems is presented as an interrelated complex of tasks of multi-criterion optimization and dynamic stabilization of the state variables of a controlled object. Solving them requires generation of all possible variants of technical solutions within the software and hardware domains and synthesis of the control, which is close to optimum. For implementing the task of the system analysis the Zwicky “morphological box” method is used. Creation of comprehensive active safety systems involves solution of the problem of preventing typical collisions. For solving it, a structured set of collisions is introduced with its elements being generated also using the Zwicky “morphological box” method. The obstacle speed, the longitudinal acceleration of the controlled object and the unpredictable changes in its movement direction due to certain faults, the road surface condition and the control errors are taken as structure variables that characterize the conditions of collisions. The conditions for preventing typical collisions are presented as inequalities for physical variables that define the state vector of the object and its dynamic limits.

  10. Identification of Patient Safety Risks Associated with Electronic Health Records: A Software Quality Perspective.

    Science.gov (United States)

    Virginio, Luiz A; Ricarte, Ivan Luiz Marques

    2015-01-01

    Although Electronic Health Records (EHR) can offer benefits to the health care process, there is a growing body of evidence that these systems can also incur risks to patient safety when developed or used improperly. This work is a literature review to identify these risks from a software quality perspective. Therefore, the risks were classified based on the ISO/IEC 25010 software quality model. The risks identified were related mainly to the characteristics of "functional suitability" (i.e., software bugs) and "usability" (i.e., interface prone to user error). This work elucidates the fact that EHR quality problems can adversely affect patient safety, resulting in errors such as incorrect patient identification, incorrect calculation of medication dosages, and lack of access to patient data. Therefore, the risks presented here provide the basis for developers and EHR regulating bodies to pay attention to the quality aspects of these systems that can result in patient harm.

  11. Quality control guarantees the safety of radiotherapy

    International Nuclear Information System (INIS)

    Aaltonen, P.

    1994-01-01

    While radiotherapy equipment has seen some decisive improvements in the last few decades, the technology has also become more complicated. The advanced equipment produces increasingly good treatment results, but the condition of the equipment must be controlled efficiently so as to eliminate any defects that might jeopardise patient safety. The quality assurance measures that are taken to show that certain equipment functions as required are known as quality control. The advanced equipment and stricter requirements set for the precision of radiotherapy have meant that more attention must be paid to quality control. The present radiation legislation stipulates that radiotherapy equipment must undergo regular quality control. The implementation of the quality control is supervised by the Finnish Centre for Radiation and Nuclear Safety (STUK). Hospitals carry out quality control in accordance with a programme approved by STUK, and STUK inspectors periodically visit hospitals to check the results of quality control. (orig.)

  12. Building quality into performance and safety assessment software

    International Nuclear Information System (INIS)

    Wojciechowski, L.C.

    2011-01-01

    Quality assurance is integrated throughout the development lifecycle for performance and safety assessment software. The software used in the performance and safety assessment of a Canadian deep geological repository (DGR) follows the CSA quality assurance standard CSA-N286.7 [1], Quality Assurance of Analytical, Scientific and Design Computer Programs for Nuclear Power Plants. Quality assurance activities in this standard include tasks such as verification and inspection; however, much more is involved in producing a quality software computer program. The types of errors found with different verification methods are described. The integrated quality process ensures that defects are found and corrected as early as possible. (author)

  13. Watershed safety and quality control by safety threshold method

    Science.gov (United States)

    Da-Wei Tsai, David; Mengjung Chou, Caroline; Ramaraj, Rameshprabu; Liu, Wen-Cheng; Honglay Chen, Paris

    2014-05-01

    Taiwan was warned as one of the most dangerous countries by IPCC and the World Bank. In such an exceptional and perilous island, we would like to launch the strategic research of land-use management on the catastrophe prevention and environmental protection. This study used the watershed management by "Safety Threshold Method" to restore and to prevent the disasters and pollution on island. For the deluge prevention, this study applied the restoration strategy to reduce total runoff which was equilibrium to 59.4% of the infiltration each year. For the sediment management, safety threshold management could reduce the sediment below the equilibrium of the natural sediment cycle. In the water quality issues, the best strategies exhibited the significant total load reductions of 10% in carbon (BOD5), 15% in nitrogen (nitrate) and 9% in phosphorus (TP). We found out the water quality could meet the BOD target by the 50% peak reduction with management. All the simulations demonstrated the safety threshold method was helpful to control the loadings within the safe range of disasters and environmental quality. Moreover, from the historical data of whole island, the past deforestation policy and the mistake economic projects were the prime culprits. Consequently, this study showed a practical method to manage both the disasters and pollution in a watershed scale by the land-use management.

  14. Quality management of pharmacology and safety pharmacology studies

    DEFF Research Database (Denmark)

    Spindler, Per; Seiler, Jürg P

    2002-01-01

    to safety pharmacology studies, and, when indicated, to secondary pharmacodynamic studies, does not influence the scientific standards of studies. However, applying formal GLP standards will ensure the quality, reliability and integrity of studies, which reflect sound study management. It is important...... to encourage a positive attitude among researchers and academics towards these lines, whenever possible. GLP principles applied to the management of non-clinical safety studies are appropriate quality standards when studies are used in the context of protecting public health, and these quality standards...... of pharmacology studies (ICH S7A): primary pharmacodynamic, secondary pharmacodynamic and safety pharmacology studies, and guidance on the quality standards (expectations for GLP conformity) for these study types have been provided. Primary pharmacodynamic studies are the only study types that are fully exempt...

  15. Theoretical Application of Supervision over Quality and Safety of Agricultural Products

    Institute of Scientific and Technical Information of China (English)

    Xin; CHENG; Ying; ZHANG

    2013-01-01

    Supervision over quality and safety of agricultural products has received high attention of management department.Competent authorities have formulated and issued many measures to strengthen supervision over quality and safety of agricultural products and improve China’s agricultural product quality and safety level.From the perspective of management science,this paper elaborates basic contents of two basic management theories,Broken Windows Effect and Effect of Heat Furnace.Then,it analyzes influence of Broken Windows Effect and Effect of Heat Furnace on supervision over quality and safety of agricultural products.Finally,it comes up with recommendations for supervision over quality and safety of agricultural products.

  16. Perceived school safety is strongly associated with adolescent mental health problems.

    Science.gov (United States)

    Nijs, Miesje M; Bun, Clothilde J E; Tempelaar, Wanda M; de Wit, Niek J; Burger, Huibert; Plevier, Carolien M; Boks, Marco P M

    2014-02-01

    School environment is an important determinant of psychosocial function and may also be related to mental health. We therefore investigated whether perceived school safety, a simple measure of this environment, is related to mental health problems. In a population-based sample of 11,130 secondary school students, we analysed the relationship of perceived school safety with mental health problems using multiple logistic regression analyses to adjust for potential confounders. Mental health problems were defined using the clinical cut-off of the self-reported Strengths and Difficulties Questionnaire. School safety showed an exposure-response relationship with mental health problems after adjustment for confounders. Odds ratios increased from 2.48 ("sometimes unsafe") to 8.05 ("very often unsafe"). The association was strongest in girls and young and middle-aged adolescents. Irrespective of the causal background of this association, school safety deserves attention either as a risk factor or as an indicator of mental health problems.

  17. FLIGHT SAFETY MANAGEMENT PROBLEMS AND EVALUATION OF FLIGHT SAFETY LEVEL OF AN AVIATION ENTERPRISE

    OpenAIRE

    B. V. Zubkov; H. E. Fourar

    2017-01-01

    This article is devoted to studying the problem of safety management system (SMS) and evaluating safety level of an aviation enterprise.This article discusses the problems of SMS, presented at the 41st meeting of the Russian Aviation Production Commanders Club in June 2014 in St. Petersburg in connection with the verification of the status of the CA of the Russian Federation by the International Civil Aviation Organization (ICAO) in the same year, a set of urgent measures to eliminate the def...

  18. The future trends for research on quality and safety of animal products

    Directory of Open Access Journals (Sweden)

    Nigel D. Scollan

    2010-01-01

    Full Text Available Quality must now be considered as a convergence between consumers' wishes and needs and the intrinsic and extrinsic quality attributes of food products. The increasing number of quality attributes which must be considered, increasing globalisation and the heterogeneity in consumption habits between countries are making this convergence progressively more difficult. In parallel, science is rapidly evolving (with the advent of genomics for instance, and a growing number of applications is thus expected for the improvement of food safety and quality. Among the meat and fish quality attributes, colour is very important because it determines, at least in part, consumer choice. The key targets to ensure a satisfactory colour are animal nutrition and management for fish, processing and product conditioning for meat. Tenderness and flavour continue to be important issues for the consumer because eating remains a pleasure. They both determine quality experience which itself influences repetitive purchase. Meat tenderness is a very complex problem which can be solved only by a holistic approach involving all the factors from conception, animal breeding and production, muscle biology and slaughter practice to carcass processing and meat preparation at the consumer end. Today, safety and healthiness are among the most important issues. Unfortunately, animal products can potentially be a source of biological and chemical contamination for consumers. The introduction of both control strategies along the food chain and the development of a food safety management system, from primary production to the domestic environment, are key issues that must be achieved. Despite a high dietary supply of saturated fats by dairy and meat products, it is imperative that professionals involved in animal research and in the associated industry convey the positive nutritional contributions of animal products to both consumers and health professionals. The latter include protein

  19. Problems in Food Safety of Hunan Province and Countermeasures

    Institute of Scientific and Technical Information of China (English)

    Fanfan; OUYANG; Fangming; DENG

    2014-01-01

    In recent years,serious food safety accidents are of frequent occurrence. Although government has taken many practical and feasible measures to contain food safety accidents,new food safety accidents still emerge in large numbers. In this situation,food safety control is a long-term and arduous task to be performed jointly by many government departments. Finally,it presents corresponding countermeasures and recommendations on the basis of current situations of food safety in Hunan Province,problem causes,in combination with control measures related to food safety both at home and abroad.

  20. Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety in a care pathway

    Directory of Open Access Journals (Sweden)

    Escoto Kamisha

    2007-06-01

    Full Text Available Abstract Background Care pathways can be complex, often involving multiple care providers and as such are recognised as containing multiple opportunities for error. Prospective hazard analysis methods may be useful for evaluating care provided across primary and secondary care pathway boundaries. These methods take into account the views of users (staff and patients when determining where potential hazards may lie. The aim of this study is to evaluate the feasibility of prospective hazard analysis methods when assessing quality and safety in care pathways that lie across primary and secondary care boundaries. Methods Development of a process map of the care pathway for patients entering into a Chronic Obstructive Pulmonary Disease (COPD supported discharge programme. Triangulation of information from: care process mapping, semi-structured interviews with COPD patients, semi-structured interviews with COPD staff, two round modified Delphi study and review of prioritised quality and safety challenges by health care staff. Results Interview themes emerged under the headings of quality of care and patient safety. Quality and safety concerns were mostly raised in relation to communication, for example, communication with other hospital teams. The three highest ranked safety concerns from the modified Delphi review were: difficulties in accessing hospital records, information transfer to primary care and failure to communicate medication changes to primary care. Conclusion This study has demonstrated the feasibility of using mixed methods to review the quality and safety of care in a care pathway. By using multiple research methods it was possible to get a clear picture of service quality variations and also to demonstrate which points in the care pathway had real potential for patient safety incidents or system failures to occur. By using these methods to analyse one condition specific care pathway it was possible to uncover a number of hospital

  1. Application of an engineering problem-solving methodology to address persistent problems in patient safety: a case study on retained surgical sponges after surgery.

    Science.gov (United States)

    Anderson, Devon E; Watts, Bradley V

    2013-09-01

    Despite innumerable attempts to eliminate the postoperative retention of surgical sponges, the medical error persists in operating rooms worldwide and places significant burden on patient safety, quality of care, financial resources, and hospital/physician reputation. The failure of countless solutions, from new sponge counting methods to radio labeled sponges, to truly eliminate the event in the operating room requires that the emerging field of health-care delivery science find innovative ways to approach the problem. Accordingly, the VA National Center for Patient Safety formed a unique collaboration with a team at the Thayer School of Engineering at Dartmouth College to evaluate the retention of surgical sponges after surgery and find a solution. The team used an engineering problem solving methodology to develop the best solution. To make the operating room a safe environment for patients, the team identified a need to make the sponge itself safe for use as opposed to resolving the relatively innocuous counting methods. In evaluation of this case study, the need for systematic engineering evaluation to resolve problems in health-care delivery becomes clear.

  2. On application of CFD codes to problems of nuclear reactor safety

    International Nuclear Information System (INIS)

    Muehlbauer, Petr

    2005-01-01

    The 'Exploratory Meeting of Experts to Define an Action Plan on the Application of Computational Fluid Dynamics (CFD) Codes to Nuclear Reactor Safety Problems' held in May 2002 at Aix-en-Province, France, recommended formation of writing groups to report the need of guidelines for use and assessment of CFD in single-phase nuclear reactor safety problems, and on recommended extensions to CFD codes to meet the needs of two-phase problems in nuclear reactor safety. This recommendations was supported also by Working Group on the Analysis and Management of Accidents and led to formation oaf three Writing Groups. The first writing Group prepared a summary of existing best practice guidelines for single phase CFD analysis and made a recommendation on the need for nuclear reactor safety specific guidelines. The second Writing Group selected those nuclear reactor safety applications for which understanding requires or is significantly enhanced by single-phase CFD analysis, and proposed a methodology for establishing assesment matrices relevant to nuclear reactor safety applications. The third writing group performed a classification of nuclear reactor safety problems where extension of CFD to two-phase flow may bring real benefit, a classification of different modeling approaches, and specification and analysis of needs in terms of physical and numerical assessments. This presentation provides a review of these activities with the most important conclusions and recommendations (Authors)

  3. Intermodal safety research needs report of the sixth workshop on national transportation problems

    Energy Technology Data Exchange (ETDEWEB)

    Warshawer, A.J. (ed.)

    1976-04-01

    This conference brought together DOT policymakers, university principal investigators and other professionals to consider the intermodal safety research requirements of the Department of Transportation. The objectives of the conference were: (1) to highlight safety problems and needed transportation safety research identified by DOT modal safety managers and to stimulate university or university/industry teams to respond with research proposals which emphasize multi-modal applicability and a system view; and (2) to provide a forum for university research groups to inform DOT safety managers of promising new directions in transportation safety research and new tools with which to address safety related problems. The conference addressed the research requirements for safety as identified by the Statement of National Transportation Policy and by the modal safety managers in three principal contexts, each a workshop panel: I, Inter-Institutional Problems of Transportation Safety. Problems were described as: Federal-State, local; Federal-Industry; Federal-Public, Consumer groups. II, Goal Setting and Planning for Transportation Safety Programs. Issues were: modifying risk behavior, safety as a social value, and involving citizens in development of standards as a way of increasing probability of achieving program objectives. III, DOT Information, Management, and Evaluation Systems Requirements. Needs were: data requirements and analytic tools for management of safety programs.

  4. Nuclear safety targets and problems of social acceptability

    International Nuclear Information System (INIS)

    Macgill, S.M.

    1989-01-01

    The following are among the factors which make the problem of setting acceptable safety targets for societal protection from possible nuclear accidents one of such formidable proportion: The varied and often conflicting positions among and between the many constituencies with a claim to interest in the problem: local, national and international populations; lay, workplace and professional communities; private and public interests; active environmental lobbies and intentionally passive publics; powerful influences and politically unprivileged classes; press and mass media. To seek 'acceptability' of safety targets through common consensus is problematised by the difficulty in overcoming the immense social and historical forces that give rise to the prevailing contrariety among different people's positions. To seek resolution of differences by some appropriate weighting of the different views of different constituencies is problematised by the lack of unique identification of what the constituencies are, by the difficulty in faithfully representing their views, and by the absence of 'laws of social entitlement' vis-a-vis the weight that should be given to each. In sum, the problem of setting socially acceptable safety targets is itself bound up with inherently open ended questions of democracy and representation. (author)

  5. FOOD QUALITY AND SAFETY ASSURANCE IN TERMS OF LOSS AND WASTE LIMITATION

    Directory of Open Access Journals (Sweden)

    Maria Śmiechowska

    2016-06-01

    Full Text Available One of the greatest challenges of 21st century is satisfying the food needs of the fast growing population of the world. Food must fulfill quality and safety standards.  The access to safe and appropriate food is not the same everywhere.  Food excess and, in consequence, food waste is present in many regions of the world. This study is meant to explain the causes of food waste on the basis of the author’s own research and study results of other scientists. The lack of authenticity and falsification belong to the new factors endangering food safety and food waste related thereto. This analysis proves that the authenticity of food improves its safety through the implementation of quality management systems, the appropriate system of food labelling and food identification by means of applicable law regulations, supervision and control systems. Main aim of this study is to address why, even though there are so many quality standards and systems, a significant problem with food loss and waste constantly occurs. Waste-causing factors have been determined on the example of bread and the handling of unconsumed bread has been attempted in this study. Waste limiting actions are necessary as food production is significantly overburdening the natural environment and generating increasing amount of waste, hazardous to the clean air. 

  6. Probability evaluation in problems of structural safety and quality assurance through oriented simulation

    International Nuclear Information System (INIS)

    Puppo, A.H.

    1990-01-01

    The procedure described in this work may be considered to improve the Harbitz method by a limitation of the directions corresponding to the sampling points. By the introduction of polar coordinates n-dimensional system, these directions may be limited to those contained in an hypercone, whose axis contains the design point. Some problems with strongly convex failure domain presented in some structural systems (Igusa and Der Kiureghian, 1988; Nadim, 1990) and also in the acceptance probability of analysis and rejection of quality assurance methods may be efficiently treated. (Author) [es

  7. Safety of pressurized water reactors: problems and corresponding studies

    International Nuclear Information System (INIS)

    Cogne, F.

    1976-01-01

    The author recalls the safety problems subject to researches in the CEA, either because of their importance or because studies made abroad were not sufficiently developed or were classified or in order to acquire an independent judgement when safety is concerned. Those problems and studies are submitted referring to the 3 existing shields between man and dangerous materials: fuel element can, thermal shield, (pressure vessel and pipes), biological shield of which the behaviour is studied in connection with outside aggressions such as earthquakes, plane crashes, chemical explosions.. [fr

  8. Content and quality of workplace guidelines developed to prevent mental health problems

    DEFF Research Database (Denmark)

    Nexø, Mette Andersen; Kristensen, Josefine Vejlby; Grønvad, Majbritt Thorhauge

    2018-01-01

    Objectives A wide range of guidelines have been developed to prevent work-related mental health problems (MHP), but little is known about the quality of such guidelines. We systematically reviewed the content and quality of workplace guidelines aiming to prevent, detect, and/or manage work......-related MHP. Methods We conducted systematic online and database searches (MEDLINE; Web of Science; PsychNET; occupational safety and health databases) to identify guidelines. Eligibility criteria included guidelines recommending primary, secondary, or tertiary preventive interventions to be implemented...... at the workplace by employers, employees or organizational staff. A minimum of minimum three independent reviewers assessed the quality of guidelines using the Guidelines for Research and Evaluation (AGREE II). Guidelines rated ≥65% with regards to domain I, II, and III were considered to be of good developmental...

  9. European demands for food quality and safety

    OpenAIRE

    Bulatsyk, Sofiya; Yavorska, Nadiya

    2017-01-01

    In this article was investigated regulations and other normative documents of the European Union concerning food quality and safety and was arranged EU demands regards to food safety. There were determined the basic business concerns of the domestic enterprises in the process of manufacturing and marketing food products

  10. Quality management, a directive approach to patient safety.

    Science.gov (United States)

    Ayuso-Murillo, Diego; de Andrés-Gimeno, Begoña; Noriega-Matanza, Concha; López-Suárez, Rafael Jesús; Herrera-Peco, Ivan

    Nowadays the implementation of effective quality management systems and external evaluation in healthcare is a necessity to ensure not only transparency in activities related to health but also access to health and patient safety. The key to correctly implementing a quality management system is support from the managers of health facilities, since it is managers who design and communicate to health professionals the strategies of action involved in quality management systems. This article focuses on nursing managers' approach to quality management through the implementation of cycles of continuous improvement, participation of improvement groups, monitoring systems and external evaluation quality models (EFQM, ISO). The implementation of a quality management system will enable preventable adverse effects to be minimized or eliminated, and promote patient safety and safe practice by health professionals. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  11. Quality and safety in Spain

    International Nuclear Information System (INIS)

    Prieto Barrio, J. M.; Martinez Martin, D. J.

    2015-01-01

    For three decades, and after the entry of Spain into the EU, it has been developed a regulatory, stable but evolving, framework that has allowed to create the conditions and structures to have stringent safety conditions of products and manufacturing facilities, as well as all the activities necessary for their certification and control. This development has been possible, among others, by the work of impulse and coordination of the Ministry of industry, Energy and Tourism, and particularly of the quality and Industrial safety sub directorate. On the other hand it has been developed a quality infrastructure that has, at the State level, with a standardisation (AENOR) entity and an accreditation body (ENAC) with recognized prestige around the world. In this article, in the first part, a list the regulations which apply to products and manufacturing facilities is shown, as well as explain the role played by standards and accreditation system in industrial safety and the factor of competitiveness that this entails for our industrial sector, and, in the second part, the institutional role of the Ministry and, the aforementioned Sub directorate, is described. The aim of the article is to be a descriptive reference of the current regulatory framework as well as the role of the State in this process. (Author)

  12. Safety culture and quality management of Kartini research reactor

    International Nuclear Information System (INIS)

    Syarip; Hauptmanns, Ulrich

    1999-01-01

    The evaluation for assessing the safety culture and quality of safety management of Kartini research reactor is presented. The method is based on the concept of management control of safety (audit) as well as by using the developed method i.e. the questionnaires concerning areas of relevance which have to be answered with value statements. There are seven statements or qualifiers in answering the questions. Since such statements are vague, they are represented by fuzzy numbers. The weaknesses can be identified from the different areas contemplated. The evaluation result show that the quality of safety management of Kartini research reactor is globally rated as 'Average'. The operator behavior in the implementation of 'safety culture' concept is found as a weakness, therefore this area should be improved. (author)

  13. Sociological refigurations of patient safety; ontologies of improvement and 'acting with' quality collaboratives in healthcare.

    Science.gov (United States)

    Zuiderent-Jerak, Teun; Strating, Mathilde; Nieboer, Anna; Bal, Roland

    2009-12-01

    The increasing focus on patient safety in the field of health policy is accompanied by research programs that articulate the role of the social sciences as one of contributing to enhancing safety in healthcare. Through these programs, new approaches to studying safety are facing a narrow definition of 'usefulness' in which researchers are to discover the factors that support or hamper the implementation of existing policy agendas. This is unfortunate since such claims for useful involvement in predefined policy agendas may undo one of the strongest assets of good social science research: the capacity to complexify the taken-for-granted conceptualizations of the object of study. As an alternative to this definition of 'usefulness', this article proposes a focus on multiple ontologies in the making when studying patient safety. Through such a focus, the role of social scientists becomes the involvement in refiguring the problem space of patient safety, the relations between research subjects and objects, and the existing policy agendas. This role gives medical sociologists the opportunity to focus on the question of which practices of 'effective care' are being enacted through different approaches for dealing with patient safety and what their consequences are for the care practices under study. In order to explore these questions, this article draws on empirical material from an ongoing evaluation of a large quality improvement collaborative for the care sectors in the Netherlands. It addresses how issues like 'effectiveness' and 'client participation' are at present articulated in this collaborative and shows that alternative figurations of these notions dissolve many 'implementation problems' presently experienced. Further it analyzes how such a focus of medical sociology on multiple ontologies engenders new potential for exploring particular spaces for 'acting with' quality improvement agents.

  14. Shoe concerns and foot problems of wearers of safety footwear.

    Science.gov (United States)

    Marr, S J; Quine, S

    1993-05-01

    In Australia workers in many industries are required to wear safety footwear (footwear incorporating a steel toe cap). An investigation of the problems reported by 321 workers (70 per cent male) employed in a broad range of work activities and required to wear safety footwear was conducted in 1990 and 1991. Respondents were interviewed by a professionally trained podiatrist using a structured questionnaire followed by a foot examination. An extremely high percentage (91 per cent) of subjects reported one or more foot problems (which were verified by the podiatrist), and most considered that the safety footwear either caused the problem or adversely affected an existing foot condition. The main shoe concerns reported were excessive heat (65 per cent of all respondents), inflexible soles (52 per cent), weight (48 per cent) and pressure from steel toe cap (47 per cent). Certain gender differences were identified. General recommendations are made.

  15. Collaborative problem solving with a total quality model.

    Science.gov (United States)

    Volden, C M; Monnig, R

    1993-01-01

    A collaborative problem-solving system committed to the interests of those involved complies with the teachings of the total quality management movement in health care. Deming espoused that any quality system must become an integral part of routine activities. A process that is used consistently in dealing with problems, issues, or conflicts provides a mechanism for accomplishing total quality improvement. The collaborative problem-solving process described here results in quality decision-making. This model incorporates Ishikawa's cause-and-effect (fishbone) diagram, Moore's key causes of conflict, and the steps of the University of North Dakota Conflict Resolution Center's collaborative problem solving model.

  16. Quality assurance for software important to safety

    International Nuclear Information System (INIS)

    2000-01-01

    Software applications play an increasingly relevant role in nuclear power plant systems. This is particularly true of software important to safety used in both: calculations for the design, testing and analysis of nuclear reactor systems (design, engineering and analysis software); and monitoring, control and safety functions as an integral part of the reactor systems (monitoring, control and safety system software). Computer technology is advancing at a fast pace, offering new possibilities in nuclear reactor design, construction, commissioning, operation, maintenance and decommissioning. These advances also present new issues which must be considered both by the utility and by the regulatory organization. Refurbishment of ageing instrumentation and control systems in nuclear power plants and new safety related application areas have emerged, with direct (e.g. interfaces with safety systems) and indirect (e.g. operator intervention) implications for safety. Currently, there exist several international standards and guides on quality assurance for software important to safety. However, none of the existing documents provides comprehensive guidance to the developer, manager and regulator during all phases of the software life-cycle. The present publication was developed taking into account the large amount of available documentation, the rapid development of software systems and the need for updated guidance on h ow to do it . It provides information and guidance for defining and implementing quality assurance programmes covering the entire life-cycle of software important to safety. Expected users are managers, performers and assessors from nuclear utilities, regulatory bodies, suppliers and technical support organizations involved with the development and use of software applied in nuclear power plants

  17. Assuring fish safety and quality in international fish trade

    International Nuclear Information System (INIS)

    Ababouch, Lahsen . E-mail lahsen.ababouch@fao.org

    2006-01-01

    International trade in fishery commodities reached US$ 58.2 billion in 2002, a 5% improvement relative to 2000 and a 45% increase over 1992 levels. Within this global trade, developing countries registered a net trade surplus of US$ 17.4 billion in 2002 and accounted for almost 50% by value and 55% of fish exports by volume. This globalization of fish trade, coupled with technological developments in food production, handling, processing and distribution, and the increasing awareness and demand of consumers for safe and high quality food have put food safety and quality assurance high in public awareness and a priority for many governments. Consequently, many countries have tightened food safety controls, imposing additional costs and requirements on imports. As early as 1980, there was an international drive towards adopting preventative HACCP-based safety and quality systems. More recently, there has been a growing awareness of the importance of an integrated, multidisciplinary approach to food safety and quality throughout the entire food chain. Implementation of this approach requires an enabling policy and regulatory environment at national and international levels with clearly defined rules and standards, establishment of appropriate food control systems and programmes at national and local levels, and provision of appropriate training and capacity building. This paper discusses the international framework for fish safety and quality, with particular emphasis on the United Nation's Food and Agricultural Organization's (FAO) strategy to promote international harmonization and capacity building

  18. Assuring fish safety and quality in international fish trade

    Energy Technology Data Exchange (ETDEWEB)

    Ababouch, Lahsen [United Nations, Food and Agricultural Organization, Chief, Fish Utilization and Marketing Services, FAO Headquarters, F-607 Rome (Italy)]. E-mail lahsen.ababouch@fao.org

    2006-07-01

    International trade in fishery commodities reached US$ 58.2 billion in 2002, a 5% improvement relative to 2000 and a 45% increase over 1992 levels. Within this global trade, developing countries registered a net trade surplus of US$ 17.4 billion in 2002 and accounted for almost 50% by value and 55% of fish exports by volume. This globalization of fish trade, coupled with technological developments in food production, handling, processing and distribution, and the increasing awareness and demand of consumers for safe and high quality food have put food safety and quality assurance high in public awareness and a priority for many governments. Consequently, many countries have tightened food safety controls, imposing additional costs and requirements on imports. As early as 1980, there was an international drive towards adopting preventative HACCP-based safety and quality systems. More recently, there has been a growing awareness of the importance of an integrated, multidisciplinary approach to food safety and quality throughout the entire food chain. Implementation of this approach requires an enabling policy and regulatory environment at national and international levels with clearly defined rules and standards, establishment of appropriate food control systems and programmes at national and local levels, and provision of appropriate training and capacity building. This paper discusses the international framework for fish safety and quality, with particular emphasis on the United Nation's Food and Agricultural Organization's (FAO) strategy to promote international harmonization and capacity building.

  19. Quality management and perceptions of teamwork and safety climate in European hospitals.

    Science.gov (United States)

    Kristensen, Solvejg; Hammer, Antje; Bartels, Paul; Suñol, Rosa; Groene, Oliver; Thompson, Caroline A; Arah, Onyebuchi A; Kutaj-Wasikowska, Halina; Michel, Philippe; Wagner, Cordula

    2015-12-01

    This study aimed to investigate the associations of quality management systems with teamwork and safety climate, and to describe and compare differences in perceptions of teamwork climate and safety climate among clinical leaders and frontline clinicians. We used a multi-method, cross-sectional approach to collect survey data of quality management systems and perceived teamwork and safety climate. Our data analyses included descriptive and multilevel regression methods. Data on implementation of quality management system from seven European countries were evaluated including patient safety culture surveys from 3622 clinical leaders and 4903 frontline clinicians. Perceived teamwork and safety climate. Teamwork climate was reported as positive by 67% of clinical leaders and 43% of frontline clinicians. Safety climate was perceived as positive by 54% of clinical leaders and 32% of frontline clinicians. We found positive associations between implementation of quality management systems and teamwork and safety climate. Our findings, which should be placed in a broader clinical quality improvement context, point to the importance of quality management systems as a supportive structural feature for promoting teamwork and safety climate. To gain a deeper understanding of this association, further qualitative and quantitative studies using longitudinally collected data are recommended. The study also confirms that more clinical leaders than frontline clinicians have a positive perception of teamwork and safety climate. Such differences should be accounted for in daily clinical practice and when tailoring initiatives to improve teamwork and safety climate. © The Author 2015. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

  20. Visualising differences in professionals' perspectives on quality and safety.

    Science.gov (United States)

    Travaglia, Joanne Francis; Nugus, Peter Ivan; Greenfield, David; Westbrook, Johanna Irene; Braithwaite, Jeffrey

    2012-09-01

    The safety-and-quality movement is now two decades old. Errors persist despite best efforts, indicating that there are entrenched overt and perhaps less explicit barriers limiting the success of improvement efforts. OBJECTIVES AND HYPOTHESES: To examine the perspectives of five groups of healthcare workers (administrative staff, nurses, medical practitioners, allied health and managers) and to compare and contrast their descriptions of quality-and-safety activities within their organisation. Differences in perspectives can be an indicator of divergence in the conceptualisation of, and impetus for, quality-improvement strategies which are intended to engage healthcare professions and staff. Study data were collected in a defined geographical healthcare jurisdiction in Australia, via individual and group interviews held across four service streams (aged care and rehabilitation; mental health; community health; and cancer services). Data were collected in 2008 and analysed, using data-mining software, in 2009. Clear differences in the perspectives of professional groups were evident, suggesting variations in the perceptions of, and priorities for, quality and safety. The visual representation of quality and safety perspectives provides insights into the conceptual maps currently utilised by healthcare workers. Understanding the similarity and differences in these maps may enable more effective targeting of interprofessional improvement strategies.

  1. THE QUALITY OF MATHEMATICAL PROBLEMS - EVALUATION AND SELF-EVALUATION

    Directory of Open Access Journals (Sweden)

    Patáková, Eva

    2013-09-01

    Full Text Available The research presented in the article consists of two parts. Firstly, opinions on mathematical problem quality are explored within four groups of participants (novices, specialists and experts in problem posing; high school students who never posed their own problems. Secondly, self-reflections written by the participants who have some experience in problem posing (novices, specialists and experts are explored and compared with the general view of problem quality received in the first part of the research. The more experienced problem posers have more requirements on problem quality (both as general requirements and within their own work on posing problems. There is a slight decrease in ability to notice important features of mathematical problem quality after the first experience in problem posing. Experts lay stress on mathematical features of the problem whilst novices and specialists more on problem – student interaction.

  2. Safety culture and quality management of Kartini research reactor

    Energy Technology Data Exchange (ETDEWEB)

    Syarip [Yogyakarta Nuclear Research Centre, Yogyakarta (Indonesia); Hauptmanns, Ulrich [Department of Plant Design and Safety, Otto-Von-Guericke-University, Magdeburg (Germany)

    1999-10-01

    The evaluation for assessing the safety culture and quality of safety management of Kartini research reactor is presented. The method is based on the concept of management control of safety (audit) as well as by using the developed method i.e. the questionnaires concerning areas of relevance which have to be answered with value statements. There are seven statements or qualifiers in answering the questions. Since such statements are vague, they are represented by fuzzy numbers. The weaknesses can be identified from the different areas contemplated. The evaluation result show that the quality of safety management of Kartini research reactor is globally rated as 'Average'. The operator behavior in the implementation of 'safety culture' concept is found as a weakness, therefore this area should be improved. (author)

  3. Safety problems with abandoned explosive facilities

    International Nuclear Information System (INIS)

    Courtright, W.C.

    1969-01-01

    Procedures were developed for the safe removal of explosive and radioactive contaminated materials structures and drains from abandoned sites, including explosives processing and service buildings with a goal to return the entire area to its natural state and to permit public access. The safety problems encountered in the cleanup and their solutions are applicable to modification and maintenance work in operating explosive facilities. (U.S.)

  4. Total Quality Management and the System Safety Secretary

    Science.gov (United States)

    Elliott, Suzan E.

    1993-01-01

    The system safety secretary is a valuable member of the system safety team. As downsizing occurs to meet economic constraints, the Total Quality Management (TQM) approach is frequently adopted as a formula for success and, in some cases, for survival.

  5. A Methodological Framework for Software Safety in Safety Critical Computer Systems

    OpenAIRE

    P. V. Srinivas Acharyulu; P. Seetharamaiah

    2012-01-01

    Software safety must deal with the principles of safety management, safety engineering and software engineering for developing safety-critical computer systems, with the target of making the system safe, risk-free and fail-safe in addition to provide a clarified differentaition for assessing and evaluating the risk, with the principles of software risk management. Problem statement: Prevailing software quality models, standards were not subsisting in adequately addressing the software safety ...

  6. Recent developments in intelligent packaging for enhancing food quality and safety.

    Science.gov (United States)

    Sohail, Muhammad; Sun, Da-Wen; Zhu, Zhiwei

    2018-03-07

    The role of packaging cannot be denied in the life cycle of any food product. Intelligent packaging is an emerging technology in the food packaging sector. Although it still needs its full emergence in the market, its importance has been proved for the maintenance of food quality and safety. The present review describes several aspects of intelligent packaging. It first highlights different tools used in intelligent packaging and elucidates the role of these packaging devices for maintaining the quality of different food items in terms of controlling microbial growth and gas concentration, and for providing convenience and easiness to its users in the form of time temperature indication. This review also discusses other intelligent packaging solutions in supply chain management of food products to control theft and counterfeiting conducts and broaden the image of the food companies in terms of branding and marketing. Overall, intelligent packaging can ensure food quality and safety in the food industry, however there are still some concerns over this emerging technology including high cost and legal aspects, and thus future work should be performed to overcome these problems for further promoting its applications in the food industry. Moreover, work should also be carried out to combine several single intelligent packaging devices into a single one, so that most of the benefits from this emerging technology can be achieved.

  7. Quality and safety of agri-food systems: technological and economic innovations

    Directory of Open Access Journals (Sweden)

    Domenico Ragazzi

    2008-04-01

    Full Text Available This study aims to point out the evolution of the economical approach to the topics of agri-food product quality and safety with particular attention to the schemes developed at European level. Thus, we wish to underline the forces which identified the insurance and certification systems as innovative tools for quality problem management in agri-food systems and what aspects they allow to manage according to the different needs of the stakeholders. In the last years, the proliferation of these schemes was so strong to considered the recent Iso 22000 Law as a possible solution for the harmonization process. Finally, some aspects of traceability systems are examined, apart from law obligations, identifying important opportunity of differentiation and acquisition of competitive advantages for the organization choosing them.

  8. Cross-comparison of three surrogate safety methods to diagnose cyclist safety problems at intersections in Norway.

    Science.gov (United States)

    Laureshyn, Aliaksei; Goede, Maartje de; Saunier, Nicolas; Fyhri, Aslak

    2017-08-01

    Relying on accident records as the main data source for studying cyclists' safety has many drawbacks, such as high degree of under-reporting, the lack of accident details and particularly of information about the interaction processes that led to the accident. It is also an ethical problem as one has to wait for accidents to happen in order to make a statement about cyclists' (un-)safety. In this perspective, the use of surrogate safety measures based on actual observations in traffic is very promising. In this study we used video data from three intersections in Norway that were all independently analysed using three methods: the Swedish traffic conflict technique (Swedish TCT), the Dutch conflict technique (DOCTOR) and the probabilistic surrogate measures of safety (PSMS) technique developed in Canada. The first two methods are based on manual detection and counting of critical events in traffic (traffic conflicts), while the third considers probabilities of multiple trajectories for each interaction and delivers a density map of potential collision points per site. Due to extensive use of microscopic data, PSMS technique relies heavily on automated tracking of the road users in video. Across the three sites, the methods show similarities or are at least "compatible" with the accident records. The two conflict techniques agree quite well for the number, type and location of conflicts, but some differences with no obvious explanation are also found. PSMS reports many more safety-relevant interactions including less severe events. The location of the potential collision points is compatible with what the conflict techniques suggest, but the possibly significant share of false alarms due to inaccurate trajectories extracted from video complicates the comparison. The tested techniques still require enhancement, with respect to better adjustment to analysis of the situations involving cyclists (and vulnerable road users in general) and further validation. However, we

  9. The sociotechnical configuration of the problem of Patient Safety

    DEFF Research Database (Denmark)

    Danholt, Peter

    2010-01-01

    Abstract. This paper presents and discusses two approaches to “the sociotechnical”, one coming from the Tavistock tradition and the other from actor network theory. These two differ in important ways and from the latter it follows that what patient safety means must be scrutinized and unpacked....... The paper thus rudimentarily discusses central contributions to the problematization of patient safety. Last it is argued that research that provide data on the processes of medical interventions where events, decisions and entities become transformed through their interactions is needed in order to further...... nuance the problem of patient safety. Keywords. Sociotechnical, patient safety, actor network theory, adverse events....

  10. quality and safety characteristics of cassava crisps sold in urban

    African Journals Online (AJOL)

    ACSS

    QUALITY AND SAFETY CHARACTERISTICS OF CASSAVA CRISPS SOLD IN. URBAN KENYA. G.O. ABONG', S.I. SHIBAIRO, ... This study sought to characterise the quality and safety in terms of cyanide levels of cassava crisps ... Crantz) to food security and incomes for rural communities in sub-Saharan Africa, cannot be.

  11. TU-EF-BRD-01: Topics in Quality and Safety Research and Level of Evidence

    Energy Technology Data Exchange (ETDEWEB)

    Pawlicki, T. [UCSD Medical Center (United States)

    2015-06-15

    Research related to quality and safety has been a staple of medical physics academic activities for a long time. From very early on, medical physicists have developed new radiation measurement equipment and analysis techniques, created ever increasingly accurate dose calculation models, and have vastly improved imaging, planning, and delivery techniques. These and other areas of interest have improved the quality and safety of radiotherapy for our patients. With the advent of TG-100, quality and safety is an area that will garner even more research interest in the future. As medical physicists pursue quality and safety research in greater numbers, it is worthwhile to consider what actually constitutes research on quality and safety. For example, should the development of algorithms for real-time EPID-based in-vivo dosimetry be defined as “quality and safety” research? How about the clinical implementation of such as system? Surely the application of failure modes and effects analysis to a clinical process would be considered quality and safety research, but is this type of research that should be included in the medical physics peer-reviewed literature? The answers to such questions are of critical importance to set researchers in a direction that will provide the greatest benefit to our field and the patients we serve. The purpose of this symposium is to consider what constitutes research in the arena of quality and safety and differentiate it from other research directions. The key distinction here is developing the tool itself (e.g. algorithms for EPID dosimetry) vs. studying the impact of the tool with some quantitative metric. Only the latter would I call quality and safety research. Issues of ‘basic’ versus ‘applied’ quality and safety research will be covered as well as how the research results should be structured to provide increasing levels of support that a quality and safety intervention is effective and sustainable. Examples from existing

  12. TU-EF-BRD-04: Summing It Up: The Future of Quality and Safety Research

    Energy Technology Data Exchange (ETDEWEB)

    Ford, E. [University of Washington (United States)

    2015-06-15

    Research related to quality and safety has been a staple of medical physics academic activities for a long time. From very early on, medical physicists have developed new radiation measurement equipment and analysis techniques, created ever increasingly accurate dose calculation models, and have vastly improved imaging, planning, and delivery techniques. These and other areas of interest have improved the quality and safety of radiotherapy for our patients. With the advent of TG-100, quality and safety is an area that will garner even more research interest in the future. As medical physicists pursue quality and safety research in greater numbers, it is worthwhile to consider what actually constitutes research on quality and safety. For example, should the development of algorithms for real-time EPID-based in-vivo dosimetry be defined as “quality and safety” research? How about the clinical implementation of such as system? Surely the application of failure modes and effects analysis to a clinical process would be considered quality and safety research, but is this type of research that should be included in the medical physics peer-reviewed literature? The answers to such questions are of critical importance to set researchers in a direction that will provide the greatest benefit to our field and the patients we serve. The purpose of this symposium is to consider what constitutes research in the arena of quality and safety and differentiate it from other research directions. The key distinction here is developing the tool itself (e.g. algorithms for EPID dosimetry) vs. studying the impact of the tool with some quantitative metric. Only the latter would I call quality and safety research. Issues of ‘basic’ versus ‘applied’ quality and safety research will be covered as well as how the research results should be structured to provide increasing levels of support that a quality and safety intervention is effective and sustainable. Examples from existing

  13. TU-EF-BRD-04: Summing It Up: The Future of Quality and Safety Research

    International Nuclear Information System (INIS)

    Ford, E.

    2015-01-01

    Research related to quality and safety has been a staple of medical physics academic activities for a long time. From very early on, medical physicists have developed new radiation measurement equipment and analysis techniques, created ever increasingly accurate dose calculation models, and have vastly improved imaging, planning, and delivery techniques. These and other areas of interest have improved the quality and safety of radiotherapy for our patients. With the advent of TG-100, quality and safety is an area that will garner even more research interest in the future. As medical physicists pursue quality and safety research in greater numbers, it is worthwhile to consider what actually constitutes research on quality and safety. For example, should the development of algorithms for real-time EPID-based in-vivo dosimetry be defined as “quality and safety” research? How about the clinical implementation of such as system? Surely the application of failure modes and effects analysis to a clinical process would be considered quality and safety research, but is this type of research that should be included in the medical physics peer-reviewed literature? The answers to such questions are of critical importance to set researchers in a direction that will provide the greatest benefit to our field and the patients we serve. The purpose of this symposium is to consider what constitutes research in the arena of quality and safety and differentiate it from other research directions. The key distinction here is developing the tool itself (e.g. algorithms for EPID dosimetry) vs. studying the impact of the tool with some quantitative metric. Only the latter would I call quality and safety research. Issues of ‘basic’ versus ‘applied’ quality and safety research will be covered as well as how the research results should be structured to provide increasing levels of support that a quality and safety intervention is effective and sustainable. Examples from existing

  14. Quality and safety training in primary care: making an impact.

    Science.gov (United States)

    Byrne, John M; Hall, Susan; Baz, Sam; Kessler, Todd; Roman, Maher; Patuszynski, Mark; Thakkar, Kruti; Kashner, T Michael

    2012-12-01

    Preparing residents for future practice, knowledge, and skills in quality improvement and safety (QI/S) is a requisite element of graduate medical education. Despite many challenges, residency programs must consider new curricular innovations to meet the requirements. We report the effectiveness of a primary care QI/S curriculum and the role of the chief resident in quality and patient safety in facilitating it. Through the Veterans Administration Graduate Medical Education Enhancement Program, we added a position for a chief resident in quality and patient safety, and 4 full-time equivalent internal medicine residents, to develop the Primary Care Interprofessional Patient-Centered Quality Care Training Curriculum. The curriculum includes a first-or second-year, 1-month block rotation that serves as a foundational experience in QI/S and interprofessional care. The responsibilities of the chief resident in quality and patient safety included organizing and teaching the QI/S curriculum and mentoring resident projects. Evaluation included prerotation and postrotation surveys of self-assessed QI/S knowledge, abilities, skills, beliefs, and commitment (KASBC); an end-of-the-year KASBC; prerotation and postrotation knowledge test; and postrotation and faculty surveys. Comparisons of prerotation and postrotation KASBC indicated significant self-assessed improvements in 4 of 5 KASBC domains: knowledge (P < .001), ability (P < .001), skills (P < .001), and belief (P < .03), which were sustained on the end-of-the-year survey. The knowledge test demonstrated increased QI/S knowledge (P  =  .002). Results of the postrotation survey indicate strong satisfaction with the curriculum, with 76% (25 of 33) and 70% (23 of 33) of the residents rating the quality and safety curricula as always or usually educational. Most faculty members acknowledged that the chief resident in quality and patient safety enhanced both faculty and resident QI/S interest and

  15. Problems of Rural Food Safety and Strategies of Constructing Supervision System

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    This paper expounds the practical necessity of constructing diversified rural food safety supervision system as follows: it is the necessary requirements of guaranteeing people’s health and life safety; it is an important component of governmental function of social management and the logical extension of administrative responsibilities; it is the basis of maintaining order of rural society and constructing harmonious society. The main problems existing in the supervision of rural food safety are analyzed as follows: first, the legislative work of rural food safety lags behind to some extent; second, the supervision of governmental departments on rural food safety is insufficient; third, the industrial supervision mechanism of rural food security is not perfect; fourth, the role of rural social organizations in supervising food safety is limited; fifth, the farmers’ awareness of food safety supervision is not strong. Based on these problems, the targeted strategies of constructing diversified rural food safety supervision system are put forward as follows: accelerate the legislation of rural food safety, and ensure that there are laws to go by; give play to the dominant role of government, and strengthen administrative supervision on rural food safety; perfect industrial convention of rural food safety, and improve industrial supervision mechanism; actively support the fostering of social organizations, and give play to the role of supervision of organizations; cultivate correct concept of rights and obligations of farmers, and form awareness of food safety supervision.

  16. The role of quality management in safety case development - Nagra's experience

    International Nuclear Information System (INIS)

    Schneider, Juerg W.; Zuidema, Piet

    2014-01-01

    This paper discusses the role of quality management (QM) in safety case development based on Nagra's experience from a broad range of projects. These include Project Gewahr (L/ILW and HLW, Nagra, 1985), the Wellenberg Project (L/ILW, Nagra, 1994), Project Opalinus Clay (HLW, Nagra, 2002a, 2002b), and recent project work needed in the context of the Swiss site selection process (L/ILW and HLW, Nagra, 2008a, 2008b, 2008c, 2010). Broadly speaking, Nagra's Quality Management policy is focused on ensuring: i) the quality of the disposal system (siting, design and implementation); ii) the quality of the underlying scientific understanding, which are seen as key elements of a credible safety case, along with the quality of the safety calculations themselves and of compiling the safety case, including the drawing of conclusions (Nagra, 2002a). All aspects of QM discussed in this paper should be seen in this context. (authors)

  17. Problem of evaluating the safety of an explosive

    International Nuclear Information System (INIS)

    Smith, L.C.

    1977-01-01

    Some general considerations on the problem of evaluating the safety of an explosive lead to the reasons why the much-criticized drop-weight impact machine remains an important tool in most explosive research and development laboratories. Problems related to the design, calibration, and use of such machines, and certain misconceptions concerning the interpretation of the test data, are discussed. The results of an unsuccessful attempt to construct a more comprehensive hazards scale also are described

  18. Problems with quantification of safety culture

    International Nuclear Information System (INIS)

    Kozuh, M.; Mavko, B.

    1995-01-01

    For the qualitative part of the method for the Safety Culture assessment we quantitative part was developed based on expert judgement and statistical methods. The quantitative assessment should go in parallel with the qualitative part already presented. The essential part is based on expert opinion which organizational factors are the most important for certain risk significant components and how well are they implemented. The problems with getting the ratings are described in the paper. (author)

  19. Hydrogen problems in reactor safety research

    International Nuclear Information System (INIS)

    Casper, H.

    1984-01-01

    The BMFT and BMI have initiated a workshop 'Hydrogen Problems in Reactor Safety Research' that took place October 3./4., 1983. The objective of this workshop was to present the state of the art in the main areas - Hydrogen-Production - Hydrogen-Distribution - Hydrogen-Ignition - Hydrogen-Burning and Containment Behaviour - Mitigation Measures. The lectures on the different areas are compiled. The most important results of the final discussion are summarized as well. (orig.) [de

  20. Documenting Quality Improvement and Patient Safety Efforts: The Quality Portfolio. A Statement from the Academic Hospitalist Taskforce

    OpenAIRE

    Taylor, Benjamin B.; Parekh, Vikas; Estrada, Carlos A.; Schleyer, Anneliese; Sharpe, Bradley

    2013-01-01

    Physicians increasingly investigate, work, and teach to improve the quality of care and safety of care delivery. The Society of General Internal Medicine Academic Hospitalist Task Force sought to develop a practical tool, the quality portfolio, to systematically document quality and safety achievements. The quality portfolio was vetted with internal and external stakeholders including national leaders in academic medicine. The portfolio was refined for implementation to include an outlined fr...

  1. Safety implications of standardized continuous quality improvement programs in community pharmacy.

    Science.gov (United States)

    Boyle, Todd A; Ho, Certina; Mackinnon, Neil J; Mahaffey, Thomas; Taylor, Jeffrey M

    2013-06-01

    Standardized continuous quality improvement (CQI) programs combine Web-based technologies and standardized improvement processes, tools, and expectations to enable quality-related events (QREs) occurring in individual pharmacies to be shared with pharmacies in other jurisdictions. Because standardized CQI programs are still new to community pharmacy, little is known about how they impact medication safety. This research identifies key aspects of medication safety that change as a result of implementing a standardized CQI program. Fifty-three community pharmacies in Nova Scotia, Canada, adopted the SafetyNET-Rx standardized CQI program in April 2010. The Institute for Safe Medication Practices (ISMP) Canada's Medication Safety Self-Assessment (MSSA) survey was administered to these pharmacies before and 1 year into their use of the SafetyNET-Rx program. The nonparametric Wilcoxon signed-rank test was used to explore where changes in patient safety occurred as a result of SafetyNETRx use. Significant improvements occurred with quality processes and risk management, staff competence, and education, and communication of drug orders and other information. Patient education, environmental factors, and the use of devices did not show statistically significant changes. As CQI programs are designed to share learning from QREs, it is reassuring to see that the largest improvements are related to quality processes, risk management, staff competence, and education.

  2. Quality and Safety Education for Nurses (QSEN): The Key is Systems Thinking.

    Science.gov (United States)

    Dolansky, Mary A; Moore, Shirley M

    2013-09-30

    Over a decade has passed since the Institute of Medicine's reports on the need to improve the American healthcare system, and yet only slight improvement in quality and safety has been reported. The Quality and Safety Education for Nurses (QSEN) initiative was developed to integrate quality and safety competencies into nursing education. The current challenge is for nurses to move beyond the application of QSEN competencies to individual patients and families and incorporate systems thinking in quality and safety education and healthcare delivery. This article provides a history of QSEN and proposes a framework in which systems thinking is a critical aspect in the application of the QSEN competencies. We provide examples of how using this framework expands nursing focus from individual care to care of the system and propose ways to teach and measure systems thinking. The conclusion calls for movement from personal effort and individual care to a focus on care of the system that will accelerate improvement of healthcare quality and safety.

  3. Consumer perception of meat quality and safety

    DEFF Research Database (Denmark)

    Brunsø, Karen; Grunert, Klaus G.; Bredahl, Lone

    2003-01-01

    The evaluation of meat quality and safety is not an easy task for consumers. In this article, the Total Food Quality Model will be introduced as a framework for understanding how consumers perceive meat quality, and results from a Danish study dealing with consumer perception and experience of beef...... will be presented. Consumers form expectations about the eating quality of meat at the point of purchase, based on prior experience and information available in the shopping environment, while the eating quality is experienced in the home during and after meal preparation. Results show that consumers have...... difficulty in evaluating meat quality, resulting in uncertainty and dissatisfaction, and reveal a need for educating consumers about evaluating eating quality during shopping....

  4. Improving Employees' Safety Awareness in Healthcare Organizations Using the DMAIC Quality Improvement Approach.

    Science.gov (United States)

    Momani, Amer; Hirzallah, Muʼath; Mumani, Ahmad

    Occupational injuries and illnesses in healthcare can cause great human suffering, incur high cost, and have an adverse impact on the quality of patient care. One of the most effective solutions for addressing health and safety issues and improving decisions at the point of care rests in raising employees' safety awareness to recognize, avoid, or respond to potential problems before they arise. In this article, the DMAIC Six Sigma model (Define, Measure, Analyze, Improve, Control) is used as a systematic program to measure, improve, and sustain employees' safety awareness in healthcare organizations. We report on a case study using the model, which was implemented and validated at a local hospital. First, the occupational health and safety knowledge that each job requires was identified. Next, the degree of competence of jobholders to meet these requirements was assessed. Based on the assessment, different awareness-raising efforts were proposed and implemented. The results showed significant improvement in the overall safety awareness compliance assessed: from 74.2% to 84.4% (p < .001) after the intervention. The proposed model ensures that the organization's awareness-raising efforts serve its actual needs and produce optimized and sustained results that eventually lead to safer healthcare service.

  5. Management services, quality assurance, and safety

    International Nuclear Information System (INIS)

    Anon.

    1987-01-01

    Broad technical and administrative support for the programmatic research and development activities of the Fusion Energy Division is provided by the Management Services Section and by the division's quality assurance (QA) and safety programs. Support is provided through effective communication with division programmatic staff and through the coordination of resources from disciplines outside the division. The QA activity in the division emphasizes the development and documentation of a QA program that conforms to national standards, the review and approval of engineering documents, supplier surveillance, identification and documentation of nonconforming items, audits, and QA assessments/plans. The division's safety activities include a formal safety program, emergency planning activities, and environmental protection services. Efforts devoted to the removal of hazardous wastes from division facilities were expanded during 1986

  6. Problems of nuclear energetics safety in the Soviet Union

    International Nuclear Information System (INIS)

    Kovalevitsh, O.M.

    1991-01-01

    Authors describe present state of Soviet nuclear energy. They don't cover problems relative to its development and that reasons made so bleak picture of this economic branch. They pay particular attention to low level of nuclear safety in nuclear power plants. The improvement of this situation they see in enacting of atomic low, as quickly as possible, which will make a basis of safety development in nuclear industry

  7. Evaluation by the Department de Surete Nucleaire of unsolved PWR safety problems

    International Nuclear Information System (INIS)

    Dupuis, M.C.; Cayol, A.; Fourest, B.

    1980-04-01

    The deterministic or probabilistic methods of safety analysis and the analysis of accidents used at the design and construction stage have enabled certain safety problems connected with the PWR programme in France to be identified. Some of these problems have already been stressed by the NRC whereas others are specific to the safety approach practised in France. These problems have led to the adoption of special measurements on the reactors already in operation and should be accounted for in the design of future installations. Analysis of running experience and of incidents should be used to check the validity of the steps taken at the design stage and to identify the weak points of the facilities, especially in their piloting and at the man-machine interface [fr

  8. Safety versus Security in the Quality Calculus

    DEFF Research Database (Denmark)

    Nielson, Hanne Riis; Nielson, Flemming

    2013-01-01

    Safety and security are both needed for ensuring that cyber-physical systems live up to expectations, but often an intelligent trade-off is called for, because sometimes it is impossible to obtain optimal safety at the same time as optimal security. In the context of the Quality Calculus we develop...... a type system for checking the extent to which safety and security goals have been met. Safety goals include showing that certain error configurations are in fact not reachable and hence do not require intelligent error handling. Security goals include showing that highly trusted communications can only...... of the implicit flow). This is illustrated on a worked example taken from the automotive sector and we conclude with a discussion of the theoretical properties of the type system....

  9. Aligning institutional priorities: engaging house staff in a quality improvement and safety initiative to fulfill Clinical Learning Environment Review objectives and electronic medical record Meaningful Use requirements.

    Science.gov (United States)

    Flanagan, Meghan R; Foster, Carolyn C; Schleyer, Anneliese; Peterson, Gene N; Mandell, Samuel P; Rudd, Kristina E; Joyner, Byron D; Payne, Thomas H

    2016-02-01

    House staff quality improvement projects are often not aligned with training institution priorities. House staff are the primary users of inpatient problem lists in academic medical centers, and list maintenance has significant patient safety and financial implications. Improvement of the problem list is an important objective for hospitals with electronic health records under the Meaningful Use program. House staff surveys were used to create an electronic problem list manager (PLM) tool enabling efficient problem list updating. Number of new problems added and house staff perceptions of the problem list were compared before and after PLM intervention. The PLM was used by 654 house staff after release. Surveys demonstrated increased problem list updating (P = .002; response rate 47%). Mean new problems added per day increased from 64 pre-PLM to 125 post-PLM (P house staff in institutional quality and safety initiatives with tangible institutional benefits. Copyright © 2016 Elsevier Inc. All rights reserved.

  10. Selection of indicators for continuous monitoring of patient safety: recommendations of the project 'safety improvement for patients in Europe'

    DEFF Research Database (Denmark)

    Kristensen, Solvejg; Mainz, Jan; Bartels, Paul

    2009-01-01

    such as culture, infections, surgical complications, medication errors, obstetrics, falls and specific diagnostic areas. CONCLUSION: The patient safety indicators recommended present a set of possible measures of patient safety. One of the future perspectives of implementing patient safety indicators...... for systematic monitoring is that it will be possible to continuously estimate the prevalence and incidence of patient safety quality problems. The lesson learnt from quality improvement is that it will pay off in terms of improving patient safety....

  11. Improving health care quality and safety: the role of collective learning.

    Science.gov (United States)

    Singer, Sara J; Benzer, Justin K; Hamdan, Sami U

    2015-01-01

    Despite decades of effort to improve quality and safety in health care, this goal feels increasingly elusive. Successful examples of improvement are infrequently replicated. This scoping review synthesizes 76 empirical or conceptual studies (out of 1208 originally screened) addressing learning in quality or safety improvement, that were published in selected health care and management journals between January 2000 and December 2014 to deepen understanding of the role that collective learning plays in quality and safety improvement. We categorize learning activities using a theoretical model that shows how leadership and environmental factors support collective learning processes and practices, and in turn team and organizational improvement outcomes. By focusing on quality and safety improvement, our review elaborates the premise of learning theory that leadership, environment, and processes combine to create conditions that promote learning. Specifically, we found that learning for quality and safety improvement includes experimentation (including deliberate experimentation, improvisation, learning from failures, exploration, and exploitation), internal and external knowledge acquisition, performance monitoring and comparison, and training. Supportive learning environments are characterized by team characteristics like psychological safety, appreciation of differences, openness to new ideas social motivation, and team autonomy; team contextual factors including learning resources like time for reflection, access to knowledge, organizational capabilities; incentives; and organizational culture, strategy, and structure; and external environmental factors including institutional pressures, environmental dynamism and competitiveness and learning collaboratives. Lastly learning in the context of quality and safety improvement requires leadership that reinforces learning through actions and behaviors that affect people, such as coaching and trust building, and through

  12. Food safety and total quality management

    NARCIS (Netherlands)

    Barendsz, A.W.

    1998-01-01

    Food safety is a growing global concern not only because of its continuing importance for public health but also because of its impact on international trade. The application of total quality management (TQM) provides the best possible care by continuously improving products and services to meet or

  13. Environmental problems related to winter traffic safety conditions

    OpenAIRE

    Hääl, Maire-Liis; Sürje, Peep

    2006-01-01

    The changeable Nordic climate has added problems to road maintenance and the environment to ensure traffic safety under winter conditions. The widespread use of salt (NaCl) for snow and ice removal from roads has resulted in environmental impacts in many areas. Some of the problems associated with the use of NaCl are the corrosion of bridges, road surfaces and vehicles and damage to roadside vegetation and aquatic system that are affected by water from de-iced roads. Accumulation of hard meta...

  14. Management of safety and quality and the relationship with employee decisions in country grain elevators.

    Science.gov (United States)

    Mosher, G A; Keren, N; Freeman, S A; Hurburgh, C R

    2012-07-01

    Human factors play an important role in the management of safety and quality in an agricultural work environment. Although employee actions and decisions have been identified as a key component of successful occupational safety programs and quality management programs, little attention has been given to the employees' role in these types of programs. This research explored two safety relationships that have theoretical connections but little previous research: the relationship between safety climate and quality climate, and the relationship of the safety and quality climates between the organizational level and the group level within a workplace. Survey data were collected at three commercial grain handling facilities from 177 employees. Employees also participated in safety and quality decision-making simulations. Significant positive predictions were noted for safety and quality climate. Decision-making predictions are also discussed. This research suggests that organizational safety is an important predictor of group safety. In addition, recognizing the larger role that supervisors play in group workplace behavior, more should be done to increase employee perceptions of group-level involvement in quality climate to promote more quality-oriented decision-making by employees.

  15. Contribution of maintainability and maintenance to problems of safety evaluation

    International Nuclear Information System (INIS)

    Adnot, Serge; Meriaux, Pierre.

    1977-10-01

    A method has been developed for defining the contribution of Maintainability and the Maintenance Studies to Safety evaluation problems. The efficiency of this method is shown and results obtained are given for two theoretical examples approximating reality. For repairable systems, the risk defined according to such given safety criterion, becomes a characteristic of the systems in operation [fr

  16. 76 FR 7854 - Patient Safety Organizations: Voluntary Delisting From Quality Excellence, Inc./PSO

    Science.gov (United States)

    2011-02-11

    ... Arkansas Foundation for Medical Care, of its status as a Patient Safety Organization (PSO). The Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act), Public Law 109-41, 42 U.S.C. 299b-21--b... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Patient Safety...

  17. The principal approaches to the problem of nuclear power plant safety in the USSR

    International Nuclear Information System (INIS)

    Sidorenko, V.A.; Kovalevich, O.M.; Kramerov, A.Ya.; Bagdasarov, Yu.E.

    1977-01-01

    The paper sets forth methods of ensuring the safety of nuclear power plants in the USSR on the basis of the scientific and engineering experience gained during the design, construction and operation of such plants, and describes the complex of technical and organizational problems whose solution determines the actual safety of nuclear power plants in the USSR. High-quality nuclear power plant equipment and components and their constant checking during the whole life of the plant are the prerequisites for preventing failures and accidents. The pattern of protective measures is discussed on the basis of possible failures and 'safe limits' for failures. The potentialities of the quantitative probabilistic method are analysed together with the need for a deterministic approach. The relationship of the maximum design accident with the protection and localization systems is considered in the case of nuclear power plants of different generations. The authors deal with the questions of State regulation of power plant safety on the basis of the adopted organizational structure and the system of standards. In conclusion, they briefly consider the application of the safety approach here described to power plants using water-water reactors, high-power boiling-water reactors and fast reactors in accordance with their place and role in the nuclear power development programme of the USSR. (author)

  18. Problems of making decisions with account of risk and safety factors

    Energy Technology Data Exchange (ETDEWEB)

    Larichev, O I

    1987-01-01

    New trends in making decisions on accidents when using large-scale technologies-NPPs, chemical plants etc., are considered. Three main directions in the investigations in this field are distinguished. One of them consists in risk measuring (its perception by people, ways of its quantitative determination). The second direction consists in increasing the safety of large-scale production systems. Here the following questions are considered: risk assessment (the safety standard statement), site selection for new systems, man-machine interaction problems, development of safer technologies, cost benefit safety analysis. The third direction is connected with the problem of accidents and their analysis. This direction includes considering the reasons and process of the accident development, preparing for the possible accidents, monitoring under extreme conditions, accident effect analysis.

  19. Problems of making decisions with account of risk and safety factors

    International Nuclear Information System (INIS)

    Larichev, O.I.

    1987-01-01

    New trends in making decisions on accidents when using large-scale technologies-NPPs, chemical plants etc., are considered. Three main directions in the investigations in this field are distinguished. One of them consists in risk measuring (its perception by people, ways of its quantitative determination). The second direction consists in increasing the safety of large-scale production systems. Here the following questions are considered: risk assessment (the safety standard statement), site selection for new systems, man-machine interaction problems, development of safer technologies, cost benefit safety analysis. The third direction is connected with the problem of accidents and their analysis. This direction includes considering the reasons and process of the accident development, preparing for the possible accidents, monitoring under extreme conditions, accident effect analysis

  20. 38 CFR 17.155 - Minimum standards of safety and quality for automotive adaptive equipment.

    Science.gov (United States)

    2010-07-01

    ... safety and quality for automotive adaptive equipment. 17.155 Section 17.155 Pensions, Bonuses, and... Minimum standards of safety and quality for automotive adaptive equipment. (a) The Under Secretary for... officials that it meets implicit standards of safety and quality adopted by the industry or as later...

  1. Safety of superconducting fusion magnets: twelve problem areas

    International Nuclear Information System (INIS)

    Turner, L.R.

    1979-05-01

    Twelve problem areas of superconducting magnets for fusion reaction are described. These are: Quench Detection and Energy Dump, Stationary Normal Region of Conductor, Current Leads, Electrical Arcing, Electrical Shorts, Conductor Joints, Forces from Unequal Currents, Eddy Current Effects, Cryostat Rupture, Vacuum Failure, Fringing Field and Instrumentation for Safety. Each is described under the five categories: Identification and Definition, Possible Safety Effects, Current Practice, Adequacy of Current Practice for Fusion Magnets and Areas Requiring Further Analytical and Experimental Study. Priorities among these areas are suggested; application is made to the Large Coil Project at Oak Ridge National Laboratory

  2. 77 FR 42738 - Patient Safety Organizations: Voluntary Relinquishment From the Coalition for Quality and Patient...

    Science.gov (United States)

    2012-07-20

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Patient Safety Organizations: Voluntary Relinquishment From the Coalition for Quality and Patient Safety of Chicagoland (CQPS.... SUMMARY: The Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act), Public Law 109-41,42...

  3. IOT for Agriculture: Food Quality and Safety

    Science.gov (United States)

    Witjaksono, Gunawan; Abdelkreem Saeed Rabih, Almur; Yahya, Noorhana bt; Alva, Sagir

    2018-03-01

    Food is the main energy source for the living beings; as such food quality and safety have been in the highest demand throughout the human history. Internet of things (IOT) is a technology with a vision to connect anything at anytime and anywhere. Utilizing IOT in the food supply chain (FSC) is believed to enhance the quality of life by tracing and tracking the food conditions and live-sharing the obtained data with the consumers or the FSC supervisors. Currently, full application of IOT in the FSC is still in the developing stage and there is a big gap for improvements. The purpose of this paper is to explore the possibility of applying IOT for agriculture to trace and track food quality and safety. Mobile application for food freshness investigation was successfully developed and the results showed that consumer mobile camera could be used to test the freshness of food. By applying the IOT technology this information could be shared with all the consumers and also the supervisors.

  4. Audit Report The Procurement of Safety Class/Safety-Significant Items at the Savannah River Site

    International Nuclear Information System (INIS)

    2009-01-01

    the Savannah River Site. Our review disclosed that the Department had procured and installed safety-class and safety-significant SSCs that did not meet NQA-1 quality standards. Specifically, we identified multiple instances in which critical components did not meet required quality and safety standards. For example: (1) Three structural components were procured and installed by the prime contractor at Savannah River during construction of the MOX Facility that did not meet the technical specifications for items relied on for safety. These substandard items necessitated costly and time consuming remedial action to, among other things, ensure that nonconforming materials and equipment would function within safety margins; (2) In six instances, items used in the construction of TEF failed to satisfy quality standards. In one of these situations, operating procedures had to be modified to ensure that the problem item did not compromise safety; and (3) Finally, at the ISP, one component that did not meet quality standards was procured. The failure of the item could have resulted in a spill of up to 15,000 gallons of high-level radioactive waste. Based on an extensive examination of relevant internal controls and procurement practices, we concluded that these failures were attributable to inadequate attention to quality assurance at Savannah River. Simply put, Departmental controls were not adequate to prevent and/or detect quality assurance problems. For example, Federal and prime contractor officials did not expressly require that subcontractors or lower-tiered vendors comply with quality assurance requirements. Additionally, management did not effectively communicate quality assurance concerns between the several Departmental program elements operating at Savannah River. The procurement and installation of these nonconforming components resulted in cost increases. For example, as of October 2008, the MOX Facility had incurred costs of more than $680,000 due to problems

  5. Media-safety of children as important social-pedagogical problem of modern times

    Directory of Open Access Journals (Sweden)

    Yuliia Semeniako

    2017-02-01

    Full Text Available In the article the relevance of media-safety as a socio-pedagogical problems. The introduction of media education in the practice of work of preschool educational institutions, the author identified as one of the strategies for overcoming negative influences of media on the younger generation. The concept of “information security”, “pre-school media education”, “media informational security” and identified the main tasks of media education  at the present stage in Ukraine. Determined main problems, the overcoming of which may provide media-safety of preschoolers.Key words: media education, media-safety media, information and communication technology, information security.

  6. Plant Operations. OSHA on Campus: Campus Safety Officers Discuss Problems and Potentials

    Science.gov (United States)

    Kuchta, Joseph F.; And Others

    1973-01-01

    The Occupation Safety and Health Act (OSHA) has presented campus safety officers with new problems, but it is also offering them new potentials, which were explored at the recent national conference on Campus Security. (Editor)

  7. The Role Of Quality Assurance Program For Safety Operation Of Nuclear Installations

    International Nuclear Information System (INIS)

    Harjanto, N.T.; Purwadi, K.P.; Boru, D.S.; Farida; Suharni

    2000-01-01

    Nuclear installations expose potential hazard of radiation, therefore in their construction, operation and maintenance, it is necessary to consider safety aspect, in which the safety requirements which has been determined must be met. One of the requirements that is absolutely needed is quality assurance, which covers arrangement of quality assurance program, organization and administration of the implementation of quality assurance, and supervision. Quality Assurance program is a guideline containing quality policies and basic determination on the realization of activities that effect the quality of equipment's and items used in the operation of nuclear installations in order that the operation of nuclear installation can run safety and in accordance with their design aims and operation limits. Quality Assurance Program includes document control, design control, supply control, control of equipment s and items, operation/process control, inspection and control of equipment test, and control of nonconformance and corrections. General system of nuclear installation operation is equipped with safety and supporting systems. These systems must apply the quality assurance program that cover control of activities in the systems. In the implementation of the quality assurance program, it is necessary to establish procedures, work guidelines/instructions, and quality recording that constitutes documents of quality system 2 nd , 3 th , and 4 th level after the quality assurance program. To ensure the effectivity and to prove whether the realization of the program has been pursuant to the determined requirements, an internal audit must be conducted accordingly

  8. Quality and Safety Aspects of Cereals (Wheat) and Their Products.

    Science.gov (United States)

    Varzakas, Theo

    2016-11-17

    Cereals and, most specifically, wheat are described in this chapter highlighting on their safety and quality aspects. Moreover, wheat quality aspects are adequately addressed since they are used to characterize dough properties and baking quality. Determination of dough properties is also mentioned and pasta quality is also described in this chapter. Chemometrics-multivariate analysis is one of the analyses carried out. Regarding production weighing/mixing of flours, kneading, extruded wheat flours, and sodium chloride are important processing steps/raw materials used in the manufacturing of pastry products. Staling of cereal-based products is also taken into account. Finally, safety aspects of cereal-based products are well documented with special emphasis on mycotoxins, acrylamide, and near infrared methodology.

  9. Food-packaging interactions influencing quality and safety.

    Science.gov (United States)

    Hotchkiss, J H

    1997-01-01

    Interactions between foods and packaging can be detrimental to quality and/or safety. Changes in product flavour due to aroma sorption and the transfer of undesirable flavours from packaging to foods are important mechanisms of deterioration when foods are packaged in polymer-based materials. Careful consideration must be given to those factors affecting such interactions when selecting packaging materials in order to maximize product quality, safety, and shelf-life while minimizing undesirable changes. Product considerations include sensitivity to flavour and related deteriorations, colour changes, vitamin loss, microbial activity, and amount of flavour available. Storage considerations include temperature, time, and processing method. Polymer considerations include type of polymer and processing method, volume or mass of polymer to product ratio, and whether the interaction is Fickian or non-Fickian. Methodology to determine the extent of such interactions must be developed. Direct interactions between food and packaging are not necessarily detrimental. The same principles governing undesirable interactions can be used to affect desirable outcomes. Examples include films which directly intercept or absorb oxygen, inhibit microorganisms, remove undesirable flavours by sorption, or indicate safety and product shelf-life.

  10. Software quality assurance plans for safety-critical software

    International Nuclear Information System (INIS)

    Liddle, P.

    2006-01-01

    Application software is defined as safety-critical if a fault in the software could prevent the system components from performing their nuclear-safety functions. Therefore, for nuclear-safety systems, the AREVA TELEPERM R XS (TXS) system is classified 1E, as defined in the Inst. of Electrical and Electronics Engineers (IEEE) Std 603-1998. The application software is classified as Software Integrity Level (SIL)-4, as defined in IEEE Std 7-4.3.2-2003. The AREVA NP Inc. Software Program Manual (SPM) describes the measures taken to ensure that the TELEPERM XS application software attains a level of quality commensurate with its importance to safety. The manual also describes how TELEPERM XS correctly performs the required safety functions and conforms to established technical and documentation requirements, conventions, rules, and standards. The program manual covers the requirements definition, detailed design, integration, and test phases for the TELEPERM XS application software, and supporting software created by AREVA NP Inc. The SPM is required for all safety-related TELEPERM XS system applications. The program comprises several basic plans and practices: 1. A Software Quality-Assurance Plan (SQAP) that describes the processes necessary to ensure that the software attains a level of quality commensurate with its importance to safety function. 2. A Software Safety Plan (SSP) that identifies the process to reasonably ensure that safety-critical software performs as intended during all abnormal conditions and events, and does not introduce any new hazards that could jeopardize the health and safety of the public. 3. A Software Verification and Validation (V and V) Plan that describes the method of ensuring the software is in accordance with the requirements. 4. A Software Configuration Management Plan (SCMP) that describes the method of maintaining the software in an identifiable state at all times. 5. A Software Operations and Maintenance Plan (SO and MP) that

  11. Quality and safety implications of emergency department information systems.

    Science.gov (United States)

    Farley, Heather L; Baumlin, Kevin M; Hamedani, Azita G; Cheung, Dickson S; Edwards, Michael R; Fuller, Drew C; Genes, Nicholas; Griffey, Richard T; Kelly, John J; McClay, James C; Nielson, Jeff; Phelan, Michael P; Shapiro, Jason S; Stone-Griffith, Suzanne; Pines, Jesse M

    2013-10-01

    The Health Information Technology for Economic and Clinical Health Act of 2009 and the Centers for Medicare & Medicaid Services "meaningful use" incentive programs, in tandem with the boundless additional requirements for detailed reporting of quality metrics, have galvanized hospital efforts to implement hospital-based electronic health records. As such, emergency department information systems (EDISs) are an important and unique component of most hospitals' electronic health records. System functionality varies greatly and affects physician decisionmaking, clinician workflow, communication, and, ultimately, the overall quality of care and patient safety. This article is a joint effort by members of the Quality Improvement and Patient Safety Section and the Informatics Section of the American College of Emergency Physicians. The aim of this effort is to examine the benefits and potential threats to quality and patient safety that could result from the choice of a particular EDIS, its implementation and optimization, and the hospital's or physician group's approach to continuous improvement of the EDIS. Specifically, we explored the following areas of potential EDIS safety concerns: communication failure, wrong order-wrong patient errors, poor data display, and alert fatigue. Case studies are presented that illustrate the potential harm that could befall patients from an inferior EDIS product or suboptimal execution of such a product in the clinical environment. The authors have developed 7 recommendations to improve patient safety with respect to the deployment of EDISs. These include ensuring that emergency providers actively participate in selection of the EDIS product, in the design of processes related to EDIS implementation and optimization, and in the monitoring of the system's ongoing success or failure. Our recommendations apply to emergency departments using any type of EDIS: custom-developed systems, best-of-breed vendor systems, or enterprise systems

  12. Data quality for the inverse lsing problem

    International Nuclear Information System (INIS)

    Decelle, Aurélien; Ricci-Tersenghi, Federico; Zhang, Pan

    2016-01-01

    There are many methods proposed for inferring parameters of the Ising model from given data, that is a set of configurations generated according to the model itself. However little attention has been paid until now to the data, e.g. how the data is generated, whether the inference error using one set of data could be smaller than using another set of data, etc. In this paper we discuss the data quality problem in the inverse Ising problem, using as a benchmark the kinetic Ising model. We quantify the quality of data using effective rank of the correlation matrix, and show that data gathered in a out-of-equilibrium regime has a better quality than data gathered in equilibrium for coupling reconstruction. We also propose a matrix-perturbation based method for tuning the quality of given data and for removing bad-quality (i.e. redundant) configurations from data. (paper)

  13. Safety of superconducting fusion magnets: twelve problem areas

    International Nuclear Information System (INIS)

    Turner, L.R.

    1979-01-01

    Twelve problem areas of superconducting magnets for fusion reaction are described. These are: quench detection and energy dump, stationary normal region of conductor, current leads, electrical arcing, electrical shorts, conductor joints, forces from unequal currents, eddy current effects, cryostat rupture, vacuum failure, fringing field and instrumentation for safety. Priorities among these areas are suggested

  14. Safety of superconducting fusion magnets: twelve problem areas

    International Nuclear Information System (INIS)

    Turner, L.R.

    1979-01-01

    Twelve problem areas of superconducting magnets for fusion reaction are described. These are: Quench Detection and Energy Dump, Stationary Normal Region of Conductor, Current Leads, Electrical Arcing, Electrical Shorts, Conductor Joints, Forces from Unequal Currents, Eddy Current Effects, Cryostat Rupture, Vacuum Failure, Fringing Field and Instrumentation for Safety. Priorities among these areas are suggested

  15. Problems of quality assurance and quality control in diagnostic radiology

    International Nuclear Information System (INIS)

    Angerstein, W.

    1986-01-01

    Topical problems of quality assurance and quality control in diagnostic radiology are discussed and possible solutions are shown. Complex units are differentiated with reference to physicians, technicians, organization of labour, methods of examination and indication. Quality control of radiologic imaging systems should involve three stages: (1) simple tests carried out by radiologic technicians, (2) measurements by service technicians, (3) testing of products by the manufacturer and independent governmental or health service test agencies. (author)

  16. Improving health care quality and safety: the role of collective learning

    Directory of Open Access Journals (Sweden)

    Singer SJ

    2015-11-01

    Full Text Available Sara J Singer,1–4 Justin K Benzer,4–6 Sami U Hamdan4,6 1Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA; 2Department of Medicine, Harvard Medical School, Boston, MA, USA; 3Mongan Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA; 4Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, MA, USA; 5VISN 17 Center of Excellence for Research on Returning War Veterans, Waco, TX, USA; 6Department of Health Policy and Management, Boston University School of Public Health, Boston, MA, USA Abstract: Despite decades of effort to improve quality and safety in health care, this goal feels increasingly elusive. Successful examples of improvement are infrequently replicated. This scoping review synthesizes 76 empirical or conceptual studies (out of 1208 originally screened addressing learning in quality or safety improvement, that were published in selected health care and management journals between January 2000 and December 2014 to deepen understanding of the role that collective learning plays in quality and safety improvement. We categorize learning activities using a theoretical model that shows how leadership and environmental factors support collective learning processes and practices, and in turn team and organizational improvement outcomes. By focusing on quality and safety improvement, our review elaborates the premise of learning theory that leadership, environment, and processes combine to create conditions that promote learning. Specifically, we found that learning for quality and safety improvement includes experimentation (including deliberate experimentation, improvisation, learning from failures, exploration, and exploitation, internal and external knowledge acquisition, performance monitoring and comparison, and training. Supportive learning environments are characterized by team characteristics like psychological

  17. Factors impacting on the microbiological quality and safety of ...

    African Journals Online (AJOL)

    hope&shola

    2010-12-06

    Dec 6, 2010 ... microbiological quality and safety of processed hake. Samples were collected along the processing line; the general microbiological quality (mesophylic and psychrotrophic aerobic plate counts), total. Vibrio species and common fish spoilage bacterial counts were performed. The results constantly showed ...

  18. Impact of Performance Obstacles on Intensive Care Nurses‘ Workload, Perceived Quality and Safety of Care, and Quality of Working Life

    Science.gov (United States)

    Gurses, Ayse P; Carayon, Pascale; Wall, Melanie

    2009-01-01

    Objectives To study the impact of performance obstacles on intensive care nurses‘ workload, quality and safety of care, and quality of working life (QWL). Performance obstacles are factors that hinder nurses‘ capacity to perform their job and that are closely associated with their immediate work system. Data Sources/Study Setting Data were collected from 265 nurses in 17 intensive care units (ICUs) between February and August 2004 via a structured questionnaire, yielding a response rate of 80 percent. Study Design A cross-sectional study design was used. Data were analyzed by correlation analyses and structural equation modeling. Principal Findings Performance obstacles were found to affect perceived quality and safety of care and QWL of ICU nurses. Workload mediated the impact of performance obstacles with the exception of equipment-related issues on perceived quality and safety of care as well as QWL. Conclusions Performance obstacles in ICUs are a major determinant of nursing workload, perceived quality and safety of care, and QWL. In general, performance obstacles increase nursing workload, which in turn negatively affect perceived quality and safety of care and QWL. Redesigning the ICU work system to reduce performance obstacles may improve nurses‘ work. PMID:19207589

  19. Safety of timber : An analysis of quality control options

    NARCIS (Netherlands)

    Kovryga, A.; Stapel, P.; Van de Kuilen, J.W.G.

    2014-01-01

    The quality assurance of timber properties is important for the safety of timber structures. In the current study, the quality control options of timber are analysed under the prism of the different growth regions. Therefore, these options - machine and output control - are simulated in accordance

  20. A Scholarly Pathway in Quality Improvement and Patient Safety.

    Science.gov (United States)

    Ferguson, Catherine C; Lamb, Geoffrey

    2015-10-01

    There are several challenges to teaching quality improvement (QI) and patient safety material to medical students, as successful programs should combine didactic and experiential teaching methods, integrate the material into the preclinical and clinical years, and tailor the material to the schools' existing curriculum. The authors describe the development, implementation, and assessment of the Quality Improvement and Patient Safety (QuIPS) Scholarly Pathway-a faculty-mentored, three-year experience for students interested in gaining exposure to QI and patient safety concepts at the Medical College of Wisconsin (MCW). The QuIPS pathway capitalized on the existing structure of scholarly pathways for MCW medical students, allowing QI and patient safety to be incorporated into the existing curriculum using didactic and experiential instruction and spanning preclinical and clinical education. Student reaction to the QuIPS pathway has been favorable. Preliminary data demonstrate that student knowledge as measured by the Quality Improvement Knowledge Assessment Tool significantly increased after the first year of implementation. A novel curriculum such as the QuIPS pathway provides an important opportunity to develop and test new assessment tools for curricula in systems-based practice and practice-based learning and improvement. The authors also hope that by bringing together local QI and patient safety experts and stakeholders during the curricular development process, they have laid the groundwork for the creation of a more pervasive curriculum that will reach all MCW students in the future. The model may be generalizable to other U.S. medical schools with scholarly pathways as well.

  1. Perinatal staff perceptions of safety and quality in their service.

    Science.gov (United States)

    Sinni, Suzanne V; Wallace, Euan M; Cross, Wendy M

    2014-11-28

    Ensuring safe and appropriate service delivery is central to a high quality maternity service. With this in mind, over recent years much attention has been given to the development of evidence-based clinical guidelines, staff education and risk reporting systems. Less attention has been given to assessing staff perceptions of a service's safety and quality and what factors may influence that. In this study we set out to assess staff perceptions of safety and quality of a maternity service and to explore potential influences on service safety. The study was undertaken within a new low risk metropolitan maternity service in Victoria, Australia with a staffing profile comprising midwives (including students), neonatal nurses, specialist obstetricians, junior medical staff and clerical staff. In depth open-ended interviews using a semi-structured questionnaire were conducted with 23 staff involved in the delivery of perinatal care, including doctors, midwives, nurses, nursing and midwifery students, and clerical staff. Data were analyzed using naturalistic interpretive inquiry to identify emergent themes. Staff unanimously reported that there were robust systems and processes in place to maintain safety and quality. Three major themes were apparent: (1) clinical governance, (2) dominance of midwives, (3) inter-professional relationships. Overall, there was a strong sense that, at least in this midwifery-led service, midwives had the greatest opportunity to be an influence, both positively and negatively, on the safe delivery of perinatal care. The importance of understanding team dynamics, particularly mutual respect, trust and staff cohesion, were identified as key issues for potential future service improvement. Senior staff, particularly midwives and neonatal nurses, play central roles in shaping team behaviors and attitudes that may affect the safety and quality of service delivery. We suggest that strategies targeting senior staff to enhance their performance in

  2. Software quality assurance for safety analysis and risk management at the Savannah River Site

    International Nuclear Information System (INIS)

    Ades, M.J.; Toffer, H.; Crowe, R.D.

    1991-01-01

    As part of its Reactor Operations Improvement Program at the Savannah River Site (SRS), Westinghouse Savannah River Company (WSRC), in cooperation with the Westinghouse Hanford Company, has developed and implemented quality assurance for safety-related software for technical programs essential to the safety and reliability of reactor operations. More specifically, the quality assurance process involved the development and implementation of quality standards and attendant procedures based on industry software quality standards. These procedures were then applied to computer codes in reactor safety and probabilistic risk assessment analyses. This paper provides a review of the major aspects of the WSRC safety-related software quality assurance. In particular, quality assurance procedures are described for the different life cycle phases of the software that include the Requirements, Software Design and Implementation, Testing and Installation, Operation and Maintenance, and Retirement Phases. For each phase, specific provisions are made to categorize the range of activities, the level of responsibilities, and the documentation needed to assure the control of the software. The software quality assurance procedures developed and implemented are evolutionary in nature, and thus, prone to further refinements. These procedures, nevertheless, represent an effective controlling tool for the development, production, and operation of safety-related software applicable to reactor safety and probabilistic risk assessment analyses

  3. Quality and safety of nuclear plants: the role of the administrative authorities

    International Nuclear Information System (INIS)

    Queniart, D.

    1977-10-01

    After specifying the notions of 'safety' and 'quality', the terms and conditions governing the intervention of the public authorities in the matter of safety of nuclear plants are described: individual permits, the establishing and application of technical rules of a general character, surveillance of the plants. The criteria and regulations guiding the evaluation of safety and quality and, in conclusion, insisting on the necessity for permanent discussions among the various organizations concerned are presented

  4. NAVIGATING A QUALITY ROUTE TO A NATIONAL SAFETY AWARD

    Energy Technology Data Exchange (ETDEWEB)

    PREVETTE SS

    2009-05-26

    Deming quality methodologies applied to safety are recognized with the National Safety Council's annual Robert W. Campbell Award. Over the last ten years, the implementation of Statistical Process Control and quality methodologies at the U.S. Department of Energy's Hanford Site have contributed to improved safety. Improvements attributed to Statistical Process Control are evidenced in Occupational Safety and Health records and documented through several articles in Quality Progress and the American Society of Safety Engineers publication, Professional Safety. Statistical trending of safety, quality, and occurrence data continues to playa key role in improving safety and quality at what has been called the world's largest environmental cleanup project. DOE's Hanford Site played a pivotal role in the nation's defense beginning in the 1940s, when it was established as part of the Manhattan Project. After more than 50 years of producing material for nuclear weapons, Hanford, which covers 586 square miles in southeastern Washington state, is now focused on three outcomes: (1) Restoring the Columbia River corridor for multiple uses; (2) Transitioning the central plateau to support long-term waste management; and (3) Putting DOE assets to work for the future. The current environmental cleanup mission faces challenges of overlapping technical, political, regulatory, environmental, and cultural interests. From Oct. 1, 1996 through Sept. 30, 2008, Fluor Hanford was a prime contractor to the Department of Energy's Richland Operations Office. In this role, Fluor Hanford managed several major cleanup activities that included dismantling former nuclear-processing facilities, cleaning up the Site's contaminated groundwater, retrieving and processing transuranic waste for shipment and disposal off-site, maintaining the Site's infrastructure, providing security and fire protection, and operating the Volpentest HAMMER Training and Education

  5. Work safety and sustainable development in enterprise

    Institute of Scientific and Technical Information of China (English)

    TANG Min-kang; ZHOU Yue; XU Jian-hong

    2005-01-01

    The nature of work safety and the way insisting on sustainable development in enterprise were analyzed. It indicates that problem of work safety in enterprise is closely related to the public's consciousness, to the development of science and technology, and to the weakening of safety management during the economic transition period. However, it is the people's questions concerned in the final analysis for the forming and development of the problem of work safety. Therefore, in order to solve the problem of work safety radically, the most basic way of insisting on the sustainable development in safety administration is to do a good job of every aspect about people. We should improve all people quality in science and culture and strengthen their safety and legal consciousness to form correct safety value concept. We should fortify safety legislation and bring close attention to approach and apply new safety technology.

  6. Flightdeck Automation Problems (FLAP) Model for Safety Technology Portfolio Assessment

    Science.gov (United States)

    Ancel, Ersin; Shih, Ann T.

    2014-01-01

    NASA's Aviation Safety Program (AvSP) develops and advances methodologies and technologies to improve air transportation safety. The Safety Analysis and Integration Team (SAIT) conducts a safety technology portfolio assessment (PA) to analyze the program content, to examine the benefits and risks of products with respect to program goals, and to support programmatic decision making. The PA process includes systematic identification of current and future safety risks as well as tracking several quantitative and qualitative metrics to ensure the program goals are addressing prominent safety risks accurately and effectively. One of the metrics within the PA process involves using quantitative aviation safety models to gauge the impact of the safety products. This paper demonstrates the role of aviation safety modeling by providing model outputs and evaluating a sample of portfolio elements using the Flightdeck Automation Problems (FLAP) model. The model enables not only ranking of the quantitative relative risk reduction impact of all portfolio elements, but also highlighting the areas with high potential impact via sensitivity and gap analyses in support of the program office. Although the model outputs are preliminary and products are notional, the process shown in this paper is essential to a comprehensive PA of NASA's safety products in the current program and future programs/projects.

  7. Role of quality assurance in reactor safety

    International Nuclear Information System (INIS)

    Roedel, J.A.

    1975-01-01

    A quality assurance program based on common sense, designed to accomplish what is reasonable and necessary, giving proper consideration to safety and economics can be an effective and essential management tool for the design, construction and operation of safe and economical nuclear power plants

  8. Safety problems, symptomatic oriented accident regulations, influence of nuclear energetic on ecology of the Slovak Republic

    International Nuclear Information System (INIS)

    Palenikova, M.

    2002-01-01

    IAEA initiated in 1990 the program on help of the countries of Eastern Europe and of the former Soviet Union at evaluating of the safety of their first generation nuclear power reactors of the type WWER 440/223. The main aim of this program was to identify the main design and operational safety problems, to determine international consensus on priorities of safety improvements, to provide the help in the assessment of completeness and adequacy of programs of safety improvements: What are the safety problems; What is the safety importance of problems; What is done for prevention from damage of nuclear power plant; and of three barriers: the tasks MOD V-2 NPP; What is done for reducing of damage consequences; PHP, PASS (post-accidental directives and post-accidental monitoring). (author)

  9. The main chemical safety problems in main process of nuclear fuel reprocessing plant

    International Nuclear Information System (INIS)

    Song Fengli; Zhao Shangui; Liu Xinhua; Zhang Chunlong; Lu Dan; Liu Yuntao; Yang Xiaowei; Wang Shijun

    2014-01-01

    There are many chemical reactions in the aqueous process of nuclear fuel reprocessing. The reaction conditions and the products are different so that the chemical safety problems are different. In the paper the chemical reactions in the aqueous process of nuclear fuel reprocessing are described and the main chemical safety problems are analyzed. The reference is offered to the design and accident analysis of the nuclear fuel reprocessing plant. (authors)

  10. Food Safety and Quality Control: Hints from Proteomics

    Directory of Open Access Journals (Sweden)

    Angelo D'Alessandro

    2012-01-01

    Full Text Available Over the last decade, proteomics has been successfully applied to the study of quality control in production processes of food (including meat, wine and beer, transgenic plants and milk and food safety (screening for food-derived pathogens. Indeed, food quality and safety and their influence on the health of end consumers have growingly become a founding principle in the international agenda of health organizations. The application of proteomics in food science was at first characterized by exploratory analyses of food of various origin (bovine, swine, chicken or lamb meat, but also transgenic food such as genetically modified maize, for example and beverages (beer, wine, in parallel to the genomic and transcriptomic approaches seeking determination of quantitative trait loci. In the last few years, technical improvements such as microbial biotyping strategies have growingly allowed proteomicists to address the safety issue as well. The newly introduced technical improvements (instrumentation characterized by higher sensitivity such as mass spectrometers have paved the way for the individuation of food-contaminating pathogens in a fast and efficient workflow which is mandatory in industrial food production chains.

  11. Criticality Safety Problems Related to Storage of Highly Active Liquid Waste

    International Nuclear Information System (INIS)

    Amin, E.

    1999-01-01

    The geometries of liquid waste storage tanks are not generally safe against criticality. Normally, this does not cause problems as fissile materials exist in nitric acid solution only as depleted uranium or in insignificant concentration of the originally reprocessed inventory of plutonium. However, if sedimentation of solid particles would occur, the deposited material would cause criticality safety problems. Particularly, non-horizontal installation of the storage tanks would increase the Eigen value. The effect of the storage tank inclination and the presence of transplutonium elements on the criticality safety are investigated using the NCNSRC code packages. The results are compared well with a similar German published results

  12. Understanding the role of sleep quality and sleep duration in commercial driving safety.

    Science.gov (United States)

    Lemke, Michael K; Apostolopoulos, Yorghos; Hege, Adam; Sönmez, Sevil; Wideman, Laurie

    2016-12-01

    Long-haul truck drivers in the United States suffer disproportionately high injury rates. Sleep is a critical factor in these outcomes, contributing to fatigue and degrading multiple aspects of safety-relevant performance. Both sleep duration and sleep quality are often compromised among truck drivers; however, much of the efforts to combat fatigue focus on sleep duration rather than sleep quality. Thus, the current study has two objectives: (1) to determine the degree to which sleep impacts safety-relevant performance among long-haul truck drivers; and (2) to evaluate workday and non-workday sleep quality and duration as predictors of drivers' safety-relevant performance. A non-experimental, descriptive, cross-sectional design was employed to collect survey and biometric data from 260 long-haul truck drivers. The Trucker Sleep Disorders Survey was developed to assess sleep duration and quality, the impact of sleep on job performance and accident risk, and other relevant work organization characteristics. Descriptive statistics assessed work organization variables, sleep duration and quality, and frequency of engaging in safety-relevant performance while sleepy. Linear regression analyses were conducted to evaluate relationships between sleep duration, sleep quality, and work organization variables with safety composite variables. Drivers reported long work hours, with over 70% of drivers working more than 11h daily. Drivers also reported a large number of miles driven per week, with an average of 2,812.61 miles per week, and frequent violations of hours-of-service rules, with 43.8% of drivers "sometimes to always" violating the "14-h rule." Sleep duration was longer, and sleep quality was better, on non-workdays compared on workdays. Drivers frequently operated motor vehicles while sleepy, and sleepiness impacted several aspects of safety-relevant performance. Sleep quality was better associated with driving while sleepy and with job performance and concentration

  13. Environmental data quality problems: ''Technical'' vs. ''legal'' defensibility

    International Nuclear Information System (INIS)

    Luker, R.S.; Brooks, M.C.; Stagg, D.D.

    1995-01-01

    Two significant aspects of environmental data quality are currently being emphasized throughout the industry as critical precursors to environmental decision making: technical integrity and legal defensibility. Because audit findings and consequent perceptions by a client often pose more questions than answers--especially with respect to the ''systemic'' nature and significance of problems based on nonstatistical, ad hoc sampling of large programs--quality assurance in environmental restoration must do more than implement traditional administrative controls. A major problem persists in achieving a consensus opinion between quality assurance and technical staff on the significance of various data problems. This case study compares and contrasts ''technical integrity'' and ''legal defensibility'', and provides performance measures developed to optimize both components in a large, complex DOE environmental restoration program. Performance measures of both administrative and technical processes are being used to ensure that conclusions drawn concerning ''systematic'' problems are not premature, and are founded on thorough, representative aspects of the program. Improved methods to reach consensus opinions on environmental decision-making are imperative and environmental data quality, the cornerstone on which the decisions are built, must be not only scientifically solid, but perceived as solid, if stakeholders are to be satisfied

  14. FURNAS activities in safety and quality assurance

    International Nuclear Information System (INIS)

    Dezordi, W.L.; Correa Filho, S.M.; Sacco, W.; Morais, L.H.G. de

    1980-01-01

    The aspects involved in the quality assurance performed by FURNAS for Nuclear Power Plant - Angra Unit I, are shown. Furnas' responsabilities in the licensing regarding reactor safety are also discussed. A summary of the computer codes used in the licensing process is given. (e.G.) [pt

  15. Safety and problems in using radioactive drugs in hospitals

    International Nuclear Information System (INIS)

    Arimizu, Noboru

    1975-01-01

    The safety and the control problem of non-closed RI (radiopharmaceuticals) of which use has rapidly been increased, were studied. At present, the hospitals with an independent clinic for the nuclear medicine are very limited and many doctors, nurses and safety controllers who are working in the clinic belong to other clinics. As for the diagnosis using RI examination, the dangers of the persons who are working with radioimmunoassay, especially using Au-antigen kit were studied. Furthermore, the problems concerning the reduction of exposure dose by the use of a short half-life RI, such as sup(99m)Tc and the dangers of external exposure on the persons who use the isotope were studied. In addition, the control of RI ward for RI therapy was discussed. The author considered the specialization and fixation of doctors, nurses and technicians are becoming of necessity with the advancement of RI therapy. In addition, the necessity of training nurses for the nuclear medicine was insisted on. (Tsukamoto, Y.)

  16. Safety and problems in using radioactive drugs in hospitals

    Energy Technology Data Exchange (ETDEWEB)

    Arimizu, N [National Inst. of Radiological Sciences, Chiba (Japan)

    1975-01-01

    The safety and the control problem of non-closed RI (radiopharmaceuticals) of which use has rapidly been increased, were studied. At present, the hospitals with an independent clinic for the nuclear medicine are very limited and many doctors, nurses and safety controllers who are working in the clinic belong to other clinics. As for the diagnosis using RI examination, the dangers of the persons who are working with radioimmunoassay, especially using Au-antigen kit were studied. Furthermore, the problems concerning the reduction of exposure dose by the use of a short half-life RI, such as sup(99m)Tc and the dangers of external exposure on the persons who use the isotope were studied. In addition, the control of RI ward for RI therapy was discussed. The author considered the specialization and fixation of doctors, nurses and technicians are becoming of necessity with the advancement of RI therapy. In addition, the necessity of training nurses for the nuclear medicine was insisted on.

  17. Problems of nuclear reactor safety. Vol. 1; Problemy bezopasnosti yaderno-ehnergeticheskikh ustanovok. Tom 1

    Energy Technology Data Exchange (ETDEWEB)

    Shal` nov, A V [Moskovskij Inzhenerno-Fizicheskij Inst., Moscow (Russian Federation)

    1996-12-31

    Proceedings of the 9. Topical Meeting `Problems of nuclear reactor safety` are presented. Papers include results of studies and developments associated with methods of calculation and complex computerized simulation for stationary and transient processes in nuclear power plants. Main problems of reactor safety are discussed as well as rector accidents on operating NPP`s are analyzed.

  18. 30 CFR 250.806 - Safety and pollution prevention equipment quality assurance requirements.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Safety and pollution prevention equipment... Gas Production Safety Systems § 250.806 Safety and pollution prevention equipment quality assurance... install only certified safety and pollution prevention equipment (SPPE) in wells located on the OCS. SPPE...

  19. PROBLEMS OF APPLYING FIXED FORMULAE TO SAFETY CRITERIA AND SITE SELECTION

    Energy Technology Data Exchange (ETDEWEB)

    Davis, W. K.

    1963-10-15

    The problem of developing a formula or calculation procedure for that could more-or-less automatically indicate whether or not a nuclear plant would be considered safe at a particular location is discussed. The difficulties and impossibilities of any sach formula for making decisions on siting and safety involving large amounts of money and public safety are considered. (P.C.H.)

  20. Key Problems of Fire Safety Enforcement in Traffic and Communication Centers (TCC)

    Science.gov (United States)

    Medyanik, M.; Zosimova, O.

    2017-10-01

    A Traffic and Communication Center (TCC) means facilities designed and used to distribute and redirect flows of humans and motor vehicles while they get serviced and operate. This paper sets forth the basic problems of fire safety enforcement on the TCC, and the causes that slow down human and vehicle traffic speeds. It proposes ways to solve the problems of fire safety enforcement on the TCC, in the Russian Federation and elsewhere. Engineering solutions are proposed for TCC design, with key outlooks of TCC future development as an alternative way to organize access in transportation.

  1. Circles of quality in radiological safety

    International Nuclear Information System (INIS)

    Gonzalez F, J.A.

    1991-01-01

    The concept of Circles of quality arose in Japan like an option to capitalize the enormous potential that the workers had developed as a result of its training in the statistical tools of quality. There are presented a series of steps that could be given with the purpose of implementing a program of ALARA circles. The radiological safety is in it finishes instance responsibility of each hard-working one and there won't be a protection program that can work among apathetic people, it is in this sense where the ALARA circles can provide its maximum contribution creating a conscience of responsibility and participation

  2. Transformational Leadership: The Chief Nursing Officer Role in Leading Quality and Patient Safety.

    Science.gov (United States)

    Jones, Pam; Polancich, Shea; Steaban, Robin; Feistritzer, Nancye; Poe, Terri

    This department column highlights leadership perspectives of quality and patient safety practice. The purpose of this article is to provide strategic direction for transformational quality and safety leadership as the chief nursing officer (CNO) within the academic medical center environment.

  3. Examining quality function deployment in safety promotion in Sweden.

    Science.gov (United States)

    Kullberg, Agneta; Nordqvist, Cecilia; Lindqvist, Kent; Timpka, Toomas

    2014-09-01

    The first-hand needs and demands of laypersons are not always considered when safety promotion programmes are being developed. We compared focal areas for interventions identified from residents' statements of safety needs with focal areas for interventions identified by local government professionals in a Swedish urban community certified by the international Safe Community movement supported by the World Health Organization. Quantitative and qualitative data on self-expressed safety needs from 787 housing residents were transformed into an intervention design, using the quality function deployment (QFD) technique and compared with the safety intervention programme developed by professionals at the municipality administrative office. The outcome of the comparison was investigated with regard to implications for the Safe Community movement. The QFD analysis identified the initiation and maintenance of social integrative processes in housing areas as the most highly prioritized interventions among the residents, but failed to highlight the safety needs of several vulnerable groups (the elderly, infants and persons with disabilities). The intervention programme designed by the public health professionals did not address the social integrative processes, but it did highlight the vulnerable groups. This study indicates that the QFD technique is suitable for providing residential safety promotion efforts with a quality orientation from the layperson's perspective. Views of public health professionals have to be included to ascertain that the needs of socially deprived residents are adequately taken into account. QFD can augment the methodological toolbox for safety promotion programmes, including interventions in residential areas. © The Author (2013). Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  4. Integrated Management System Incorporating Quality Management and Management of Environment, Health and Occupational Safety

    International Nuclear Information System (INIS)

    Manchev, B.; Nenkova, B.; Tomov, E.

    2012-01-01

    aspects having impact on the environment; management of the health and occupational safety. This proposal for presentation at the conference aim at sharing the experience, the problems arising and ways of their solution during the process of development and introducing of an Integrated Management System on the basis of introduced and certified Quality Management System.(author).

  5. Male enhancement Nutraceuticals in the Middle East market: Claim, pharmaceutical quality and safety assessments.

    Science.gov (United States)

    ElAgouri, Ghada; ElAmrawy, Fatema; ElYazbi, Ahmed; Eshra, Ahmed; Nounou, Mohamed I

    2015-08-15

    The global market is invaded by male enhancement nutraceuticals claimed to be of natural origin sold with a major therapeutic claim. Most of these products have been reported by international systems like the Food and Drug Administration (FDA). We hypothesize that these products could represent a major threat to the health of the consumers. In this paper, pharmaceutical evaluation of some of these nutraceutical products sold in Egypt under the therapeutic claim of treating erectile dysfunction, are discussed along with pharmacological evaluation to investigate their safety and efficacy parameters. Samples were analyzed utterly using conventional methods, i.e.: HPLC, HPTLC, NIR, content uniformity and weight variation and friability. The SeDeM system was used for quality assessment. On the basis of the results of this research, the sampled products are adulterated and totally heterogeneous in their adulterant drug content and pharmaceutical quality. These products represent a major safety threat for the consumers in Egypt and the Middle East, especially; the target audience is mostly affected with heart and blood pressure problems seeking natural and safe alternatives to the well-established Phosphodiesterase 5 Inhibitors (PDE-5Is). Copyright © 2015 Elsevier B.V. All rights reserved.

  6. Safety problems of nuclear power plants with channel-type graphite boiling water reactors

    International Nuclear Information System (INIS)

    Emel'yanov, I.Ya.; Vasilevskij, V.P.; Volkov, V.P.; Gavrilov, P.A.; Kramerov, A.Ya.; Kuznetsov, S.P.; Kunegin, E.P.; Rybakov, N.Z.

    1977-01-01

    Construction of nuclear power plants in a highly populated region near large industrial centres necessitates to pay a special attention to their nuclear and radiation safety. Safety problems of nuclear reactor operation are discussed, in particular, they are: reliable stoppage of fission chain reaction at any emergency cases; reliable core cooling with failure of various equipment; emergency core cooling with breached pipes of a circulating circuit; and prevention of radioactive coolant release outside the nuclear power plant in amount exceeding the values adopted. Channel-type water boiling reactors incorporate specific features requiring a new approach to safety operation of a reactor and a nuclear power plant. These include primarily a rather large steam volume in the coolant circuit, large amount of accumulated heat, void reactivity coefficient. Channel-type reactors characterized by fair neutron balance and flexible fuel cycle, have a series of advantages alleviating the problem of ensuring their safety. The possibility of reliable control over the state of each channel allows to replace failed fuel elements by the new ones, when operating on-load, to increase the number of circulating loops and reduce the diameter of main pipelines, simplifies significantly the problem of channel emergency cooling and localization of a radioactive coolant release from a breached circuit. The concept of channel-type reactors is based on the solution of three main problems. First, plant safety should be assured in emergency switch off of separate units and, if possible, energy conditions should be maintained, this is of particular importance considering the increase in unit power. Second, the system of safety and emergency cooling should eliminate a great many failures of fuel elements in case of potential breaches of any tube in the circulating circuit. Finally, rugged boxes and localizing devices should be provided to exclude damage of structural elements of the nuclear power

  7. Social but safe? Quality and safety of diabetes-related online social networks.

    Science.gov (United States)

    Weitzman, Elissa R; Cole, Emily; Kaci, Liljana; Mandl, Kenneth D

    2011-05-01

    To foster informed decision-making about health social networking (SN) by patients and clinicians, the authors evaluated the quality/safety of SN sites' policies and practices. Multisite structured observation of diabetes-focused SN sites. Measurements 28 indicators of quality and safety covering: (1) alignment of content with diabetes science and clinical practice recommendations; (2) safety practices for auditing content, supporting transparency and moderation; (3) accessibility of privacy policies and the communication and control of privacy risks; and (4) centralized sharing of member data and member control over sharing. Quality was variable across n=10 sites: 50% were aligned with diabetes science/clinical practice recommendations with gaps in medical disclaimer use (30% have) and specification of relevant glycosylated hemoglobin levels (0% have). Safety was mixed with gaps in external review approaches (20% used audits and association links) and internal review approaches (70% use moderation). Internal safety review offers limited protection: misinformation about a diabetes 'cure' was found on four moderated sites. Of nine sites with advertising, transparency was missing on five; ads for unfounded 'cures' were present on three. Technological safety was poor with almost no use of procedures for secure data storage and transmission; only three sites support member controls over personal information. Privacy policies' poor readability impedes risk communication. Only three sites (30%) demonstrated better practice. Limitations English-language diabetes sites only. The quality/safety of diabetes SN is variable. Observed better practice suggests improvement is feasible. Mechanisms for improvement are recommended that engage key stakeholders to balance autonomy, community ownership, conditions for innovation, and consumer protection.

  8. The Armstrong Institute: An Academic Institute for Patient Safety and Quality Improvement, Research, Training, and Practice.

    Science.gov (United States)

    Pronovost, Peter J; Holzmueller, Christine G; Molello, Nancy E; Paine, Lori; Winner, Laura; Marsteller, Jill A; Berenholtz, Sean M; Aboumatar, Hanan J; Demski, Renee; Armstrong, C Michael

    2015-10-01

    Academic medical centers (AMCs) could advance the science of health care delivery, improve patient safety and quality improvement, and enhance value, but many centers have fragmented efforts with little accountability. Johns Hopkins Medicine, the AMC under which the Johns Hopkins University School of Medicine and the Johns Hopkins Health System are organized, experienced similar challenges, with operational patient safety and quality leadership separate from safety and quality-related research efforts. To unite efforts and establish accountability, the Armstrong Institute for Patient Safety and Quality was created in 2011.The authors describe the development, purpose, governance, function, and challenges of the institute to help other AMCs replicate it and accelerate safety and quality improvement. The purpose is to partner with patients, their loved ones, and all interested parties to end preventable harm, continuously improve patient outcomes and experience, and eliminate waste in health care. A governance structure was created, with care mapped into seven categories, to oversee the quality and safety of all patients treated at a Johns Hopkins Medicine entity. The governance has a Patient Safety and Quality Board Committee that sets strategic goals, and the institute communicates these goals throughout the health system and supports personnel in meeting these goals. The institute is organized into 13 functional councils reflecting their behaviors and purpose. The institute works daily to build the capacity of clinicians trained in safety and quality through established programs, advance improvement science, and implement and evaluate interventions to improve the quality of care and safety of patients.

  9. Effect of Storage on the Quality and Safety of Grains in Tharaka ...

    African Journals Online (AJOL)

    The contribution of grains to food security is limited by deterioration during storage and as such it was necessary to document the effect of storage on their quality and safety. The objective of this study was to determine the effect of storage on the quality and safety of grains in Maragua and Gikingo locations, Tharaka District, ...

  10. ACTUAL PROBLEMS OF THE THEORY OF QUALITY

    Directory of Open Access Journals (Sweden)

    V. P. Panasyuk

    2016-01-01

    Full Text Available The aim of the publication is the analysis of the place and the role of scientific categories and application of the concept of «quality» as a threepronged science of quality, quality management, quality assessment in contemporary global processes, as well as applied aspects with regard to the adoption of specific management decisions.Methods. Methodology of interdisciplinary approach to the analysis of the "quality" category is used; the methods of theoretical analysis, synthesis and generalization.Analysis of the «quality» of the concept is carried out in conjunction with the global processes and trends in the economy, the crisis in the world, due to the emerging new technological order. The theoretical foundation that can be laid at the base of the further development of the theory of quality and making the qualitative nature of the reforms in the social sphere and the economic sphere is considered in details.Results. The tendencies, risks, problems and suggestions on the practical application of some or other quality concepts, approaches to enforcement are signified. The author's vision of the future development direction, associated with quality, including in international breaking is given.Scientific novelty consists in determining of qualitology potential applied to solve complex theoretical and practical problems, its place and role among emerging new classification of classical and non-classical sciences. The promising directions of the quality theory in relation to the economy, social sphere, education are identified.Practical significance. The proposed recommendations on use of ideas for management approaches reconsideration, organization of research and training in the field of quality.

  11. Nurses' perceptions and problems in the usability of a medication safety app.

    Science.gov (United States)

    Ankem, Kalyani; Cho, Sookyung; Simpson, Diana

    2017-10-16

    The majority of medication apps support medication adherence. Equally, if not more important, is medication safety. Few apps report on medication safety, and fewer studies have been conducted with these apps. The usability of a medication safety app was tested with nurses to reveal their perceptions of the graphical user interface and to discover problems they encountered in using the app. Usability testing of the app was conducted with RN-BSN students and informatics students (n = 18). Perceptions of the graphical components were gathered in pretest and posttest questionnaires, and video recordings of the usability testing were transcribed. The significance of the difference in mean performance time for 8 tasks was tested, and qualitative analysis was deployed to identify problems encountered and to rate the severity of each problem. While all participants perceived the graphical user interface as easy to understand, nurses took significantly more time to complete certain tasks. More nurses found the medication app to be lacking in intuitiveness of user interface design, in capability to match real-world data, and in providing optimal information architecture. To successfully integrate mobile devices in healthcare, developers must address the problems that nurses encountered in use of the app.

  12. Public opinion confronted by the safety problems associated with different energy source

    Energy Technology Data Exchange (ETDEWEB)

    Otway, H J; Thomas, K

    1978-09-01

    Model study of public opinion 'for' and 'against' the various energy sources - oil, coal, solar and nuclear power. Attitudes are examined from four aspects: psychology - economic advantages, sociopolitical problems, environmental problems and safety. The investigation focuses on nuclear energy. (13 refs.) (In French)

  13. Quality Control Activities Related to Mechanical Maintenance of Safety Related Components at Krsko NPP

    International Nuclear Information System (INIS)

    Djakovic, D.

    2016-01-01

    For successful, safe and reliable operation of nuclear power plant, maintenance processes have to be systematically controlled and procedures for quality control of maintenance activities shall be established. This is requested by the quality assurance program, which shall provide control over activities affecting the quality of structures, systems, and components, considering their importance to safety. As a part of Quality and Nuclear Oversight Division (QNOD; SKV), the Quality Control Department (QC) provides quality control activities, which are deeply involved in maintenance processes at Krsko NPP, both on safety related and non-safety related (non-nuclear safety) components. QC activities on safety related components have to fulfil all requirements, which will enable the components to perform their intended safety functions. This paper describes quality control activities related to mechanical maintenance of safety related components at Krsko NPP and significant role of the Krsko plant QC Department in three particular maintenance cases connected with safety related components. In these three specific cases, the QC has confirmed its importance in compliance with quality assurance program and presented its significant added value in providing safe and reliable operation of the plant. The first maintenance activity was installation of nozzle check valves in the scope of a modification for improving regulation of spent fuel pit pumps. The QC Department performed receipt inspection of the valves. Using non-destructive examination methods and X-ray spectrometry, it was found out that the valve diffuser was made of improper material, which could cause progressive corrosion of the valve diffuser in borated water and consequently a loss of safety function of the valves followed by long-term consequences. The second one was the receipt inspection of containment ventilation fan coolers. The coolers were claimed and sent back to the supplier because the QC Department

  14. Ten years after the IOM report: Engaging residents in quality and patient safety by creating a House Staff Quality Council.

    Science.gov (United States)

    Fleischut, Peter M; Evans, Adam S; Nugent, William C; Faggiani, Susan L; Lazar, Eliot J; Liebowitz, Richard S; Forese, Laura L; Kerr, Gregory E

    2011-01-01

    Ten years after the 1999 Institute of Medicine report, it is clear that despite significant progress, much remains to be done to improve quality and patient safety (QPS). Recognizing the critical role of postgraduate trainees, an innovative approach was developed at New York-Presbyterian Hospital, Weill Cornell Medical Center to engage residents in QPS by creating a Housestaff Quality Council (HQC). HQC leaders and representatives from each clinical department communicate and partner regularly with hospital administration and other key departments to address interdisciplinary quality improvement (QI). In support of the mission to improve patient care and safety, QI initiatives included attaining greater than 90% compliance with medication reconciliation and reduction in the use of paper laboratory orders by more than 70%. A patient safety awareness campaign is expected to evolve into a transparent environment where house staff can openly discuss patient safety issues to improve the quality of care.

  15. Tank safety screening data quality objective. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Hunt, J.W.

    1995-04-27

    The Tank Safety Screening Data Quality Objective (DQO) will be used to classify 149 single shell tanks and 28 double shell tanks containing high-level radioactive waste into safety categories for safety issues dealing with the presence of ferrocyanide, organics, flammable gases, and criticality. Decision rules used to classify a tank as ``safe`` or ``not safe`` are presented. Primary and secondary decision variables used for safety status classification are discussed. The number and type of samples required are presented. A tabular identification of each analyte to be measured to support the safety classification, the analytical method to be used, the type of sample, the decision threshold for each analyte that would, if violated, place the tank on the safety issue watch list, and the assumed (desired) analytical uncertainty are provided. This is a living document that should be evaluated for updates on a semiannual basis. Evaluation areas consist of: identification of tanks that have been added or deleted from the specific safety issue watch lists, changes in primary and secondary decision variables, changes in decision rules used for the safety status classification, and changes in analytical requirements. This document directly supports all safety issue specific DQOs and additional characterization DQO efforts associated with pretreatment and retrieval. Additionally, information obtained during implementation can assist in resolving assumptions for revised safety strategies, and in addition, obtaining information which will support the determination of error tolerances, confidence levels, and optimization schemes for later revised safety strategy documentation.

  16. Anesthesia Quality and Patient Safety in China: A Survey.

    Science.gov (United States)

    Zhu, Bin; Gao, Huan; Zhou, Xiangyong; Huang, Jeffrey

    There has been no nationwide investigation into anesthesia quality and patient safety in China. The authors surveyed Chinese anesthesiologists about anesthesia quality by sending a survey to all anesthesiologist members of the New Youth Anesthesia Forum via WeChat. The respondents could choose to use a mobile device or desktop to complete the survey. The overall response rate was 43%. Intraoperative monitoring: 77.9% of respondents reported that electrocardiogram monitoring was routinely applied for all patients; only 55% of the respondents reported that they routinely used end-tidal carbon dioxide monitoring for their patients under general anesthesia. 10.3% of respondents admitted that they had at least one wrong medicine administration in the past 3 months; 12.4% reported that they had at least one case of cardiac arrest in the past year. This is the first anesthesia quality survey in China. The findings revealed potential anesthesia safety issues in China.

  17. Potential problems will drillstring safety valves

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-06-01

    In the paper titled ``New generation drill string safety valves,`` presented at the IADC Well Control Conference for Europe, Aberdeen, May 22--24, 1996, documented limitations of presently available drillstring safety valves commonly used as kelly valves and stabbing valves were presented, and industry efforts to develop solutions to these problems were described. Authors of the paper are B.A. Tarr and R.A. Sukup (Mobil E and P Technology Center, Dallas), Dr. R. Luy (ITE, Clausthal, Germany), G. Rabby (Hi-Kalibre, Edmonton, Alberta) and J. Mertsch (ITAG, Celle, Germany). In 1995, the Task Group developed a draft of a new spec, and a DSSV testing program was initiated as a joint industry project, with the Gas Research Institute (GRI) as the major sponsor. Two manufacturers, Hi-Kalibre and ITAG, agreed to build new valves for the testing program. Hi-Kalibre, Edmonton, Alberta, supplied an already-commercial twin floating ball valve for November 1995 testing. This product is being used by Tesco in its portable top drive system. ITAG of Germany supplied a radically improved DSSV design, which was tested in December, and was to be retested in May following modifications.

  18. Water-safety strategies and local-scale spatial quality

    NARCIS (Netherlands)

    Nillesen, A.L.

    2013-01-01

    Delta regions throughout the world are subject to increasing flood risks. For protection, regional water safety strategies are being developed. Local-scale spatial qualities should be included in their evaluation. An experimental methodology has been developed for this purpose. This paper

  19. [Drinking water quality and safety].

    Science.gov (United States)

    Gómez-Gutiérrez, Anna; Miralles, Maria Josepa; Corbella, Irene; García, Soledad; Navarro, Sonia; Llebaria, Xavier

    2016-11-01

    The purpose of drinking water legislation is to guarantee the quality and safety of water intended for human consumption. In the European Union, Directive 98/83/EC updated the essential and binding quality criteria and standards, incorporated into Spanish national legislation by Royal Decree 140/2003. This article reviews the main characteristics of the aforementioned drinking water legislation and its impact on the improvement of water quality against empirical data from Catalonia. Analytical data reported in the Spanish national information system (SINAC) indicate that water quality in Catalonia has improved in recent years (from 88% of analytical reports in 2004 finding drinking water to be suitable for human consumption, compared to 95% in 2014). The improvement is fundamentally attributed to parameters concerning the organoleptic characteristics of water and parameters related to the monitoring of the drinking water treatment process. Two management experiences concerning compliance with quality standards for trihalomethanes and lead in Barcelona's water supply are also discussed. Finally, this paper presents some challenges that, in the opinion of the authors, still need to be incorporated into drinking water legislation. It is necessary to update Annex I of Directive 98/83/EC to integrate current scientific knowledge, as well as to improve consumer access to water quality data. Furthermore, a need to define common criteria for some non-resolved topics, such as products and materials in contact with drinking water and domestic conditioning equipment, has also been identified. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  20. Safety and protection problems in the management of a plant with cyclotron, radiopharmacy laboratory and PET/CT equipment

    Energy Technology Data Exchange (ETDEWEB)

    Russo, A.; Speranza, A.; Panico, M. [University Federico-2, National Research Council - Institute of Biostructures and Bioimaging and Dept. of Bio-morphological and Functional Sciences, Napoli (Italy); Delia, R. [University La Sapienza - sez. Rieti, Faculty of Medicine, Rome (Italy); Casale, M. [University Federico-2, Dept. of Physics - Health Physics School, Napoli (Italy); Salvatore, M. [University Federico-2 and National Research Council - Institute of Biostructures and Bioimaging, Dept. of Bio-morphological and Functional Sciences, Napoli (Italy)

    2006-07-01

    The importance of Positron Emission Tomography (PET) is spreading and increasing in many clinical diagnostic fields, as well as the oncology, the cardiology, the neurology and so on. A strong input to the diffusion of this imaging technique from the research field to clinical one has been given either by the development of knowledge about PET or the modern technologies, which allow to set up at very suitable prices and in very little volumes, like in an hospital site, complete systems, which consist of: Cyclotron; Radiopharmacy Laboratory; one or more either PET or PET/CT. Such set-up arrangement allows to carry out highly innovative diagnostic examinations with a remarkable achievement of diagnostic quality and large number of daily examinations. In this paper the authors show the achieved know-how with respect to radioprotection for the set-up and running management of two systems such as PET/CT tomography unit, cyclotron and radiopharmacy laboratory, installed one in the Imaging Diagnostic Department of the Hospital of Naples University and used only for medical and research purposes, and the other one in A.C.O.M. (Advanced Center of Oncology in Macerata), used for commercial and research purposes. The following safety problems have been considered: the facility lay-out; the optimisation of the paths either for the operator, or the patients and the radiotracers; the guide lines for the protection and the safety of the patients, operators and general population, in relation to the utilization and the management of either the more common radiotracers (18 F and 11 C) or those in research progress, for example 64 Cu and 124 I; the protocol set up for the image quality control in relation to the patient protection and safety. The above problems have also been considered, taking into account the Italian regulation and the International Recommendations. (authors)

  1. Safety and protection problems in the management of a plant with cyclotron, radiopharmacy laboratory and PET/CT equipment

    International Nuclear Information System (INIS)

    Russo, A.; Speranza, A.; Panico, M.; Delia, R.; Casale, M.; Salvatore, M.

    2006-01-01

    The importance of Positron Emission Tomography (PET) is spreading and increasing in many clinical diagnostic fields, as well as the oncology, the cardiology, the neurology and so on. A strong input to the diffusion of this imaging technique from the research field to clinical one has been given either by the development of knowledge about PET or the modern technologies, which allow to set up at very suitable prices and in very little volumes, like in an hospital site, complete systems, which consist of: Cyclotron; Radiopharmacy Laboratory; one or more either PET or PET/CT. Such set-up arrangement allows to carry out highly innovative diagnostic examinations with a remarkable achievement of diagnostic quality and large number of daily examinations. In this paper the authors show the achieved know-how with respect to radioprotection for the set-up and running management of two systems such as PET/CT tomography unit, cyclotron and radiopharmacy laboratory, installed one in the Imaging Diagnostic Department of the Hospital of Naples University and used only for medical and research purposes, and the other one in A.C.O.M. (Advanced Center of Oncology in Macerata), used for commercial and research purposes. The following safety problems have been considered: the facility lay-out; the optimisation of the paths either for the operator, or the patients and the radiotracers; the guide lines for the protection and the safety of the patients, operators and general population, in relation to the utilization and the management of either the more common radiotracers (18 F and 11 C) or those in research progress, for example 64 Cu and 124 I; the protocol set up for the image quality control in relation to the patient protection and safety. The above problems have also been considered, taking into account the Italian regulation and the International Recommendations. (authors)

  2. Safety problems relating to plutonium recycling in light water reactors

    International Nuclear Information System (INIS)

    Devillers, C.; Frison, J.M.; Mercier, J.P.; Revais, J.P.

    1991-01-01

    This paper describes the specific nature, as regards safety, of the mixed oxide (MOX) fuel cycle, with the exception of safety problems relating to the operation of nuclear power plants. These specific characteristics are due mainly to the presence of plutonium in fresh fuel and to the higher plutonium and transuranic element content in spent fuel assemblies. The fuel cycle steps analysed here are the transport of plutonium oxide, the manufacture of MOX fuel assemblies, the transport of fresh and spent fuel assemblies and the processing of spent fuel assemblies

  3. Safety problems relating to plutonium recycling in light water reactors

    International Nuclear Information System (INIS)

    Devillers, C.; Frison, J.M.; Mercier, J.P.; Revais, J.P

    1991-01-01

    This paper describes the specific nature, as regards safety, of the mixed oxide (MOX) fuel cycle, with the exception of safety problems relating to the operation of nuclear power plants. These specific characteristics are due mainly to the presence of plutonium in fresh fuel and to the higher plutonium and transuranic element content in spent fuel assemblies. The fuel cycle steps analysed here are the transport of plutonium oxide, the manufacture of MOX fuel assemblies, the transport of fresh and spent fuel assemblies and the processing of spent fuel assemblies. (author) [fr

  4. Food safety and quality assurance : foods of animal origin

    National Research Council Canada - National Science Library

    Hughes, Keith L; Hinton, Michael H; Hubbert, William T; Hagstad, Harry V; Spangler, Elizabeth

    1996-01-01

    The second edition of Food Safety and Quality Assurance is a basic reference for veterinarians, extension specialists, and others who help food-animal producers throughout the food chain to provide...

  5. Assessment of safety culture at INPP

    International Nuclear Information System (INIS)

    Lesin, S.

    2002-01-01

    Safety Culture covers all main directions of plant activities and the plant departments involved through integration into the INPP Quality Assurance System. Safety Culture is represented by three components. The first is the clear INPP Safety and Quality Assurance Policy. Based on the Policy INPP is safely operated and managers' actions firstly aim at safety assurance. The second component is based on personal responsibility for safety and attitude of each employee of the plant. The third component is based on commitment to safety and competence of managers and employees of the plant. This component links the first two to ensure efficient management of safety at the plant. The above mentioned components including the elements which may significantly affect Safety Culture are also presented in the attachment. The concept of such model implies understanding of effect of different factors on the level of Safety Culture in the organization. In order to continuously correct safety problems, self-assessment of the Safety Culture level is performed at regular intervals. (author)

  6. The association between event learning and continuous quality improvement programs and culture of patient safety.

    Science.gov (United States)

    Mazur, Lukasz; Chera, Bhishamjit; Mosaly, Prithima; Taylor, Kinley; Tracton, Gregg; Johnson, Kendra; Comitz, Elizabeth; Adams, Robert; Pooya, Pegah; Ivy, Julie; Rockwell, John; Marks, Lawrence B

    2015-01-01

    To present our approach and results from our quality and safety program and to report their possible impact on our culture of patient safety. We created an event learning system (termed a "good catch" program) and encouraged staff to report any quality or safety concerns in real time. Events were analyzed to assess the utility of safety barriers. A formal continuous quality improvement program was created to address these reported events and make improvements. Data on perceptions of the culture of patient safety were collected using the Agency for Health Care Research and Quality survey administered before, during, and after the initiatives. Of 560 good catches reported, 367 could be ascribed to a specific step on our process map. The calculated utility of safety barriers was highest for those embedded into the pretreatment quality assurance checks performed by physicists and dosimetrists (utility score 0.53; 93 of 174) and routine checks done by therapists on the initial day of therapy. Therapists and physicists reported the highest number of good catches (24% each). Sixty-four percent of events were caused by performance issues (eg, not following standardized processes, including suboptimal communications). Of 31 initiated formal improvement events, 26 were successfully implemented and sustained, 4 were discontinued, and 1 was not implemented. Most of the continuous quality improvement program was conducted by nurses (14) and therapists (7). Percentages of positive responses in the patient safety culture survey appear to have increased on all dimensions (p continuous quality improvement programs can be successfully implemented and that there are contemporaneous improvements in the culture of safety. Copyright © 2015 American Society for Radiation Oncology. Published by Elsevier Inc. All rights reserved.

  7. Patient safety problem identification and solution sharing among rural community pharmacists.

    Science.gov (United States)

    Galt, Kimberly A; Fuji, Kevin T; Faber, Jennifer

    2013-01-01

    To implement a communication network for safety problem identification and solution sharing among rural community pharmacists and to report participating pharmacists' perceived value and impact of the network on patient safety after 1 year of implementation. Action research study. Rural community pharmacies in Nebraska from January 2010 to April 2011. Rural community pharmacists who voluntarily agreed to join the Pharmacists for Patient Safety Network in Nebraska. Pharmacists reported errors, near misses, and safety concerns through Web-based event reporting. A rapid feedback process was used to provide patient safety solutions to consider implementing across the network. Qualitative interviews were conducted 1 year after program implementation with participating pharmacists to assess use of the reporting system, value of the disseminated safety solutions, and perceived impact on patient safety in pharmacies. 30 of 38 pharmacists participating in the project completed the interviews. The communication network improved pharmacist awareness, promoted open discussion and knowledge sharing, contributed to practice vigilance, and led to incorporation of proactive safety prevention practices. Despite low participation in error and near-miss reporting, a dynamic communication network designed to rapidly disseminate evidence-based patient safety strategies to reduce risk was valued and effective at improving patient safety practices in rural community pharmacies.

  8. Safety management in multiemployer worksites in the manufacturing industry: opinions on co-operation and problems encountered.

    Science.gov (United States)

    Nenonen, Sanna; Vasara, Juha

    2013-01-01

    Co-operation between different parties and effective safety management play an important role in ensuring safety in multiemployer worksites. This article reviews safety co-operation and factors complicating safety management in Finnish multiemployer manufacturing worksites. The paper focuses on the service providers' opinions; however, a comparison of the customers' views is also presented. The results show that safety-related co-operation between providers and customers is generally considered as successful but strongly dependent on the partner. Safety co-operation is provided through, e.g., training, orientation and risk analysis. Problems encountered include ensuring adequate communication, identifying hazards, co-ordinating work tasks and determining responsibilities. The providers and the customers encounter similar safety management problems. The results presented in this article can help companies to focus their efforts on the most problematic points of safety management and to avoid common pitfalls.

  9. TH-E-19A-01: Quality and Safety in Radiation Therapy

    Energy Technology Data Exchange (ETDEWEB)

    Ford, E [University of Washington, Seattle, WA (United States); Ezzell, G [Mayo Clinic Arizona, Phoenix, AZ (United States); Miller, B [Henry Ford Health System, Clinton Township, MI (United States); Yorke, E [Memorial Sloan-Kettering Cancer Center, New York, NY (United States)

    2014-06-15

    Clinical radiotherapy data clearly demonstrate the link between the quality and safety of radiation treatments and the outcome for patients. The medical physicist plays an essential role in this process. To ensure the highest quality treatments, the medical physicist must understand and employ modern quality improvement techniques. This extends well beyond the duties traditionally associated with prescriptive QA measures. This session will review the current best practices for improving quality and safety in radiation therapy. General elements of quality management will be reviewed including: what makes a good quality management structure, the use of prospective risk analysis such as FMEA, and the use of incident learning. All of these practices are recommended in society-level documents and are incorporated into the new Practice Accreditation program developed by ASTRO. To be effective, however, these techniques must be practical in a resource-limited environment. This session will therefore focus on practical tools such as the newly-released radiation oncology incident learning system, RO-ILS, supported by AAPM and ASTRO. With these general constructs in mind, a case study will be presented of quality management in an SBRT service. An example FMEA risk assessment will be presented along with incident learning examples including root cause analysis. As the physicist's role as “quality officer” continues to evolve it will be essential to understand and employ the most effective techniques for quality improvement. This session will provide a concrete overview of the fundamentals in quality and safety. Learning Objectives: Recognize the essential elements of a good quality management system in radiotherapy. Understand the value of incident learning and the AAPM/ASTRO ROILS incident learning system. Appreciate failure mode and effects analysis as a risk assessment tool and its use in resource-limited environments. Understand the fundamental principles of good

  10. TH-E-19A-01: Quality and Safety in Radiation Therapy

    International Nuclear Information System (INIS)

    Ford, E; Ezzell, G; Miller, B; Yorke, E

    2014-01-01

    Clinical radiotherapy data clearly demonstrate the link between the quality and safety of radiation treatments and the outcome for patients. The medical physicist plays an essential role in this process. To ensure the highest quality treatments, the medical physicist must understand and employ modern quality improvement techniques. This extends well beyond the duties traditionally associated with prescriptive QA measures. This session will review the current best practices for improving quality and safety in radiation therapy. General elements of quality management will be reviewed including: what makes a good quality management structure, the use of prospective risk analysis such as FMEA, and the use of incident learning. All of these practices are recommended in society-level documents and are incorporated into the new Practice Accreditation program developed by ASTRO. To be effective, however, these techniques must be practical in a resource-limited environment. This session will therefore focus on practical tools such as the newly-released radiation oncology incident learning system, RO-ILS, supported by AAPM and ASTRO. With these general constructs in mind, a case study will be presented of quality management in an SBRT service. An example FMEA risk assessment will be presented along with incident learning examples including root cause analysis. As the physicist's role as “quality officer” continues to evolve it will be essential to understand and employ the most effective techniques for quality improvement. This session will provide a concrete overview of the fundamentals in quality and safety. Learning Objectives: Recognize the essential elements of a good quality management system in radiotherapy. Understand the value of incident learning and the AAPM/ASTRO ROILS incident learning system. Appreciate failure mode and effects analysis as a risk assessment tool and its use in resource-limited environments. Understand the fundamental principles of good

  11. Research priorities for coordinating management of food safety and water quality.

    Science.gov (United States)

    Crohn, David M; Bianchi, Mary L

    2008-01-01

    Efforts to exclude disease organisms from farms growing irrigated lettuce and leafy vegetables on California's central coast are conflicting with traditionally accepted strategies to protect surface water quality. To begin resolving this dilemma, over 100 officials, researchers, and industry representatives gathered in April 2007 to set research priorities that could lead to effective co-management of both food safety and water quality. Following the meeting, research priorities were refined and ordered by way of a Delphi process completed by 35 meeting participants. Although water quality and food safety experts conceptualized the issues differently, there were no deep disagreements with respect to research needs. Top priority was given to investigating the fate of pathogens potentially present on farms. Intermediate priorities included characterizing the influence of specific farm management practices on food safety and improving our understanding of vector processes. A scientific subdiscipline focusing on competing risks is needed to characterize and resolve conflicts between human and environmental health.

  12. Quality and safety of nuclear installations: the role of administration, and, nuclear safety and regulatory procedures

    International Nuclear Information System (INIS)

    Queniart, D.

    1979-12-01

    In the first paper the author defines the concepts of safety and quality and describes the means of intervention by the Public Authorities in safety matters of nuclear installations. These include individual authorisations, definition and application of technical rules and surveillance of installations. In the second paper he defines the distinction between radiation protection and safety and presents the legislative and regulatory plan for nuclear safety in France. A central safety service for nuclear installations was created in March 1973 within the Ministry of Industrial and Scientific Development, where, amongst other tasks, it draws up regulatory procedures and organizes inspections of the installations. The main American regulations for light water reactors are outlined and the French regulatory system for different types of reactors discussed

  13. Impediments for the application of risk-informed decision making in nuclear safety

    International Nuclear Information System (INIS)

    Hahn, L.

    2001-01-01

    A broad application of risk-informed decision making in the regulation of safety of nuclear power plants is hindered by the lack of quantitative risk and safety standards as well as of precise instruments to demonstrate an appropriate safety. An additional severe problem is associated with the difficulty to harmonize deterministic design requirements and probabilistic safety assessment. The problem is strengthened by the vulnerability of PSA for subjective influences and the potential of misuse. Beside this scepticism the nuclear community is encouraged to intensify the efforts to improve the quality standards for probabilistic safety assessments and their quality assurance. A prerequisite for reliable risk-informed decision making processes is also a well-defined and transparent relationship between deterministic and probabilistic safety approaches. (author)

  14. Development of a quality assurance safety assessment database for near surface radioactive waste disposal

    International Nuclear Information System (INIS)

    Park, J. W.; Kim, C. L.; Park, J. B.; Lee, E. Y.; Lee, Y. M.; Kang, C. H.; Zhou, W.; Kozak, M. W.

    2003-01-01

    A quality assurance safety assessment database, called QUARK (QUality Assurance program for Radioactive waste management in Korea), has been developed to manage both analysis information and parameter database for safety assessment of Low- and Intermediate-Level radioactive Waste (LILW) disposal facility in Korea. QUARK is such a tool that serves QA purposes for managing safety assessment information properly and securely. In QUARK, the information is organized and linked to maximize the integrity of information and traceability. QUARK provides guidance to conduct safety assessment analysis, from scenario generation to result analysis, and provides a window to inspect and trace previous safety assessment analysis and parameter values. QUARK also provides default database for safety assessment staff who construct input data files using SAGE(Safety Assessment Groundwater Evaluation), a safety assessment computer code

  15. Quality assurance for safety in the radioactive waste management: a quality assurance system in Novi Han radioactive waste repository

    International Nuclear Information System (INIS)

    Petrova, A.; Kolev, I.

    2000-01-01

    Novi Han Radioactive Waste Repository (RWR) is still the only place in Bulgaria for storage of low and intermediate level radioactive waste. It is necessary to establish and maintain a Quality Assurance (QA) system to ensure that the RWR can be operated safely with regard to the health and safety of the general public and site personnel. A QA system has to establish the basic requirements for quality assurance in order to enhance nuclear safety by continuously improving the methods employed to achieve quality. It is envisaged that the QA system for the Novi Han RWR will cover the operation and maintenance of the radioactive waste disposal facilities, the radiation protection and monitoring of the site, as well as the scientific and technology development aspects. The functions of the Novi Han RWR presume the availability of an environmental management system. It is appropriate to establish a QA system based on the requirements of the ISO Standards 9001 and 14000, using the recommendations of the IAEA (Quality assurance for safety in NPPs and other nuclear installations, code and safety guides Q1-Q14). (authors)

  16. Restructuring within an academic health center to support quality and safety: the development of the Center for Quality and Safety at the Massachusetts General Hospital.

    Science.gov (United States)

    Bohmer, Richard M J; Bloom, Jonathan D; Mort, Elizabeth A; Demehin, Akinluwa A; Meyer, Gregg S

    2009-12-01

    Recent focus on the need to improve the quality and safety of health care has created new challenges for academic health centers (AHCs). Whereas previously quality was largely assumed, today it is increasingly quantifiable and requires organized systems for improvement. Traditional structures and cultures within AHCs, although well suited to the tripartite missions of teaching, research, and clinical care, are not easily adaptable to the tasks of measuring, reporting, and improving quality. Here, the authors use a case study of Massachusetts General Hospital's efforts to restructure quality and safety to illustrate the value of beginning with a focus on organizational culture, using a systematic process of engaging clinical leadership, developing an organizational framework dependent on proven business principles, leveraging focus events, and maintaining executive dedication to execution of the initiative. The case provides a generalizable example for AHCs of how applying explicit management design can foster robust organizational change with relatively modest incremental financial resources.

  17. Safety and quality management at the high flux reactor Petten

    International Nuclear Information System (INIS)

    Zurita, A.; Ahlf, J.

    1995-01-01

    The High Flux Reactor (HFR) is one high power multi-purpose materials testing research reactor of the tank-in-pool type, cooled and moderated by light-water. It is operated at 45 MW at a prescribed schedule of 11 cycles per year, each comprising 25 operation days and three shut-down days. Since the licence for the operation of HFR was granted in 1962, a total of 14 amendments to the original licence have been made following different modifications in the installations. In the meantime, international nuclear standards were developed, especially in the framework of the NUSS programme of the IAEA, which were adopted by the Dutch Licensing Authorities. In order to implement the new standards, the situation at the HFR was comprehensively reviewed in the course of an audit performed by the Dutch Licensing Authorities in 1988. This also resulted in formulating the task of setting-up an 'HFR - Integral Quality Assurance Handbook' (HFR-IQAD) involving both organizations JRCIAM and ECN, which had the unique framework and basic guideline to assure the safe and efficient operation and exploitation of the HFR and to promote safety and quality in all aspects of HFR related activities. The assurance of safe and efficient operation and exploitation of the HFR is condensed together under the concepts of safety and quality of services and is achieved through the safety and quality management. (orig.)

  18. Prioritizing medication safety in care of people with cancer: clinicians’ views on main problems and solutions

    Science.gov (United States)

    Car, Lorainne Tudor; Papachristou, Nikolaos; Urch, Catherine; Majeed, Azeem; Atun, Rifat; Car, Josip; Vincent, Charles

    2017-01-01

    Background Cancer care is liable to medication errors due to the complex nature of cancer treatment, the common presence of comorbidities and the involvement of a number of clinicians in cancer care. While the frequency of medication errors in cancer care has been reported, little is known about their causal factors and effective prevention strategies. With a unique insight into the main safety issues in cancer treatment, frontline staff can help close this gap. In this study, we aimed to identify medication safety priorities in cancer patient care according to clinicians in North West London using PRIORITIZE, a novel priority–setting approach. Methods The project steering group determined the scope, the context and the criteria for prioritization. We then invited North West London cancer care clinicians to identify and prioritize main causes for, and solutions to, medication errors in cancer care. Forty cancer care providers submitted their suggestions which were thematically synthesized into a composite list of 20 distinct problems and 22 solutions. A group of 26 clinicians from the initial cohort ranked the composite list of suggestions using predetermined criteria. Results The top ranked problems focused on patients’ poor understanding of treatments due to language or education difficulties, clinicians’ insufficient attention to patients’ psychological distress, and inadequate information sharing among health care providers. The top ranked solutions were provision of guidance to patients and their carers on what to do when unwell, pre–chemotherapy work–up for all patients and better staff training. Overall, clinicians considered improved communication between health care providers, quality assurance procedures (during prescription and monitoring stages) and patient education as key strategies for improving cancer medication safety. Prescribing stage was identified as the most vulnerable to medication safety threats. The highest ranked suggestions

  19. Radiation safety and quality control assurance in X-ray diagnostics 1998

    International Nuclear Information System (INIS)

    Servomaa, A.

    1998-03-01

    The report is based on a seminar course of lectures 'Radiation safety and quality assurance in X-ray diagnostics 1998' organized by the Radiation and Nuclear Safety Authority (STUK) in Finland. The lectures included actual information on X-ray examinations: methods of quality assurance, methods of measuring and calculating patient doses, examination frequencies, patient doses, occupational doses, and radiation risks. Paediatric X-ray examinations and interventional procedures were the most specific topics. The new Council Directive 97/43/Euratom on medical exposure, and the European Guidelines on quality criteria for diagnostic radiographic images, were discussed in several lectures. Lectures on general radiation threats and preparedness, examples of radiation accidents, and emergency preparedness in hospitals were also included. (editor)

  20. Specification of safety requirements for waste packages with respect to practicable quality control measures

    International Nuclear Information System (INIS)

    Gruendler, D.; Wurtinger, W.

    1987-01-01

    Waste packages for disposal in a repository in the Federal Republic of Germany have to meet safety requirements derived from site specific safety analyses. The examination of the waste packages with regard to compliance with these requirements is the main objective of quality control measures. With respect to quality control the requirements have to be specified in a way that practicable control measures can be applied. This is dealt with for the quality control of the activity inventory and the quality control of the waste form. The paper discusses the determination of the activity of hard-to-measure radionuclides and the specification of safety related requirements for the waste form and the packaging using typical examples

  1. A Few Examples of ISPs Addressing Specific Reactor Safety Problems

    International Nuclear Information System (INIS)

    Reocreux, M.

    2008-01-01

    Four International Standard Problems which were related to safety reactor problems are briefly discussed. ISP-20 (Steam Generator Tube Rupture in DOEL 2) is a unique ISP as it is based on a real incident which occurred in a commercial Power Plant. This ISP clearly illustrated the special problems of an ISP based on a real plant, namely limited access to precise plant data, some lack in the detailed knowledge of sensor behaviour, etc. ISP-26 (ROSA IV-LSTF small break test) was an open ISP. A qualitatively good prediction of the measured events was obtained even if some modelling deficiencies were identified. ISP-27 (BETHSY Exp. 9.1 B) was a blind ISP. All important trends observed during the test were qualitatively calculated by most computer codes. However, some deficiencies in calculating some variables were evident. ISP-33 (PACTEL Natural Circulation) was an exercise with a test facility modelled on the basis of a Russian VVER 440 and with participations from Eastern and Western organisations. ISP-33 was a double-blind exercise. The simulation of some variables caused some problems although they were in principle not too complicated. Post-test calculations demonstrated significant improvements. For all the four ISPs, the influence of the code user was evident and caused some scatter in the results. A specific study was performed in ISP-26 to clarify from where those user effects were coming. The reactor safety problems related to those ISPs are detailed and the specific contribution of the ISPs to bring solutions is discussed.

  2. Quality Attribute Techniques Framework

    Science.gov (United States)

    Chiam, Yin Kia; Zhu, Liming; Staples, Mark

    The quality of software is achieved during its development. Development teams use various techniques to investigate, evaluate and control potential quality problems in their systems. These “Quality Attribute Techniques” target specific product qualities such as safety or security. This paper proposes a framework to capture important characteristics of these techniques. The framework is intended to support process tailoring, by facilitating the selection of techniques for inclusion into process models that target specific product qualities. We use risk management as a theory to accommodate techniques for many product qualities and lifecycle phases. Safety techniques have motivated the framework, and safety and performance techniques have been used to evaluate the framework. The evaluation demonstrates the ability of quality risk management to cover the development lifecycle and to accommodate two different product qualities. We identify advantages and limitations of the framework, and discuss future research on the framework.

  3. Modelling the microbial quality and safety of foods

    NARCIS (Netherlands)

    Wijtzes, T.

    1996-01-01

    Quality and safety of foods are often influenced by the presence and growth of microorganisms. Microorganisms in foods can be divided into two groups: pathogenic organisms, causing illness, and microorganisms that are not harmful to health, but that can spoil a product. Presence and growth of

  4. Ferrocyanide Safety Program: Data requirements for the ferrocyanide safety issue developed through the data quality objectives (DQO) process

    International Nuclear Information System (INIS)

    Buck, J.W.; Anderson, C.M.; Pulsipher, B.A.; Toth, J.J.; Turner, P.J.; Cash, R.J.; Dukelow, G.T.; Meacham, J.E.

    1993-12-01

    This document records the data quality objectives (DQO) process applied to the Ferrocyanide Waste Tank Safety Issue at the Hanford Site by the Pacific Northwest Laboratory and Westinghouse Hanford Company. Specifically, the major recommendations and findings from this Ferrocyanide DQO process are presented so that decision makers can determine the type, quantity, and quality of data required for addressing tank safety issues. The decision logic diagrams and error tolerance equations also are provided. Finally, the document includes the DQO sample-size formulas for determining specific tank sampling requirements

  5. Health Information Technology in Healthcare Quality and Patient Safety: Literature Review.

    Science.gov (United States)

    Feldman, Sue S; Buchalter, Scott; Hayes, Leslie W

    2018-06-04

    The area of healthcare quality and patient safety is starting to use health information technology to prevent reportable events, identify them before they become issues, and act on events that are thought to be unavoidable. As healthcare organizations begin to explore the use of health information technology in this realm, it is often unclear where fiscal and human efforts should be focused. The purpose of this study was to provide a foundation for understanding where to focus health information technology fiscal and human resources as well as expectations for the use of health information technology in healthcare quality and patient safety. A literature review was conducted to identify peer-reviewed publications reporting on the actual use of health information technology in healthcare quality and patient safety. Inductive thematic analysis with open coding was used to categorize a total of 41 studies. Three pre-set categories were used: prevention, identification, and action. Three additional categories were formed through coding: challenges, outcomes, and location. This study identifies five main categories across seven study settings. A majority of the studies used health IT for identification and prevention of healthcare quality and patient safety issues. In this realm, alerts, clinical decision support, and customized health IT solutions were most often implemented. Implementation, interface design, and culture were most often noted as challenges. This study provides valuable information as organizations determine where they stand to get the most "bang for their buck" relative to health IT for quality and patient safety. Knowing what implementations are being effectivity used by other organizations helps with fiscal and human resource planning as well as managing expectations relative to cost, scope, and outcomes. The findings from this scan of the literature suggest that having organizational champion leaders that can shepherd implementation, impact culture

  6. Roles of the operator and the safety services in nuclear power plant quality assurance

    International Nuclear Information System (INIS)

    Widmer, M.; Perrot, J.

    1985-01-01

    With regard to the operation of nuclear power plants, Electricite de France formally recognized in 1973 that it was necessary for safety reasons and economically acceptable to adopt organizational principles of quality assurance that would be applicable both to its own activities and to those of its suppliers. Generally speaking, the form and spirit of the quality assurance programme chosen is based largely on the Code of Practice No. 50-C-QA. In particular, the programme focuses on the flexible character of quality assurance requirements and stresses that in the final analysis product quality depends above all on those to whom the project has been assigned, because it is they who are responsible for meeting the quality objectives set. Ten years of experience with the suppliers of Electricite de France has shown that these suppliers, after some initial difficulty, have been able to adapt the application of quality assurance so as to achieve satisfactory quality as regards both safety and availability. In the case of the French standard nuclear power plants, quality assurance is particularly important thanks to the traceability which it affords and to the allowance for corrective measures which it demands. The safety services normally take action related to quality assurance in three ways: through regulation, the analysis of measures to assure plant safety, and plant supervision. As regards regulation, an order has just been published relating to design, construction and operational quality in base-load nuclear power plants. The requirements laid down in this document incorporate the recommendations of the IAEA Code on quality assurance. (author)

  7. Using Problem-solving Therapy to Improve Problem-solving Orientation, Problem-solving Skills and Quality of Life in Older Hemodialysis Patients.

    Science.gov (United States)

    Erdley-Kass, Shiloh D; Kass, Darrin S; Gellis, Zvi D; Bogner, Hillary A; Berger, Andrea; Perkins, Robert M

    2017-08-24

    To determine the effectiveness of Problem-Solving Therapy (PST) in older hemodialysis (HD) patients by assessing changes in health-related quality of life and problem-solving skills. 33 HD patients in an outpatient hemodialysis center without active medical and psychiatric illness were enrolled. The intervention group (n = 15) received PST from a licensed social worker for 6 weeks, whereas the control group (n = 18) received usual care treatment. In comparison to the control group, patients receiving PST intervention reported improved perceptions of mental health, were more likely to view their problems with a positive orientation and were more likely to use functional problem-solving methods. Furthermore, this group was also more likely to view their overall health, activity limits, social activities and ability to accomplish desired tasks with a more positive mindset. The results demonstrate that PST may positively impact mental health components of quality of life and problem-solving coping among older HD patients. PST is an effective, efficient, and easy to implement intervention that can benefit problem-solving abilities and mental health-related quality of life in older HD patients. In turn, this will help patients manage their daily living activities related to their medical condition and reduce daily stressors.

  8. The quality and safety of nuclear plants: the part played by the administrative authorities

    International Nuclear Information System (INIS)

    Queniart, Daniel

    1976-01-01

    After specifying the notions of 'safety' and 'quality', the terms and conditions governing the intervention of the public authorities in the matter of safety of nuclear plants are described: individual permits, the establishing and application of technical rules of a general character, surveillance of the plants. The criteria and regulations guiding the evaluation of safety and quality and, in conclusion, insisting on the necessity for permanent discussions among the various organizations concerned are presented [fr

  9. Manual on quality assurance for computer software related to the safety of nuclear power plants

    International Nuclear Information System (INIS)

    1988-01-01

    The objective of the Manual is to provide guidance in the assurance of quality of specification, design, maintenance and use of computer software related to items and activities important to safety (hereinafter referred to as safety related) in nuclear power plants. This guidance is consistent with, and supplements, the requirements and recommendations of Quality Assurance for Safety in Nuclear Power Plants: A Code of Practice, 50-C-QA, and related Safety Guides on quality assurance for nuclear power plants. Annex A identifies the IAEA documents referenced in the Manual. The Manual is intended to be of use to all those who, in any way, are involved with software for safety related applications for nuclear power plants, including auditors who may be called upon to audit management systems and product software. Figs

  10. Probabilist methods applied to electric source problems in nuclear safety

    International Nuclear Information System (INIS)

    Carnino, A.; Llory, M.

    1979-01-01

    Nuclear Safety has frequently been asked to quantify safety margins and evaluate the hazard. In order to do so, the probabilist methods have proved to be the most promising. Without completely replacing determinist safety, they are now commonly used at the reliability or availability stages of systems as well as for determining the likely accidental sequences. In this paper an application linked to the problem of electric sources is described, whilst at the same time indicating the methods used. This is the calculation of the probable loss of all the electric sources of a pressurized water nuclear power station, the evaluation of the reliability of diesels by event trees of failures and the determination of accidental sequences which could be brought about by the 'total electric source loss' initiator and affect the installation or the environment [fr

  11. Safety problems related to microheterogeneities in physically mixed oxide fuels

    International Nuclear Information System (INIS)

    Renard, A.; Evrard, G.; Vanhellemont, G.

    1976-01-01

    The safety aspects of microheterogeneities in LMFBR mixed oxide fuel are reviewed from the point of view of the pin behaviour dynamic study, the fabrication and the quality control. The paper emphasizes some significant parameters in transient conditions, the prevention means in the fabrication process and the analysis methods for the control

  12. Layoffs and tradeoffs: production, quality, and safety demands under the threat of job loss.

    Science.gov (United States)

    Probst, Tahira M

    2002-07-01

    Employees often face a conflict between production targets, quality assurance, and adherence to safety policies. In a time when layoffs are on the rise, it is important to understand the effects of employee job insecurity on these potentially competing demands. A laboratory experiment manipulated the threat of layoffs in a simulated organization and assessed its effect on employee productivity, product quality, and adherence to safety policies. Results suggest that student participants faced with the threat of layoffs were more productive, yet violated more safety rules and produced lower quality outputs, than participants in the control condition. Implications for organizations contemplating layoffs and directions for future research are discussed.

  13. Applying different quality and safety models in healthcare improvement work: Boundary objects and system thinking

    International Nuclear Information System (INIS)

    Wiig, Siri; Robert, Glenn; Anderson, Janet E.; Pietikainen, Elina; Reiman, Teemu; Macchi, Luigi; Aase, Karina

    2014-01-01

    A number of theoretical models can be applied to help guide quality improvement and patient safety interventions in hospitals. However there are often significant differences between such models and, therefore, their potential contribution when applied in diverse contexts. The aim of this paper is to explore how two such models have been applied by hospitals to improve quality and safety. We describe and compare the models: (1) The Organizing for Quality (OQ) model, and (2) the Design for Integrated Safety Culture (DISC) model. We analyze the theoretical foundations of the models, and show, by using a retrospective comparative case study approach from two European hospitals, how these models have been applied to improve quality and safety. The analysis shows that differences appear in the theoretical foundations, practical approaches and applications of the models. Nevertheless, the case studies indicate that the choice between the OQ and DISC models is of less importance for guiding the practice of quality and safety improvement work, as they are both systemic and share some important characteristics. The main contribution of the models lay in their role as boundary objects directing attention towards organizational and systems thinking, culture, and collaboration

  14. Design and Implementation of the Harvard Fellowship in Patient Safety and Quality.

    Science.gov (United States)

    Gandhi, Tejal K; Abookire, Susan A; Kachalia, Allen; Sands, Kenneth; Mort, Elizabeth; Bommarito, Grace; Gagne, Jane; Sato, Luke; Weingart, Saul N

    2016-01-01

    The Harvard Fellowship in Patient Safety and Quality is a 2-year physician-oriented training program with a strong operational orientation, embedding trainees in the quality departments of participating hospitals. It also integrates didactic and experiential learning and offers the option of obtaining a master's degree in public health. The program focuses on methodologically rigorous improvement and measurement, with an emphasis on the development and implementation of innovative practice. The operational orientation is intended to foster the professional development of future quality and safety leaders. The purpose of this article is to describe the design and development of the fellowship. © The Author(s) 2014.

  15. Construction of Traceability System for Quality Safety of Cereal and Oil Products

    Science.gov (United States)

    Zheng, Huoguo; Liu, Shihong; Meng, Hong; Hu, Haiyan

    After several significant food safety incident, global food industry and governments in many countries are putting increasing emphasis on establishment of food traceability systems. Food traceability has become an effective way in food quality and safety management. The traceability system for quality safety of cereal and oil products was designed and implemented with HACCP and FMECA method, encoding, information processing, and hardware R&D technology etc, according to the whole supply chain of cereal and oil products. Results indicated that the system provide not only the management in origin, processing, circulating and consuming for enterprise, but also tracing service for customers and supervisor by means of telephone, internet, SMS, touch machine and mobile terminal.

  16. MANAGEMENT OF QUALITY AND SAFETY OF FOOD PRODUCTS OF ANIMAL ORIGIN

    Directory of Open Access Journals (Sweden)

    Goryana Yonkova

    2016-12-01

    Full Text Available Bulgaria is famous not only in Europe but throughout the world, except for its rich natural and cultural heritage, but also traditional dairy products (yogurt and cheese - cow, sheep, buffalo and goats; yellow cheese, honey and bee products, rose oil. To be competitive on national and international markets, food production must meet the requirements for quality assurance and food safety. The article presents the key economic indicators and threats related to quality management and safety of food products of animal origin in relation to the conservation of components of the environment and human health.

  17. Postharvest quality and safety maintenance of the physical ...

    African Journals Online (AJOL)

    Biodegradable edible coatings from Moringa oil(MO) and Neem oil (NO) was applied to carrot fruits in order to provide environmentally friendly, healthy treatments (with which to better preserve fresh fruit quality) and safety during postharvest storage at ambient temperature of 27± 3oC and relative humidity of 50-60% .

  18. Patient safety--worker safety: building a culture of safety to improve healthcare worker and patient well-being.

    Science.gov (United States)

    Yassi, Annalee; Hancock, Tina

    2005-01-01

    Patient safety within the Canadian healthcare system is currently a high national priority, which merits a comprehensive understanding of the underlying causes of adverse events. Not least among these is worker health and safety, which is linked to patient outcomes. Healthcare workers have a high risk of workplace injuries and more mental health problems than most other occupational groups. Many healthcare professionals feel fatigued, stressed, in pain, or at risk of illness or injury-factors they feel impede their ability to provide consistent quality care. With this background, the Occupational Health and Safety Agency for Healthcare (OHSAH) in British Columbia, jointly governed by healthcare unions and healthcare employers, launched several major initiatives to improve the healthcare workplace. These included the promotion of safe patient handling, adaptive clothing, scheduled toileting, stroke management training, measures to improve management of aggressive behaviour and, of course, infection control-all intended to improve the safety of workers, but also to improve patient safety and quality of care. Other projects also explicitly promoting physical and mental health at work, as well as patient safety are also underway. Results of the projects are at various stages of completion, but ample evidence has already been obtained to indicate that looking after the well-being of healthcare workers results in safer and better quality patient care. While more research is needed, our work to date suggests that a comprehensive systems approach to promoting a climate of safety, which includes taking into account workplace organizational factors and physical and psychological hazards for workers, is the best way to improve the healthcare workplace and thereby patient safety.

  19. Safety problems in decommissioning of nuclear power plants

    International Nuclear Information System (INIS)

    1975-12-01

    The safety problems in decommissioning are presented by the example of light water reactors with an electric power of 1300 MW and 40 years of preceding specified operation. In such a plant the radioactivity in the form of activation and contamination is of the order of 10 7 Ci one year after final shut-down. The fuel elements are not taken into account. During the work at the reactor vessel dose rates of some 10 4 rem/h may occur at the flange level. According to a rough estimation the dose accumulated by the decommissioning personnel during dismantling of the radioactive components amounts to 1200 rem. During the decommissioning work the problems are caused predominantly by the direct radiation from the radioactive components and systems as well as from the release of radioactive particles, aerosols and liquids on cutting them up. In designing new plants the extent of later decommissioning problems can be reduced above all by selection of suitable materials and by decommissioning-minded design and arrangement of the components and parts of the plant. (orig./RW) [de

  20. Quality assurance requirements for the computer software and safety analyses

    International Nuclear Information System (INIS)

    Husarecek, J.

    1992-01-01

    The requirements are given as placed on the development, procurement, maintenance, and application of software for the creation or processing of data during the design, construction, operation, repair, maintenance and safety-related upgrading of nuclear power plants. The verification and validation processes are highlighted, and the requirements put on the software documentation are outlined. The general quality assurance principles applied to safety analyses are characterized. (J.B.). 1 ref

  1. The performance regulatory approach in quality assurance: Its application to safety in nuclear power plants

    International Nuclear Information System (INIS)

    Sajaroff, Pedro M.

    2000-01-01

    In early 1991, the IAEA assembled an Advisory Group on the Comprehensive Revision of the Code and the Safety on Quality Assurance of the NUSS Programme. The Group was made up by specialists from a number of countries and from ISO, FORATOM, the EC and the IAEA itself, and its objective was completed in June 1995. This paper is aimed at describing the conceptual contents of the final draft of the revision 2 of the 50-C-QA Code 'Quality Assurance for Safety in Nuclear Power Plants and other Nuclear Facilities' (hereinafter, the Code) which is essentially based on performance. Although the performance regulatory approach is not new in Argentina and in other countries, what is indeed novel is applying performance based QA. In such a way the Code will contribute to preventing both QA misinterpretations (i.e., a formalistic regulatory requirement) and the execution of non-effective work without attaining the needed quality level (what may be seen as a pathological deviation of QA). The Code contains ten basic requirements to be adopted when QA programmes are established and implemented in nuclear power plants. The goal is improving safety through an improvement in the methods applied for attaining quality. In line with the current developments in quality management techniques, priority is given to effectiveness of the QA programme. All the involved individuals (that is those in the managerial level, those performing the work and those assessing the work performed) must contribute to quality in a co-ordinated manner. The revised Safety Guides are being introduced, standing out those non existing before. Interrelation between quality assurance, safety culture and quality culture is to be noted. Besides QA for safety-related software mentioned as an issue to be considered by the IAEA. (author)

  2. Application of quality assurance program to safety related aging equipment or components

    International Nuclear Information System (INIS)

    Papaiya, N.C.

    1990-01-01

    This paper addresses how quality assurance programs and their criteria are applied to safety related and aging equipment or components used in commercial nuclear plant applications. The QA Programs referred to are 10CFR50 Appendix B and EPRI NP-5652. The QA programs as applicable are applied to equipment/component aging qualification, preventive maintenance, surveillance testing and procurement engineering. The intent of this paper is not the technical issues, methods and research of aging. The paper addresses QA program's application to age-related equipment or components in safety related applications. Quality Assurance Program 10CFR50 Appendix B applies to all safety related aging components or equipment related to the qualification program and associated preventive maintenance and surveillance testing programs. Quality Assurance involvement with procurement engineering for age-related commercial grade items supports EPRI NP-5652 and assures that the dedicated OGI is equal to the item purchased as a basic component to 10CFR50 Appendix B requirements

  3. Solution of electric power quality problems by troika cooperation

    International Nuclear Information System (INIS)

    Khan, N.; Ahmad, M.I.

    1999-01-01

    Power quality is a growing concern effecting utility supply continuity, sensitivity customer productivity and manufacturer equipment. Power quality problems such as voltage sags, swells, distortions and transient surges caused by short circuit faults or motor starting, switching reactive loads or phase to ground faults. VSD or arcing loads and inductive or capacity load switching may result in process shutdown or contactor dropout, under voltage tripping and speed drift or ASD tripping. This work describes results of a power quality study concluding urgent need for enhancing cooperation between utilities, customers and manufactures to improve power quality problems. Individual responsibilities of utilities personnel, sensitive equipment customers and power equipment manufacturers in light of available power conditioning technology, regarding deployment of equipment and improvement of design strategies have been discussed for precious end users. (authors)

  4. Quality management and perceptions of teamwork and safety climate in European hospitals

    NARCIS (Netherlands)

    Kristensen, S.; Hammer, A.; Bartels, P.; Sunol, R.; Groene, O.; Thompson, C.A.; Arah, O.A.; Kutaj-Wasikowska, H.; Michel, P.; Wagner, C.

    2015-01-01

    Objective: This study aimed to investigate the associations of quality management systems with teamwork and safety climate, and to describe and compare differences in perceptions of teamwork climate and safety climate among clinical leaders and frontline clinicians. Method: We used a multi-method,

  5. Construction of the All-region Linkage System for Emergency Management of Agricultural Product Quality and Safety in West China

    Institute of Scientific and Technical Information of China (English)

    Hua; YU; Yanbin; QI; Yubao; YAN

    2013-01-01

    Quality and safety of agricultural products are significant for national socioeconomic development,sustainable development,and vital interests of people.To safeguard quality and safety of agricultural products in west China is to safeguard economic safety and ecological safety of the country,public health and social stability,of which an important task is to properly handle emergencies concerning quality and safety of agricultural products.Considering actual conditions of west China,suggestions are given to construct the all-region linkage system for emergency management of agricultural product quality and safety in the local area,enhance the all-region linkage,and improve the linkage efficiency.

  6. Implementation Science: New Approaches to Integrating Quality and Safety Education for Nurses Competencies in Nursing Education.

    Science.gov (United States)

    Dolansky, Mary A; Schexnayder, Julie; Patrician, Patricia A; Sales, Anne

    Although quality and safety competencies were developed and disseminated nearly a decade ago by the Quality and Safety Education for Nurses (QSEN) project, the uptake in schools of nursing has been slow. The use of implementation science methods may be useful to accelerate quality and safety competency integration in nursing education. The article includes a definition and description of implementation science methods and practical implementation strategies for nurse educators to consider when integrating the QSEN competencies into nursing curriculum.

  7. Quality management and patient safety: survey results from 102 Hungarian hospitals.

    NARCIS (Netherlands)

    Makai, P.; Klazinga, N.; Wagner, C.; Boncz, I.; Gulácsi, L.

    2009-01-01

    OBJECTIVES: The aim of this study is to describe the development of quality management systems in Hungarian hospitals. It also aims to answer the policy question, whether a separate patient safety policy should be created additional to quality policies, on national as well as hospital level. METHOD:

  8. A Methodology for Quality Problems Diagnosis in SMEs

    OpenAIRE

    Humberto N. Teixeira; Isabel S. Lopes; Sérgio D. Sousa

    2012-01-01

    This article proposes a new methodology to be used by SMEs (Small and Medium enterprises) to characterize their performance in quality, highlighting weaknesses and area for improvement. The methodology aims to identify the principal causes of quality problems and help to prioritize improvement initiatives. This is a self-assessment methodology that intends to be easy to implement by companies with low maturity level in quality. The methodology is organized in six different steps which include...

  9. The 7 basic tools of quality applied to radiological safety

    International Nuclear Information System (INIS)

    Gonzalez F, J.A.

    1991-01-01

    This work seeks to establish a series of correspondences among the search of the quality and the optimization of the doses received by the occupationally exposed personnel. There are treated about the seven basic statistic tools of the quality: the Pareto technique, Cause effect diagrams, Stratification, Verification sheet, Histograms, Dispersion diagrams and Graphics and control frames applied to the Radiological Safety

  10. Problems of making the laminar construction of the nuclear reactor safety hausing

    International Nuclear Information System (INIS)

    Ablewicz, Z.

    1980-01-01

    General specifications and operating conditions of a safety housing are followed by a characteristics of constructional materials and a description of basic problems connected with making the laminar structure of this housing. (author)

  11. Analysis on safety production in coal mines Henan Province

    Institute of Scientific and Technical Information of China (English)

    KONG Liu-an; ZHANG Wen-yong

    2006-01-01

    Based on the rigorous situation of safety production in coal mines, the paper analyzed the statistical data of recent accidents indexes in Henan's coal mines. Using investigation and comparison analysis methods, a specified analysis on mining conditions, technical facility level, safety input and vocational quality of workers in Henan's coal mines was conducted. The result indicates that there have been existing such main safety production problems as weak safety management, low-level facilities, inadequate safety input and poor vocational quality and so on. Finally it proposes such reference solutions as to establish and perfect coal mining supervision and management system, to increase safety investment into techniques and facilities and to strengthen workers' safety education and introduction of more high-level professional talents.

  12. Perceived School Safety is Strongly Associated with Adolescent Mental Health Problems

    NARCIS (Netherlands)

    Nijs, Miesje M.; Bun, Clothilde J. E.; Tempelaar, Wanda M.; de Wit, Niek J.; Burger, Huibert; Plevier, Carolien M.; Boks, Marco P. M.

    School environment is an important determinant of psychosocial function and may also be related to mental health. We therefore investigated whether perceived school safety, a simple measure of this environment, is related to mental health problems. In a population-based sample of 11,130 secondary

  13. Optimizing Quality of Care and Patient Safety in Malaysia: The Current Global Initiatives, Gaps and Suggested Solutions.

    Science.gov (United States)

    Jarrar, Mu'taman; Abdul Rahman, Hamzah; Don, Mohammad Sobri

    2015-10-20

    Demand for health care service has significantly increased, while the quality of healthcare and patient safety has become national and international priorities. This paper aims to identify the gaps and the current initiatives for optimizing the quality of care and patient safety in Malaysia. Review of the current literature. Highly cited articles were used as the basis to retrieve and review the current initiatives for optimizing the quality of care and patient safety. The country health plan of Ministry of Health (MOH) Malaysia and the MOH Malaysia Annual Reports were reviewed. The MOH has set four strategies for optimizing quality and sustaining quality of life. The 10th Malaysia Health Plan promotes the theme "1 Care for 1 Malaysia" in order to sustain the quality of care. Despite of these efforts, the total number of complaints received by the medico-legal section of the MOH Malaysia is increasing. The current global initiatives indicted that quality performance generally belong to three main categories: patient; staffing; and working environment related factors. There is no single intervention for optimizing quality of care to maintain patient safety. Multidimensional efforts and interventions are recommended in order to optimize the quality of care and patient safety in Malaysia.

  14. Optimizing Quality of Care and Patient Safety in Malaysia: The Current Global Initiatives, Gaps and Suggested Solutions

    Science.gov (United States)

    Jarrar, Mu’taman; Rahman, Hamzah Abdul; Don, Mohammad Sobri

    2016-01-01

    Background and Objective: Demand for health care service has significantly increased, while the quality of healthcare and patient safety has become national and international priorities. This paper aims to identify the gaps and the current initiatives for optimizing the quality of care and patient safety in Malaysia. Design: Review of the current literature. Highly cited articles were used as the basis to retrieve and review the current initiatives for optimizing the quality of care and patient safety. The country health plan of Ministry of Health (MOH) Malaysia and the MOH Malaysia Annual Reports were reviewed. Results: The MOH has set four strategies for optimizing quality and sustaining quality of life. The 10th Malaysia Health Plan promotes the theme “1 Care for 1 Malaysia” in order to sustain the quality of care. Despite of these efforts, the total number of complaints received by the medico-legal section of the MOH Malaysia is increasing. The current global initiatives indicted that quality performance generally belong to three main categories: patient; staffing; and working environment related factors. Conclusions: There is no single intervention for optimizing quality of care to maintain patient safety. Multidimensional efforts and interventions are recommended in order to optimize the quality of care and patient safety in Malaysia. PMID:26755459

  15. The assessment of structural dynamics problems in nuclear reactor safety

    International Nuclear Information System (INIS)

    Liebe, R.

    1978-10-01

    The paper discusses important physical features of structural dynamics problems in reactor safety. First a general characterization is given of the following problems: Containment deformation due to pool-dynamics during BWR-blowdown; behavior of the core internals due to PWR-blowdown loads; dynamic response of a nuclear power plant during an earthquake; fuel element deformation due to local pressure pulses in an LMFBR core. Several criterias are formulated to classify typical problems so that a better choise can be made both of appropriate mathematical/numerical as well as experimental techniques. The degree of physical coupling between structural dynamics and fluid dynamics is discussed in more detail since it requires particular attention when selecting problem-oriented methods of solution. Some examples are given to illustrate the application and to compare advantages and disadvantages of several numerical methods. Then description is given of experimental techniques in structural dynamics and typical problem areas are identified. Finally some results are presented concerning the fuel element deformation problem in LMFBRs and from the general considerations some important conclusions are summarized. (orig.) 891 RW 892 AP [de

  16. Safety assessment and quality control of medical x-ray facilities in some hospitals in Ghana

    International Nuclear Information System (INIS)

    Darko, E.O.; Charles, D.F.

    1998-01-01

    Safety assessment and quality control measurements of diagnostic x-ray installations were carried out in five hospitals in Ghana. The study was focused on the siting, design and construction of the buildings housing the x-ray units, assessment of safety systems and devices and measurements of the technical performance, and film processing conditions. The location, inadequacies in the design/construction, unavailability of relevant safety systems and devices, violation of basic safety principles and poor performance of some of the x-ray facilities indicate the need to improve quality control programmes, safety culture and enforcement of regulatory standards in diagnostic x-ray examinations in Ghana. (author). 8 refs., 11 tabs., 8 figs

  17. Assessment of Power Quality Problems for TRIGA PUSPATI Reactor (RTP)

    International Nuclear Information System (INIS)

    Mohd Fazli Zakaria; Ramachandaramurthy, V.K.

    2016-01-01

    The electrical power systems are exposed to different types of power quality disturbances. Investigation and monitoring of power quality is necessary to maintain accurate operation of sensitive equipment especially for nuclear installations. This paper will discuss the power quality problems observed at the electrical sources of PUSPATI TRIGA Reactor (RTP). Assessment of power quality requires the identification of any anomalous behavior on a power system, which adversely affects the normal operation of electrical or electronic equipment. A power quality assessment involves gathering data resources; analyzing the data (with reference to power quality standards) then, if problems exist, recommendation of mitigation techniques must be considered. Field power quality data is collected by power quality recorder and analyzed with reference to power quality standards. Normally the electrical power is supplied to the RTP via two sources in order to keep a good reliability where each of them is designed to carry the full load. The assessment of power quality during reactor operation was performed for both electrical sources. There were several disturbances such as voltage harmonics and flicker that exceeded the thresholds. (author)

  18. Taking up national safety alerts to improve patient safety in hospitals: The perspective of healthcare quality and risk managers.

    Science.gov (United States)

    Pfeiffer, Yvonne; Schwappach, David

    2016-01-01

    National safety alert systems publish relevant information to improve patient safety in hospitals. However, the information has to be transformed into local action to have an effect on patient safety. We studied three research questions: How do Swiss healthcare quality and risk managers (qm/rm(1)) see their own role in learning from safety alerts issued by the Swiss national voluntary reporting and analysis system? What are their attitudes towards and evaluations of the alerts, and which types of improvement actions were fostered by the safety alerts? A survey was developed and applied to Swiss healthcare risk and quality managers, with a response rate of 39 % (n=116). Descriptive statistics are presented. The qm/rm disseminate and communicate with a broad variety of professional groups about the alerts. While most respondents felt that they should know the alerts and their contents, only a part of them felt responsible for driving organizational change based on the recommendations. However, most respondents used safety alerts to back up their own patient safety goals. The alerts were evaluated positively on various dimensions such as usefulness and were considered as standards of good practice by the majority of the respondents. A range of organizational responses was applied, with disseminating information being the most common. An active role is related to using safety alerts for backing up own patient safety goals. To support an active role of qm/rm in their hospital's learning from safety alerts, appropriate organizational structures should be developed. Furthermore, they could be given special information or training to act as an information hub on the issues discussed in the alerts. Copyright © 2016. Published by Elsevier GmbH.

  19. Distracted walking: Examining the extent to pedestrian safety problems

    Directory of Open Access Journals (Sweden)

    Judith Mwakalonge

    2015-10-01

    Full Text Available Pedestrians, much like drivers, have always been engaged in multi-tasking like using hand-held devices, listening to music, snacking, or reading while walking. The effects are similar to those experienced by distracted drivers. However, distracted walking has not received similar policies and effective interventions as distracted driving to improve pedestrian safety. This study reviewed the state-of-practice on policies, campaigns, available data, identified research needs, and opportunities pertaining to distracted walking. A comprehensive review of literature revealed that some of the agencies/organizations disseminate useful information about certain distracting activities that pedestrians should avoid while walking to improve their safety. Various walking safety rules/tips have been given, such as not wearing headphones or talking on a cell phone while crossing a street, keeping the volume down, hanging up the phone while walking, being aware of traffic, and avoiding distractions like walking with texting. The majority of the past observational-based and experimental-based studies reviewed in this study on distracted walking is in agreement that there is a positive correlation between distraction and unsafe walking behavior. However, limitations of the existing crash data suggest that distracted walking may not be a severe threat to the public health. Current pedestrian crash data provide insufficient information for researchers to examine the extent to which distracted walking causes and/or contributes to actual pedestrian safety problems.

  20. [Problems of safety regulation under radioactive waste management in Russia].

    Science.gov (United States)

    Monastyrskaia, S G; Kochetkov, O A; Barchukov, V G; Kuznetsova, L I

    2012-01-01

    Analysis of the requirements of Federal Law N 190 "About radioactive waste management and incorporation of changes into some legislative acts of the Russian Federation", as well as normative-legislative documents actual and planned to be published related to provision of radiation protection of the workers and the public have been done. Problems of safety regulation raised due to different approaches of Rospotrebnadzor, FMBA of Russia, Rostekhnadzor and Minprirody with respect to classification and categorization of the radioactive wastes, disposal, exemption from regulatory control, etc. have been discussed in the paper. Proposals regarding improvement of the system of safety regulation under radioactive waste management and of cooperation of various regulatory bodies have been formulated.

  1. Dukovany nuclear power plant safety

    International Nuclear Information System (INIS)

    1999-01-01

    Presentation covers recommended safety issues for the Dukovany NPP which have been solved with satisfactory conclusions. Safety issues concerned include: radiation safety; nuclear safety; security; emergency preparedness; health protection at work; fire protection; environmental protection; chemical safety; technical safety. Quality assurance programs at all stages on NPP life time is described. Report includes description of NPP staff training provision, training simulator, emergency operating procedures, emergency preparedness, Year 2000 problem, inspections and life time management. Description of Dukovany Plant Safety Analysis Projects including integrity of the equipment, modernisation, equipment innovation and safety upgrading program show that this approach corresponds to the actual practice applied in EU countries, and fulfilment of current IAEA requirements for safety enhancement of the WWER 440/213 units in the course of MORAWA Equipment Upgrading program

  2. Krsko NPP Quality Assurance Plan Application to Nuclear Safety Upgrade Projects (PCFV System and PAR System)

    International Nuclear Information System (INIS)

    Biscan, Romeo; Fifnja, Igor

    2014-01-01

    Nuklearna Elektrarna Krsko (NEK) has undertaken Nuclear Safety Upgrade Projects as a safety improvement driven by the lessons learned from the Fukushima-Daiichi Accident. Among other projects, new modification 1008-VA-L Passive Containment Filtered Vent (PCFV) System has been installed which acts as the last barrier minimizing the release of radioactive material into the environment in case of failure of all safety systems, and to insure containment integrity during beyond design basis accidents (BDBA). In addition, modification 1002-GH-L Severe Accident Hydrogen Control System (PAR) has been implemented to prevent and mitigate the consequences of explosive gas generation (hydrogen and carbon monoxide) in case of reactor core melting. To ensure containment integrity for all design basis accidents (DBA) and BDBA conditions, NEK has eliminated existing safety-related electrical recombiners, replaced them with two safety-related passive autocatalytic recombiners (PARs) and added 20 new PARs designed for the BDBA conditions. Krsko NPP Quality Assurance Plan has been applied to Nuclear Safety Upgrade Projects (PCFV System and PAR System) through the following activities: · Internal audit of modification process was performed. · Supplier audits were performed to evaluate QA program efficiency of the main design organization and engineering organizations. · Evaluation and approval of Suppliers were performed. · QA engineer was involved in the review and approval of 1008-VA-L and 1002-GH-L modification documentation (Conceptual Design Package, Design Modification Package, Installation Package, Field Design Change Request, Problem/Deficiency Report, and Final Documentation Package). · Purchasing documentation for modifications 1008-VA-L and 1002-GH-L (technical specifications, purchase orders) has been verified and approved by QA. · QA and QC engineers were involved in oversight of production and testing of the new 1008-VA-L and 1002-GH-L plant components.

  3. The impact of safety and quality of health care on Chinese nursing career decision-making.

    Science.gov (United States)

    Zhu, Junhong; Rodgers, Sheila; Melia, Kath M

    2014-05-01

    The aim of the study was to understand why nurses leave nursing practice in China by exploring the process from recruitment to final exit. This report examines the impact of safety and quality of health care on nursing career decision-making from the leavers' perspective. The nursing shortage in China is more serious than in most developed countries, but the loss of nurses through voluntarily leaving nursing practice has not attracted much attention. This qualitative study draws on a grounded theory approach. In-depth interviews with 19 nurses who have left nursing practice and were theoretically sampled from one provincial capital city in Mainland China. 'Loss of confidence in the safety and quality of health care' became one of the main categories from all leavers' accounts of their decision to leave nursing practice. It emerged from three themes 'Perceiving risk in clinical practice', 'Recognising organisational barriers to safety' and 'Failing to meet expectations of patients'. The findings indicate that the essential work value of nursing to the leavers is the safety and quality of care for their patients. When nurses perceived that they could not fulfil this essential work value in their nursing practice, some of them could not accept the compromise to their value of nursing and left voluntarily to get away from the physical and mental stress. However, some nurses had to stay and accept the limitations on the safety and quality of health care. The study suggests that well-qualified nurses voluntarily leaving nursing practice is a danger signal for patients and hospitals, and has caused deterioration in nursing morale for both current and potential nursing workforces. It suggests that safety and quality of health care could be improved when individual nurses are empowered to exercise nursing autonomy with organisational and managerial support. The priority retention strategies need to remove organisational barriers to the safety and quality of health care

  4. Emotional Problems, Quality of Life, and Symptom Burden in Patients With Lung Cancer.

    Science.gov (United States)

    Morrison, Eleshia J; Novotny, Paul J; Sloan, Jeff A; Yang, Ping; Patten, Christi A; Ruddy, Kathryn J; Clark, Matthew M

    2017-09-01

    Lung cancer is associated with a greater symptom burden than other cancers, yet little is known about the prevalence of emotional problems and how emotional problems may be related to the physical symptom burden and quality of life in newly diagnosed patients with lung cancer. This study aimed to identify the patient and disease characteristics of patients with lung cancer experiencing emotional problems and to examine how emotional problems relate to quality of life and symptom burden. A total of 2205 newly diagnosed patients with lung cancer completed questionnaires on emotional problems, quality of life, and symptom burden. Emotional problems at diagnosis were associated with younger age, female gender, current cigarette smoking, current employment, advanced lung cancer disease, surgical or chemotherapy treatment, and a lower Eastern Cooperative Oncology Group performance score. Additionally, strong associations were found between greater severity of emotional problems, lower quality of life, and greater symptom burden. Certain characteristics place patients with lung cancer at greater risk for emotional problems, which are associated with a reduced quality of life and greater symptom burden. Assessment of the presence of emotional problems at the time of lung cancer diagnosis provides the opportunity to offer tailored strategies for managing negative mood, and for improving the quality of life and symptom burden management of patients with lung cancer. Copyright © 2017 Elsevier Inc. All rights reserved.

  5. A proposal of safety indicators aggregation to assess the safety management effectiveness of nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    Carvalho, Jose Antonio B.; Saldanha, Pedro L.C. [Comissao Nacional de Energia Nuclear (CNEN), Rio de Janeiro, RJ (Brazil). Coordenacao-Geral de Reatores e Ciclo Combustivel], e-mail: jantonio@cnen.gov.br, e-mail: saldanha@cnen.gov.br; Melo, Paulo F.F. Frutuoso e [Coordenacao dos Programas de Pos-graduacao de Engenharia (COPPE/UFRJ), Rio de Janeiro, RJ (Brazil). Programa de Engenharia Nuclear], e-mail: frutuoso@con.ufrj.br

    2009-07-01

    Safety management has changed with the evolution of management methods, named Quality Systems, moving from Quality Control, where the focus was the product, passing through Quality Assurance, which takes care of the whole manufacturing process and reaching the Total Quality Management, where policies and goals are established. Nowadays, there is a trend towards Management Systems, which integrate all different aspects related to the management of an organization (safety, environment, security, quality, costs and, etc), but it is necessary to have features to establish and assure that safety overrides the remaining aspects. The most usual way to reach this goal is to establish a policy where safety is a priority, but its implementation and the assessment of its effectiveness are no so simple. Nuclear power plants usually have over a hundred safety indicators in many processes dedicated to prevent and detect problems, although a lot of them do not evaluate these indicators in an integrated manner or point out degradation trends of organizational aspects, which can affect the plant safety. This work develops an aggregation of proactive and reactive safety indicators in order to evaluate the effectiveness of nuclear power plant safety management and to detect, at early stages, signs of process degradation or activities used to establish, maintain and assure safety conditions. The aggregation integrates indicators of the usual processes and is based on the manner the management activities have been developed in the last decades, that is: Planning, Doing, Checking and Acting - known as PDCA cycle - plus a fifth element related to the capability of those who perform safety activities. The proposed aggregation is in accordance to Brazilian standards and international recommendations and constitutes a friendly link between the top management level and the daily aspects of the organization. (author)

  6. A proposal of safety indicators aggregation to assess the safety management effectiveness of nuclear power plants

    International Nuclear Information System (INIS)

    Carvalho, Jose Antonio B.; Saldanha, Pedro L.C.; Melo, Paulo F.F. Frutuoso e

    2009-01-01

    Safety management has changed with the evolution of management methods, named Quality Systems, moving from Quality Control, where the focus was the product, passing through Quality Assurance, which takes care of the whole manufacturing process and reaching the Total Quality Management, where policies and goals are established. Nowadays, there is a trend towards Management Systems, which integrate all different aspects related to the management of an organization (safety, environment, security, quality, costs and, etc), but it is necessary to have features to establish and assure that safety overrides the remaining aspects. The most usual way to reach this goal is to establish a policy where safety is a priority, but its implementation and the assessment of its effectiveness are no so simple. Nuclear power plants usually have over a hundred safety indicators in many processes dedicated to prevent and detect problems, although a lot of them do not evaluate these indicators in an integrated manner or point out degradation trends of organizational aspects, which can affect the plant safety. This work develops an aggregation of proactive and reactive safety indicators in order to evaluate the effectiveness of nuclear power plant safety management and to detect, at early stages, signs of process degradation or activities used to establish, maintain and assure safety conditions. The aggregation integrates indicators of the usual processes and is based on the manner the management activities have been developed in the last decades, that is: Planning, Doing, Checking and Acting - known as PDCA cycle - plus a fifth element related to the capability of those who perform safety activities. The proposed aggregation is in accordance to Brazilian standards and international recommendations and constitutes a friendly link between the top management level and the daily aspects of the organization. (author)

  7. The Effect of Safety Costs on Productivity and Quality: A Case Study of Five Steel Companies in Ahvaz

    Directory of Open Access Journals (Sweden)

    Gholamabbas Shirali

    2016-10-01

    Full Text Available Background The implementation of a safety program is one of the most effective factors in increasing productivity. A look to safety from the perspective of efficiency can indicate necessary investment in safety for all, especially the managers of companies. Objectives The aim of this study was to evaluate the effect of safety costs on some indicators of productivity and quality in industrial companies. Methods This study was a retrospective analysis and was implemented in five steel companies in Ahvaz. The data relating to the safety costs such as staffing costs and total safety costs, and productivity and quality indicators were collected in five years. This information and data were collected according to statistics from documents and archives of safety, accounting, and production sectors of companies. Costs as well as numbers and figures of variables were expressed in the form of per capita and percentage to make the data comparable. Linear and generalized regression models and Wald Chi-Square test were used by the SPSS 22 software to determine the relationships between them. Results Safety costs such as capita labor safety costs and capita total safety costs or percentage safety labor costs to labor costs, showed a significant positive effect on labor productivity, labor competitiveness, total factor productivity, quality index and production rates (in some cases, P = 0.001. Conclusions The total safety cost and safety labor compensation generally, regardless of the nature and quality of the safety management system, can impact productivity, quality and quantity of production in addition to other factors of production. Surely if safety programs are targeted and codified, the effect of the investment will be doubled.

  8. Quality assurance for safety in nuclear power plants. A code of practice

    International Nuclear Information System (INIS)

    1978-01-01

    The Code of Practice is a part of the International Atomic Energy Agency's programme, referred to as the NUSS programme (Nuclear Safety Standards), for establishing Codes of Practice and Safety Guides relating to land-based stationary thermal neutron power plants. The documents are based on documentation and experience from various national systems and practices. The present document provides the recommended principles and objectives for the establishment and implementation of a quality assurance programme during design, manufacture, construction, commissioning and operation of structures, system and components important to safety. They are applicable by all those responsible for the power plant, by plant designers, suppliers, architect-engineers, plant constructors, plant operators and other organizations participating in activities affecting quality. The Lists of relevant definition and the Provisional List of NUSS Programme Titles are given

  9. Quality and safety evaluation of a Ghanaian polyherbal product EAF ...

    African Journals Online (AJOL)

    McRoy

    means that issues concerning their quality, safety and efficacy need to be answered. In the current study, ... taken by several agencies like the World ..... this class of secondary metabolites detected ... during the manufacturing process as they.

  10. Investigation And Mitigation Techniques Of Power Quality Problems In Nuclear Installations

    International Nuclear Information System (INIS)

    Ayad, N.; Elsherbiny, E.; Eleissawi, H.; Zaher, M.; AbdelSalam, G.

    2013-01-01

    The electrical power systems are exposed to different types of power quality disturbances problems. Investigation and monitoring of power quality is necessary to maintain accurate operation of sensitive equipment especially for nuclear installations. The present research discusses investigation and monitoring of power quality problems for the electrical sources of nuclear installations. Field power quality data is collected by power analyzer and analyzed with reference to power quality standards. There were several disturbances exceeded the thresholds, they were voltage harmonics and voltage flicker. Mitigation techniques were suggested to install a passive filter at low voltage side and all sensitive and critical loads should be isolated and fed through uninterruptible power supply (UPS)

  11. Report on probabilistic safety assessment (PSA) quality assurance in utilization of risk information

    International Nuclear Information System (INIS)

    2006-12-01

    Recently in Japan, introduction of nuclear safety regulations using risk information such as probabilistic safety assessment (PSA) has been considered and utilization of risk information in the rational and practical measures on safety assurance has made a progress to start with the operation or inspection area. The report compiled results of investigation and studies of PSA quality assurance in risk-informed activities in the USA. Relevant regulatory guide and standard review plan as well as issues and recommendations were reviewed for technical adequacy and advancement of probabilistic risk assessment technology in risk-informed decision making. Useful and important information to be referred as issues in PSA quality assurance was identified. (T. Tanaka)

  12. Experience in the implementation of quality assurance program and safety culture assessment of research reactor operation and maintenance

    International Nuclear Information System (INIS)

    Syarip; Suryopratomo, K.

    2001-01-01

    The implementation of quality assurance program and safety culture for research reactor operation are of importance to assure its safety status. It comprises an assessment of the quality of both technical and organizational aspects involved in safety. The method for the assessment is based on judging the quality of fulfillment of a number of essential issues for safety i.e. through audit, interview and/or discussions with personnel and management in plant. However, special consideration should be given to the data processing regarding the fuzzy nature of the data i.e. in answering the questionnaire. To accommodate this situation, the SCAP, a computer program based on fuzzy logic for assessing plant safety status, has been developed. As a case study, the experience in the assessment of Kartini research reactor safety status shows that it is strongly related to the implementation of quality assurance program in reactor operation and awareness of reactor operation staffs to safety culture practice. It is also shown that the application of the fuzzy rule in assessing reactor safety status gives a more realistic result than the traditional approach. (author)

  13. The safety problems of the nuclear power. The lessons of Chernobyl

    International Nuclear Information System (INIS)

    Prister, B.S.; Klyuchnikov, A.A.; Shestopalov, V.M.; Kukhar', V.P.

    2013-01-01

    The problems of nuclear safety as a complex system are considered. It is shown that the reliability and safety of a nuclear power plant determined does not only reliable structures of the main equipment and qualification of the staff, but especially strict compliance with the priorities of the Security over the economic, political and other factors. Failure to observe this principle has become a real cause of several accidents in the global nuclear power industry, accompanied by the release of radionuclides into the environment. The lessons of Chernobyl remain unlearned, what confirmed the accident at the Fukushima-1 in Japan. The most important of these is the readiness to respond and protect the public, not only from radiation, but also from a psychological stress. For specialists in the field of nuclear and radiation safety, radiobiology, ecology, environment, agriculture, graduates and university students

  14. Critical review of controlled release packaging to improve food safety and quality.

    Science.gov (United States)

    Chen, Xi; Chen, Mo; Xu, Chenyi; Yam, Kit L

    2018-03-19

    Controlled release packaging (CRP) is an innovative technology that uses the package to release active compounds in a controlled manner to improve safety and quality for a wide range of food products during storage. This paper provides a critical review of the uniqueness, design considerations, and research gaps of CRP, with a focus on the kinetics and mechanism of active compounds releasing from the package. Literature data and practical examples are presented to illustrate how CRP controls what active compounds to release, when and how to release, how much and how fast to release, in order to improve food safety and quality.

  15. The quality of life of adolescents with menstrual problems.

    Science.gov (United States)

    Nur Azurah, Abdul Ghani; Sanci, Lena; Moore, Elya; Grover, Sonia

    2013-04-01

    To date, very few publications have examined the health related quality of life (HRQL) in the younger population with menstrual problems, despite their high prevalence in adolescent girls. We describe the health-related quality of life (HRQL) among adolescents with menstrual problems and identified factors that have an impact on it. The study was a questionnaire study (using PedsQL 4.0) of adolescents aged 13-18 referred to a tertiary gynecology center for menstrual problems between June 2009 and August 2010. One hundred eighty-four adolescents completed the questionnaires. The mean age was 15.10 ± 1.49 with the mean body mass index (BMI) of 22.83 ± 4.82 kg/m(2). The most common menstrual problems seen in the clinic were dysmenorrhea (38.6%) followed by heavy bleeding (33.6%), oligomenorrhea (19.6%), and amenorrhea (8.2%). The mean overall score was 70.40 ± 16.36 with 42.3% having a score below 1 standard deviation (SD) from the norms. Adolescents with dysmenorrhea had the poorest score in physical function, whereas those with amenorrhea had the lowest score in psychosocial function. Maternal parenting style, parental anxiety, adolescents' ill-health behavior, and BMI have been found to have impact on the girls' quality of life (QoL). Although menstrual problems are not life threatening, they can pose a significant impact on the quality of life of these patients. Identification of these impacts might lead to the recognition of potential services or education to improve this. Understanding the characteristics that predict QoL may help a clinician identify patients who are risk for poor QoL. Copyright © 2013 North American Society for Pediatric and Adolescent Gynecology. All rights reserved.

  16. Problem of quality assurance during metal constructions welding via robotic technological complexes

    Science.gov (United States)

    Fominykh, D. S.; Rezchikov, A. F.; Kushnikov, V. A.; Ivashchenko, V. A.; Bogomolov, A. S.; Filimonyuk, L. Yu; Dolinina, O. N.; Kushnikov, O. V.; Shulga, T. E.; Tverdokhlebov, V. A.

    2018-05-01

    The problem of minimizing the probability for critical combinations of events that lead to a loss in welding quality via robotic process automation is examined. The problem is formulated, models and algorithms for its solution are developed. The problem is solved by minimizing the criterion characterizing the losses caused by defective products. Solving the problem may enhance the quality and accuracy of operations performed and reduce the losses caused by defective product

  17. [JUSTIFICATION OF USING EQUIVALENCE OF THE INDICES OF QUALITY, SAFETY, AND EFFICACY IN DEVELOPING BIOANALOGS].

    Science.gov (United States)

    Niyazov, R R; Goryachev, D V; Gavrishina, E V; Romodanovskii, D P; Dranitsyna, M A

    2015-01-01

    We describe general principles of demonstrating biosimilarity, as well as selecting the biosimilarity margins. Any change in the structure of a biological molecule can modify its functional activity. Therefore, therapeutic equivalence between a biosimilar product and the corresponding reference product cannot be demonstrated using a single criterion. To demonstrate biosimilarity between two medicinal products, their various characteristics have to be evaluated which may, directly or indirectly, justify that clinically significant differences are absent. Insufficient understanding of 6ritical quality attributes brings a risk for the biosimilar product developer. This will either increase the number of non-clinical and clinical tests and trials needed or will result in awareness that the manufacturing process needs to be improved at the late stages of development, after investing significant resources in the development process. At the same time, the specification of the biological medicinal product cannot solely ensure safety and efficacy thereof. Properly characterized and controlled manufacturing process, which ensures consistency in its attributes not adequately controlled in specifications but influencing safety and efficacy profiles and showing their relevance in non-clinical tests and clinical trials, is an additional quality assurance factor. Justification of all development strategy details, including biosimilarity margins, has to be provided each time when the development process is initiated or when proceeding to the next steps. All problems encountered by the developer have to be resolved in close communication with the regulatory authority. In order to increase the quality of investigation and developer's adherence to good practices, clinical trial results should be published in detail.

  18. Educational background of nurses and their perceptions of the quality and safety of patient care.

    Science.gov (United States)

    Swart, Reece P; Pretorius, Ronel; Klopper, Hester

    2015-04-30

    International health systems research confirms the critical role that nurses play in ensuring the delivery of high quality patient care and subsequent patient safety. It is therefore important that the education of nurses should prepare them for the provision of safe care of a high quality. The South African healthcare system is made up of public and private hospitals that employ various categories of nurses. The perceptions of the various categories of nurses with reference to quality of care and patient safety are unknown in South Africa (SA). To determine the relationship between the educational background of nurses and their perceptions of quality of care and patient safety in private surgical units in SA. A descriptive correlational design was used. A questionnaire was used for data collection, after which hierarchical linear modelling was utilised to determine the relationships amongst the variables. Both the registered- and enrolled nurses seemed satisfied with the quality of care and patient safety in the units were they work. Enrolled nurses (ENs) indicated that current efforts to prevent errors are adequate, whilst the registered nurses (RNs) obtained high scores in reporting incidents in surgical wards. From the results it was evident that perceptions of RNs and ENs related to the quality of care and patient safety differed. There seemed to be a statistically-significant difference between RNs and ENs perceptions of the prevention of errors in the unit, losing patient information between shifts and patient incidents related to medication errors, pressure ulcers and falls with injury.

  19. 78 FR 55257 - Patient Safety and Quality Improvement: Civil Money Penalty Inflation Adjustment

    Science.gov (United States)

    2013-09-10

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Patient Safety and Quality Improvement: Civil Money... Civil Rights has determined that an adjustment to the maximum civil money penalty amount for violations... confidentiality and privilege protections of Patient Safety Work Product (PSWP), and procedures for enforcement...

  20. Safety problems with the use of medical equipment/devices

    NARCIS (Netherlands)

    Rademakers, C.

    2009-01-01

    In the past decennia medical technology has rapidly developed. Nowadays it plays an important role in all medical fields. It introduced technologic solutions for many medical problems and it definitely increased the possibilities in the medical field to increase the quality of life. However with

  1. Quality and safety aspects of reusable plastic food packaging materials : influence of reuse on intrinsic properties

    NARCIS (Netherlands)

    Jetten, J.; Kruijf, N. de

    2002-01-01

    The aim of the project was to develop a comprehensive package of quality assurance criteria for use by the industry and by regulatory authorities to ensure the quality and safety-in-use (sensory, microbiological and chemical safety) of reused plastics for food packaging. The paper describes the

  2. Beyond metrics? Utilizing 'soft intelligence' for healthcare quality and safety.

    Science.gov (United States)

    Martin, Graham P; McKee, Lorna; Dixon-Woods, Mary

    2015-10-01

    Formal metrics for monitoring the quality and safety of healthcare have a valuable role, but may not, by themselves, yield full insight into the range of fallibilities in organizations. 'Soft intelligence' is usefully understood as the processes and behaviours associated with seeking and interpreting soft data-of the kind that evade easy capture, straightforward classification and simple quantification-to produce forms of knowledge that can provide the basis for intervention. With the aim of examining current and potential practice in relation to soft intelligence, we conducted and analysed 107 in-depth qualitative interviews with senior leaders, including managers and clinicians, involved in healthcare quality and safety in the English National Health Service. We found that participants were in little doubt about the value of softer forms of data, especially for their role in revealing troubling issues that might be obscured by conventional metrics. Their struggles lay in how to access softer data and turn them into a useful form of knowing. Some of the dominant approaches they used risked replicating the limitations of hard, quantitative data. They relied on processes of aggregation and triangulation that prioritised reliability, or on instrumental use of soft data to animate the metrics. The unpredictable, untameable, spontaneous quality of soft data could be lost in efforts to systematize their collection and interpretation to render them more tractable. A more challenging but potentially rewarding approach involved processes and behaviours aimed at disrupting taken-for-granted assumptions about quality, safety, and organizational performance. This approach, which explicitly values the seeking out and the hearing of multiple voices, is consistent with conceptual frameworks of organizational sensemaking and dialogical understandings of knowledge. Using soft intelligence this way can be challenging and discomfiting, but may offer a critical defence against the

  3. Canadian Association of Gastroenterology consensus guidelines on safety and quality indicators in endoscopy.

    Science.gov (United States)

    Armstrong, David; Barkun, Alan; Bridges, Ron; Carter, Rose; de Gara, Chris; Dube, Catherine; Enns, Robert; Hollingworth, Roger; Macintosh, Donald; Borgaonkar, Mark; Forget, Sylviane; Leontiadis, Grigorios; Meddings, Jonathan; Cotton, Peter; Kuipers, Ernst J

    2012-01-01

    Increasing use of gastrointestinal endoscopy, particularly for colorectal cancer screening, and increasing emphasis on health care quality, highlight the need for clearly defined, evidence-based processes to support quality improvement in endoscopy. To identify processes and indicators of quality and safety relevant to high-quality endoscopy service delivery. A multidisciplinary group of 35 voting participants developed recommendation statements and performance indicators. Systematic literature searches generated 50 initial statements that were revised iteratively following a modified Delphi approach using a web-based evaluation and voting tool. Statement development and evidence evaluation followed the AGREE (Appraisal of Guidelines, REsearch and Evaluation) and GRADE (Grading of Recommendations, Assessment, Development and Evaluation) guidelines. At the consensus conference, participants voted anonymously on all statements using a 6-point scale. Subsequent web-based voting evaluated recommendations for specific, individual quality indicators, safety indicators and mandatory endoscopy reporting fields. Consensus was defined a priori as agreement by 80% of participants. Consensus was reached on 23 recommendation statements addressing the following: ethics (statement 1: agreement 100%), facility standards and policies (statements 2 to 9: 90% to 100%), quality assurance (statements 10 to 13: 94% to 100%), training, education, competency and privileges (statements 14 to 19: 97% to 100%), endoscopy reporting standards (statements 20 and 21: 97% to 100%) and patient perceptions (statements 22 and 23: 100%). Additionally, 18 quality indicators (agreement 83% to 100%), 20 safety indicators (agreement 77% to 100%) and 23 recommended endoscopy-reporting elements (agreement 91% to 100%) were identified. The consensus process identified a clear need for high-quality clinical and outcomes research to support quality improvement in the delivery of endoscopy services. The

  4. [Endorsement of risk management and patient safety by certification of conformity in health care quality assessment].

    Science.gov (United States)

    Waßmuth, Ralf

    2015-01-01

    Certification of conformity in health care should provide assurance of compliance with quality standards. This also includes risk management and patient safety. Based on a comprehensive definition of quality, beneficial effects on the management of risks and the enhancement of patient safety can be expected from certification of conformity. While these effects have strong face validity, they are currently not sufficiently supported by evidence from health care research. Whether this relates to a lack of evidence or a lack of investigation remains open. Advancing safety culture and "climate", as well as learning from adverse events rely in part on quality management and are at least in part reflected in the certification of healthcare quality. However, again, evidence of the effectiveness of such measures is limited. Moreover, additional factors related to personality, attitude and proactive action of healthcare professionals are crucial factors in advancing risk management and patient safety which are currently not adequately reflected in certification of conformity programs.

  5. Citrus Quality Control: An NMR/MRI Problem-Based Experiment

    Science.gov (United States)

    Erhart, Sarah E.; McCarrick, Robert M.; Lorigan, Gary A.; Yezierski, Ellen J.

    2016-01-01

    An experiment seated in an industrial context can provide an engaging framework and unique learning opportunity for an upper-division physical chemistry laboratory. An experiment that teaches NMR/MRI through a problem-based quality control of citrus products was developed. In this experiment, using a problem-based learning (PBL) approach, students…

  6. Safety from physical viewpoint: ''two-risk model in multiple risk problem''

    International Nuclear Information System (INIS)

    Kuz'Min, I.I.; Akimov, V.A.

    1998-01-01

    Full text of publication follows: the problem of safety provision for people and environment within the framework of a certain socio-economic system (SES) as a problem of managing a great number of interacting risks characterizing numerous hazards (natural, manmade, social, economic once, etc.) inherent in the certain SES has been discussed. From the physical point of view, it can be considered a problem of interaction of many bodies which has no accurate mathematical solution even if the laws of interaction of this bodies are known. In physics, to solve this problem, an approach based on the reduction of the above-mentioned problem of the problem of two-body interaction which can be solved accurately in mathematics has been used. The report presents a similar approach to the problem of risk management in the SES. This approach includes the subdivision of numerous hazards inherent within the framework of the SES into two classes of hazards, so that each of the classes could be considered an integrated whole one, each of them being characterized by the appropriate risk. Consequently, problem of 'multiple-risk' management (i.e. the problem of many bodies, as represented in physics) can be reduced to the 'two-risk' management problem (that is, to the problem two-bodies). Within the framework of the two-risk model the optimization of costs to reduce the two kinds of risk, that is, the risk inherent in the SES as a whole, as well as the risk potentially provoked by lots of activities to be introduced in the SES economy has been described. The model has made it possible to formulate and prove the theorem of equilibrium in risk management. Using the theorem, a relatively simple and practically applicable procedure of optimizing the threshold costs to reduce diverse kinds of risk has been elaborated. The procedure provides to assess the minimum value of the cost that can be achieved regarding the socio-economic factors typical of the SES under discussion. The aimed

  7. 77 FR 42736 - Common Formats for Patient Safety Data Collection and Event Reporting

    Science.gov (United States)

    2012-07-20

    ... safety problems. The Patient Safety Act and Patient Safety Rule establish a framework by which doctors... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Common Formats... formats, specified by AHRQ, that allow health care providers to collect and submit standardized...

  8. The Impact of eHealth on the Quality and Safety of Healthcare

    Science.gov (United States)

    Majeed, Azeem; Black, Ashly; Car, Josip; Anandan, Chantelle; Cresswell, Kathrin; McKinstry, Brian; Pagliari, Claudia; Procter, Rob; Sheikh, Aziz

    There is considerable interest in using information technology (IT) to enhance the quality and safety of healthcare. We undertook a systematic literature review to assess the impact of eHealth applications on the quality and safety of healthcare. We retrieved 46,349 potentially relevant publications, from which we selected 67 relevant systematic reviews for inclusion. The literature was found to be poorly collated and of variable quality in its methodology, reporting and utility. We categorised eHealth applications into three main areas: i). storing, managing and transmission of data; ii). supporting clinical decision-making; and iii). facilitating care from a distance. We found that relative to the potential benefits noted within the literature, little empirical evidence exists in support of these applications. Of the few studies revealing the clearest evidence of benefits, many are from academic clinical centres where developers of new applications have also been directly associated with their evaluation. It is therefore unclear how effective these applications would be if deployed outside the environment in which they were developed. Our review of the impact of eHealth applications on quality and safety of healthcare demonstrated a vast gap between the postulated and empirically demonstrated benefits. In addition, there is a lack of robust research on risks and costs. Consequently, the cost-effectiveness of these interventions has yet to be demonstrated.

  9. Cooperation and competence in global food chains : perspectives on food quality and safety

    NARCIS (Netherlands)

    Vellema, S.; Boselie, D.M.

    2003-01-01

    Supermarket chains, retailers and wholesalers have made food safety and food quality an integral element of their business strategies. What does this mean for producers in the South, who have to comply with international standards for good agricultural practices as well as with strict food safety

  10. EFFECTS OF FIRE FUMES ON ALMOND SAFETY AND QUALITY

    Directory of Open Access Journals (Sweden)

    Amanda Ramírez-Gandolfo

    2011-08-01

    Full Text Available A fire originated and burnt two cold chambers; the present study focused on almonds stored in adjacent chambers (4, 5, 6 and 13 and evaluated both their food safety and quality. Testing for polycyclic aromatic hydrocarbons, polychlorinated dibenzo-p-dioxins and dibenzofurans was carried out in affected facilities, packaging and almonds. Experimental results proved that fire fumes did not reach chambers 4-6, but traces were found in bin packaging of chamber 13; thus, packaging from this chamber were changed. Concentrations of benzo(apyrene were low enough to prove that fire fumes did not get in contact with the stored almonds. Later, only volatile compounds typical of nuts were identified in both raw and toasted almonds. Finally, a trained panel concluded that no sensory signal of fumes reaching almonds was found. This manuscript could be taken as a model protocol to establish whether fire fumes have reached and affected the safety and/or quality of foods. This information will be especially useful for insurance companies.

  11. Improving Quality and Occupational Safety on Automated Casting Lines

    Directory of Open Access Journals (Sweden)

    Kukla S.

    2017-09-01

    Full Text Available The paper presents a practical example of improving quality and occupational safety on automated casting lines. Working conditions on the line of box moulding with horizontal mould split were analysed due to low degree of automation at the stage of cores or filters installation as well as spheroidizing mortar dosing. A simulation analysis was carried out, which was related to the grounds of introducing an automatic mortar dispenser to the mould. To carry out the research, a simulation model of a line in universal Arena software for modelling and simulation of manufacturing systems by Rockwell Software Inc. was created. A simulation experiment was carried out on a model in order to determine basic parameters of the working system. Organization and working conditions in other sections of the line were also analysed, paying particular attention to quality, ergonomics and occupational safety. Ergonomics analysis was carried out on manual cores installation workplace and filters installation workplace, and changes to these workplaces were suggested in order to eliminate actions being unnecessary and onerous for employees.

  12. Active and intelligent packaging: The indication of quality and safety.

    Science.gov (United States)

    Janjarasskul, Theeranun; Suppakul, Panuwat

    2018-03-24

    The food industry has been under growing pressure to feed an exponentially increasing world population and challenged to meet rigorous food safety law and regulation. The plethora of media consumption has provoked consumer demand for safe, sustainable, organic, and wholesome products with "clean" labels. The application of active and intelligent packaging has been commercially adopted by food and pharmaceutical industries as a solution for the future for extending shelf life and simplifying production processes; facilitating complex distribution logistics; reducing, if not eliminating the need for preservatives in food formulations; enabling restricted food packaging applications; providing convenience, improving quality, variety and marketing features; as well as providing essential information to ensure consumer safety. This chapter reviews innovations of active and intelligent packaging which advance packaging technology through both scavenging and releasing systems for shelf life extension, and through diagnostic and identification systems for communicating quality, tracking and brand protection.

  13. IMPACTS OF SAFETY and QUALITY IN ENVIRONMENTAL RESTORATION AT HANFORD

    International Nuclear Information System (INIS)

    PREVETTE, S.S.

    2004-01-01

    The aim of this paper is to demonstrate the integration of safety methodology, quality tools, leadership, and teamwork at Hanford and their significant positive impact on safe performance of work. Control charts, Pareto Charts, Dr. W. Edward Deming's Red Bead Experiment, and Dr. Deming's System of Profound Knowledge have been the principal tools and theory of an integrated management system. Coupled with involved leadership and teamwork they have led to significant improvements in worker safety and protection, and environmental restoration at one of the nation's largest nuclear cleanup sites

  14. Engineering solutions of traffic safety problems of road transport

    Directory of Open Access Journals (Sweden)

    M. Bogdevičius

    2004-02-01

    Full Text Available The authors of this paper focus on the simulation of the motor vehicle movement (taking into consideration motor vehicle dynamics, motor vehicle hydraulic brake system influence on motor vehicle movement, interaction between its wheels with road pavements, road guardrail characteristics, interaction between motor vehicle and road guardrail on a certain road section and propose their specific solution of this problem. The presented results, illustrating the motor vehicle movement trajectories (motor vehicle braking and interaction between motor vehicle and road guardrail at various initial conditions and at various certain pavement surface of the road section under investigation and work of a motor vehicle hydraulic brake system. Taking into consideration the presented general mathematical model and computer aided test results it is possible to investigate various road transport traffic situations as well as to investigate various transport traffic safety problems.

  15. Strengthening of nuclear power plant construction safety management

    International Nuclear Information System (INIS)

    Yu Jun

    2012-01-01

    The article describes the warning of the Fukushima nuclear accident, and analyzes the major nuclear safety issues in nuclear power development in China, problems in nuclear power plants under construction, and how to strengthen supervision and management in nuclear power construction. It also points out that the development of nuclear power must attach great importance to the safety, and nuclear power plant construction should strictly implement the principle of 'safety first and quality first'. (author)

  16. What is the value and impact of quality and safety teams? A scoping review

    Directory of Open Access Journals (Sweden)

    Norris Jill M

    2011-08-01

    Full Text Available Abstract Background The purpose of this study was to conduct a scoping review of the literature about the establishment and impact of quality and safety team initiatives in acute care. Methods Studies were identified through electronic searches of Medline, Embase, CINAHL, PsycINFO, ABI Inform, Cochrane databases. Grey literature and bibliographies were also searched. Qualitative or quantitative studies that occurred in acute care, describing how quality and safety teams were established or implemented, the impact of teams, or the barriers and/or facilitators of teams were included. Two reviewers independently extracted data on study design, sample, interventions, and outcomes. Quality assessment of full text articles was done independently by two reviewers. Studies were categorized according to dimensions of quality. Results Of 6,674 articles identified, 99 were included in the study. The heterogeneity of studies and results reported precluded quantitative data analyses. Findings revealed limited information about attributes of successful and unsuccessful team initiatives, barriers and facilitators to team initiatives, unique or combined contribution of selected interventions, or how to effectively establish these teams. Conclusions Not unlike systematic reviews of quality improvement collaboratives, this broad review revealed that while teams reported a number of positive results, there are many methodological issues. This study is unique in utilizing traditional quality assessment and more novel methods of quality assessment and reporting of results (SQUIRE to appraise studies. Rigorous design, evaluation, and reporting of quality and safety team initiatives are required.

  17. Safety problems in decommissioning nuclear power plants

    International Nuclear Information System (INIS)

    Auler, I.; Bardtenschlager, R.; Gasch, A.; Majohr, N.

    1975-12-01

    The safety problems at decommissioning are illustrated by the example of a LWR with 1300 MW electric power after 40 years of specified normal operation. For such a facility the radioactivity in the form of activation and contamination one year after being finally taken out of service is in the order of magnitude of 10 7 Ci, not counting the fuel assemblies. The dose rates occurring during work on the reactor vessel at nozzle level may amount to some 10 4 rem/h. After a rough estimation the accumulated dose for the decommissioning personnel during total dismantling will be about 1200 rem. During performance of the decommissioning activities the problems are mainly caused by direct radiation of the active components and systems and by the release of radioactive particles, aerosols and liquids if these components are crushed. The extent of later dismantling problems may be reduced by selecting appropriate materials as well as considering the requirements for dismantling in design and arrangement of the components already in the design stage of new facilities. Apart from plant design also the concept for the disposal of the radioactive waste from decommissioning will provide important boundary conditions. E.g. the maximum size of the pieces to be stored in the ultimate storage place will very much influence the dose expenditure for handling these parts. For complete dismantling of nuclear power plants an ultimate store must be available where large amounts of bulky decommissioning waste, containing relatively low activity, can be stored. The problems and also the cost for decommissioning may be considerably reduced by delaying complete disposal of the radioactive material >= 40 years and during this period, keeping the radioactivity enclosed within the plant in the form of a safe containment. (orig./HP) [de

  18. The History of Infant Formula: Quality, Safety, and Standard Methods.

    Science.gov (United States)

    Wargo, Wayne F

    2016-01-01

    Food-related laws and regulations have existed since ancient times. Egyptian scrolls prescribed the labeling needed for certain foods. In ancient Athens, beer and wines were inspected for purity and soundness, and the Romans had a well-organized state food control system to protect consumers from fraud or bad produce. In Europe during the Middle Ages, individual countries passed laws concerning the quality and safety of eggs, sausages, cheese, beer, wine, and bread; some of these laws still exist today. But more modern dietary guidelines and food regulations have their origins in the latter half of the 19th century when the first general food laws were adopted and basic food control systems were implemented to monitor compliance. Around this time, science and food chemistry began to provide the tools to determine "purity" of food based primarily on chemical composition and to determine whether it had been adulterated in any way. Since the key chemical components of mammalian milk were first understood, infant formulas have steadily advanced in complexity as manufacturers attempt to close the compositional gap with human breast milk. To verify these compositional innovations and ensure product quality and safety, infant formula has become one of the most regulated foods in the world. The present paper examines the historical development of nutritional alternatives to breastfeeding, focusing on efforts undertaken to ensure the quality and safety from antiquity to present day. The impact of commercial infant formulas on global regulations is addressed, along with the resulting need for harmonized, fit-for-purpose, voluntary consensus standard methods.

  19. Identification and simulation of the power quality problems using computer models

    International Nuclear Information System (INIS)

    Abro, M.R.; Memon, A.P.; Memon, Z.A.

    2005-01-01

    The Power Quality has become the main factor in our life. If this quality of power is being polluted over the Electrical Power Network, serious problems could arise within the modem social structure and its conveniences. The Nonlinear Characteristics of various office and Industrial equipment connected to the power grid could cause electrical disturbances to poor power quality. In many cases the electric power consumed is first converted to different form and such conversion process introduces harmonic pollution in the grid. These electrical disturbances could destroy certain sensitive equipment connected to the grid or in some cases could cause them to malfunction. In the huge power network identifying the source of such disturbance without causing interruption to the supply is a big problem. This paper attempts to study the power quality problem caused by typical loads using computer models paving the way to identify the source of the problem. PSB (Power System Blockset) Toolbox of MATLAB is used for this paper, which is designed to provide modem tool that rapidly and easily builds models and simulates the power system. The blockset uses the Simulink environment, allowing a model to be built using simple click and drag procedures. (author)

  20. The state of quality improvement and patient safety teaching in health professional education in New Zealand.

    Science.gov (United States)

    Robb, Gillian; Stolarek, Iwona; Wells, Susan; Bohm, Gillian

    2017-10-27

    To investigate how quality and patient safety domains are being taught in the pre-registration curricula of health profession education programmes in New Zealand. All tertiary institutions providing training for medicine, nursing, midwifery, dentistry, pharmacy, physiotherapy, dietetics and 11 other allied health professions in New Zealand were contacted and a person with relevant curriculum knowledge was invited to participate. Interviews were conducted using a semi-structured interview guide to explore nine quality and safety domains; improvement science, patient safety, quality and safety culture, evidence-based practice, patient-centred care, teamwork and communication, leadership for change, systems thinking and use of information technology (IT). Transcribed data were extracted and categorised by discipline and domain. Two researchers independently identified and categorised themes within each domain, using a general inductive approach. Forty-nine institutions were contacted and 43 (88%) people were interviewed. The inclusion and extent of quality and safety teaching was variable. Evidence-based practice, patient-centred care and teamwork and communication were the strongest domains and well embedded in programmes, while leadership, systems thinking and the role of IT were less explicitly included. Except for two institutions, improvement science was absent from pre-registration curricula. Patient safety teaching was focused mainly around incident reporting, and to a lesser extent learning from adverse events. Although a 'no blame' culture was articulated as important, the theme of individual accountability was still apparent. While participants agreed that all domains were important, the main barriers to incorporating improvement science and patient safety concepts into existing programmes included an 'already stretched curriculum' and having faculty with limited expertise in these areas. Although the building blocks for improving the quality and safety of

  1. Microbiological quality and safety assessment of lettuce production in Brazil.

    Science.gov (United States)

    Ceuppens, Siele; Hessel, Claudia Titze; de Quadros Rodrigues, Rochele; Bartz, Sabrina; Tondo, Eduardo César; Uyttendaele, Mieke

    2014-07-02

    The microbiological quality and safety of lettuce during primary production in Brazil were determined by enumeration of hygiene indicators Escherichia coli, coliforms and enterococci and detection of enteric pathogens Salmonella and E. coli O157:H7 in organic fertilizers, soil, irrigation water, lettuce crops, harvest boxes and worker's hands taken from six different lettuce farms throughout the crop growth cycle. Generic E. coli was a suitable indicator for the presence of Salmonella and E. coli O157:H7, while coliforms and enterococci were not. Few pathogens were detected: 5 salmonellae and 2 E. coli O157:H7 from 260 samples, of which only one was lettuce and the others were manure, soil and water. Most (5/7) pathogens were isolated from the same farm and all were from organic production. Statistical analysis revealed the following environmental and agro-technical risk factors for increased microbial load and pathogen prevalence in lettuce production: high temperature, flooding of lettuce fields, application of contaminated organic fertilizer, irrigation with water of inferior quality and large distances between the field and toilets. Control of the composting process of organic fertilizers and the irrigation water quality appear most crucial to improve and/or maintain the microbiological quality and safety during the primary production of lettuce. Copyright © 2014 Elsevier B.V. All rights reserved.

  2. A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency.

    Science.gov (United States)

    O'Heron, Colette T; Jarman, Benjamin T

    2014-01-01

    To outline a structured approach for general surgery resident integration into institutional quality improvement and patient safety education and development. A strategic plan to address Accreditation Council for Graduate Medical Education (ACGME) Clinical Learning Environment Review assessments for resident integration into Quality Improvement and Patient Safety initiatives is described. Gundersen Lutheran Medical Foundation is an independent academic medical center graduating three categorical residents per year within an integrated multi-specialty health system serving 19 counties over 3 states. The quality improvement and patient safety education program includes a formal lecture series, online didactic sessions, mandatory quality improvement or patient safety projects, institutional committee membership, an opportunity to serve as a designated American College of Surgeons National Surgical Quality Improvement Project and Quality in Training representative, mandatory morbidity and mortality conference attendance and clinical electives in rural surgery and international settings. Structured education regarding and participation in quality improvement and patient safety programs are able to be accomplished during general surgery residency. The long-term outcomes and benefits of these strategies are unknown at this time and will be difficult to measure with objective data. © 2013 Published by Association of Program Directors in Surgery on behalf of Association of Program Directors in Surgery.

  3. Quality and Safety Assurance of Iron Casts and Manufacturing Processes

    OpenAIRE

    Kukla S.

    2016-01-01

    The scope of this work focuses on the aspects of quality and safety assurance of the iron cast manufacturing processes. Special attention was given to the processes of quality control and after-machining of iron casts manufactured on automatic foundry lines. Due to low level of automation and huge work intensity at this stage of the process, a model area was established which underwent reorganization in accordance with the assumptions of the World Class Manufacturing (WCM). An analysis of wor...

  4. The 3rd ATLAS Domestic Standard Problem for Improvement of Safety Analysis Technology

    International Nuclear Information System (INIS)

    Choi, Ki-Yong; Kang, Kyoung-Ho; Park, Yusun; Kim, Jongrok; Bae, Byoung-Uhn; Choi, Nam-Hyun

    2014-01-01

    The third ATLAS DSP (domestic standard problem exercise) was launched at the end of 2012 in response to the strong need for continuation of the ATLAS DSP. A guillotine break of a main steam line without LOOP at a zero power condition was selected as a target scenario, and it was successfully completed in the beginning of 2014. In the 3 rd ATLAS DSP, comprehensive utilization of the integral effect test data was made by dividing analysis with three topics; 1. scale-up where extrapolation of ATLAS IET data was investigated 2. 3D analysis where how much improvement can be obtained by 3D modeling was studied 3. 1D sensitivity analysis where the key phenomena affecting the SLB simulation were identified and the best modeling guideline was achieved. Through such DSP exercises, it has been possible to effectively utilize high-quality ATLAS experimental data of to enhance thermal-hydraulic understanding and to validate the safety analysis codes. A strong human network and technical expertise sharing among the various nuclear experts are also important outcomes from this program

  5. Integrated Safety in Design

    DEFF Research Database (Denmark)

    Schultz, Casper Siebken; Jørgensen, Kirsten

    2014-01-01

    An on-going research project investigates the inclusion of health and safety considerations in the design phase as a means to achieve a higher level of health and safety in the construction industry. Moreover, the approach is coupled to the overall quality efforts. Two architectural firms and two...... consulting engineering firms are project participants. The hypothesis is that health and safety problems in execution can be prevented through better planning in the early stages of the construction processes and that accidents are prevented by providing safety. In the first stage of the research project...... a theoretical framework is developed from a combination of existing literature on health and safety and a mapping of existing practices based on interviews in all four companies. The interviews revealed that the basic knowledge on OHS among architects and engineers is limited. Also currently designers typically...

  6. Can traceability improve consumers' confidence in food quality and safety?

    NARCIS (Netherlands)

    Rijswijk, van W.; Cornelisse-Vermaat, J.R.; Frewer, L.J.

    2006-01-01

    Abstract This paper investigates whether the implementation of traceability systems in line with the European General Food Law as well as food labelling laws related to allergens can impact on consumer confidence in food quality and safety. It aims to give insight into consumer demands regarding

  7. Nuclear safety

    International Nuclear Information System (INIS)

    1991-02-01

    This book reviews the accomplishments, operations, and problems faced by the defense Nuclear Facilities Safety Board. Specifically, it discusses the recommendations that the Safety Board made to improve safety and health conditions at the Department of Energy's defense nuclear facilities, problems the Safety Board has encountered in hiring technical staff, and management problems that could affect the Safety Board's independence and credibility

  8. The roles of government in improving health care quality and safety.

    Science.gov (United States)

    Tang, Ning; Eisenberg, John M; Meyer, Gregg S

    2004-01-01

    Discussions surrounding the role of government have been and continue to be a favorite American pastime. A framework is provided for understanding the 10 roles that government plays in improving health care quality and safety in the United States. Examples of proposed federal actions to reduce medical errors and enhance patient safety are provided to illustrate the 10 roles: (1) purchase health care, (2) provide health care, (3) ensure access to quality care for vulnerable populations, (4) regulate health care markets, (5) support acquisition of new knowledge, (6) develop and evaluate health technologies and practices, (7) monitor health care quality, (8) inform health care decision makers, (9) develop the health care workforce, and (10) convene stakeholders from across the health care system. Government's responsibility to protect and advance the interests of society includes the delivery of high-quality health care. Because the market alone cannot ensure all Americans access to quality health care, the government must preserve the interests of its citizens by supplementing the market where there are gaps and regulating the market where there is inefficiency or unfairness. The ultimate goal of achieving high quality of care will require strong partnerships among federal, state, and local governments and the private sector. Translating general principles regarding the appropriate role of government into specific actions within a rapidly changing, decentralized delivery system will require the combined efforts of the public and private sectors.

  9. Defining quality metrics and improving safety and outcome in allergy care.

    Science.gov (United States)

    Lee, Stella; Stachler, Robert J; Ferguson, Berrylin J

    2014-04-01

    The delivery of allergy immunotherapy in the otolaryngology office is variable and lacks standardization. Quality metrics encompasses the measurement of factors associated with good patient-centered care. These factors have yet to be defined in the delivery of allergy immunotherapy. We developed and applied quality metrics to 6 allergy practices affiliated with an academic otolaryngic allergy center. This work was conducted at a tertiary academic center providing care to over 1500 patients. We evaluated methods and variability between 6 sites. Tracking of errors and anaphylaxis was initiated across all sites. A nationwide survey of academic and private allergists was used to collect data on current practice and use of quality metrics. The most common types of errors recorded were patient identification errors (n = 4), followed by vial mixing errors (n = 3), and dosing errors (n = 2). There were 7 episodes of anaphylaxis of which 2 were secondary to dosing errors for a rate of 0.01% or 1 in every 10,000 injection visits/year. Site visits showed that 86% of key safety measures were followed. Analysis of nationwide survey responses revealed that quality metrics are still not well defined by either medical or otolaryngic allergy practices. Academic practices were statistically more likely to use quality metrics (p = 0.021) and perform systems reviews and audits in comparison to private practices (p = 0.005). Quality metrics in allergy delivery can help improve safety and quality care. These metrics need to be further defined by otolaryngic allergists in the changing health care environment. © 2014 ARS-AAOA, LLC.

  10. Environmental and safety problems of waste management in nuclear engineering

    International Nuclear Information System (INIS)

    Schwibach, J.; Jacobi, W.

    1976-01-01

    The environmental and safety problems which waste management in nuclear technology poses are discussed under the aspects of the disposal of radioactive waste by nuclear facilities and the safety of radioactive waste disposal. The release and global distribution of long-lived radionuclides such as tritium, Kr-85, C-14, I-129, and Pu-239 as well as the radiation exposure of the world population resulting thereof are investigated, the authors starting from a specific production rate of the nuclides released from nuclear facilities. Definitions of the terms 'dose commitment' and 'collective dose commitment' are given. Furthermore, local radiation exposure in reprocessing plants is investigated and compared with regional and global radiation exposure. A recommendation is made to take measures which would reduce the nuclides tritium, Kr-85, and C-14 in order to achieve considerably smaller collective doses. (HR/LN) [de

  11. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges.

    Science.gov (United States)

    Goeschel, Christine A; Wachter, Robert M; Pronovost, Peter J

    2010-07-01

    Concern about the quality and safety of health care persists, 10 years after the 1999 Institute of Medicine report To Err is Human. Despite growing awareness of quality and safety risks, and significant efforts to improve, progress is difficult to measure. Hospital leaders, including boards and medical staffs, are accountable to improve care, yet they often address this duty independently. Shared responsibility for quality and patient safety improvement presents unique challenges and unprecedented opportunities for boards and medical staffs. To capitalize on the pressure to improve, both groups may benefit from a better understanding of their synergistic potential. Boards should be educated about the quality of care provided in their institutions and about the challenges of valid measurement and accurate reporting. Boards strengthen their quality oversight capacity by recruiting physicians for vacant board seats. Medical staff members strengthen their role as hospital leaders when they understand the unique duties of the governing board. A quality improvement strategy rooted in synergistic efforts by the board and the medical staff may offer the greatest potential for safer care. Such a mutually advantageous approach requires a clear appreciation of roles and responsibilities and respect for differences. In this article, we review these responsibilities, describe opportunities for boards and medical staffs to collaborate as leaders, and offer recommendations for how boards and medical staff members can address the challenges of shared responsibility for quality of care.

  12. Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge.

    Science.gov (United States)

    Mort, Elizabeth A; Demehin, Akinluwa A; Marple, Keith B; McCullough, Kathryn Y; Meyer, Gregg S

    2013-08-01

    Hospitals are continually challenged to provide safer and higher-quality patient care despite resource constraints. With an ever-increasing range of quality and safety targets at the national, state, and local levels, prioritization is crucial in effective institutional quality goal setting and resource allocation.Organizational goal-setting theory is a performance improvement methodology with strong results across many industries. The authors describe a structured goal-setting process they have established at Massachusetts General Hospital for setting annual institutional quality and safety goals. Begun in 2008, this process has been conducted on an annual basis. Quality and safety data are gathered from many sources, both internal and external to the hospital. These data are collated and classified, and multiple approaches are used to identify the most pressing quality issues facing the institution. The conclusions are subject to stringent internal review, and then the top quality goals of the institution are chosen. Specific tactical initiatives and executive owners are assigned to each goal, and metrics are selected to track performance. A reporting tool based on these tactics and metrics is used to deliver progress updates to senior hospital leadership.The hospital has experienced excellent results and strong organizational buy-in using this effective, low-cost, and replicable goal-setting process. It has led to improvements in structural, process, and outcomes aspects of quality.

  13. Patient safety, quality of care, and knowledge translation in the intensive care unit.

    Science.gov (United States)

    Needham, Dale M

    2010-07-01

    A large gap exists between the completion of clinical research demonstrating the benefit of new treatment interventions and improved patient outcomes resulting from implementation of these interventions as part of routine clinical practice. This gap clearly affects patient safety and quality of care. Knowledge translation is important for addressing this gap, but evaluation of the most appropriate and effective knowledge translation methods is still ongoing. Through describing one model for knowledge translation and an example of its implementation, insights can be gained into systematic methods for advancing the implementation of evidence-based interventions to improve safety, quality, and patient outcomes.

  14. Guide for reviewing safety analysis reports for packaging: Review of quality assurance requirements

    International Nuclear Information System (INIS)

    Moon, D.W.

    1988-10-01

    This review section describes quality assurance requirements applying to design, purchase, fabrication, handling, shipping, storing, cleaning, assembly, inspection, testing, operation, maintenance, repair, and modification of components of packaging which are important to safety. The design effort, operation's plans, and quality assurance requirements should be integrated to achieve a system in which the independent QA program is not overly stringent and the application of QA requirements is commensurate with safety significance. The reviewer must verify that the applicant's QA section in the SARP contains package-specific QA information required by DOE Orders and federal regulations that demonstrate compliance. 8 refs

  15. Integrating Quality and Safety Competencies to Improve Outcomes: Application in Infusion Therapy Practice.

    Science.gov (United States)

    Sherwood, Gwen; Nickel, Barbara

    Despite intense scrutiny and process improvement initiatives, patient harm continues to occur in health care with alarming frequency. The Quality and Safety Education for Nursing (QSEN) project provides a roadmap to transform nursing by integrating 6 competencies: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. As front-line caregivers, nurses encounter inherent risks in their daily work. Infusion therapy is high risk with multiple potential risks for patient harm. This study examines individual and system application of the QSEN competencies and the Infusion Nurses Society's 2016 Infusion Therapy Standards of Practice in the improvement of patient outcomes.

  16. A task force model for statewide change in nursing education: building quality and safety.

    Science.gov (United States)

    Mundt, Mary H; Clark, Margherita Procaccini; Klemczak, Jeanette Wrona

    2013-01-01

    The purpose of this article was to describe a statewide planning process to transform nursing education in Michigan to improve quality and safety of patient care. A task force model was used to engage diverse partners in issue identification, consensus building, and recommendations. An example of a statewide intervention in nursing education and practice that was executed was the Michigan Quality and Safety in Nursing Education Institute, which was held using an integrated approach to academic-practice partners from all state regions. This paper describes the unique advantage of leadership by the Michigan Chief Nurse Executive, the existence of a nursing strategic plan, and a funding model. An overview of the Task Force on Nursing Education is presented with a focus on the model's 10 process steps and resulting seven recommendations. The Michigan Nurse Education Council was established to implement the recommendations that included quality and safety. Copyright © 2013 Elsevier Inc. All rights reserved.

  17. Improving Safety, Quality and Efficiency through the Management of Emerging Processes: The TenarisDalmine Experience

    Science.gov (United States)

    Bonometti, Patrizia

    2012-01-01

    Purpose: The aim of this contribution is to describe a new complexity-science-based approach for improving safety, quality and efficiency and the way it was implemented by TenarisDalmine. Design/methodology/approach: This methodology is called "a safety-building community". It consists of a safety-behaviour social self-construction…

  18. Materials technology and the energy problem : application to the reliability and safety of nuclear pressure vessels

    International Nuclear Information System (INIS)

    Garrett, G.G.

    1975-01-01

    In the U.S.A. over the past few months, widespread plant shutdowns because of cracking problems has produced considerable public pressure for a reappraisal of the reliability and safety of nuclear reactors. The awareness of such problems, and their solution, is particularly relevant to South Africa at this time. Some materials problems related to nuclear plant failure are examined in this paper. Since catastrophic failure (without prior warning from slow leakage) is in principle possible for light water (pressurised) reactors under operating conditions, it is essential to maintain rigorous manufacturing and quality control procedures, in conjunction with thorough and frequent examination by non-destructive testing methods. Although tests currently in progress in the U.S.A. on large-scale model reactors suggest that mathematical stress and failure analyses, for simple geometries at least, are sound, current in situ surveillance programmes aimed at categorizing the effects of irradiation are inadequate. In addition, the effects on materials properties and subsequent fracture resistance of the combined effects of irradiation and thermal shock (arising from the injection of emergency cooling water during a loss-of coolant accident) are unknown. The problem of stress corrosion cracking in stainless steel pipelines is considerable, and at present virtually impossible to predict. Much of the available laboratory data is inapplicable in that it cannot account for the complex interactions of stress state, temperature, material variations and segregation effects, and water chemistry, especially in conjunction with irradiation effects, that are experienced in an operating environment

  19. Teaching Mathematical Word Problem Solving: The Quality of Evidence for Strategy Instruction Priming the Problem Structure

    Science.gov (United States)

    Jitendra, Asha K.; Petersen-Brown, Shawna; Lein, Amy E.; Zaslofsky, Anne F.; Kunkel, Amy K.; Jung, Pyung-Gang; Egan, Andrea M.

    2015-01-01

    This study examined the quality of the research base related to strategy instruction priming the underlying mathematical problem structure for students with learning disabilities and those at risk for mathematics difficulties. We evaluated the quality of methodological rigor of 18 group research studies using the criteria proposed by Gersten et…

  20. Quantification of microbial quality and safety in minimally processed foods

    NARCIS (Netherlands)

    Zwietering, M.H.

    2002-01-01

    To find a good equilibrium between quality and margin of safety of minimally processed foods, often various hurdles are used. Quantification of the kinetics should be used to approach an optimum processing and to select the main aspects. Due to many factors of which the exact quantitative effect is

  1. Quality and safety evaluation of a Ghanaian polyherbal product EAF ...

    African Journals Online (AJOL)

    Background: The widespread use of herbal medicines in recent years means that issues concerning their quality, safety and efficacy need to be answered. In the current study, the polyherbal formulation EAF-2011 used in the Centre for Scientific Research into Plant Medicine, Mampong- Akwapemfor the management of ...

  2. Evidence-Based Quality Improvement: A recipe for improving medication safety and handover of care

    NARCIS (Netherlands)

    Smeulers, M.

    2016-01-01

    In healthcare we strive to provide the highest possible quality of care. Even though healthcare professionals work together with the intention to provide safe care, medical errors still threaten patient safety. Patient safety has received considerable attention since the beginning of this century,

  3. PATIENT SAFETY IN SURGERY: THE QUALITY OF IMPLEMENTATION OF PATIENT SAFETY CHECKLISTS IN A REGIONAL HOSPITAL

    Directory of Open Access Journals (Sweden)

    V. Karyadinata

    2012-09-01

    Full Text Available Introduction. Patient safety and the avoidance of inhospital adverse events is a key focus of clinical practice and medical audit. A large of proportion of medical errors affect surgical patients in the peri-operative setting. Safety checklists have been adopted by the medical profession from the aviation industry as a cheap and reliable method of avoiding errors which arise from complex or stressful situations. Current evidence suggests that the use of periooperative checklists has led to a decrease in surgical morbidity and hospital costs. Aim. To assess the quality of implementation of a modified patient safety checklist in a UK district general hospital. Methods. An observational tool was designed to assess in real time the peri-operative performance of the surgical safety checklist in patients undergoing general surgical, urological or orthopaedic procedures. Initiation of the checklist, duration of performance and staff participation were audited in real time. Results. 338 cases were monitored. Nurses were most active in initiating the safety checklist. The checklist was performed successfully in less than a minute in most cases. 11-24% of staff (according to professional group present in the operating room did not participate in the checklist. Critical safety checks (patient identity and procedure name were performed in all cases across all specialties. Variations were noted in checking other categories, such as deep vein thrombosis (DVT prophylaxis or patient warming. Conclusions. There is still a potential for improving the practice and culture of surgical patient safety activities. Staff training and designation of patient safety leadership roles is needed in increasing compliance and implementation of patient safety mechanism, such as peri-operative checklists. There is significant data to advocate the need to implement patient safety surgical checklists internationally

  4. Editorial: Advances in healthcare provider and patient training to improve the quality and safety of patient care

    OpenAIRE

    Elizabeth M. Borycki

    2015-01-01

    This special issue of the Knowledge Management & E-Learning: An International Journal is dedicated to describing “Advances in Healthcare Provider and Patient Training to Improve the Quality and Safety of Patient Care.” Patient safety is an important and fundamental requirement of ensuring the quality of patient care. Training and education has been identified as a key to improving healthcare provider patient safety competencies especially when working with new technologies such as electronic ...

  5. Environment, Safety, Health, and Quality Plan for the Buried Waste Integrated Demonstration Program

    International Nuclear Information System (INIS)

    Walker, S.

    1994-05-01

    The Buried Waste Integrated Demonstration (BWID) is a program funded by the US Department of Energy Office of Technology Development. BWID supports the applied research, development, demonstration, testing, and evaluation of a suite of advanced technologies that together form a comprehensive remediation system for the effective and efficient remediation of buried waste. This document describes the Environment, Safety, Health, and Quality requirements for conducting BWID activities at the Idaho National Engineering Laboratory. Topics discussed in this report, as they apply to BWID operations, include Federal, State of Idaho, and Environmental Protection Agency regulations, Health and Safety Plans, Quality Program Plans, Data Quality Objectives, and training and job hazard analysis. Finally, a discussion is given on CERCLA criteria and System and Performance audits as they apply to the BWID Program

  6. Teaching mathematical word problem solving: the quality of evidence for strategy instruction priming the problem structure.

    Science.gov (United States)

    Jitendra, Asha K; Petersen-Brown, Shawna; Lein, Amy E; Zaslofsky, Anne F; Kunkel, Amy K; Jung, Pyung-Gang; Egan, Andrea M

    2015-01-01

    This study examined the quality of the research base related to strategy instruction priming the underlying mathematical problem structure for students with learning disabilities and those at risk for mathematics difficulties. We evaluated the quality of methodological rigor of 18 group research studies using the criteria proposed by Gersten et al. and 10 single case design (SCD) research studies using criteria suggested by Horner et al. and the What Works Clearinghouse. Results indicated that 14 group design studies met the criteria for high-quality or acceptable research, whereas SCD studies did not meet the standards for an evidence-based practice. Based on these findings, strategy instruction priming the mathematics problem structure is considered an evidence-based practice using only group design methodological criteria. Implications for future research and for practice are discussed. © Hammill Institute on Disabilities 2013.

  7. Nuclear safety in Slovak Republic. Status of safety improvements

    International Nuclear Information System (INIS)

    Toth, A.

    1999-01-01

    Status of the safety improvements at Bohunice V-1 units concerning WWER-440/V-230 design upgrading were as follows: supplementing of steam generator super-emergency feed water system; higher capacity of emergency core cooling system; supplementing of automatic links between primary and secondary circuit systems; higher level of secondary system automation. The goal of the modernization program for Bohunice V-1 units WWER-440/V-230 was to increase nuclear safety to the level of the proposals and IAEA recommendations and to reach probability goals of the reactor concerning active zone damage, leak of radioactive materials, failures of safety systems and damage shields. Upgrading program for Mochovce NPP - WWER-440/V-213 is concerned with improving the integrity of the reactor pressure vessel, steam generators 'leak before break' methods applied for the NPP, instrumentation and control of safety systems, diagnostic systems, replacement of in-core monitoring system, emergency analyses, pressurizers safety relief valves, hydrogen removal system, seismic evaluations, non-destructive testing, fire protection. Implementation of quality assurance has a special role in improvement of operational safety activities as well as safety management and safety culture, radiation protection, decommissioning and waste management and training. The Year 2000 problem is mentioned as well

  8. Assessment of Contributions to Patient Safety Knowledge by the Agency for Healthcare Research and Quality-Funded Patient Safety Projects

    Science.gov (United States)

    Sorbero, Melony E S; Ricci, Karen A; Lovejoy, Susan; Haviland, Amelia M; Smith, Linda; Bradley, Lily A; Hiatt, Liisa; Farley, Donna O

    2009-01-01

    Objective To characterize the activities of projects funded in Agency for Healthcare Research and Quality (AHRQ)' patient safety portfolio and assess their aggregate potential to contribute to knowledge development. Data Sources Information abstracted from proposals for projects funded in AHRQ' patient safety portfolio, information on safety practices from the AHRQ Evidence Report on Patient Safety Practices, and products produced by the projects. Study Design This represented one part of the process evaluation conducted as part of a longitudinal evaluation based on the Context–Input–Process–Product model. Principal Findings The 234 projects funded through AHRQ' patient safety portfolio examined a wide variety of patient safety issues and extended their work beyond the hospital setting to less studied parts of the health care system. Many of the projects implemented and tested practices for which the patient safety evidence report identified a need for additional evidence. The funded projects also generated a substantial body of new patient safety knowledge through a growing number of journal articles and other products. Conclusions The projects funded in AHRQ' patient safety portfolio have the potential to make substantial contributions to the knowledge base on patient safety. The full value of this new knowledge remains to be confirmed through the synthesis of results. PMID:21456108

  9. Quality assurance and radiation safety in positron emission tomography

    International Nuclear Information System (INIS)

    Kmetyuk, Ya.V.; Radosh, H.V.; Bezshyyko, O.A.; Golinka-Bezshyyko, L.O.; Kadenko, I.M.; Kazinova, O.A.; Nagai, A.O.

    2012-01-01

    Scientific studies, clinical experience and economic analysis have shown that the positron emission tomography (PET) is clinically and cost effective cancer diagnostics method. Combined PET and computed tomography (PET/CT) has proven clinical utility, particularly in the diagnosis, staging or restaging malignant disease and metastases, surgical planning, radiation therapy planning and evaluation of treatment response. The use of PET/CT has grown substantially in the past few years, with an increasing number of hospitals and installations of PET/CT imaging centers each year. In the same time combination of 2 procedures, each of which impart a radiation dose and, as a result, increases the deleterious influence for health, creates additional radiation safety issues. In these conditions the role of quality assurance (QA) and quality control (QC) programs is getting more and more important. We considered main QA and radiation safety requirements for whole PET technology chain from radio-pharmacy facilities to PET/CT scanning and patient release criteria. All these issues were considered and assessed having the example of PET facilities and technology chain of All-Ukrainian Center for Radiosurgery of the Clinical Hospital 'Feofania'

  10. CONCEPTUALIZATION OF IDEAS OF PSYCHOLOGICAL SAFETY IN SPORTS: PROBLEMS OF EXPERIMENTAL RESEARCH

    Directory of Open Access Journals (Sweden)

    Yulia Vladimirovna Vardanyan

    2013-09-01

    Full Text Available This article is devoted to the research of the concept “psychological safety in sports”. On the basis of analysis of ideas about psychological safety in sports and their representation in printed or verbal form the necessity of overcoming the fragmentation and lack of system is substantiated. The authors state that one and the same sports situation can constructively or destructively affect the psychological safety of direct or indirect participants of sports events. In this context, it is important to create the psycholinguistic basis of experimental research of psychological safety in sports. Great attention is paid to systematization of the content of the concept “psychological safety in sports”. The created models of words and expressions that convey ideas about this phenomenon are of particular value. In the structure of the concept the dominant meanings, expressed in the nucleus, and additional meanings, related to the periphery of the concept are distinguished.Purpose: to explore the ideas of psychological safety in sports and their representation in printed or verbal form; to determine ways of overcoming the conceptual psycholinguistic problems in the process of experimental research of psychological safety in sports; to create the model of words and expressions which are used to verbalize the concept “psychological safety in sports”.Methodology: theoretical analysis of psychological and linguistic literature, creation of the psycholinguistic basis of experimental research, modeling of the conceptual ideas of psychological safety in sports.Results: psycholinguistic basis of experimental research of psychological safety in sports, the model of content and structure of the corresponding concept.Practical implications: Pedagogical Psychology, Sports Psychology, Philology, Psycholinguistics.DOI: http://dx.doi.org/10.12731/2218-7405-2013-8-11

  11. Quality assurance of radiotherapy in cancer treatment. Toward improvement of patient safety and quality of care

    International Nuclear Information System (INIS)

    Ishikura, Satoshi

    2008-01-01

    The process of radiotherapy (RT) is complex and involves understanding of the principles of medical physics, radiobiology, radiation safety, dosimetry, radiation treatment planning, simulation and interaction of radiation with other treatment modalities. Each step in the integrated process of RT needs quality control and quality assurance (QA) to prevent errors and to give high confidence that patients will receive the prescribed treatment correctly. Recent advances in RT, including intensity-modulated and image-guided RT, focus on the need for a systematic RTQA program that balances patient safety and quality with available resources. It is necessary to develop more formal error mitigation and process analysis methods, such as failure mode and effect analysis, to focus available QA resources optimally on process components. External audit programs are also effective. The International Atomic Energy Agency has operated both an on-site and off-site postal dosimetry audit to improve practice and to assure the dose from RT equipment. Several countries have adopted a similar approach for national clinical auditing. In addition, clinical trial QA has a significant role in enhancing the quality of care. The Advanced Technology Consortium has pioneered the development of an infrastructure and QA method for advanced technology clinical trials, including credentialing and individual case review. These activities have an impact not only on the treatment received by patients enrolled in clinical trials, but also on the quality of treatment administered to all patients treated in each institution, and have been adopted globally; by the USA, Europe and Japan also. (author)

  12. Quality assurance of radiotherapy in cancer treatment: toward improvement of patient safety and quality of care.

    Science.gov (United States)

    Ishikura, Satoshi

    2008-11-01

    The process of radiotherapy (RT) is complex and involves understanding of the principles of medical physics, radiobiology, radiation safety, dosimetry, radiation treatment planning, simulation and interaction of radiation with other treatment modalities. Each step in the integrated process of RT needs quality control and quality assurance (QA) to prevent errors and to give high confidence that patients will receive the prescribed treatment correctly. Recent advances in RT, including intensity-modulated and image-guided RT, focus on the need for a systematic RTQA program that balances patient safety and quality with available resources. It is necessary to develop more formal error mitigation and process analysis methods, such as failure mode and effect analysis, to focus available QA resources optimally on process components. External audit programs are also effective. The International Atomic Energy Agency has operated both an on-site and off-site postal dosimetry audit to improve practice and to assure the dose from RT equipment. Several countries have adopted a similar approach for national clinical auditing. In addition, clinical trial QA has a significant role in enhancing the quality of care. The Advanced Technology Consortium has pioneered the development of an infrastructure and QA method for advanced technology clinical trials, including credentialing and individual case review. These activities have an impact not only on the treatment received by patients enrolled in clinical trials, but also on the quality of treatment administered to all patients treated in each institution, and have been adopted globally; by the USA, Europe and Japan also.

  13. Evaluating Performance of Safety Management and Occupational Health Using Total Quality Safety Management Model (TQSM

    Directory of Open Access Journals (Sweden)

    E Mohammadfam

    2015-11-01

    Full Text Available Introduction: All organizations, whether public or private, necessitate performance evaluation systems in regard with growth, stability, and development in the competitive fields. One of the existing models for performance evaluation of occupational health and safety management is Total Quality Safety Management model (TQSM. Therefore, the present study aimed to evaluate performance of safety management and occupational health utilizing TQSM model. Methods: In this descriptive-analytic study, the population consisted of 16 individuals, including managers, supervisors, and members of technical protection and work health committee. Then the participants were asked to respond to TQSM questionnaire before and after the implementation of Occupational Health & Safety Advisory Services 18001 (OHSAS18001. Ultimately, the level of each program as well as the TQSM status were determined before and after the implementation of OHSAS18001. Results: The study results showed that the scores obtained by the company before OHSAS 18001’s implementation, was 43.7 out of 312. After implementing OHSAS 18001 in the company and receiving the related certificate, the total score of safety program that company could obtain was 127.12 out of 312 demonstrating a rise of 83.42 scores (26.8%. The paired t-test revealed that mean difference of TQSM scores before and after OHSAS 18001 implementation was proved to be significant (p> 0.05. Conclusion: The study findings demonstrated that TQSM can be regarded as an appropriate model in order to monitor the performance of safety management system and occupational health, since it possesses the ability to quantitatively evaluate the system performance.

  14. Evaluating the U.S. Food Safety Modernization Act Produce Safety Rule Standard for Microbial Quality of Agricultural Water for Growing Produce

    NARCIS (Netherlands)

    Havelaar, Arie H; Vazquez, Kathleen M; Topalcengiz, Zeynal; Muñoz-Carpena, Rafael; Danyluk, Michelle D

    2017-01-01

    The U.S. Food and Drug Administration (FDA) has defined standards for the microbial quality of agricultural surface water used for irrigation. According to the FDA produce safety rule (PSR), a microbial water quality profile requires analysis of a minimum of 20 samples for Escherichia coli over 2 to

  15. Patient safety and quality of care: how may clinical simulation contribute?

    DEFF Research Database (Denmark)

    Jensen, Sanne

    2015-01-01

    The usability of health information technology (IT) is increasingly recognized as critically important to the development of systems that ensure patient safety and quality of care. The substantial complexity of organizations, work practice and physical environments within the healthcare sector...... influences the development and application of health IT. When health IT is introduced in local clinical work practices, potential patient safety hazards and insufficient support of work practices need to be examined. Qualitative methods, such as clinical simulation, may be used to evaluate new technology...

  16. List of the reports from reactor safety research of the BMFT and USNRC

    International Nuclear Information System (INIS)

    1977-02-01

    This list presents a survey of reports from the FRG and USA issued on special problems of reactor safety research. The problems include emergency core cooling, the containment during loss of coolant, core meltdown, component safety, external impacts, risk and reliability, quality assurance, fission product transport, radiation exposure, as well as the LWR, HTR and the fast sodium-cooled reactor in general. (orig./HK) [de

  17. Longitudinal effects of sibling relationship quality on adolescent problem behavior: a cross-ethnic comparison.

    Science.gov (United States)

    Buist, Kirsten L; Paalman, Carmen H; Branje, Susan J T; Deković, Maja; Reitz, Ellen; Verhoeven, Marjolein; Meeus, Wim H J; Koot, Hans M; Hale, William W

    2014-04-01

    The aim of the present study was to examine whether adolescents of Moroccan and Dutch origin differ concerning sibling relationship quality and to examine whether the associations between quality of the sibling relationship and level and change in externalizing and internalizing problem behavior are comparable for Moroccan and Dutch adolescents. Five annual waves of questionnaire data on sibling support and conflict as well as externalizing problems, anxiety and depression were collected from 159 ethnic Moroccan adolescents (Mage = 13.3 years) and from 159 ethnic Dutch adolescents (Mage = 13.0 years). Our findings demonstrated significant mean level differences between the Moroccan and Dutch sample in sibling relationship quality, externalizing problems, and depression, with Moroccan adolescents reporting higher sibling relationship quality and less problem behavior. However, effects of sibling relationship quality on externalizing problems, anxiety, and depression were similar for the Moroccan and Dutch samples. Sibling support was not related to level of externalizing problems, nor to changes in externalizing problems, anxiety, and depression. Additionally, more sibling conflict was related to a higher starting level of and faster decreases in problem behaviors. Our results support the ethnic equivalence model, which holds that the influence of family relationships is similar for different ethnic groups. Moreover, sibling support and conflict affect both the level and the fluctuations in problem behavior over time in specific ethnic groups similarly. Implications for future studies and interventions are subsequently discussed.

  18. Extension of CFD Codes Application to Two-Phase Flow Safety Problems - Phase 3

    International Nuclear Information System (INIS)

    Bestion, D.; Anglart, H.; Mahaffy, J.; Lucas, D.; Song, C.H.; Scheuerer, M.; Zigh, G.; Andreani, M.; Kasahara, F.; Heitsch, M.; Komen, E.; Moretti, F.; Morii, T.; Muehlbauer, P.; Smith, B.L.; Watanabe, T.

    2014-11-01

    The Writing Group 3 on the extension of CFD to two-phase flow safety problems was formed following recommendations made at the 'Exploratory Meeting of Experts to Define an Action Plan on the Application of Computational Fluid Dynamics (CFD) Codes to Nuclear Reactor Safety Problems' held in Aix-en-Provence, in May 2002. Extension of CFD codes to two-phase flow is significant potentiality for the improvement of safety investigations, by giving some access to smaller scale flow processes which were not explicitly described by present tools. Using such tools as part of a safety demonstration may bring a better understanding of physical situations, more confidence in the results, and an estimation of safety margins. The increasing computer performance allows a more extensive use of 3D modelling of two-phase Thermal hydraulics with finer nodalization. However, models are not as mature as in single phase flow and a lot of work has still to be done on the physical modelling and numerical schemes in such two-phase CFD tools. The Writing Group listed and classified the NRS problems where extension of CFD to two-phase flow may bring real benefit, and classified different modelling approaches in a first report (Bestion et al., 2006). First ideas were reported about the specification and analysis of needs in terms of validation and verification. It was then suggested to focus further activity on a limited number of NRS issues with a high priority and a reasonable chance to be successful in a reasonable period of time. The WG3-step 2 was decided with the following objectives: - selection of a limited number of NRS issues having a high priority and for which two-phase CFD has a reasonable chance to be successful in a reasonable period of time; - identification of the remaining gaps in the existing approaches using two-phase CFD for each selected NRS issue; - review of the existing data base for validation of two-phase CFD application to the selected NRS problems

  19. Patient safety and quality improvement education: a cross-sectional study of medical students’ preferences and attitudes

    Directory of Open Access Journals (Sweden)

    Teigland Claire L

    2013-02-01

    Full Text Available Abstract Background Recent educational initiatives by both the World Health Organization and the American Association of Medical Colleges have endorsed integrating teaching of patient safety and quality improvement (QI to medical students. Curriculum development should take into account learners’ attitudes and preferences. We surveyed students to assess preferences and attitudes about QI and patient safety education. Methods An electronic survey was developed through focus groups, literature review, and local expert opinion and distributed via email to all medical students at a single medical school in the spring of 2012. Results A greater proportion of students reported previous exposure to patient safety than to quality improvement topics (79% vs. 47%. More than 80% of students thought patient safety was of the same or greater importance than basic science or clinical skills whereas quality improvement was rated as the same or more important by about 70% of students. Students rated real life examples of quality improvement projects and participation in these projects with actual patients as potentially the most helpful (mean scores 4.2/5 and 3.9/5 respectively. For learning about patient safety, real life examples of mistakes were again rated most highly (mean scores 4.5/5 for MD presented mistakes and 4.1/5 for patient presented mistakes. Students rated QI as very important to their future career regardless of intended specialty (mean score 4.5/5. Conclusions Teaching of patient safety and quality improvement to medical students will be best received if it is integrated into clinical education rather than solely taught in pre-clinical lectures or through independent computer modules. Students recognize that these topics are important to their careers as future physicians regardless of intended specialty.

  20. Code of practice on quality assurance for safety in nuclear power plants

    International Nuclear Information System (INIS)

    1988-01-01

    The code sets forth the management principles and objectives to be met during the implementation of activities in different phases of the nuclear power plants (NPPs) for assuring safety. It is intended for use by organisations and individuals responsible for safety related functions in design, manufacturing, construction, commissioning, operation and decommissioning of NPPs. It covers the functions of management, performance, verification and corrective action. It also deals with the quality assurance records. (M.G.B.)

  1. Food safety and quality management in Kenya: An overview of the ...

    African Journals Online (AJOL)

    Food safety and quality management in Kenya: An overview of the roles ... of the enormous informal sector in the food industry accounting for at least 80% of the ... management in the food supply chain has cost implications and income is a ...

  2. Quality and safety control in the production of recreational-purpose cottage cheese

    OpenAIRE

    Мостова, Людмила Миколаївна; Клусович, Тетяна Валеріївна

    2015-01-01

    The paper deals with the relevant problem of implementing safety control systems according to HACCP principles for Ukrainian catering establishments in the integration of trade space. Taking into account high competition and consumer audience gaining priority, the work emphasizes the need to develop and implement safety control system according to HACCP principles as a precondition for leadership of catering establishments  in the national market, and get significant competitive advantages in...

  3. Quality factors quantification/assurance for software related to safety in nuclear power plants

    International Nuclear Information System (INIS)

    Nunez McLeod, J.E.; Rivera, S.S.

    1997-01-01

    Quality assurance plan is needed to guarantee the software quality. The use of such a plan involves activities that should take place all along the life cycle, and which can be evaluated using the so called quality factors. This is due to the fact that the quality itself cannot be measured, but some of its manifestations can be used for this purpose. In the present work, a methodology to quantify a set of quality factors is proposed, for software based systems to be used in safety related areas in nuclear power plants. (author) [es

  4. Efficiency of the functioning of the state control system for the safety and quality of animal products in Ukraine

    Directory of Open Access Journals (Sweden)

    I. Kyryliuk

    2017-12-01

    Full Text Available The study reveals the results of evaluating the effectiveness of the state control system (supervision on the safety and individual indicators of the quality of livestock products in Ukraine. The necessity of application of such components of efficiency as legislation, management and its organizational structure, inspection and laboratory service, information, training and communications is substantiated. It has been determined that during a sufficiently long period of time (until 2015, the system of state control (supervision was archaic and actually focused on the principles of command and administrative economy. The modern tendencies and specifics of the improvement of the Ukrainian control system in the direction of its harmonization with the European one are shown. The emphasis was on significant volumes of work that needed to be done in a very short time, as well as in the absence of adequate funding and appropriate skilled specialists. The emergence of clarity and unambiguousness in determining the responsibility of market operators for violating the legislation requirements in the field of production and circulation of animal origin food products was emphasized. Along with the achievements, there were identified systemic problems related to the technical regulation of safety assurance processes and individual quality indicators in Ukraine. Also it was noted and revealed that legislation in the area of guaranteeing the quality and safety of livestock products in Ukraine remains incomplete and not fully developed. The necessity of development of a number of by-laws and allocation of necessary financing for effective functioning of the state control system over product safety is substantiated. Article specified on the presence of insufficient number of professional inspection and laboratory services is underlined. The mechanisms of avoiding corruption risks and excessive pressure on the subjects of the livestock production market are

  5. Assessment of Quality and Safety of Street-vended Fried West ...

    African Journals Online (AJOL)

    This study was carried out to assess the quality and safety of street-vended fried West African ilisha (Ilisha africana) from major markets in Ibadan, Oyo State, Nigeria. A total number of 100 fried fish samples obtained from ten major markets in Ibadan, Oyo State, Nigeria were analysed in the laboratory for: proximate ...

  6. Transforming communication and safety culture in intrapartum care: a multi-organization blueprint.

    Science.gov (United States)

    Lyndon, Audrey; Johnson, M Christina; Bingham, Debra; Napolitano, Peter G; Joseph, Gerald; Maxfield, David G; OʼKeeffe, Daniel F

    2015-05-01

    Effective, patient-centered communication facilitates interception and correction of potentially harmful conditions and errors. All team members, including women, their families, physicians, midwives, nurses, and support staff, have a role in identifying the potential for harm during labor and birth. However, the results of collaborative research studies conducted by organizations that represent professionals who care for women during labor and birth indicate that health care providers may frequently witness, but may not always report, problems with safety or clinical performance. Some of these health care providers felt resigned to the continuation of such problems and fearful of retribution if they tried to address them. Speaking up to address safety and quality concerns is a dynamic social process. Every team member must feel empowered to speak up about concerns without fear of put-downs, retribution, or receiving poor-quality care. Patient safety requires mutual accountability: individuals, teams, health care facilities, and professional associations have a shared responsibility for creating and sustaining environments of mutual respect and engaging in highly reliable perinatal care. Defects in human factors, communication, and leadership have been the leading contributors to sentinel events in perinatal care for more than a decade. Organizational commitment and executive leadership are essential to creating an environment that proactively supports safety and quality. The problem is well-known; the time for action is now.

  7. The Trends and their Impact on Fishery Products Safety and Quality

    Directory of Open Access Journals (Sweden)

    Gheorghe Adrian ZUGRAVU

    2012-11-01

    Full Text Available The paper follows two main objectives: to understand consumers’ perception of safety and quality of fishery products and to identify communication levers in order to improve the perceived image of fishery products. The present research is focused on the fishery products, regardless of their presentation – fresh, frozen or processed. This paper conducted a questionnaire survey of Romanian consumers’ perception toward fishery products. The empirical study with brands indicated that consumers are different awareness to domestic and foreign safety fish products. National fishery products got more attention from the consumers.

  8. The problem of appraising qualitative research

    OpenAIRE

    Dixon-Woods, M; Shaw, R; Agarwal, S; Smith, J

    2004-01-01

    

 Qualitative research can make a valuable contribution to the study of quality and safety in health care. Sound ways of appraising qualitative research are needed, but currently there are many different proposals with few signs of an emerging consensus. One problem has been the tendency to treat qualitative research as a unified field. We distinguish universal features of quality from those specific to methodology and offer a set of minimally prescriptive prompts to assist with the assessme...

  9. [Quality of care and safety indicators in anticoagulated patients with non-valvular auricular fibrillation and deep venous thromboembolic disease].

    Science.gov (United States)

    Ignacio, E; Mira, J J; Campos, F J; López de Sá, E; Lorenzo, A; Caballero, F

    2018-03-19

    To identify and prioritise indicators to assess the quality of care and safety of patients with non-valvular auricular fibrillation (NVAF) and deep vein thrombosis (DVT) treated with anticoagulants. Using the consensus conference technique, a group of professionals and clinical experts, the determining factors of the NVAF and DVT care process were identified, in order to define the quality and safety criteria. A proposal was made for indicators of quality and safety that were prioritised, taking into account a series of pre-established attributes. The selected indicators were classified into indicators of context, safety, action, and outcomes of the intervention in the patient. A set of 114 health care and safety quality indicators were identified, of which 35 were prioritised: 15 for NVAF and 20 for DVT. About half (49%) of the indicators (40% for NVAF and 55% for DVT) applied to patient safety, and 26% (33% for NVAF and 20% for DVT) to the outcomes of interventions in the patient. The present work presents a set of agreed indicators by a group of expert professionals that can contribute to the improvement of the quality of care of patients with NVAF and DVT treated with anticoagulants. Copyright © 2018 SECA. Publicado por Elsevier España, S.L.U. All rights reserved.

  10. Consumer Choice between Food Safety and Food Quality: The Case of Farm-Raised Atlantic Salmon

    Science.gov (United States)

    Haghiri, Morteza

    2016-01-01

    Since the food incidence of polychlorinated biphenyls in farm-raised Atlantic salmon, its market demand has drastically changed as a result of consumers mistrust in both the quality and safety of the product. Policymakers have been trying to find ways to ensure consumers that farm-raised Atlantic salmon is safe. One of the suggested policies is the implementation of integrated traceability methods and quality control systems. This article examines consumer choice between food safety and food quality to purchase certified farm-raised Atlantic salmon, defined as a product that has passed through various stages of traceability systems in the province of Newfoundland and Labrador, Canada. PMID:28231118

  11. Optimizing Quality of Care and Patient Safety in Malaysia: The Current Global Initiatives, Gaps and Suggested Solutions

    OpenAIRE

    Jarrar, Mu?taman; Rahman, Hamzah Abdul; Don, Mohammad Sobri

    2015-01-01

    Background and Objective: Demand for health care service has significantly increased, while the quality of healthcare and patient safety has become national and international priorities. This paper aims to identify the gaps and the current initiatives for optimizing the quality of care and patient safety in Malaysia. Design: Review of the current literature. Highly cited articles were used as the basis to retrieve and review the current initiatives for optimizing the quality of care and patie...

  12. Fundamental challenging problems for developing new nuclear safety standard computer codes

    International Nuclear Information System (INIS)

    Wong, P.K.; Wong, A.E.; Wong, A.

    2005-01-01

    Based on the claims of the US Basic patents number 5,084,232; 5,848,377 and 6,430,516 that can be obtained from typing the Patent Numbers into the Box of the Web site http://164.195.100.11/netahtml/srchnum.htm and their associated published technical papers having been presented and published at International Conferences in the last three years and that all these had been sent into US-NRC by E-mail on March 26, 2003 at 2:46 PM., three fundamental challenging problems for developing new nuclear safety standard computer codes had been presented at the US-NRC RIC2003 Session W4. 2:15-3:15 PM. at the Washington D.C. Capital Hilton Hotel, Presidential Ballroom on April 16, 2003 in front of more than 800 nuclear professionals from many countries worldwide. The objective and scope of this paper is to invite all nuclear professionals to examine and evaluate all the current computer codes being used in their own countries by means of comparison of numerical data from these three specific openly challenging fundamental problems in order to set up a global safety standard for all nuclear power plants in the world. (authors)

  13. Positioning Continuing Education: Boundaries and Intersections between the Domains Continuing Education, Knowledge Translation, Patient Safety and Quality Improvement

    Science.gov (United States)

    Kitto, Simon; Bell, Mary; Peller, Jennifer; Sargeant, Joan; Etchells, Edward; Reeves, Scott; Silver, Ivan

    2013-01-01

    Public and professional concern about health care quality, safety and efficiency is growing. Continuing education, knowledge translation, patient safety and quality improvement have made concerted efforts to address these issues. However, a coordinated and integrated effort across these domains is lacking. This article explores and discusses the…

  14. The medical student as a patient: attitudes towards involvement in the quality and safety of health care.

    Science.gov (United States)

    Davis, Rachel E; Joshi, Devavrata; Patel, Krishan; Briggs, M; Vincent, Charles A

    2013-10-01

    In recent years, factors that affect patients' willingness and ability to participate in safety-relevant behaviours have been investigated. However, how trained healthcare professionals or medical students would feel participating in safety-relevant behaviours as a patient in hospital remains largely unexplored. To investigate medical students' willingness to participate in behaviours related to the quality and safety of their health care. A cross-sectional exploratory study using a survey that addressed willingness to participate in different behaviours recommended by current patient safety initiatives. Three types of interactional behaviours (asking factual or challenging questions, notifying doctors or nurses of errors/problems) and three non-interactional behaviours (choosing a hospital based on the safety record, bringing medicines and a list of allergies into hospital, and reporting an error to a national reporting system) were assessed. One hundred and seventy-nine medical students from an inner city London teaching hospital participated in the study. Students' willingness to participate was affected (P interactional behaviours) whether the patient was engaging in the specific action with a doctor or nurse. Students were least willing to ask 'challenging' questions to doctors and nurses and to report errors to a national reporting system. Doctors' and nurses' encouragement appeared to increase self-reported willingness to participate in behaviours where baseline willingness was low. Similar to research on lay patient populations; medical students do not view involvement in safety-related behaviours equally. Interventions should be tailored at encouraging students to participate in behaviours they are less inclined to take on an active role in. Future research is required to examine students' motivations for participation in this important but heavily under-researched area. © 2012 John Wiley & Sons Ltd.

  15. Participatory/problem-based methods and techniques for training in health and safety.

    Science.gov (United States)

    Rosskam, E

    2001-01-01

    More knowledgeable and trained people are needed in the area of occupational health, safety, and environment (OSHE) if work-related fatalities, accidents, and diseases are to be reduced. Established systems have been largely ineffective, with few employers taking voluntary measures to protect workers and the environment and too few labor inspectors available. Training techniques using participatory methods and a worker empowerment philosophy have proven value. There is demonstrated need for the use of education for action, promoting the involvement of workers in all levels of decision-making and problem-solving in the workplace. OSH risks particular to women s jobs are virtually unstudied and not addressed at policy levels in most countries. Trade unions and health and safety professionals need to demystify technical areas, empower workers, and encourage unions to dedicate special activities around women s jobs. Trained women are excellent motivators and transmitters of safety culture. Particular emphasis is given to train-the-trainer approaches.

  16. Quality and safety based management of radiological and clinical equipment

    International Nuclear Information System (INIS)

    Arora, S.; Saini, P.S.

    2001-01-01

    TQM (Total quality management) is the 'buzz' acronym expected in almost every aspect of industrial manufacturing, product development and services solicited by the outside agencies. The correct management of the many technological resources in health institutions in terms of efficiency, effectiveness and safety is a necessity in view of the criteria on which modern medicine is based. Almost all activities -be they diagnostic, therapeutic and rehabilitative - carried out within a modern hospital are based on widespread application of equipment and technology, the efficiency of which can directly influence the quality of service offered to the patient

  17. Relationships between undergraduates' argumentation skills, conceptual quality of problem solutions, and problem solving strategies in introductory physics

    Science.gov (United States)

    Rebello, Carina M.

    This study explored the effects of alternative forms of argumentation on undergraduates' physics solutions in introductory calculus-based physics. A two-phase concurrent mixed methods design was employed to investigate relationships between undergraduates' written argumentation abilities, conceptual quality of problem solutions, as well as approaches and strategies for solving argumentative physics problems across multiple physics topics. Participants were assigned via stratified sampling to one of three conditions (control, guided construct, or guided evaluate) based on gender and pre-test scores on a conceptual instrument. The guided construct and guided evaluate groups received tasks and prompts drawn from literature to facilitate argument construction or evaluation. Using a multiple case study design, with each condition serving as a case, interviews were conducted consisting of a think-aloud problem solving session paired with a semi-structured interview. The analysis of problem solving strategies was guided by the theoretical framework on epistemic games adapted by Tuminaro and Redish (2007). This study provides empirical evidence that integration of written argumentation into physics problems can potentially improve the conceptual quality of solutions, expand their repertoire of problem solving strategies and show promise for addressing the gender gap in physics. The study suggests further avenues for research in this area and implications for designing and implementing argumentation tasks in introductory college physics.

  18. Utilization of mathematics amongst healthcare students towards problem solving during their occupational safety health internship

    Science.gov (United States)

    Umasenan a/l Thanikasalam

    2017-05-01

    Occupational safety health is a multidisciplinary discipline concentrating on the safety, health and welfare of workers in the working place. Healthcare Students undergoing Occupational Safety Health internships are required to apply mathematical in areas such as safety legislation, safety behavior, ergonomics, chemical safety, OSH practices, industrial hygiene, risk management and safety health practices as problem solving. The aim of this paper is to investigate the level of mathematics and logic utilization from these students during their internship looking at areas of Hazard identification, Determining the population exposed to the hazard, Assessing the risk of the exposure to the hazards and Taking preventive and control. A total of 142 returning healthcare students from their Occupational Safety Health, internship were given a questionnaire to measure their perceptions towards mathematical and logic utilization. The overall results indicated a strong positive skewed result towards the use of Mathematics during their internship. The findings showed that mathematics were well delivered by the students during their internship. Mathematics could not be separated from OSH practice as a needed precision in quantifying safety, health an d welfare of workers in addition to empiricism.

  19. A cross-sectional study to identify organisational processes associated with nurse-reported quality and patient safety

    Science.gov (United States)

    Tvedt, Christine; Sjetne, Ingeborg Strømseng; Helgeland, Jon; Bukholm, Geir

    2012-01-01

    Objectives The purpose of this study was to identify organisational processes and structures that are associated with nurse-reported patient safety and quality of nursing. Design This is an observational cross-sectional study using survey methods. Setting Respondents from 31 Norwegian hospitals with more than 85 beds were included in the survey. Participants All registered nurses working in direct patient care in a position of 20% or more were invited to answer the survey. In this study, 3618 nurses from surgical and medical wards responded (response rate 58.9). Nurses' practice environment was defined as organisational processes and measured by the Nursing Work Index Revised and items from Hospital Survey on Patient Safety Culture. Outcome measures Nurses' assessments of patient safety, quality of nursing, confidence in how their patients manage after discharge and frequency of adverse events were used as outcome measures. Results Quality system, nurse–physician relation, patient safety management and staff adequacy were process measures associated with nurse-reported work-related and patient-related outcomes, but we found no associations with nurse participation, education and career and ward leadership. Most organisational structures were non-significant in the multilevel model except for nurses’ affiliations to medical department and hospital type. Conclusions Organisational structures may have minor impact on how nurses perceive work-related and patient-related outcomes, but the findings in this study indicate that there is a considerable potential to address organisational design in improvement of patient safety and quality of care. PMID:23263021

  20. Coping and social problem solving correlates of asthma control and quality of life.

    Science.gov (United States)

    McCormick, Sean P; Nezu, Christine M; Nezu, Arthur M; Sherman, Michael; Davey, Adam; Collins, Bradley N

    2014-02-01

    In a sample of adults with asthma receiving care and medication in an outpatient pulmonary clinic, this study tested for statistical associations between social problem-solving styles, asthma control, and asthma-related quality of life. These variables were measured cross sectionally as a first step toward more systematic application of social problem-solving frameworks in asthma self-management training. Recruitment occurred during pulmonology clinic service hours. Forty-four adults with physician-confirmed diagnosis of asthma provided data including age, gender, height, weight, race, income, and comorbid conditions. The Asthma Control Questionnaire, the Mini Asthma Quality of Life Questionnaire (Short Form), and peak expiratory force measures offered multiple views of asthma health at the time of the study. Maladaptive coping (impulsive and careless problem-solving styles) based on transactional stress models of health were assessed with the Social Problem-Solving Inventory-Revised: Short Form. Controlling for variance associated with gender, age, and income, individuals reporting higher impulsive-careless scores exhibited significantly lower scores on asthma control (β = 0.70, p = 0.001, confidence interval (CI) [0.37-1.04]) and lower asthma-related quality of life (β = 0.79, p = 0.017, CI [0.15-1.42]). These findings suggest that specific maladaptive problem-solving styles may uniquely contribute to asthma health burdens. Because problem-solving coping strategies are both measureable and teachable, behavioral interventions aimed at facilitating adaptive coping and problem solving could positively affect patient's asthma management and quality of life.

  1. Quality and Safety of Home ICP Monitoring Compared with In-Hospital Monitoring

    DEFF Research Database (Denmark)

    Andresen, Morten; Juhler, Marianne; Munch, Tina Nørgaard

    2012-01-01

    Introduction: Intracranial pressure (ICP) monitoring is usually conducted in-hospital using stationary devices. Modern mobile ICP monitoring systems present new monitoring possibilities more closely following the patients' daily life. We reviewed patient safety, quality of technical data...

  2. Promotion of good safety culture at a Swedish BWR

    Energy Technology Data Exchange (ETDEWEB)

    Ingmarsson, K F [Forsmark NPP (Sweden)

    1997-12-31

    Within the nuclear industry there are two events which have had a significant impact on the way of thinking and attitudes to safety, although in different ways. The TMI accident at Harrisburg, USA put the focus on Man-Machine interface, the way of working and attitudes to safety. The accident at Chernobyl focused on Safety Management and Safety Culture. Before the TMI accident, technology was believed to be the solutions to all kinds of problems. Technical solutions should compensate for human behaviour. After the TMI accident the focus was put on Man-Machine issues and a lot of the resources within the Nuclear Industry was allocated to Man-Machine-Interfaces, Procedures, Training, etc. After the Chernobyl accident, safety culture (IAEA INSAG-4) became a commonly used concept which included an overall perspective on safety and an understanding of the interaction between Man, Technology and Organizational matters (MTO). The Safety Culture within an organization is the sum of all attitudes, qualities and experiences influencing safety. Safety Culture is consequently not only a single quality or a single property but a generic term representing the promotion of safety in many areas.

  3. Promotion of good safety culture at a Swedish BWR

    International Nuclear Information System (INIS)

    Ingmarsson, K.F.

    1996-01-01

    Within the nuclear industry there are two events which have had a significant impact on the way of thinking and attitudes to safety, although in different ways. The TMI accident at Harrisburg, USA put the focus on Man-Machine interface, the way of working and attitudes to safety. The accident at Chernobyl focused on Safety Management and Safety Culture. Before the TMI accident, technology was believed to be the solutions to all kinds of problems. Technical solutions should compensate for human behaviour. After the TMI accident the focus was put on Man-Machine issues and a lot of the resources within the Nuclear Industry was allocated to Man-Machine-Interfaces, Procedures, Training, etc. After the Chernobyl accident, safety culture (IAEA INSAG-4) became a commonly used concept which included an overall perspective on safety and an understanding of the interaction between Man, Technology and Organizational matters (MTO). The Safety Culture within an organization is the sum of all attitudes, qualities and experiences influencing safety. Safety Culture is consequently not only a single quality or a single property but a generic term representing the promotion of safety in many areas

  4. Report to NASA Committee on Aircraft Operating Problems Relative to Aviation Safety Engineering and Research Activities

    Science.gov (United States)

    1963-01-01

    The following report highlights some of the work accomplished by the Aviation Safety Engineering and Research Division of the Flight Safety Foundations since the last report to the NASA Committee on Aircraft Operating Problems on 22 May 1963. The information presented is in summary form. Additional details may be provided upon request of the reports themselves may be obtained from AvSER.

  5. Patients' perceptions of safety and quality of maternity clinical handover

    Directory of Open Access Journals (Sweden)

    Chin Georgiana SM

    2011-08-01

    Full Text Available Abstract Background Maternity clinical handover serves to address the gaps in knowledge existing when transitions between individuals or groups of clinicians occur throughout the antenatal, intra-partum and postnatal period. There are limited published studies on maternity handover and a paucity of information about patients' perceptions of the same. This paper reports postnatal patients' perceptions of how maternity handover contributes to the quality and safety of maternity care. Methods This paper reports on a mixed-methods study consisting of qualitative interviews and quantitative medical record analysis. Thirty English-speaking postnatal patients who gave birth at an Australian tertiary maternity hospital participated in a semi-structured interview prior to discharge from hospital. Interview data were coded thematically using the constant comparative method and managed via NVivo software; this data set was supplemented by medical record data analysed using STATA. Results Almost half of the women were aware of a handover process. Clinician awareness of patient information was seen as evidence that handover had taken place and was seen as representing positive aspects of teamwork, care and communication by participants, all important factors in the perception of quality health care. Collaborative cross-checking, including the use of cognitive artefacts such as hand held antenatal records and patient-authored birth plans, and the involvement of patients and their support people in handover were behaviours described by participants to be protective mechanisms that enhanced quality and safety of care. These human factors also facilitated team situational awareness (TSA, shared decision making and patient motivation in labour. Conclusions This study illustrates that many patients are aware of handover processes. For some patients, evidence of handover, through clinician awareness of information, represented positive aspects of teamwork, care and

  6. The level of perceived quality and safety of health services by recipients. Recommendations and inter- ventions for health care policies

    Directory of Open Access Journals (Sweden)

    Foteini Koulouri

    2017-06-01

    Full Text Available In recent years, the importance of the quality in health sector is more and more acknowledged. In broader terms the literature on quality in health care contributed to this, and stressed the importance of meeting the needs of the service recipient. Safety and quality in health care constitute a multi-dimensional parameter and involve many factors and various resources. Safety is positively associated to the quality, as the existence of the one ensures the improvement of the other. Thus, there is a great effort to create a framework, through guidelines and instructions that could contribute to the protection and development of quality and safety. It is important that this framework includes many features that have been expressed as requests by the patients themselves and which can contribute to the development of realistic and effective recommendations for improvement. Greek reality reveals certain gaps in safety and quality of services delivered, so the main attention has to be focused on developing an integral national health policy; the development of guidelines and the appropriate evaluation of their implementation could be a first effective approach. Formulating an institutional framework about safety and quality in health sector should be incorporated in the culture of all health organizations. To this end, the involvement of health professionals is a vital and strategic point. Health care practitioners should incorporate safety and quality culture in their daily routine and health managers should enact efficient ways of evaluation and control mechanisms in order to achieve better outcomes. Motivation to this direction and active participation should be encouraged with positive approaches, away from any kind of sanction. Any mistakes, adverse effects and deviations should be identified, reported, analyzed and formulate the base of the corrective action. In conclusion, safety and quality in health sector are essential and strongly associated

  7. The role of hospital managers in quality and patient safety: a systematic review.

    Science.gov (United States)

    Parand, Anam; Dopson, Sue; Renz, Anna; Vincent, Charles

    2014-09-05

    To review the empirical literature to identify the activities, time spent and engagement of hospital managers in quality of care. A systematic review of the literature. A search was carried out on the databases MEDLINE, PSYCHINFO, EMBASE, HMIC. The search strategy covered three facets: management, quality of care and the hospital setting comprising medical subject headings and key terms. Reviewers screened 15,447 titles/abstracts and 423 full texts were checked against inclusion criteria. Data extraction and quality assessment were performed on 19 included articles. The majority of studies were set in the USA and investigated Board/senior level management. The most common research designs were interviews and surveys on the perceptions of managerial quality and safety practices. Managerial activities comprised strategy, culture and data-centred activities, such as driving improvement culture and promotion of quality, strategy/goal setting and providing feedback. Significant positive associations with quality included compensation attached to quality, using quality improvement measures and having a Board quality committee. However, there is an inconsistency and inadequate employment of these conditions and actions across the sample hospitals. There is some evidence that managers' time spent and work can influence quality and safety clinical outcomes, processes and performance. However, there is a dearth of empirical studies, further weakened by a lack of objective outcome measures and little examination of actual actions undertaken. We present a model to summarise the conditions and activities that affect quality performance. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  8. Nuclear safety: a large scale quality audit of pressurized equipment

    International Nuclear Information System (INIS)

    Faudon, Valerie

    2016-01-01

    This article notably refers to, quotes and comments a hearing organised by the French Public Office for the Assessment Scientific and Technological Choices (OPECST) on the issue of safety of pressurized equipment in nuclear reactors, and which gathered the main concerned actors (Areva, EDF, IRSN, ASN) to have an overview of quality controls in AREVA NP fabrication plants. Two different issues have been addressed: a technical metallurgical issue related to some boiler-making parts, and an issue related to quality assurance. These issues concern different older reactors (Fessenheim for example) as well as new ones (EPR Flamanville). The article indicates the different measures planned, envisaged or already implemented by the concerned actors in order to improve knowledge in the boiler-making industry, and to ensure a better quality

  9. Quality factors in the life cycle of software oriented to safety systems in nuclear power plants

    International Nuclear Information System (INIS)

    Nunez McLeod, J.E.; Rivera, S.S.

    1997-01-01

    The inclusion of software in safety related systems for nuclear power plants, makes it necessary to include the software quality assurance concept. The software quality can be defined as the adjustment degree between the software and the specified requirements and user expectations. To guarantee a certain software quality level it is necessary to make a systematic and planned set of tasks, that constitute a software quality guaranty plan. The application of such a plan involves activities that should be performed all along the software life cycle, and that can be evaluated through the so called quality factors, due to the fact that the quality itself cannot be directly measured, but indirectly as some of it manifestations. In this work, a software life cycle model is proposed, for nuclear power plant safety related systems. A set os software quality factors is also proposed , with its corresponding classification according to the proposed model. (author) [es

  10. Internalizing Problems among Cyberbullying Victims and Moderator Effects of Friendship Quality

    Science.gov (United States)

    Aoyama, Ikuko; Saxon, Terrill F.; Fearon, Danielle D.

    2011-01-01

    Purpose: The purpose of this paper is to examine the relationship between cyberbullying victimization and internalizing problems among the youth. Moderator effects of a friendship quality were also investigated to examine if higher friendship quality moderated the negative effects of cyberbullying on psychological states of students.…

  11. A kaizen approach to food safety quality management in the value chain from wheat to bread

    CERN Document Server

    Hill, Victoria

    2014-01-01

    This book provides a Management Science approach to quality management in food production. Aspects of food quality, product conformance and reliability/food safety are examined, starting with wheat and ending with its value chain transformation into bread. Protein qualities that influence glycemic index levels in bread are used to compare the value chains of France and the US. With Kaizen models the book shows how changes in these characteristics are the result of management decisions made by the wheat growers in response to government policy and industry strategy. Lastly, it provides step-by-step instructions on how to apply kaizen methodology and Deming's work on quality improvement to make the HACCPs (Hazard Analysis and Critical Control Points) in food safety systems more robust.

  12. SU-F-P-08: Medical Physics Perspective On Radiation Therapy Quality and Safety Considerations in Low Income Settings

    Energy Technology Data Exchange (ETDEWEB)

    Van Dyk, J [Western University London, ON (Canada); Meghzifene, A [International Atomic Energy Agency, Vienna (Austria)

    2016-06-15

    Purpose: The last few years have seen a significant growth of interest in the global radiation therapy crisis. Various organizations are quantifying the need and providing aid in support of addressing the shortfall existing in many low-to-middle income countries (LMICs). The Lancet Oncology Commission report (Lancet Oncol. Sep;16(10):1153-86, 2015) projects a need of 22,000 new medical physicists in LMICs by 2035 if there is to be equal access globally. With the tremendous demand for new facilities, equipment and personnel, it is very important to recognize quality and safety considerations and to address them directly. Methods: A detailed examination of quality and safety publications was undertaken. A paper by Dunscombe (Front. Oncol. 2: 129, 2012) reviewed the recommendations of 7 authoritative reports on safety in radiation therapy and found the 12 most cited recommendations, summarized in order of most to least cited: training, staffing, documentation/standard operating procedures, incident learning, communication/questioning, check lists, QC/PM, dosimetric audit, accreditation, minimizing interruptions, prospective risk assessment, and safety culture. However, these authoritative reports were generally based on input from high income contexts. In this work, the recommendations were analyzed with a special emphasis on issues that are significant in LMICs. Results: The review indicated that there are significant challenges in LMICs with training and staffing ranking at the top in terms quality and safety. Conclusion: With the recognized need for expanding global access to radiation therapy, especially in LMICs, and the backing by multiple support organizations, quality and safety considerations must be overtly addressed. While multidimensional, training and staffing are top priorities. The use of outdated systems with poor interconnectivity, coupled with a lack of systematic QA in high patient load settings are additional concerns. Any support provided to lower

  13. SU-F-P-08: Medical Physics Perspective On Radiation Therapy Quality and Safety Considerations in Low Income Settings

    International Nuclear Information System (INIS)

    Van Dyk, J; Meghzifene, A

    2016-01-01

    Purpose: The last few years have seen a significant growth of interest in the global radiation therapy crisis. Various organizations are quantifying the need and providing aid in support of addressing the shortfall existing in many low-to-middle income countries (LMICs). The Lancet Oncology Commission report (Lancet Oncol. Sep;16(10):1153-86, 2015) projects a need of 22,000 new medical physicists in LMICs by 2035 if there is to be equal access globally. With the tremendous demand for new facilities, equipment and personnel, it is very important to recognize quality and safety considerations and to address them directly. Methods: A detailed examination of quality and safety publications was undertaken. A paper by Dunscombe (Front. Oncol. 2: 129, 2012) reviewed the recommendations of 7 authoritative reports on safety in radiation therapy and found the 12 most cited recommendations, summarized in order of most to least cited: training, staffing, documentation/standard operating procedures, incident learning, communication/questioning, check lists, QC/PM, dosimetric audit, accreditation, minimizing interruptions, prospective risk assessment, and safety culture. However, these authoritative reports were generally based on input from high income contexts. In this work, the recommendations were analyzed with a special emphasis on issues that are significant in LMICs. Results: The review indicated that there are significant challenges in LMICs with training and staffing ranking at the top in terms quality and safety. Conclusion: With the recognized need for expanding global access to radiation therapy, especially in LMICs, and the backing by multiple support organizations, quality and safety considerations must be overtly addressed. While multidimensional, training and staffing are top priorities. The use of outdated systems with poor interconnectivity, coupled with a lack of systematic QA in high patient load settings are additional concerns. Any support provided to lower

  14. Transforming communication and safety culture in intrapartum care: a multi-organization blueprint.

    Science.gov (United States)

    Lyndon, Audrey; Johnson, M Christina; Bingham, Debra; Napolitano, Peter G; Joseph, Gerald; Maxfield, David G; O'Keeffe, Daniel F

    2015-01-01

    Effective, patient-centered communication facilitates interception and correction of potentially harmful conditions and errors. All team members, including women, their families, physicians, midwives, nurses, and support staff, have roles in identifying the potential for harm during labor and birth. However, the results of collaborative research studies conducted by organizations that represent professionals who care for women during labor and birth indicate that health care providers may frequently witness, but may not always report, problems with safety or clinical performance. Some of these health care providers felt resigned to the continuation of such problems and fearful of retribution if they tried to address them. Speaking up to address safety and quality concerns is a dynamic social process. Every team member must feel empowered to speak up about concerns without fear of put-downs, retribution, or receiving poor-quality care. Patient safety requires mutual accountability: individuals, teams, health care facilities, and professional associations have a shared responsibility for creating and sustaining environments of mutual respect and engaging in highly reliable perinatal care. Defects in human factors, communication, and leadership have been the leading contributors to sentinel events in perinatal care for more than a decade. Organizational commitment and executive leadership are essential to creating an environment that proactively supports safety and quality. The problem is well-known; the time for action is now. © 2015 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.

  15. Data Analysis of Occupational Health and Safety Management and Total Quality Management Systems

    Directory of Open Access Journals (Sweden)

    Ahmet Yakut

    2013-01-01

    Full Text Available In our study, Total Quality Management, Occupational Health and Safety on the effects of the construction industry, building sites of Istanbul evaluated with the results of the survey of 25 firms. For Occupational Health and Safety program, walked healthy, active employees in her role increased and will increase the importance of education. Due to non-implementation of the OHS system in our country enough, work-related accidents and deaths and injuries resulting from these accidents is very high. Firms as a result of the analysis, an effective health and safety management system needs to be able to fulfill their responsibilities. This system is designated as OHSAS 18001 Occupational Health and Safety Management System and the construction industry can be regarded as the imperatives.

  16. India's power program and its concern over environmental safety

    International Nuclear Information System (INIS)

    Prasad, G.E.; Mittra, J.

    2001-01-01

    India's need of electrical power is enormous and per capita consumption of power is to be increased at least by ten times to reach the level of world average. Thermal Power generation faces two fold problems. First, there is scarcity of good quality fuel and second, increasing environmental pollution. India's self reliant, three stage, 'closed-fuel-cycle' nuclear power program is promising better solution to the above problems. To ensure Radiation Protection and Safety of Radiation Sources, Indian Nuclear Power program emphasizes upon design and engineering safety by incorporating necessary safety features in the design, operational safety through structured training program and typically through software packages to handle rare unsafe events and regulation by complying safety directives. A health survey among the radiation workers indicates that there is no extra threat to the public from nuclear power program. Based on latest technology, as available in case of nuclear power option, it is quite possible to meet high energy requirement with least impact on the environment.. (authors)

  17. Improving Hospital Quality and Patient Safety an Examination of Organizational Culture and Information Systems

    Science.gov (United States)

    Gardner, John Wallace

    2012-01-01

    This dissertation examines the effects of safety culture, including operational climate and practices, as well as the adoption and use of information systems for delivering high quality healthcare and improved patient experience. Chapter 2 studies the influence of both general and outcome-specific hospital climate and quality practices on process…

  18. Assessment and mitigation of power quality problems for PUSPATI TRIGA Reactor (RTP)

    Science.gov (United States)

    Zakaria, Mohd Fazli; Ramachandaramurthy, Vigna K.

    2017-01-01

    An electrical power systems are exposed to different types of power quality disturbances. Investigation and monitoring of power quality are necessary to maintain accurate operation of sensitive equipment especially for nuclear installations. This paper will discuss the power quality problems observed at the electrical sources of PUSPATI TRIGA Reactor (RTP). Assessment of power quality requires the identification of any anomalous behavior on a power system, which adversely affects the normal operation of electrical or electronic equipment. A power quality assessment involves gathering data resources; analyzing the data (with reference to power quality standards) then, if problems exist, recommendation of mitigation techniques must be considered. Field power quality data is collected by power quality recorder and analyzed with reference to power quality standards. Normally the electrical power is supplied to the RTP via two sources in order to keep a good reliability where each of them is designed to carry the full load. The assessment of power quality during reactor operation was performed for both electrical sources. There were several disturbances such as voltage harmonics and flicker that exceeded the thresholds. To reduce these disturbances, mitigation techniques have been proposed, such as to install passive harmonic filters to reduce harmonic distortion, dynamic voltage restorer (DVR) to reduce voltage disturbances and isolate all sensitive and critical loads.

  19. Sleep quality and sleep associated problems in female pharmacy students

    Directory of Open Access Journals (Sweden)

    Vivek Jain

    2013-01-01

    Full Text Available Background: Sleep is an essential element for adolescent mental and physical growth and development, but today′s young adolescents are deprived of this. Earlier studies in Europe and America showed pitiable sleep quality of young college students, which affect their academic growth. However, as per our literature search there is a lack of such studies in Indian context especially, within pharmacy education. Objective: The present study was designed to investigate the interrelation between the demographic characteristics, life-style, and academic progress with sleep quality and sleep problems along with daytime and nighttime habits in young female pharmacy students of India. Materials and Methods: Questionnaire on sleep and daytime habits (QS and DH was prepared. Our sample survey consists of 226 female pharmacy students of Banasthali University. QS and DH of multiple choice type, covered demographic characteristic (3 questions sleep and daytime habits (25 questions, life-style and academic progress (3 questions, and one question of course curriculum. Parameters were co-related by point scale method using the SPSS 16.0 software. Results: Data derived and analyze from survey illustrated that quality of sleep was as: Excellent - 20.4%, good - 38.5%, satisfactory - 35.8%, poor - 4%, and very poor - 1.3% of participants. Living condition (ρ=0.168, P =0.011, academic progress (ρ=0.151, P=0.023, leisure activity (ρ=0.133, P<0.05, and daytime naps (ρ=0.160, P=0.016 were significantly correlated with sleep quality. In addition, daytime sleepiness caused a significant problem for students and created a number of sleep disorders. Nevertheless, Sleep quality was not associated with age, body mass index, and coffee in the late evening. Conclusion: Study reported that sleep associated problems were common complaints in female pharmacy students.

  20. Development and perceived effects of an educational programme on quality and safety in medication handling in residential facilities.

    Science.gov (United States)

    Mygind, Anna; El-Souri, Mira; Rossing, Charlotte; Thomsen, Linda Aagaard

    2018-04-01

    To develop and test an educational programme on quality and safety in medication handling for staff in residential facilities for the disabled. The continuing pharmacy education instructional design model was used to develop the programme with 22 learning objectives on disease and medicines, quality and safety, communication and coordination. The programme was a flexible, modular seven + two days' course addressing quality and safety in medication handling, disease and medicines, and medication supervision and reconciliation. The programme was tested in five Danish municipalities. Municipalities were selected based on their application for participation; each independently selected a facility for residents with mental and intellectual disabilities, and a facility for residents with severe mental illnesses. Perceived effects were measured based on a questionnaire completed by participants before and after the programme. Effects on motivation and confidence as well as perceived effects on knowledge, skills and competences related to medication handling, patient empowerment, communication, role clarification and safety culture were analysed conducting bivariate, stratified analyses and test for independence. Of the 114 participants completing the programme, 75 participants returned both questionnaires (response rate = 66%). Motivation and confidence regarding quality and safety in medication handling significantly improved, as did perceived knowledge, skills and competences on 20 learning objectives on role clarification, safety culture, medication handling, patient empowerment and communication. The programme improved staffs' motivation and confidence and their perceived ability to handle residents' medication safely through improved role clarification, safety culture, medication handling and patient empowerment and communication skills. © 2017 Royal Pharmaceutical Society.

  1. A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety.

    Science.gov (United States)

    Xie, Anping; Carayon, Pascale

    2015-01-01

    Healthcare systems need to be redesigned to provide care that is safe, effective and efficient, and meets the multiple needs of patients. This systematic review examines how human factors and ergonomics (HFE) is applied to redesign healthcare work systems and processes and improve quality and safety of care. We identified 12 projects representing 23 studies and addressing different physical, cognitive and organisational HFE issues in a variety of healthcare systems and care settings. Some evidence exists for the effectiveness of HFE-based healthcare system redesign in improving process and outcome measures of quality and safety of care. We assessed risk of bias in 16 studies reporting the impact of HFE-based healthcare system redesign and found varying quality across studies. Future research should further assess the impact of HFE on quality and safety of care, and clearly define the mechanisms by which HFE-based system redesign can improve quality and safety of care.

  2. Canadian Association of Gastroenterology Consensus Guidelines on Safety and Quality Indicators in Endoscopy

    Directory of Open Access Journals (Sweden)

    David Armstrong

    2012-01-01

    Full Text Available Several organizations worldwide have developed procedure-based guidelines and/or position statements regarding various aspects of quality and safety indicators, and credentialing for endoscopy. Although important, they do not specifically address patient needs or provide a framework for their adoption in the context of endoscopy services. The consensus guidelines reported in this article, however, aimed to identify processes and indicators relevant to the provision of high-quality endoscopy services that will support ongoing quality improvement across many jurisdictions, specifically in the areas of ethics, facility standards and policies, quality assurance, training and education, reporting standards and patient perceptions.

  3. From Board to Bedside: How the Application of Financial Structures to Safety and Quality Can Drive Accountability in a Large Health Care System.

    Science.gov (United States)

    Austin, J Matthew; Demski, Renee; Callender, Tiffany; Lee, K H Ken; Hoffman, Ann; Allen, Lisa; Radke, Deborah A; Kim, Yungjin; Werthman, Ronald J; Peterson, Ronald R; Pronovost, Peter J

    2017-04-01

    As the health care system in the United States places greater emphasis on the public reporting of quality and safety data and its use to determine payment, provider organizations must implement structures that ensure discipline and rigor regarding these data. An academic health system, as part of a performance management system, applied four key components of a financial reporting structure to support the goal of top-to-bottom accountability for improving quality and safety. The four components implemented by Johns Hopkins Medicine were governance, accountability, reporting of consolidated quality performance statements, and auditing. Governance is provided by the health system's Patient Safety and Quality Board Committee, which reviews goals and strategy for patient safety and quality, reviews quarterly performance for each entity, and holds organizational leaders accountable for performance. An accountability plan includes escalating levels of review corresponding to the number of months an entity misses the defined performance target for a measure. A consolidated quality statement helps inform the Patient Safety and Quality Board Committee and leadership on key quality and safety issues. An audit evaluates the efficiency and effectiveness of processes for data collection, validation, and storage, as to ensure the accuracy and completeness of quality measure reporting. If hospitals and health systems truly want to prioritize improvements in safety and quality, they will need to create a performance management system that ensures data validity and supports performance accountability. Without valid data, it is difficult to know whether a performance gap is due to data quality or clinical quality. Copyright © 2017 The Joint Commission. Published by Elsevier Inc. All rights reserved.

  4. Evaluation of features to support safety and quality in general practice clinical software

    Science.gov (United States)

    2011-01-01

    Background Electronic prescribing is now the norm in many countries. We wished to find out if clinical software systems used by general practitioners in Australia include features (functional capabilities and other characteristics) that facilitate improved patient safety and care, with a focus on quality use of medicines. Methods Seven clinical software systems used in general practice were evaluated. Fifty software features that were previously rated as likely to have a high impact on safety and/or quality of care in general practice were tested and are reported here. Results The range of results for the implementation of 50 features across the 7 clinical software systems was as follows: 17-31 features (34-62%) were fully implemented, 9-13 (18-26%) partially implemented, and 9-20 (18-40%) not implemented. Key findings included: Access to evidence based drug and therapeutic information was limited. Decision support for prescribing was available but varied markedly between systems. During prescribing there was potential for medicine mis-selection in some systems, and linking a medicine with its indication was optional. The definition of 'current medicines' versus 'past medicines' was not always clear. There were limited resources for patients, and some medicines lists for patients were suboptimal. Results were provided to the software vendors, who were keen to improve their systems. Conclusions The clinical systems tested lack some of the features expected to support patient safety and quality of care. Standards and certification for clinical software would ensure that safety features are present and that there is a minimum level of clinical functionality that clinicians could expect to find in any system.

  5. German Light-Water-Reactor Safety-Research Program

    International Nuclear Information System (INIS)

    Seipel, H.G.; Lummerzheim, D.; Rittig, D.

    1977-01-01

    The Light-Water-Reactor Safety-Research Program, which is part of the energy program of the Federal Republic of Germany, is presented in this article. The program, for which the Federal Minister of Research and Technology of the Federal Republic of Germany is responsible, is subdivided into the following four main problem areas, which in turn are subdivided into projects: (1) improvement of the operational safety and reliability of systems and components (projects: quality assurance, component safety); (2) analysis of the consequences of accidents (projects: emergency core cooling, containment, external impacts, pressure-vessel failure, core meltdown); (3) analysis of radiation exposure during operation, accident, and decommissioning (project: fission-product transport and radiation exposure); and (4) analysis of the risk created by the operation of nuclear power plants (project: risk and reliability). Various problems, which are included in the above-mentioned projects, are concurrently studied within the Heiss-Dampf Reaktor experiments

  6. Exploring the relationship between quality of life and mental health problems in children: implications for measurement and practice.

    Science.gov (United States)

    Sharpe, Helen; Patalay, Praveetha; Fink, Elian; Vostanis, Panos; Deighton, Jessica; Wolpert, Miranda

    2016-06-01

    Quality of life is typically reduced in children with mental health problems. Understanding the relationship between quality of life and mental health problems and the factors that moderate this association is a pressing priority. This was a cross-sectional study involving 45,398 children aged 8-13 years from 880 schools in England. Self-reported quality of life was assessed using nine items from the KIDSCREEN-10 and mental health was assessed using the Me and My School Questionnaire. Demographic information (gender, age, ethnicity, socio-economic status) was also recorded. Quality of life was highest in children with no problems and lowest in children with both internalising and externalising problems. There was indication that quality of life may be reduced in children with internalising problems compared with externalising problems. Approximately 12 % children with mental health problems reported high quality of life. The link between mental health and quality of life was moderated by gender and age but not by socio-economic status or ethnicity. This study supports previous work showing mental health and quality of life are related but not synonymous. The findings have implications for measuring quality of life in child mental health settings and the need for approaches to support children with mental health problems that are at particular risk of poor quality of life.

  7. Seven Basic Tools of Quality Control: An Appropriate Tools for Solving Quality Problems in the Organizations

    OpenAIRE

    Neyestani, Behnam

    2017-01-01

    Dr. Kaoru Ishikawa was first total quality management guru, who has been associated with the development and advocacy of using the seven quality control (QC) tools in the organizations for problem solving and process improvements. Seven old quality control tools are a set of the QC tools that can be used for improving the performance of the production processes, from the first step of producing a product or service to the last stage of production. So, the general purpose of this paper was to...

  8. Patient Safety and Healthcare Quality

    OpenAIRE

    Aikaterini Toska; Panagiotis Kyloudis; Maria Rekleiti; Maria Saridi

    2012-01-01

    Introduction: Due to a variety of circumstances and world-wide research findings, patient safety andquality care during hospitalization have emerged as major issues. Patient safety deficits may burdenhealth systems as well as allocated resources. The international community has examined severalproposals covering general and systemic aspects in order to improve patient safety; several long-termprograms and strategies have also been implemented promoting the participation of health-relatedagent...

  9. Quality of life of people with mental health problems: a synthesis of qualitative research.

    Science.gov (United States)

    Connell, Janice; Brazier, John; O'Cathain, Alicia; Lloyd-Jones, Myfanwy; Paisley, Suzy

    2012-11-22

    To identify the domains of quality of life important to people with mental health problems. A systematic review of qualitative research undertaken with people with mental health problems using a framework synthesis. We identified six domains: well-being and ill-being; control, autonomy and choice; self-perception; belonging; activity; and hope and hopelessness. Firstly, symptoms or 'ill-being' were an intrinsic aspect of quality of life for people with severe mental health problems. Additionally, a good quality of life was characterised by the feeling of being in control (particularly of distressing symptoms), autonomy and choice; a positive self-image; a sense of belonging; engagement in meaningful and enjoyable activities; and feelings of hope and optimism. Conversely, a poor quality life, often experienced by those with severe mental health difficulties, was characterized by feelings of distress; lack of control, choice and autonomy; low self-esteem and confidence; a sense of not being part of society; diminished activity; and a sense of hopelessness and demoralization. Generic measures fail to address the complexity of quality of life measurement and the broad range of domains important to people with mental health problems.

  10. Quality of life of people with mental health problems: a synthesis of qualitative research

    Directory of Open Access Journals (Sweden)

    Connell Janice

    2012-11-01

    Full Text Available Abstract Purpose To identify the domains of quality of life important to people with mental health problems. Method A systematic review of qualitative research undertaken with people with mental health problems using a framework synthesis. Results We identified six domains: well-being and ill-being; control, autonomy and choice; self-perception; belonging; activity; and hope and hopelessness. Firstly, symptoms or ‘ill-being’ were an intrinsic aspect of quality of life for people with severe mental health problems. Additionally, a good quality of life was characterised by the feeling of being in control (particularly of distressing symptoms, autonomy and choice; a positive self-image; a sense of belonging; engagement in meaningful and enjoyable activities; and feelings of hope and optimism. Conversely, a poor quality life, often experienced by those with severe mental health difficulties, was characterized by feelings of distress; lack of control, choice and autonomy; low self-esteem and confidence; a sense of not being part of society; diminished activity; and a sense of hopelessness and demoralization. Conclusions Generic measures fail to address the complexity of quality of life measurement and the broad range of domains important to people with mental health problems.

  11. Quality Education Improvement: Yemen and the Problem of the "Brain Drain"

    Science.gov (United States)

    Muthanna, Abdulghani

    2015-01-01

    This paper presents an overview of the problems that hinder improvement of the quality of education in Yemen, with a particular focus on higher education institutions. It discusses in particular the problem of the brain drain and why this phenomenon is occurring in Yemen. Semi-structured interviews with three professors at higher education…

  12. Consumer perceptions of food quality and safety and their relation to traceability

    NARCIS (Netherlands)

    Rijswijk, van W.; Frewer, L.J.

    2008-01-01

    Purpose - The research presented here aims to gain understanding of consumers¿ perceptions of the concepts of food quality and safety, two concepts that play an important role in how consumers perceive food, and that are used in decision making. Design/methodology/approach - Qualitative

  13. The Role of Geographical Indication in Supporting Food Safety: A not Taken for Granted Nexus

    Science.gov (United States)

    2014-01-01

    The paper focuses on the role of geographical indication in supporting strategies of food safety. Starting from the distinction between generic and specific quality, the article analyses the main factors influencing food safety in cases of geographical indication products, by stressing the importance of traceability systems and biodiversity in securing generic and specific quality. In the second part, the paper investigates the coordination problems behind a designation of origin and conditions to foster an effective collective action, a prerequisite to grant food safety through geographical indications. PMID:27800417

  14. Quality and safety in Spain; La calidad y seguridad industrial en Espana

    Energy Technology Data Exchange (ETDEWEB)

    Prieto Barrio, J. M.; Martinez Martin, D. J.

    2015-07-01

    For three decades, and after the entry of Spain into the EU, it has been developed a regulatory, stable but evolving, framework that has allowed to create the conditions and structures to have stringent safety conditions of products and manufacturing facilities, as well as all the activities necessary for their certification and control. This development has been possible, among others, by the work of impulse and coordination of the Ministry of industry, Energy and Tourism, and particularly of the quality and Industrial safety sub directorate. On the other hand it has been developed a quality infrastructure that has, at the State level, with a standardisation (AENOR) entity and an accreditation body (ENAC) with recognized prestige around the world. In this article, in the first part, a list the regulations which apply to products and manufacturing facilities is shown, as well as explain the role played by standards and accreditation system in industrial safety and the factor of competitiveness that this entails for our industrial sector, and, in the second part, the institutional role of the Ministry and, the aforementioned Sub directorate, is described. The aim of the article is to be a descriptive reference of the current regulatory framework as well as the role of the State in this process. (Author)

  15. Practices and exploration on competition of molecular biological detection technology among students in food quality and safety major.

    Science.gov (United States)

    Chang, Yaning; Peng, Yuke; Li, Pengfei; Zhuang, Yingping

    2017-07-08

    With the increasing importance in the application of the molecular biological detection technology in the field of food safety, strengthening education in molecular biology experimental techniques is more necessary for the culture of the students in food quality and safety major. However, molecular biology experiments are not always in curricula of Food quality and safety Majors. This paper introduced a project "competition of molecular biological detection technology for food safety among undergraduate sophomore students in food quality and safety major", students participating in this project needed to learn the fundamental molecular biology experimental techniques such as the principles of molecular biology experiments and genome extraction, PCR and agarose gel electrophoresis analysis, and then design the experiments in groups to identify the meat species in pork and beef products using molecular biological methods. The students should complete the experimental report after basic experiments, write essays and make a presentation after the end of the designed experiments. This project aims to provide another way for food quality and safety majors to improve their knowledge of molecular biology, especially experimental technology, and enhances them to understand the scientific research activities as well as give them a chance to learn how to write a professional thesis. In addition, in line with the principle of an open laboratory, the project is also open to students in other majors in East China University of Science and Technology, in order to enhance students in other majors to understand the fields of molecular biology and food safety. © 2017 by The International Union of Biochemistry and Molecular Biology, 45(4):343-350, 2017. © 2017 The International Union of Biochemistry and Molecular Biology.

  16. Radiation safety and quality control assurance in X-ray diagnostics 1998; Saeteilyturvallisuus ja laadunvarmistus roentgendiagnostiikassa 1998

    Energy Technology Data Exchange (ETDEWEB)

    Servomaa, A [ed.

    1998-03-01

    The report is based on a seminar course of lectures `Radiation safety and quality assurance in X-ray diagnostics 1998` organized by the Radiation and Nuclear Safety Authority (STUK) in Finland. The lectures included actual information on X-ray examinations: methods of quality assurance, methods of measuring and calculating patient doses, examination frequencies, patient doses, occupational doses, and radiation risks. Paediatric X-ray examinations and interventional procedures were the most specific topics. The new Council Directive 97/43/Euratom on medical exposure, and the European Guidelines on quality criteria for diagnostic radiographic images, were discussed in several lectures. Lectures on general radiation threats and preparedness, examples of radiation accidents, and emergency preparedness in hospitals were also included. (editor)

  17. The Profile of Creativity and Proposing Statistical Problem Quality Level Reviewed From Cognitive Style

    Science.gov (United States)

    Awi; Ahmar, A. S.; Rahman, A.; Minggi, I.; Mulbar, U.; Asdar; Ruslan; Upu, H.; Alimuddin; Hamda; Rosidah; Sutamrin; Tiro, M. A.; Rusli

    2018-01-01

    This research aims to reveal the profile about the level of creativity and the ability to propose statistical problem of students at Mathematics Education 2014 Batch in the State University of Makassar in terms of their cognitive style. This research uses explorative qualitative method by giving meta-cognitive scaffolding at the time of research. The hypothesis of research is that students who have field independent (FI) cognitive style in statistics problem posing from the provided information already able to propose the statistical problem that can be solved and create new data and the problem is already been included as a high quality statistical problem, while students who have dependent cognitive field (FD) commonly are still limited in statistics problem posing that can be finished and do not load new data and the problem is included as medium quality statistical problem.

  18. 77 FR 25179 - Patient Safety Organizations: Voluntary Relinquishment From Surgical Safety Institute

    Science.gov (United States)

    2012-04-27

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Patient Safety... voluntary relinquishment from the Surgical Safety Institute of its status as a Patient Safety Organization (PSO). The Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act) authorizes the...

  19. The nuclear safety at Cattenom: when an anomaly becomes a fundamental problem

    International Nuclear Information System (INIS)

    Legrand, V.; Marignac, Y.

    2003-02-01

    The Cattenom nuclear power plant established in Moselle, near Luxembourg is the center of incidents that placed in the context of the actual management of its park by EDF are significant of a safety erosion, linked to the research of economic performance. More, the analysis of the management by the operator and its supervision authority of these incidents raises questions on their ability to evaluate, control and exchange information on these problems. (N.C.)

  20. [Establishment of traceability system of Chinese medicinal materials' quality].

    Science.gov (United States)

    Qi, Yao-dong; Gao, Shi-man; Liu, Hai-tao; Li, Xi-wen; Wei, Jian-he; Zhang, Ben-gang; Sun, Xiao-bo; Xiao, Pei-gen

    2015-12-01

    The quality of Chinese medicinal materials relates greatly to the clinical curative effect and security. In order to ensure the quality and safety of Chinese medicinal materials, a systematic and operable traceability system needs to be established. It can realize the whole process of quality and safety management of Chinese medicinal materials "from production to consumption" through recording and inquiring information and recalling defective products, which is an important direction for the future development of traditional Chinese medicine. But it is still at the exploration and trial stage. In this paper, a framework of Chinese medicinal materials' quality and safety traceability system was established on the basis of the domestic and international experience about the construction of food and agricultural products traceability systems. The relationship between traceability system of Chinese medicinal materials' quality and GAP, GMP, GSP was analyzed, and the possible problems and the corresponding solutions were discussed.

  1. Building Air Quality Guide: A Guide for Building Owners and Facility Managers

    Science.gov (United States)

    The Building Air Quality, developed by the EPA and the National Institute for Occupational Safety and Health, provides practical suggestions on preventing, identifying, and resolving indoor air quality (IAQ) problems in public and commercial buildings.

  2. Applying ethnography to the study of context in healthcare quality and safety.

    Science.gov (United States)

    Leslie, Myles; Paradis, Elise; Gropper, Michael A; Reeves, Scott; Kitto, Simon

    2014-02-01

    Translating and scaling healthcare quality improvement (QI) and patient safety interventions remains a significant challenge. Context has been identified as a major factor in this. QI and patient safety research have begun to focus on context, with ethnography seen as a promising methodology for understanding the professional, organisational and cultural aspects of context. While ethnography is used to investigate the context of a variety of QI and safety interventions, the challenges inherent in effectively importing a qualitative methodology and its social science practitioners into this work have been largely unexamined. We explain ethnography as a research practice grounded in theory and dependent on observations gathered and interpreted in particular ways. We then review the approach of health services literature to evaluating this sort of qualitative research. Although the study of context is an interest shared by both social scientists and healthcare QI and safety researchers, we identify three key points at which those 'exporting' ethnography as a methodology and those 'importing' it to deal with QI and safety challenges may diverge. We describe perspectival divergences on the methodology's mission, form and scale. At the level of mission we demonstrate how ethnography has been adapted to a 'describe and feed back' role in the service of QI. At the level of form, we show how the long-term embedded observation at the heart of ethnography can be adapted only so far to accommodate QI interests if both data quality and ethical standards are to be upheld. Finally, at the level of scale, we demonstrate one ethnographic study design that balances breadth of exposure with depth of experience in its observations and so generates a particular type of scalable findings. The effective export of ethnography into QI and safety research requires discussion and negotiation between social scientific and health services research perspectives, as well as creative approaches

  3. Leveraging Trainees to Improve Quality and Safety at the Point of Care: Three Models for Engagement.

    Science.gov (United States)

    Johnson Faherty, Laura; Mate, Kedar S; Moses, James M

    2016-04-01

    Trainees, as frontline providers who are acutely aware of quality improvement (QI) opportunities and patient safety (PS) issues, are key partners in achieving institutional quality and safety goals. However, as academic medical centers accelerate their initiatives to prioritize QI and PS, trainees have not always been engaged in these efforts. This article describes the development of an organizing framework with three suggested models of varying scopes and time horizons to effectively involve trainees in the quality and safety work of their training institutions. The proposed models, which were developed through a literature review, expert interviews with key stakeholders, and iterative testing, are (1) short-term, team-based, rapid-cycle initiatives; (2) medium-term, unit-based initiatives; and (3) long-term, health-system-wide initiatives. For each, the authors describe the objective, scope, duration, role of faculty leaders, steps for implementation in the clinical setting, pros and cons, and examples in the clinical setting. There are many barriers to designing the ideal training environments that fully engage trainees in QI/PS efforts, including lack of protected time for faculty mentors, time restrictions due to rotation-based training, and structural challenges. However, one of the most promising strategies for overcoming these barriers is integrating QI/PS principles into routine clinical care. These models provide opportunities for trainees to successfully learn and apply quality and safety principles to routine clinical care at the team, unit, and system level.

  4. The impact of eHealth on the quality and safety of health care: a systematic overview.

    Science.gov (United States)

    Black, Ashly D; Car, Josip; Pagliari, Claudia; Anandan, Chantelle; Cresswell, Kathrin; Bokun, Tomislav; McKinstry, Brian; Procter, Rob; Majeed, Azeem; Sheikh, Aziz

    2011-01-18

    There is considerable international interest in exploiting the potential of digital solutions to enhance the quality and safety of health care. Implementations of transformative eHealth technologies are underway globally, often at very considerable cost. In order to assess the impact of eHealth solutions on the quality and safety of health care, and to inform policy decisions on eHealth deployments, we undertook a systematic review of systematic reviews assessing the effectiveness and consequences of various eHealth technologies on the quality and safety of care. We developed novel search strategies, conceptual maps of health care quality, safety, and eHealth interventions, and then systematically identified, scrutinised, and synthesised the systematic review literature. Major biomedical databases were searched to identify systematic reviews published between 1997 and 2010. Related theoretical, methodological, and technical material was also reviewed. We identified 53 systematic reviews that focused on assessing the impact of eHealth interventions on the quality and/or safety of health care and 55 supplementary systematic reviews providing relevant supportive information. This systematic review literature was found to be generally of substandard quality with regards to methodology, reporting, and utility. We thematically categorised eHealth technologies into three main areas: (1) storing, managing, and transmission of data; (2) clinical decision support; and (3) facilitating care from a distance. We found that despite support from policymakers, there was relatively little empirical evidence to substantiate many of the claims made in relation to these technologies. Whether the success of those relatively few solutions identified to improve quality and safety would continue if these were deployed beyond the contexts in which they were originally developed, has yet to be established. Importantly, best practice guidelines in effective development and deployment

  5. The impact of eHealth on the quality and safety of health care: a systematic overview.

    Directory of Open Access Journals (Sweden)

    Ashly D Black

    Full Text Available BACKGROUND: There is considerable international interest in exploiting the potential of digital solutions to enhance the quality and safety of health care. Implementations of transformative eHealth technologies are underway globally, often at very considerable cost. In order to assess the impact of eHealth solutions on the quality and safety of health care, and to inform policy decisions on eHealth deployments, we undertook a systematic review of systematic reviews assessing the effectiveness and consequences of various eHealth technologies on the quality and safety of care. METHODS AND FINDINGS: We developed novel search strategies, conceptual maps of health care quality, safety, and eHealth interventions, and then systematically identified, scrutinised, and synthesised the systematic review literature. Major biomedical databases were searched to identify systematic reviews published between 1997 and 2010. Related theoretical, methodological, and technical material was also reviewed. We identified 53 systematic reviews that focused on assessing the impact of eHealth interventions on the quality and/or safety of health care and 55 supplementary systematic reviews providing relevant supportive information. This systematic review literature was found to be generally of substandard quality with regards to methodology, reporting, and utility. We thematically categorised eHealth technologies into three main areas: (1 storing, managing, and transmission of data; (2 clinical decision support; and (3 facilitating care from a distance. We found that despite support from policymakers, there was relatively little empirical evidence to substantiate many of the claims made in relation to these technologies. Whether the success of those relatively few solutions identified to improve quality and safety would continue if these were deployed beyond the contexts in which they were originally developed, has yet to be established. Importantly, best practice

  6. Gluten-Free Diet Indications, Safety, Quality, Labels, and Challenges.

    Science.gov (United States)

    Rostami, Kamran; Bold, Justine; Parr, Alison; Johnson, Matt W

    2017-08-08

    A gluten-free diet (GFD) is the safest treatment modality in patient with coeliac disease (CD) and other gluten-related disorders. Contamination and diet compliance are important factors behind persistent symptoms in patients with gluten related-disorders, in particular CD. How much gluten can be tolerated, how safe are the current gluten-free (GF) products, what are the benefits and side effects of GFD? Recent studies published in Nutrients on gluten-free products' quality, availability, safety, as well as challenges related to a GFD are discussed.

  7. Six sigma tools for a patient safety-oriented, quality-checklist driven radiation medicine department.

    Science.gov (United States)

    Kapur, Ajay; Potters, Louis

    2012-01-01

    The purpose of this work was to develop and implement six sigma practices toward the enhancement of patient safety in an electronic, quality checklist-driven, multicenter, paperless radiation medicine department. A quality checklist process map (QPM), stratified into consultation through treatment-completion stages was incorporated into an oncology information systems platform. A cross-functional quality management team conducted quality-function-deployment and define-measure-analyze-improve-control (DMAIC) six sigma exercises with a focus on patient safety. QPM procedures were Pareto-sorted in order of decreasing patient safety risk with failure mode and effects analysis (FMEA). Quantitative metrics for a grouped set of highest risk procedures were established. These included procedural delays, associated standard deviations and six sigma Z scores. Baseline performance of the QPM was established over the previous year of usage. Data-driven analysis led to simplification, standardization, and refinement of the QPM with standard deviation, slip-day reduction, and Z-score enhancement goals. A no-fly policy (NFP) for patient safety was introduced at the improve-control DMAIC phase, with a process map interlock imposed on treatment initiation in the event of FMEA-identified high-risk tasks being delayed or not completed. The NFP was introduced in a pilot phase with specific stopping rules and the same metrics used for performance assessments. A custom root-cause analysis database was deployed to monitor patient safety events. Relative to the baseline period, average slip days and standard deviations for the risk-enhanced QPM procedures improved by over threefold factors in the NFP period. The Z scores improved by approximately 20%. A trend for proactive delays instead of reactive hard stops was observed with no adverse effects of the NFP. The number of computed potential no-fly delays per month dropped from 60 to 20 over a total of 520 cases. The fraction of computed

  8. Quality and Safety in Health Care, Part I: Five Pioneers in Quality.

    Science.gov (United States)

    Harolds, Jay

    2015-08-01

    Five pioneers had a huge impact on the quality movement in health care in the United States. Ernest Codman contributed in many ways, including his focus on outcome analysis. Avidis Donabedian is known for his focus on the 3 domains of structure, process, and outcome in health care. Walter Shewhart is known especially for the control chart and early work on what W. Edwards Deming made into the PDSA cycle. Deming is also known for other contributions, including his 14 points of management, correcting system problems rather than blaming the workers, and his System of Profound Knowledge. Juran is known for the Pareto principle and his emphasis on customer satisfaction and addressing the human, not just statistical side, of quality improvement.

  9. Quality and microbial safety evaluation of new isotonic beverages upon thermal treatments.

    Science.gov (United States)

    Gironés-Vilaplana, Amadeo; Huertas, Juan-Pablo; Moreno, Diego A; Periago, Paula M; García-Viguera, Cristina

    2016-03-01

    In the present study, it was evaluated how two different thermal treatments (Mild and Severe) may affect the anthocyanin content, antioxidant capacity (ABTS(+), DPPH, and FRAP), quality (CIELAB colour parameters), and microbiological safety of a new isotonic drink made of lemon and maqui berry over a commercial storage simulation using a shelf life of 56days at two preservation temperature (7°C and 37°C). Both heat treatments did not affect drastically the anthocyanins content and their percentage of retention. The antioxidant capacity, probably because of the short time, was also not affected. The CIELAB colour parameters were affected by the heat, although the isotonic drinks remained with attractive red colour during shelf life. From a microbiological point of view, the Mild heat treatment with storage at 7°C is the ideal for the preservation of microbial growth, being useful for keeping the quality and safety of beverages in commercial life. Copyright © 2015. Published by Elsevier Ltd.

  10. Case study of physician leaders in quality and patient safety, and the development of a physician leadership network.

    Science.gov (United States)

    Hayes, Chris; Yousefi, Vandad; Wallington, Tamara; Ginzburg, Amir

    2010-01-01

    There is increasing recognition of the need for physician leadership in quality and patient safety, and emerging evidence that physician leadership contributes to improved care. Hospitals are beginning to establish physician leader positions; however, there is little guidance on how to define these roles and the strategies physician leaders can use toward improving care. This case study examines the roles of four physician leaders, describes their contribution to the design and implementation of hospital quality and patient safety agendas and discusses the creation of a physician network to support these activities. The positions were established between July 2006 and April 2009. All are corporate roles with varying reporting and accountability structures. The physician leads are involved in strategic planning, identifying and leading quality and safety initiatives, physician engagement and culture change. All have significantly contributed to the implementation of hospital improvement activities and are seen as influential among their peers as resources and mentors for local project success. Despite their accomplishments, these physician leads have been challenged by ambiguous role descriptions and difficulty identifying effective improvement strategies. As such, an expanding physician network was created with the goal of sharing approaches and tools and creating new strategies. Physician leaders are an important factor in the improvement of safety and quality within hospitals. This case study provides a template for the creation of such positions and highlights the importance of networking as an effective strategy for improving local care and advancing professional development of physician leaders in quality and patient safety.

  11. Primary care quality and safety systems in the English National Health Service: a case study of a new type of primary care provider.

    Science.gov (United States)

    Baker, Richard; Willars, Janet; McNicol, Sarah; Dixon-Woods, Mary; McKee, Lorna

    2014-01-01

    Although the predominant model of general practice in the UK National Health Service (NHS) remains the small partnership owned and run by general practitioners (GPs), new types of provider are emerging. We sought to characterize the quality and safety systems and processes used in one large, privately owned company providing primary care through a chain of over 50 general practices in England. Senior staff with responsibility for policy on quality and safety were interviewed. We also undertook ethnographic observation in non-clinical areas and interviews with staff in three practices. A small senior executive team set policy and strategy on quality and safety, including a systematic incident reporting and investigation system and processes for disseminating learning with a strong emphasis on customer focus. Standardization of systems was possible because of the large number of practices. Policies appeared generally well implemented at practice level. However, there was some evidence of high staff turnover, particularly of GPs. This caused problems for continuity of care and challenges in inducting new GPs in the company's systems and procedures. A model of primary care delivery based on a corporate chain may be useful in standardizing policies and procedures, facilitating implementation of systems, and relieving clinical staff of administrative duties. However, the model also poses some risks, including those relating to stability. Provider forms that retain the long term, personal commitment of staff to their practices, such as federations or networks, should also be investigated; they may offer the benefits of a corporate chain combined with the greater continuity and stability of the more traditional general practice.

  12. Quality and safety issues of web-based information about herbal medicines in the treatment of cancer.

    Science.gov (United States)

    Molassiotis, Alexander; Xu, Min

    2004-12-01

    A number of studies have been carried out to assess health information on the internet and they all have demonstrated that, whereas the internet can be the third opinion for many patients, often contains inaccurate and misleading information. Furthermore, as herbal medicines are increasingly used by patients, it is imperative to assess the quality of information presented on the internet. Hence, the aim of this study was to assess the quality and safety of the information presented on the internet about medicinal herbs specifically in the field of cancer. Two hundred relevant websites were initially selected from a process using 10 search engines and the keywords 'herbs' and 'cancer', and 43 sites actually met all inclusion criteria. Assessment of both quality and safety indicators was carried out using the DISCERN instrument, which has been developed to enable consumers and information providers to judge the quality of health information. Readability scores of the sites were also obtained (Flesch formula). It was shown that most sites had low quality in a number of indicators, including accuracy of information, revealing sources of information, biased presentation of information or regularity of updates. The mean score for quality was 22.12 (S.D.=4.18) out of a maximum score of 50. The mean safety score was 13.26 (S.D.=2.14) out of a maximum score of 30. Commercial sites had the most inaccurate or misleading information, emphasizing only the positive aspects of the use of herbs, with little or no evidence. The only biomedical sites assessed achieved the highest score in both quality and safety. Readability of the information was equal to the school level of college (mean=44.63). Seven percent of the sites discouraged the use of conventional medicine. Results suggest that health professionals should talk about use of alternative therapies with their patients and help them find the best available information when using the internet.

  13. Developing a patient-led electronic feedback system for quality and safety within Renal PatientView.

    Science.gov (United States)

    Giles, Sally J; Reynolds, Caroline; Heyhoe, Jane; Armitage, Gerry

    2017-03-01

    It is increasingly acknowledged that patients can provide direct feedback about the quality and safety of their care through patient reporting systems. The aim of this study was to explore the feasibility of patients, healthcare professionals and researchers working in partnership to develop a patient-led quality and safety feedback system within an existing electronic health record (EHR), known as Renal PatientView (RPV). Phase 1 (inception) involved focus groups (n = 9) and phase 2 (requirements) involved cognitive walkthroughs (n = 34) and 1:1 qualitative interviews (n = 34) with patients and healthcare professionals. A Joint Services Expert Panel (JSP) was convened to review the findings from phase 1 and agree the core principles and components of the system prototype. Phase 1 data were analysed using a thematic approach. Data from phase 1 were used to inform the design of the initial system prototype. Phase 2 data were analysed using the components of heuristic evaluation, resulting in a list of core principles and components for the final system prototype. Phase 1 identified four main barriers and facilitators to patients feeding back on quality and safety concerns. In phase 2, the JSP agreed that the system should be based on seven core principles and components. Stakeholders were able to work together to identify core principles and components for an electronic patient quality and safety feedback system in renal services. Tensions arose due to competing priorities, particularly around anonymity and feedback. Careful consideration should be given to the feasibility of integrating a novel element with differing priorities into an established system with existing functions and objectives. © 2016 European Dialysis and Transplant Nurses Association/European Renal Care Association.

  14. Evaluation of 100 brain examinations using a 3 Tesla MR-compatible incubator - safety, handling, and image quality

    International Nuclear Information System (INIS)

    Sirin, Selma; Goericke, Sophia L.; Kinner, Sonja; Schweiger, Bernd; Huening, Britta M.; Stein, Anja; Felderhoff-Mueser, Ursula

    2013-01-01

    Several studies have revealed the importance of brain imaging in term and preterm infants. The aim of this retrospective study was to review safety, handling, and image quality of MR brain imaging using a new 3 Tesla MR-compatible incubator. Between 02/2011 and 05/2012 100 brain MRIs (84 infants, mean gestational age 32.2 ± 4.7 weeks, mean postmenstrual age at imaging 40.6 ± 3.4 weeks) were performed using a 3 Tesla MR-compatible incubator with dedicated, compatible head coil. Seventeen examinations (13 infants, mean gestational age 35.1 ± 5.4 weeks, mean postmenstrual age at imaging 47.8 ± 7.4 weeks) with a standard head coil served as a control. Image analysis was performed by a neuroradiologist and a pediatric radiologist in consensus. All but two patients with known apnea were transferred to the MR unit and scanned without problems. Handling was easier and faster with the incubator; relevant motion artifacts (5.9 vs. 10.8 %) and the need for repetitive sedation (43.0 vs. 86.7 %) were reduced. Considering only images not impaired by motion artifacts, image quality (4.8 ± 0.4 vs. 4.3 ± 0.8, p = 0.047) and spatial resolution (4.7 ± 0.4 vs. 4.2 ± 0.6, p = 0.011) of T2-weighted images were scored significantly higher in patients imaged with the incubator. SNR increased significantly (171.6 ± 54.5 vs. 80.5 ± 19.8, p < 0.001) with the use of the incubator. Infants can benefit from the use of a 3 Tesla MR-compatible incubator because of its safety, easier, and faster handling (compared to standard imaging) and possibility to obtain high-quality MR images even in unstable patients. (orig.)

  15. Intelligent Packaging Systems: Sensors and Nanosensors to Monitor Food Quality and Safety

    Directory of Open Access Journals (Sweden)

    Guillermo Fuertes

    2016-01-01

    Full Text Available The application of nanotechnology in different areas of food packaging is an emerging field that will grow rapidly in the coming years. Advances in food safety have yielded promising results leading to the development of intelligent packaging (IP. By these containers, it is possible to monitor and provide information of the condition of food, packaging, or the environment. This article describes the role of the different concepts of intelligent packaging. It is possible that this new technology could reach enhancing food safety, improving pathogen detection time, and controlling the quality of food and packaging throughout the supply chain.

  16. Workplace Safety: Indoor Environmental Quality

    Science.gov (United States)

    ... Safety Construction Safety and Health Emergency Preparedness for Business Occupational Respiratory Disease Surveillance (ORDS) Office Environment Storm and Flood Cleanup Tuberculosis Follow NIOSH Facebook Flickr Pinterest Twitter YouTube NIOSH Homepage NIOSH A- ...

  17. Safety considerations of lithium-thionyl chloride cells

    Science.gov (United States)

    Subbarao, Surampudi; Halpert, Gerald; Stein, Irving

    1986-06-01

    The use of spirally wound lithium-thionyl chloride (Li-SOCl2) cells is currently limited because of their hazardous behavior. Safety hazards have ranged from mild venting of toxic materials to violent explosions and fires. These incidents may be related to both user- and manufacturer-induced causes. Many explanations have been offered to explain the unsafe behavior of the cells under operating and abuse conditions. Explanations fall into two categories: (1) thermal mechanisms, and (2) chemical mechanisms. However, it is quite difficult to separate the two. Both may be responsible for cell venting or explosion. Some safety problems encountered with these cells also may be due to design deficiencies and ineffective quality control during cell fabrication. A well-coordinated basic and applied research program is needed to develop safe Li-SOCl2 cells. Recommendations include: (1) learnig more about Li-SOL2 cell chemistry; (2) modeling cell and battery behavior; (3) optimizing cell design for safety and performance, (4) implementing quality control procedures; and (5) educating users.

  18. Safety Case Development as an Information Modelling Problem

    Science.gov (United States)

    Lewis, Robert

    This paper considers the benefits from applying information modelling as the basis for creating an electronically-based safety case. It highlights the current difficulties of developing and managing large document-based safety cases for complex systems such as those found in Air Traffic Control systems. After a review of current tools and related literature on this subject, the paper proceeds to examine the many relationships between entities that can exist within a large safety case. The paper considers the benefits to both safety case writers and readers from the future development of an ideal safety case tool that is able to exploit these information models. The paper also introduces the idea that the safety case has formal relationships between entities that directly support the safety case argument using a methodology such as GSN, and informal relationships that provide links to direct and backing evidence and to supporting information.

  19. A Comparative Study of Natural Antimicrobial Delivery Systems for Microbial Safety and Quality of Fresh-Cut Lettuce.

    Science.gov (United States)

    Hill, Laura E; Oliveira, Daniela A; Hills, Katherine; Giacobassi, Cassie; Johnson, Jecori; Summerlin, Harvey; Taylor, T Matthew; Gomes, Carmen L

    2017-05-01

    Nanoencapsulation can provide a means to effectively deliver antimicrobial compounds and enhance the safety of fresh produce. However, to date there are no studies which directly compares how different nanoencapsulation systems affect fresh produce safety and quality. This study compared the effects on quality and safety of fresh-cut lettuce treated with free and nanoencapsulated natural antimicrobial, cinnamon bark extract (CBE). A challenge study compared antimicrobial efficacy of 3 different nanoencapsulated CBE systems. The most effective antimicrobial treatment against Listeria monocytogenes was chitosan-co-poly-N-isopropylacrylamide (chitosan-PNIPAAM) encapsulated CBE, with a reduction on bacterial load up to 2 log 10 CFU/g (P lettuce was stored at 5 °C and 10 °C for 15 d. Subsequently, chitosan-PNIPAAM-CBE nanoparticles (20, 40, and 80 mg/mL) were compared to a control and free CBE (400, 800, and 1600 μg/mL) for its effects on fresh-cut lettuce quality over 15 d at 5 °C. By the 10th day, the most effective antimicrobial concentration was 80 mg/mL for chitosan-PNIPAAM-CBE, up to 2 log 10 CFU/g reduction (P lettuce shelf-life. Overall, nanoencapsulation provided a method to effectively deliver essential oil and enhanced produce safety, while creating little to no detrimental quality changes on the fresh-cut lettuce. © 2017 Institute of Food Technologists®.

  20. Reflections on current nuclear safety problems

    International Nuclear Information System (INIS)

    Teillac, J.

    1981-01-01

    After operations totalling more than 2000 reactor-years, the safety balance is undeniably positive: no nuclear power plant in the world has so far caused significant damage to populations or to the environment. The paper reviews the darker and brighter aspects of recent analyses, in particular since the Harrisburg accident, and suggests three general lines of action: maintenance of a high level of technical competence in safety, systematic analysis of operational incidents and, finally, increased attention to the ''human factor'' as regards both the man/machine relationship and the training of personnel. With regard to the last-mentioned point, it is suggested that the greatest possible profit should be drawn from the tests carried out at the time of plant commissioning. International collaboration is particularly necessary both to ensure progress in the technical aspects of safety and to place the credibility of specialists on a firmer foundation. Finally, it is essential to assist countries which are embarking on nuclear power programmes. Nuclear safety is not always correctly perceived by public opinion, which will not definitively accept this new source of energy without having complete confidence in those who are promoting it. A clear and firm position on the part of those in positions of political responsibility is an important element in gaining public confidence. (author)

  1. Evaluating the Effectiveness of Two Teaching Strategies to Improve Nursing Students' Knowledge, Skills, and Attitudes About Quality Improvement and Patient Safety.

    Science.gov (United States)

    Maxwell, Karen L; Wright, Vivian H

    The purpose of this study was to evaluate two teaching strategies with regard to quality and safety education for nurses content on quality improvement and safety. Two groups (total of 64 students) participated in online learning or online learning in conjunction with a flipped classroom. A pretest/posttest control group design was used. The use of online modules in conjunction with the flipped classroom had a greater effect on increasing nursing students' knowledge of quality improvement than the use of online modules only. There was no statistically significant difference between the groups for safety.

  2. Delay consequencies in the construction time-schedule of nuclear power plants in relation to its safety and quality

    International Nuclear Information System (INIS)

    Recalde, J.A.

    1991-01-01

    An important delay in the construction time-schedule of a Nuclear Power Plant affects its safety and quality. This mainly occurs as a consequence of four reasons: discontinuity of the personnel working for the project; discontinuities of project suppliers; new safety and quality concepts; long-term storage. This work analyses each of the above reasons so as to foresee countermeasures to garantee the non deterioration of a Nuclear Power Plant. (author)

  3. Quality assurance program plan for 324 Building B-Cell safety cleanout project (BCCP)

    International Nuclear Information System (INIS)

    Tanke, J.M.

    1997-01-01

    This Quality Assurance Program Plan (QAPP) provides information on how the Quality Assurance Program is implemented for the 324 Building B-Cell Safety Cleanout Project (BCCP). This QAPP is responsive to the Westinghouse Hanford Company Quality Assurance Program and Implementation Plan, WHC-SP-1131, for 10 CFR 830.120, Nuclear Safety Management, Quality Assurance Requirements; and DOE Order 5700.6C, Quality Assurance. This QAPP supersedes PNNL PNL-MA-70 QAP Quality Assurance Plan No. WTC-050 Rev. 2, issue date May 3, 1996. This QAPP has been developed specifically for the BCCP. It applies to those items and tasks which affect the completion of activities identified in the work breakdown structure of the Project Management Plan (PMP). These activities include all aspects of decontaminating B-Cell and project related operations within the 324 Building as it relates to the specific activities of this project. General facility activities (i.e. 324 Building Operations) are covered in the Building 324 QAPP. In addition, this QAPP supports the related quality assurance activities addressed in CM-2-14, Hazardous Material Packaging and Shipping, and HSRCM-1, Hanford Site Radiological Control Manual, The 324 Building is currently transitioning from being a Pacific Northwest National Laboratory (PNNL) managed facility to a B and W Hanford Company (BWHC) managed facility. During this transition process existing, PNNL procedures and documents will be utilized until replaced by BWHC procedures and documents. These documents conform to the requirements found in PNL-MA-70, Quality Assurance Manual and PNL-MA-8 1, Hazardous Materials Shipping Manual. The Quality Assurance Program Index (QAPI) contained in Table 1 provides a matrix which shows how project activities relate to 10 CFR 83 0.120 and 5700.6C criteria. Quality Assurance program requirements will be addressed separate from the requirements specified in this document. Other Hanford Site organizations/companies may be

  4. India's power programs and its concern over environmental safety

    International Nuclear Information System (INIS)

    Prasad, G.E.; Mittra, J.; Sarma, M.S.R.

    2000-01-01

    India's need for electrical power is enormous and per capita consumption of power is to be increased at least by 10 times to reach the level of the world average. Thermal power generation faces two-fold problems. First, there is scarcity of good quality fuel and second, increasing environmental pollution. India 's self reliant, . three stage, 'closed-fuel-cycle' nuclear power program is promising a better solution to the above problems. To ensure Radiation Protection and Safety of Radiation Sources, the Indian Nuclear Power program emphasizes upon design and engineering safety by incorporating' necessary safety features in the design, operational safety through a structured training program and typically through software packages to handle rare unsafe events and regulation by complying safety directives. A health survey among the radiation workers indicates that there is no extra threat to the public from the nuclear power program. Based on the latest technology, as available in case of the nuclear power option, it is quite possible to meet high energy requirements with least impact on the environment. (authors)

  5. 78 FR 10181 - Global Quality Systems-An Integrated Approach To Improving Medical Product Safety; Public Workshop

    Science.gov (United States)

    2013-02-13

    ...] Global Quality Systems--An Integrated Approach To Improving Medical Product Safety; Public Workshop... (AFDO), is announcing a public workshop entitled ``Global Quality Systems--An Integrated Approach to... topics concerning FDA requirements related to the production and marketing of drugs and/or devices...

  6. The Quality and Food Safety of Dry Smoke Garfish (Hemirhamphus far) Product From Maluku

    Science.gov (United States)

    Marthina Tapotubun, Alfonsina; Reiuwpassa, Fredrik; Apituley, Yolanda M. T. N.; Nanlohy, Hellen; Matrutty, Theodora E. A. A.

    2017-10-01

    Dry garfish is product of smoked process of “ikan julung” (Hemirhamphus far) and slowly the product getting dry, stiff and its colour become gold yellow-brown. The aim of this study is to find out quality and food safety of dry smoked “julung” from Maluku. The sample of this study is taken from production Keffing village, East Seram Regency, Maluku. Parameters to be analyzed are degrees of protein, fat, water, ash, TPC, Escherichia coli, Salmonella, Vibrio and total Staphylococcus aureus used standard analysis method for proximate (AOAC. 2005), sensosy parameters (BSN.2009) and food safety (BSN. 2006). Spreadsheet Ms Excel (Microsoft Inc., USA) is used for data processing; data is being analyzed descriptively to be interpreted in the research report. Dry smoked “julung” Keffing village, Maluku meet the good quality and food safety, that are ingredient degrees of water content 12.43%, protein 61.55%, fat 12.58%, ash 9.3%, TPC [6,8] × 101 CFU, total Staphylococcus sp [1,7] × 102, total E.coli 6.4 APM/g. and negatively for Salmonella and Vibrio.

  7. Application of risk assessment in upgrading safety and quality of radiochemical operations

    International Nuclear Information System (INIS)

    Lin, K.H.; Hightower, J.R.; Vaughen, V.C.A.

    1990-01-01

    A Comprehensive Safety Assessment and Upgrade Program (CSAUP) was commenced by the Chemical Technology Division (Chem Tech) at Oak Ridge National Laboratory (ORNL) to achieve excellence in the safety and quality of its operations and condition of its facilities. In the course of conducting CSAUP, a number of issues of concern were identified. The safety risk of these issues has been assessed, and planned actions were prepared for those issues that require corrective actions or improvement/upgrading. The planned actions were evaluated on consideration for the uniqueness of Chem Tech facilities and operations to determine the risks (high, moderate or low) involved by failure to implement the actions. The risk was defined in terms of the frequency and severity of impact. Priority of categorized actions was based on the urgency of the actions. 2 refs., 1 fig., 3 tabs

  8. Quality of healthcare services and its relationship with patient safety culture and nurse-physician professional communication

    Directory of Open Access Journals (Sweden)

    Akram Ghahramanian

    2017-06-01

    Full Text Available Background: This study investigated quality of healthcare services from patients’ perspectives and its relationship with patient safety culture and nurse-physician professional communication. Methods: A cross-sectional study was conducted among 300 surgery patients and 101 nurses caring them in a public hospital in Tabriz–Iran. Data were collected using the service quality measurement scale (SERVQUAL, hospital survey on patient safety culture (HSOPSC and nurse physician professional communication questionnaire. Results: The highest and lowest mean (±SD scores of the patients’ perception on the healthcare services quality belonged to the assurance 13.92 (±3.55 and empathy 6.78 (±1.88 domains,respectively. With regard to the patient safety culture, the mean percentage of positive answers ranged from 45.87% for "non-punitive response to errors" to 68.21% for "organizational continuous learning" domains. The highest and lowest mean (±SD scores for the nurse physician professional communication were obtained for "cooperation" 3.44 (±0.35 and "non participative decision-making" 2.84 (±0.34 domains, respectively. The "frequency of reported errors by healthcare professionals" (B=-4.20, 95% CI = -7.14 to -1.27, P<0.01 and "respect and sharing of information" (B=7.69, 95% CI=4.01 to 11.36, P<0.001 predicted the patients’perceptions of the quality of healthcare services. Conclusion: Organizational culture in dealing with medical error should be changed to non punitive response. Change in safety culture towards reporting of errors, effective communication and teamwork between healthcare professionals are recommended.

  9. Quality of healthcare services and its relationship with patient safety culture and nurse-physician professional communication.

    Science.gov (United States)

    Ghahramanian, Akram; Rezaei, Tayyebeh; Abdullahzadeh, Farahnaz; Sheikhalipour, Zahra; Dianat, Iman

    2017-01-01

    Background: This study investigated quality of healthcare services from patients' perspectives and its relationship with patient safety culture and nurse-physician professional communication. Methods: A cross-sectional study was conducted among 300 surgery patients and 101 nurses caring them in a public hospital in Tabriz-Iran. Data were collected using the service quality measurement scale (SERVQUAL), hospital survey on patient safety culture (HSOPSC) and nurse physician professional communication questionnaire. Results: The highest and lowest mean (±SD) scores of the patients' perception on the healthcare services quality belonged to the assurance 13.92 (±3.55) and empathy 6.78 (±1.88) domains,respectively. With regard to the patient safety culture, the mean percentage of positive answers ranged from 45.87% for "non-punitive response to errors" to 68.21% for "organizational continuous learning" domains. The highest and lowest mean (±SD) scores for the nurse physician professional communication were obtained for "cooperation" 3.44 (±0.35) and "non-participative decision-making" 2.84 (±0.34) domains, respectively. The "frequency of reported errors by healthcare professionals" (B=-4.20, 95% CI = -7.14 to -1.27, P<0.01) and "respect and sharing of information" (B=7.69, 95% CI=4.01 to 11.36, P<0.001) predicted the patients'perceptions of the quality of healthcare services. Conclusion: Organizational culture in dealing with medical error should be changed to non-punitive response. Change in safety culture towards reporting of errors, effective communication and teamwork between healthcare professionals are recommended.

  10. Irradiation for The Safety and Quality of Home Style Frozen Snacks

    International Nuclear Information System (INIS)

    Irawati, Z.; Nurcahya, C.M.; Anas, F.; Natalia, L.; Tampubolon, M.

    2005-01-01

    There are to market frozen prepared meals for micro waving or conventional way of preparation. Such meals, which offer convenience growing trends in Indonesia, and lesser time preparation are available in the developed countries, either chilled with limited shelf-life or frozen for long term sale in supermarkets. Irradiation at pasteurization doses has a potential role in improving the microbiological safety and shelf-life of chilled-prepared meals. Medium doses of gamma irradiation, 3-7 kGy, applied to spring rolls, rissole and croquette, in combination with frozen state during irradiation, followed by storage at 5 ± 2 o C, have been conducted in order to ensure the safety and quality of the products during storage. The three different snacks, six pieces each, were vacuum packed in a laminate pouch of Polyester/Aluminium foil/ LLDPE followed by freezing over night at -20 o C prior to irradiation at cryogenic condition. Irradiation at a dose of 7 kGy could relatively maintain the quality of the products during three months of storage 5 ± 2 o C, based on different parameters, such as microbiological assessments, some chemical characteristics, and organoleptic analysis using five hedonic scales. (author)

  11. Irradiation for the Safety and Quality of Home Style Frozen Snacks

    Directory of Open Access Journals (Sweden)

    Z Irawati

    2005-01-01

    Full Text Available There are to market frozen prepared meals for microwaving or conventional way of preparation. Such meals. which offer convenience growing trends in Indonesia, and lesser time preparation are available in the developed countries, either chilled with limited shelf-life or frozen for long term sale in supermarkets. Irradiation at pasteurization doses has a potential role in improving the microbiological safety and shelf-life of chilled-prepared meals. Medium doses of gamma irradiation, 3-7 kGy, applied to spring rolls, rissole and croquette, in combination with frozen state during irradiation, followed by storage at 5 ± 2°C, have been conducted in order to ensure the safety and quality of the products during storage. The three different snacks. six pieces each. were vacuum packed in a laminate pouch of Poliester/Aluminum foil/LLDPE followed by fteezing over night at -20°C prior to irradiation at cryogenic condition. Irradiation at a dose of 7 kGy could relatively maintain the quality of the products during three months of storage 5 ± 2°C, based on different parameters, such as microbiological assessments, some chemical characteristics, and organoleptic analysis using five hedonic scales.

  12. A longitudinal, multi-level comparative study of quality and safety in European hospitals: the QUASER study protocol

    Directory of Open Access Journals (Sweden)

    Weggelaar Anne-Marie

    2011-10-01

    Full Text Available Abstract Background although there is a wealth of information available about quality improvement tools and techniques in healthcare there is little understanding about overcoming the challenges of day-to-day implementation in complex organisations like hospitals. The 'Quality and Safety in Europe by Research' (QUASER study will investigate how hospitals implement, spread and sustain quality improvement, including the difficulties they face and how they overcome them. The overall aim of the study is to explore relationships between the organisational and cultural characteristics of hospitals and how these impact on the quality of health care; the findings will be designed to help policy makers, payers and hospital managers understand the factors and processes that enable hospitals in Europe to achieve-and sustain-high quality services for their patients. Methods/design in-depth multi-level (macro, meso and micro-system analysis of healthcare quality policies and practices in 5 European countries, including longitudinal case studies in a purposive sample of 10 hospitals. The project design has three major features: • a working definition of quality comprising three components: clinical effectiveness, patient safety and patient experience • a conceptualisation of quality as a human, social, technical and organisational accomplishment • an emphasis on translational research that is evidence-based and seeks to provide strategic and practical guidance for hospital practitioners and health care policy makers in the European Union. Throughout the study we will adopt a mixed methods approach, including qualitative (in-depth, narrative-based, ethnographic case studies using interviews, and direct non-participant observation of organisational processes and quantitative research (secondary analysis of safety and quality data, for example: adverse incident reporting; patient complaints and claims. Discussion the protocol is based on the premise that

  13. Classroom Quality at Pre-kindergarten and Kindergarten and Children’s Social Skills and Behavior Problems

    Science.gov (United States)

    Broekhuizen, Martine L.; Mokrova, Irina L.; Burchinal, Margaret R.; Garrett-Peters, Patricia T.

    2016-01-01

    Focusing on the continuity in the quality of classroom environments as children transition from preschool into elementary school, this study examined the associations between classroom quality in pre-kindergarten and kindergarten and children’s social skills and behavior problems in kindergarten and first grade. Participants included 1175 ethnically-diverse children (43% African American) living in low-wealth rural communities of the US. Results indicated that children who experienced higher levels of emotional and organizational classroom quality in both pre-kindergarten and kindergarten demonstrated better social skills and fewer behavior problems in both kindergarten and first grade comparing to children who did not experience higher classroom quality. The examination of the first grade results indicated that the emotional and organizational quality of pre-kindergarten classrooms was the strongest predictor of children’s first grade social skills and behavior problems. The study results are discussed from theoretical, practical, and policy perspectives. PMID:26949286

  14. [Modern problems of maintenance of hygienic safety of drinking water consumption at the regional level].

    Science.gov (United States)

    Tulakin, A V; Tsyplakova, G V; Ampleeva, G P; Kozyreva, O N; Pivneva, O S; Trukhina, G M

    Problems of hygienic reliability of the drinking water use in regions of the Russian Federation are observed in the article. The optimization of the water use was shown must be based on the bearing in mind of regional peculiarities of the shaping of water quality of groundwater and surface sources of the water use, taking into account of the effectiveness of regional water protection programs, programs for water treatment, coordination of the activity of economic entities and oversight bodies in the management of water quality on the basis of socio-hygienic monitoring. Regional problems requiring hygienic justification and accounting, include such issues as complex hydrological, hydrogeological, climatic and geographical conditions, pronouncement of the severity of anthropogenic pollution of sources of water supply, natural conditions of the shaping of water quality, efficiency of the water treatment. There is need in the improvement of the problems of the water quality monitoring, including with the use of computer technology, which allows to realize regional hygienic monitoring and spatial-temporal analysis of the water quality, to model the water quality management, to predict conditions of the water use by population in regions taking into account peculiarities of the current health situation. In the article there is shown the practicability of the so-called complex concept of multiple barriers suggesting the combined use of chemical oxidation and physical methods of the preparation of drinking water. It is required the further development of legislation for the protection of water bodies from pollution with the bigging up the status of sanitary protection zones; timely revision of the regulatory framework, establishing sanitary-epidemiological requirements to potable water and drinking water supply. The problem of the provision of the population with safe drinking water requires complex solution within the framework of the implementation of target programs

  15. Advances in industrial ergonomics and safety I

    Energy Technology Data Exchange (ETDEWEB)

    Mital, A. (ed.) (University of Cincinnati, Cincinnati, OH (USA). Dept. of Mechanical and Industrial Engineering, Ergonomics Research Lab.)

    1989-01-01

    125 papers are presented under the session headings: industrial ergonomics - programs and applications; applied work physiology; occupational biomechanics; engineering anthropometry; work and protective clothing; hand tools; human-computer interface; theory and practice of industrial safety; human perception and performance; human strengths; industrial noise and vibration; machine guarding and industrial machine safety; manual materials handling; modelling for safety and health; occupational injuries and health problems; policies and standards; quality control and inspection; rehabilitation and designing for the disabled; work duration and fatigue; and work and work place design. Includes papers on static and dynamic back strength of underground coal miners, and slip and fall accidents during equipment maintenance in the surface mining industry.

  16. Quality and safety is the integral part of our business

    International Nuclear Information System (INIS)

    Fadeev, Y.

    2011-01-01

    During 65 years from Joint-stock Company Afrikantov OKBM foundation over 400 reactor projects were developed - primarily, various modifications of marine propulsion reactors for nuclear submarines and icebreakers of several generations. Today, OKBM designs reactors of various types and purposes as well as equipment, control and protection mechanisms, and is the world leader in fast-neutron sodium-cooled reactor technology. Much attention in OKBM is given to the safety and quality of production, specialists education [ru

  17. Safety, Quality, Schedule: the motto of LS1

    CERN Multimedia

    2013-01-01

    The LHC’s first long shutdown, LS1, is a marathon that began on 16 February and will take us through to the beginning of 2015. Just as Olympic marathon runners have a motto, Citius, Altius, Fortius, so the athletes of LS1 work to the mantra of Safety, Quality, Schedule. Four months into LS1, they have settled into their rhythm, and things are going to plan.   The first task of LS1 was to bring the LHC up to room temperature - this was achieved in just 10 weeks. In parallel, preliminary tests for electrical quality assurance and leaks revealed essentially the level of wear and tear we’d expect after three years of running. One slightly anxious moment came when we looked at the RF fingers – the devices that ensure electrical contact in the beam pipes as they pass from one magnet to the next. Those of you with long memories will recall that before start-up, some of these got damaged at warm-up. The good news today is that with all eight sectors test...

  18. Addressing the Wicked Problem of Quality in Higher Education: Theoretical Approaches and Implications

    Science.gov (United States)

    Krause, Kerri-Lee

    2012-01-01

    This article explores the wicked problem of quality in higher education, arguing for a more robust theorising of the subject at national, institutional and local department level. The focus of the discussion rests on principles for theorising in more rigorous ways about the multidimensional issue of quality. Quality in higher education is proposed…

  19. Effects of Chitosan-Essential Oil Coatings on Safety and Quality of Fresh Blueberries

    Science.gov (United States)

    Chitosan coating plus different essential oils was developed and applied to fresh blueberries, in order to find environmentally friendly and healthy treatments to preserve fresh fruit quality and safety during postharvest storage. Studies were first performed in vitro where wild-type Escherichia col...

  20. Problems of safety and risk in physical education

    Directory of Open Access Journals (Sweden)

    Robert Podstawski

    2015-10-01

    Full Text Available Purpose: One of the methodology issues in Physical Education is providing children with safety. The purpose of this work is to present basic concepts of safety at Physical Education classes. Material & Methods: The issues connected with safety at classes of Physical Education have been discussed in the subsections, each of which focuses on different concepts such as: legal safety regulations, causes of hazards, theoretical models of preventing hazards at P.E. classes, nutrition programs related to exercise’s fulfillment, prevention of heat disorders and dehydration. Results: According to experts’ opinion, the causes of safety hazards at P.E. classes can be divided into three groups: caused by instructor, caused by a student, and finally hazards technical in nature. The number of accidents during P.E. classes is still substantial, and among most common hazards there are the following: fractures of upper and lower limbs, dislocations, contusions, tendonitis, muscle tear and cuts. Curiously, boys experience such injuries more frequently than girls. Conclusions: Even though safety rules at Physical Education classes are defined by specific regulations, children’s absolute safety is never guaranteed. In order to diminish the number of misadventures, instructor is obliged not only to adhere to the norms but also to teach children to safety rules.

  1. Self-employed individuals performing different types of work have different occupational safety and health problems.

    Science.gov (United States)

    Park, Jungsun; Han, Boyoung; Kim, Yangho

    2018-05-22

    We assessed the occupational safety and health (OSH) issues of self-employed individuals in Korea. The working conditions and OSH issues in three groups were analyzed using the Korean Working Conditions Survey of 2014. Among self-employed individuals, "Physical work" was more common among males, whereas "Emotional work" was more common among females. Self-employed individuals performing "Mental work" had more education, higher incomes, and the lowest exposure to physical/chemical and ergonomic hazards in the workplace. In contrast, those performing "Physical work" were older, had less education, lower incomes, greater exposure to physical/chemical and ergonomic hazards in the workplace, and more health problems. Individuals performing "Physical work" were most vulnerable to OSH problems. The self-employed are a heterogeneous group of individuals. We suggest development of specific strategies that focus on workers performing "Physical work" to improve the health and safety of self-employed workers in Korea. © 2018 Wiley Periodicals, Inc.

  2. Effects of abiotic stress and crop management on cereal grain composition: implications for food quality and safety.

    Science.gov (United States)

    Halford, Nigel G; Curtis, Tanya Y; Chen, Zhiwei; Huang, Jianhua

    2015-03-01

    The effects of abiotic stresses and crop management on cereal grain composition are reviewed, focusing on phytochemicals, vitamins, fibre, protein, free amino acids, sugars, and oils. These effects are discussed in the context of nutritional and processing quality and the potential for formation of processing contaminants, such as acrylamide, furan, hydroxymethylfurfuryl, and trans fatty acids. The implications of climate change for cereal grain quality and food safety are considered. It is concluded that the identification of specific environmental stresses that affect grain composition in ways that have implications for food quality and safety and how these stresses interact with genetic factors and will be affected by climate change needs more investigation. Plant researchers and breeders are encouraged to address the issue of processing contaminants or risk appearing out of touch with major end-users in the food industry, and not to overlook the effects of environmental stresses and crop management on crop composition, quality, and safety as they strive to increase yield. © The Author 2014. Published by Oxford University Press on behalf of the Society for Experimental Biology. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  3. The Mothers on Respect (MOR index: measuring quality, safety, and human rights in childbirth

    Directory of Open Access Journals (Sweden)

    Saraswathi Vedam

    2017-12-01

    Conclusion: The MOR index is a reliable, patient-informed quality and safety indicator that can be applied across jurisdictions to assess the nature of provider-patient relationships, and access to person-centered maternity care.

  4. Effects of gamma irradiation on microbial safety and quality of stir fry chicken dices with hot chili during storage

    International Nuclear Information System (INIS)

    Chen, Qian; Cao, Mei; Chen, Hao; Gao, Peng; Fu, Yi; Liu, Mianxue; Wang, Yan; Huang, Min

    2016-01-01

    The purpose of this study was to investigate effects of irradiation with different doses on microbial safety, sensory quality and protein content of ready-to-eat stir fry chicken dices with hot chili (FCC) during one year storage. Fresh chicken meat was cut into small dices and fried at approximately 180 °C for 10 min for preparation of FCC samples. The samples were vacuum-packaged and gamma irradiated at 10, 20, 30 and 40 kGy. The results suggest that irradiation with the doses of 10 and 20 kGy could ensure microbiological safety of the samples without deterioration of sensory quality. Microbial counts, sensory qualities and protein contents of the samples were investigated during one year storage. No viable cells were observed and the samples were completely sterilized. Sensory qualities showed no significant difference after irradiated at the doses of 10 and 20 kGy during the storage period. Protein contents were also not affected by irradiation at the same doses. Our results indicate that gamma irradiation of 10 and 20 kGy are effective to maintain shelf stability of ready-to-eat FCC products with microbial safety, sensory quality and nutritional value. - Highlights: • Microbial safety and sensory quality of the FCC are ensured by gamma irradiation. • No viable cells in the irradiated FCC are detected during one year storage. • Sensory quality of the irradiated FCC is not changed during one year storage. • Protein content of the FCC is not affected by irradiation during one year storage.

  5. Relationship Between Sleep Problems and Quality of Life in Children With ADHD.

    Science.gov (United States)

    Yürümez, Esra; Kılıç, Birim Günay

    2016-01-01

    The purpose of this study is to assess the sleep behaviors, sleep problems and frequency, and relationship with psychiatric comorbidities in ADHD Combined type and to evaluate the effect of sleep problems on quality of life. Forty-six boys, aged 7 to 13 years, with ADHD-combined type and 31 healthy boys were included. ADHD children were never treated for sleep or psychiatric disorders. Intelligence quotient (IQ) test scores were minimum 80, body mass index were normal and did not have medical disorders. Parents completed Children's Sleep Habits Questionnaire, Conners' Parent Rating Scale and The Pediatric Quality of Life Inventory (PedsQL) and participants were asked about sleep behaviors and were administered PedsQL and Schedule for Affective Disorders and Schizophrenia. The frequency of sleep problems in ADHD is 84.8%, higher than the control group (p = .002). Evaluating PedsQL scores, the quality of life is worse in physical, psychosocial health, and total life quality (p children with ADHD compared with healthy control participants. As the ADHD group have more night wakings than the control group through the night, it is thought that night wakings that cause a partitioned sleep may be important signs seen in ADHD. That could be suggested by two hypotheses. First one is that, daytime sleepiness is more common in ADHD and those children present excessive hyperactivity during the day to stay awake and the second one is the improvement of ADHD signs when the drugs for sleepiness are used. Usage of standardized and valid diagnostic criteria, exclusion of adolescence, gender, socioeconomic level, primary sleep problems, medical disorders and low IQ level, making allowances for effect of comorbidities and having compared with the control group are the important methodological features of this study. The most important limitation of this study is small sample size that makes the findings less generalizable to other groups of children with ADHD, and another one is not

  6. A holistic strategy for quality and safety control of traditional Chinese medicines by the "iVarious" standard system.

    Science.gov (United States)

    Chen, Anzhen; Sun, Lei; Yuan, Hang; Wu, Aiying; Lu, Jingguang; Ma, Shuangcheng

    2017-10-01

    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 the top-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 "iVarious" system. This system highlighted a holistic strategy for effectiveness, security, integrity and systematization of quality and safety control standards of TCMs. The establishment of "iVarious" 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.

  7. Perceived Neighborhood Safety Is Associated with Poor Sleep Health among Gay, Bisexual, and Other Men Who Have Sex with Men in Paris, France.

    Science.gov (United States)

    Duncan, Dustin T; Park, Su Hyun; Goedel, William C; Kreski, Noah T; Morganstein, Jace G; Hambrick, H Rhodes; Jean-Louis, Girardin; Chaix, Basile

    2017-06-01

    Recent studies have examined sleep health among men who have sex with men (MSM), but no studies have examined associations of neighborhood characteristics and sleep health among this population. The purpose of this study was to examine associations between perceived neighborhood safety and sleep health among a sample of MSM in Paris, France. We placed broadcast advertisements on a popular smartphone application for MSM in October 2016 to recruit users in the Paris (France) metropolitan area (n = 580). Users were directed to complete a web-based survey, including previously used items measuring perceptions of neighborhood safety, validated measures of sleep health, and socio-demographics. Modified Poisson models were used to estimate risk ratios (RRs) and 95% confidence intervals (CI) for the associations between perceived neighborhood safety and the following outcomes: (1) poor sleep quality, (2) short sleep duration, and (3) self-reported sleep problems. Poor sleep health was common in our sample; e.g., 30.1% reported poor sleep quality and 44.7% reported problems falling asleep. In multivariate regression models, perceived neighborhood safety was associated with poor sleep quality, short sleep duration, and having sleep problems. For example, reporting living in a neighborhood perceived as unsafe during the daytime (vs. safe) was associated with poor sleep quality (aRR, 1.60; 95% CI, 1.01, 2.52), short sleep duration (aRR, 1.92; 95% CI, 1.26, 2.94), problems falling asleep (aRR, 1.57; 95% CI, 1.17, 2.11), and problems staying awake in the daytime (aRR, 2.16; 95% CI, 1.05, 4.43). Interventions to increase neighborhood safety may improve sleep health among MSM.

  8. Helping nursing homes "at risk" for quality problems: a statewide evaluation.

    Science.gov (United States)

    Rantz, Marilyn J; Cheshire, Debra; Flesner, Marcia; Petroski, Gregory F; Hicks, Lanis; Alexander, Greg; Aud, Myra A; Siem, Carol; Nguyen, Katy; Boland, Clara; Thomas, Sharon

    2009-01-01

    The Quality Improvement Program for Missouri (QIPMO), a state school of nursing project to improve quality of care and resident outcomes in nursing homes, has a special focus to help nursing homes identified as "at risk" for quality concerns. In fiscal year 2006, 92 of 492 Medicaid-certified facilities were identified as "at risk" using quality indicators (QIs) derived from Minimum Data Set (MDS) data. Sixty of the 92 facilities accepted offered on-site clinical consultations by gerontological expert nurses with graduate nursing education. Content of consultations include quality improvement, MDS, care planning, evidence-based practice, and effective teamwork. The 60 "at-risk" facilities improved scores 4%-41% for 5 QIs: pressure ulcers (overall and high risk), weight loss, bedfast residents, and falls; other facilities in the state did not. Estimated cost savings (based on prior cost research) for 444 residents who avoided developing these clinical problems in participating "at-risk" facilities was more than $1.5 million for fiscal year 2006. These are similar to estimated savings of $1.6 million for fiscal year 2005 when 439 residents in "at-risk" facilities avoided clinical problems. Estimated savings exceed the total program cost by more than $1 million annually. QI improvements demonstrate the clinical effectiveness of on-site clinical consultation by gerontological expert nurses with graduate nursing education.

  9. On physics of the hydrogen plasticization and embrittlement of metallic materials, relevance to the safety and standards' problems

    International Nuclear Information System (INIS)

    Yury S Nechaev; Georgy A Filippov; T Nejat Veziroglu

    2006-01-01

    In the present contribution, some related fundamental problems of revealing micro mechanisms of hydrogen plasticization, superplasticity, embrittlement, cracking, blistering and delayed fracture of some technologically important industrial metallic materials are formulated. The ways are considered of these problems' solution and optimizing the technological processes and materials, particularly in the hydrogen and gas-petroleum industries, some aircraft, aerospace and automobile systems. The results are related to the safety and standardization problems of metallic materials, and to the problem of their compatibility with hydrogen. (authors)

  10. Feasibility, safety and image quality of cardiac FDG studies during hyperinsulinaemic-euglycaemic clamping

    International Nuclear Information System (INIS)

    Bax, Jeroen J.; Visser, Frans C.; Lingen, Arthur van; Visser, Cees A.; Poldermans, Don; Elhendy, Abdou; Boersma, Eric

    2002-01-01

    Fluorine-18 fluorodeoxyglucose (FDG) imaging for the assessment of myocardial viability has become an integral part of the diagnostic and prognostic work-up of patients with ischaemic cardiomyopathy. To ensure good image quality, in particular in patients with diabetes mellitus, hyperinsulinaemic-euglycaemic clamping has been proposed. In this study we evaluated the safety and the image quality of cardiac FDG imaging during clamping in a large group of patients, including a subgroup with diabetes mellitus. The incidence of viability (on both a segment and a patient basis) was also determined for patients with and without diabetes mellitus. The safety and image quality of cardiac FDG studies during clamping were evaluated in 131 patients, including 19 with diabetes mellitus. Image quality was assessed visually and quantitatively using heart-to-lung (H/L), heart-to-liver (H/Li) and myocardium-to-background (M/B) ratios. Blood samples were drawn at baseline and at the time of FDG injection to determine levels of glucose, free fatty acids and insulin. The metabolic circumstances were optimal for FDG imaging: high insulin levels, low free fatty acid levels and glucose levels in the normal range (levels of substrates were comparable between patients with and patients without diabetes mellitus). No serious side-effects occurred in any patient. Image quality (assessed visually) was good in all patients. The quantitative parameters of image quality (H/L, H/Li and M/B) were comparable between patients with and patients without diabetes mellitus. The incidence of viability was high: 38% of patients without and 58% of patients with diabetes mellitus had substantial viability despite contractile dysfunction. It is concluded that cardiac FDG imaging during clamping is safe and provides excellent image quality, including in patients with diabetes mellitus. The incidence of viability is high, in particular in patients with diabetes mellitus. (orig.)

  11. Key Performance Indicators in the Evaluation of the Quality of Radiation Safety Programs.

    Science.gov (United States)

    Schultz, Cheryl Culver; Shaffer, Sheila; Fink-Bennett, Darlene; Winokur, Kay

    2016-08-01

    Beaumont is a multiple hospital health care system with a centralized radiation safety department. The health system operates under a broad scope Nuclear Regulatory Commission license but also maintains several other limited use NRC licenses in off-site facilities and clinics. The hospital-based program is expansive including diagnostic radiology and nuclear medicine (molecular imaging), interventional radiology, a comprehensive cardiovascular program, multiple forms of radiation therapy (low dose rate brachytherapy, high dose rate brachytherapy, external beam radiotherapy, and gamma knife), and the Research Institute (including basic bench top, human and animal). Each year, in the annual report, data is analyzed and then tracked and trended. While any summary report will, by nature, include items such as the number of pieces of equipment, inspections performed, staff monitored and educated and other similar parameters, not all include an objective review of the quality and effectiveness of the program. Through objective numerical data Beaumont adopted seven key performance indicators. The assertion made is that key performance indicators can be used to establish benchmarks for evaluation and comparison of the effectiveness and quality of radiation safety programs. Based on over a decade of data collection, and adoption of key performance indicators, this paper demonstrates one way to establish objective benchmarking for radiation safety programs in the health care environment.

  12. Safety significance evaluation system

    International Nuclear Information System (INIS)

    Lew, B.S.; Yee, D.; Brewer, W.K.; Quattro, P.J.; Kirby, K.D.

    1991-01-01

    This paper reports that the Pacific Gas and Electric Company (PG and E), in cooperation with ABZ, Incorporated and Science Applications International Corporation (SAIC), investigated the use of artificial intelligence-based programming techniques to assist utility personnel in regulatory compliance problems. The result of this investigation is that artificial intelligence-based programming techniques can successfully be applied to this problem. To demonstrate this, a general methodology was developed and several prototype systems based on this methodology were developed. The prototypes address U.S. Nuclear Regulatory Commission (NRC) event reportability requirements, technical specification compliance based on plant equipment status, and quality assurance assistance. This collection of prototype modules is named the safety significance evaluation system

  13. Safety Performance Indicator for alcohol in road accidents--international comparison, validity and data quality.

    Science.gov (United States)

    Assum, Terje; Sørensen, Michael

    2010-03-01

    Safety Performance Indicators, SPIs, are developed for various areas within road safety such as speed, car occupant protection, alcohol and drugs, vehicle safety, etc. SPIs can be used to indicate the road safety situation and to compare road safety performance between countries and over time and to understand the process leading to accidents, helping to select the measures to reduce them. This article describes an alcohol SPI defined as the percentage of fatalities resulting from accidents involving at least one driver impaired by alcohol. The calculation of the alcohol SPI for 26 European countries shows that the SPI varies from 4.4% in Bulgaria to 72.2% in Italy. These results raise the question if the results reflect the real situation or if there is a methodological explanation. To answer this question three different studies were carried out: comparison with other alcohol SPIs, in-depth studies of data quality in seven selected countries, and a study of correlations between the SPI and influencing factors. These studies indicate clearly that there is a need to improve quality of the data used for the alcohol SPI. Most importantly, the total number of drivers involved in fatal accidents, the number tested for alcohol and the number not tested, should be reported, in addition to the number of alcohol positive and negative drivers among those tested. Until these improvements are made, the validity of this SPI seems poor and comparison of the alcohol SPI results across countries should be made with caution. Copyright 2009 Elsevier Ltd. All rights reserved.

  14. Safety culture and quality management

    International Nuclear Information System (INIS)

    Edmondson, B.

    1992-01-01

    The concept of Safety Culture is defined along with its general attributes. The characteristics of a satisfactory level of Safety Culture, as it applies to an operating organisation are then presented in two ways, descriptive and as sets of questions against which an organisation's provision may be judged. (author) 1 fig

  15. Causes of Indoor Air Quality Problems in Schools: Summary of Scientific Research

    Energy Technology Data Exchange (ETDEWEB)

    Bayer, C.W.

    2001-02-22

    In the modern urban setting, most individuals spend about 80% of their time indoors and are therefore exposed to the indoor environment to a much greater extent than to the outdoors (Lebowitz 1992). Concomitant with this increased habitation in urban buildings, there have been numerous reports of adverse health effects related to indoor air quality (IAQ) (sick buildings). Most of these buildings were built in the last two decades and were constructed to be energy-efficient. The quality of air in the indoor environment can be altered by a number of factors: release of volatile compounds from furnishings, floor and wall coverings, and other finishing materials or machinery; inadequate ventilation; poor temperature and humidity control; re-entrainment of outdoor volatile organic compounds (VOCs); and the contamination of the indoor environment by microbes (particularly fungi). Armstrong Laboratory (1992) found that the three most frequent causes of IAQ are (1) inadequate design and/or maintenance of the heating, ventilation, and air-conditioning (HVAC) system, (2) a shortage of fresh air, and (3) lack of humidity control. A similar study by the National Institute for Occupational Safety and Health (NIOSH 1989) recognized inadequate ventilation as the most frequent source of IAQ problems in the work environment (52% of the time). Poor IAQ due to microbial contamination can be the result of the complex interactions of physical, chemical, and biological factors. Harmful fungal populations, once established in the HVAC system or occupied space of a modern building, may episodically produce or intensify what is known as sick building syndrome (SBS) (Cummings and Withers 1998). Indeed, SBS caused by fungi may be more enduring and recalcitrant to treatment than SBS from multiple chemical exposures (Andrae 1988). An understanding of the microbial ecology of the indoor environment is crucial to ultimately resolving many IAQ problems. The incidence of SBS related to multiple

  16. What effects have resident work-hour changes had on education, quality of life, and safety? A systematic review.

    Science.gov (United States)

    Harris, Joshua D; Staheli, Greg; LeClere, Lance; Andersone, Diana; McCormick, Frank

    2015-05-01

    More than 15 years ago, the Institute of Medicine (IOM) identified medical error as a problem worthy of greater attention; in the wake of the IOM report, numerous changes were made to regulations to limit residents' duty hours. However, the effect of resident work-hour changes remains controversial within the field of orthopaedics. We performed a systematic review to determine whether work-hour restrictions have measurably influenced quality-of-life measures, operative and technical skill development, resident surgical education, patient care outcomes (including mortality, morbidity, adverse events, sentinel events, complications), and surgeon and resident attitudes (such as perceived effect on learning and training experiences, personal benefit, direct clinical experience, clinical preparedness). We performed a systematic review of PubMed, Scopus, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and Google Scholar using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Inclusion criteria were any English language peer-reviewed articles that analyzed the effect(s) of orthopaedic surgery resident work-hour restrictions on patient safety, resident education, resident/surgeon quality of life, resident technical operative skill development, and resident surgeon attitudes toward work-hour restrictions. Eleven studies met study inclusion criteria. One study was a prospective analysis, whereas 10 studies were of level IV evidence (review of surgical case logs) or survey results. Within our identified studies, there was some support for improved resident quality of life, improved resident sleep and less fatigue, a perceived negative impact on surgical operative and technical skill, and conflicting evidence on the topic of resident education, patient outcomes, and variable attitudes toward the work-hour changes. There is a paucity of high-level or clear evidence evaluating the effect of the changes to resident work

  17. Study of different fitness functions with safety restriction for nuclear reactor reload problem using QDPSO

    Energy Technology Data Exchange (ETDEWEB)

    Oliveira, Paulo C. de, E-mail: paulocaixeta@poli.ufrj.br [Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ (Brazil). Departamento de Engenharia Nuclear; Lima, Alan M.M. de; Schirru, Roberto, E-mail: alan@lmp.ufrj.br, E-mail: schirru@lmp.ufrj.br [Coordenacao dos Programas de Pos-Graduacao em Engenharia (COPPE/UFRJ), Rio de Janeiro, RJ (Brazil)

    2015-07-01

    Nuclear Reactor Reload Problem (NRRP) is a classical problem in Nuclear Engineering that has been studied for more than 40 years, which focuses on the economics and safety of the Nuclear Power Plant (NPP). This problem consists in searching for the best loading pattern of fuel assemblies (FA) in the core, aiming to determine the permutation of fuel assemblies that optimizes the uranium utilization, with fitness function evaluated according to specific criteria and methods of nuclear reactor physics, such as the maximum mean power peak and the boron concentration. In this article will be presented different methodologies to obtain a representative fitness function for NRRP, where Quantum particle Swarm optimization (QPSO) was used to determine which one gives the best array of fuel assemblies that will make the maximum EFPD (Effective Full Power Days) with the least computational effort. In this approach, as well as others in literature, was not used Burnable Poison in the simulations and the results will be compared in relation of the maximization of the cycle length considering the boron concentration yield by the reactor physics code, to make sure that the configuration is valid from a safety point of view. This paper was based on Angra 1's seventh reload cycle. (author)

  18. Development of a Quality and Safety Competency Curriculum for Radiation Oncology Residency: An International Delphi Study

    International Nuclear Information System (INIS)

    Adleman, Jenna; Gillan, Caitlin; Caissie, Amanda; Davis, Carol-Anne; Liszewski, Brian; McNiven, Andrea; Giuliani, Meredith

    2017-01-01

    Purpose: To develop an entry-to-practice quality and safety competency profile for radiation oncology residency. Methods and Materials: A comprehensive list of potential quality and safety competency items was generated from public and professional resources and interprofessional focus groups. Redundant or out-of-scope items were eliminated through investigator consensus. Remaining items were subjected to an international 2-round modified Delphi process involving experts in radiation oncology, radiation therapy, and medical physics. During Round 1, each item was scored independently on a 9-point Likert scale indicating appropriateness for inclusion in the competency profile. Items indistinctly ranked for inclusion or exclusion were re-evaluated through web conference discussion and reranked in Round 2. Results: An initial 1211 items were compiled from 32 international sources and distilled to 105 unique potential quality and safety competency items. Fifteen of the 50 invited experts participated in round 1: 10 radiation oncologists, 4 radiation therapists, and 1 medical physicist from 13 centers in 5 countries. Round 1 rankings resulted in 80 items included, 1 item excluded, and 24 items indeterminate. Two areas emerged more prominently within the latter group: change management and human factors. Web conference with 5 participants resulted in 9 of these 24 items edited for content or clarity. In Round 2, 12 participants rescored all indeterminate items resulting in 10 items ranked for inclusion. The final 90 enabling competency items were organized into thematic groups consisting of 18 key competencies under headings adapted from Deming's System of Profound Knowledge. Conclusions: This quality and safety competency profile may inform minimum training standards for radiation oncology residency programs.

  19. Development of a Quality and Safety Competency Curriculum for Radiation Oncology Residency: An International Delphi Study

    Energy Technology Data Exchange (ETDEWEB)

    Adleman, Jenna [Department of Radiation Oncology, University of Toronto, Toronto, Ontario (Canada); Gillan, Caitlin [Department of Radiation Oncology, University of Toronto, Toronto, Ontario (Canada); Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Ontario (Canada); Caissie, Amanda [Department of Radiation Oncology, Dalhousie University, Halifax, Nova Scotia (Canada); Saint John Regional Hospital, Saint John, New Brunswick (Canada); Davis, Carol-Anne [Department of Radiation Oncology, Dalhousie University, Halifax, Nova Scotia (Canada); Nova Scotia Cancer Centre, Halifax, Nova Scotia (Canada); Liszewski, Brian [Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario (Canada); McNiven, Andrea [Department of Radiation Oncology, University of Toronto, Toronto, Ontario (Canada); Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Ontario (Canada); Giuliani, Meredith, E-mail: Meredith.Giuliani@rmp.uhn.ca [Department of Radiation Oncology, University of Toronto, Toronto, Ontario (Canada); Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Ontario (Canada)

    2017-06-01

    Purpose: To develop an entry-to-practice quality and safety competency profile for radiation oncology residency. Methods and Materials: A comprehensive list of potential quality and safety competency items was generated from public and professional resources and interprofessional focus groups. Redundant or out-of-scope items were eliminated through investigator consensus. Remaining items were subjected to an international 2-round modified Delphi process involving experts in radiation oncology, radiation therapy, and medical physics. During Round 1, each item was scored independently on a 9-point Likert scale indicating appropriateness for inclusion in the competency profile. Items indistinctly ranked for inclusion or exclusion were re-evaluated through web conference discussion and reranked in Round 2. Results: An initial 1211 items were compiled from 32 international sources and distilled to 105 unique potential quality and safety competency items. Fifteen of the 50 invited experts participated in round 1: 10 radiation oncologists, 4 radiation therapists, and 1 medical physicist from 13 centers in 5 countries. Round 1 rankings resulted in 80 items included, 1 item excluded, and 24 items indeterminate. Two areas emerged more prominently within the latter group: change management and human factors. Web conference with 5 participants resulted in 9 of these 24 items edited for content or clarity. In Round 2, 12 participants rescored all indeterminate items resulting in 10 items ranked for inclusion. The final 90 enabling competency items were organized into thematic groups consisting of 18 key competencies under headings adapted from Deming's System of Profound Knowledge. Conclusions: This quality and safety competency profile may inform minimum training standards for radiation oncology residency programs.

  20. Electric Power quality Analysis in research reactor: Impacts on nuclear safety assessment and electrical distribution reliability

    International Nuclear Information System (INIS)

    Touati, Said; Chennai, Salim; Souli, Aissa

    2015-01-01

    The increased requirements on supervision, control, and performance in modern power systems make power quality monitoring a common practise for utilities. Large databases are created and automatic processing of the data is required for fast and effective use of the available information. Aim of the work presented in this paper is the development of tools for analysis of monitoring power quality data and in particular measurements of voltage and currents in various level of electrical power distribution. The study is extended to evaluate the reliability of the electrical system in nuclear plant. Power Quality is a measure of how well a system supports reliable operation of its loads. A power disturbance or event can involve voltage, current, or frequency. Power disturbances can originate in consumer power systems, consumer loads, or the utility. The effect of power quality problems is the loss power supply leading to severe damage to equipments. So, we try to track and improve system reliability. The assessment can be focused on the study of impact of short circuits on the system, harmonics distortion, power factor improvement and effects of transient disturbances on the Electrical System during motor starting and power system fault conditions. We focus also on the review of the Electrical System design against the Nuclear Directorate Safety Assessment principles, including those extended during the last Fukushima nuclear accident. The simplified configuration of the required system can be extended from this simple scheme. To achieve these studies, we have used a demo ETAP power station software for several simulations. (authors)

  1. Electric Power quality Analysis in research reactor: Impacts on nuclear safety assessment and electrical distribution reliability

    Energy Technology Data Exchange (ETDEWEB)

    Touati, Said; Chennai, Salim; Souli, Aissa [Nuclear Research Centre of Birine, Ain Oussera, Djelfa Province (Algeria)

    2015-07-01

    The increased requirements on supervision, control, and performance in modern power systems make power quality monitoring a common practise for utilities. Large databases are created and automatic processing of the data is required for fast and effective use of the available information. Aim of the work presented in this paper is the development of tools for analysis of monitoring power quality data and in particular measurements of voltage and currents in various level of electrical power distribution. The study is extended to evaluate the reliability of the electrical system in nuclear plant. Power Quality is a measure of how well a system supports reliable operation of its loads. A power disturbance or event can involve voltage, current, or frequency. Power disturbances can originate in consumer power systems, consumer loads, or the utility. The effect of power quality problems is the loss power supply leading to severe damage to equipments. So, we try to track and improve system reliability. The assessment can be focused on the study of impact of short circuits on the system, harmonics distortion, power factor improvement and effects of transient disturbances on the Electrical System during motor starting and power system fault conditions. We focus also on the review of the Electrical System design against the Nuclear Directorate Safety Assessment principles, including those extended during the last Fukushima nuclear accident. The simplified configuration of the required system can be extended from this simple scheme. To achieve these studies, we have used a demo ETAP power station software for several simulations. (authors)

  2. Physical aspects of quality assurance in nuclear medicine and radiotherapy, regulatory approach of the National Nuclear Safety Center

    International Nuclear Information System (INIS)

    Gonzalez C, D.; Fuente P, A. de la; Quevedo G, J.R.; Lopez F, Y.; Varela C, C.

    2006-01-01

    The physical aspects of the quality guarantee in Nuclear Medicine and Radiotherapy its are of cardinal importance to guarantee the quality of the diagnoses and treatments that are carried out to the patients in this type of services. The OIEA, the OMS and other scientific and professional organizations have contributed significantly to the elaboration of recommendations, Protocols, etc. applicable in the quality control programs and safety of the Nuclear Medicine and Radiotherapy departments. In spite of the great effort developed in this sense the Installation of the programs of quality control and safety of the Nuclear Medicine and Radiotherapy departments can fail if the same ones are not based in three decisive elements that are: the existence of national regulations, the existence of the infrastructure required for it and the existence of enough qualified personnel to develop this programs. The present work shows the regulatory focus that on this topic, it has followed the National Center of Nuclear Safety of Cuba (CNSN). The same left of strengthen all the existent Synergies in the different organizations of the country and it went in two fundamental directions: installation of the regulatory requirements that govern this activity and the Authorization of a Cuban Entity, specialized in carrying out audits to the quality control and safety programs of the Nuclear Medicine and Radiotherapy departments. After 4 work years in this direction, the results confirm the validity of the experience developed by the CNSN, at the moment all the services of Nuclear Medicine and Radiotherapy of Cuba possess quality control and safety programs, these programs are annually Auditing by an Authorized entity by the CNSN and the Inspectors of the Regulatory Authority, control, during the inspections, the one execution of the established requirements in the national regulations. The work developed so far can serve, modestly, of reference to others countries of Latin America that

  3. PROBLEM OF GENETICALLY MODIFIED FOODS SAFETY: A TOXICOLOGIST’S VIEW

    Directory of Open Access Journals (Sweden)

    E. L. Levitsky

    2016-02-01

    Full Text Available This study aimed to analyze the published literature regarding the problem of safety of consuming food products containing genetically modified organisms. Genetically modified food products are given a brief definition, purpose and methods of their production are described, and the pro- and contra- arguments for their consumption are presented. The discussion is mostly focused on results of evaluating possible toxicity of such foods and their safety for macroorganism using traditional methods of toxicological analysis. Test results for long-term toxic effects, namely allergenicity, carcinogenicity, reproductive toxicity, and the possibility of mutagenic effects of these food products on the human body and the intestinal microflora are discussed separately. These data are based on the current understanding of the laws of the penetration and functioning of foreign genetic material outside the body, its entry and the possibility of integration into the genome during intake of foods manufactured by genetic engineering. The basic principles of the toxicological and hygienic regulation of these food products are also considered. An analysis of published experimental results allowed to draw a general conclusion about the absence of reliable scientific information indicating the presence of the toxic properties of genetically modified foods, and therefore of credible evidence of the dangers of consuming for humans and pets.

  4. A longitudinal, multi-level comparative study of quality and safety in European hospitals: The QUASER study protocol

    NARCIS (Netherlands)

    G. Robert (Glenn); J.E. Anderson (Janet); S. Burnett (Susan); K. Aase (Karina); B. Andersson-Gare (Boel); R.A. Bal (Roland); J.E. Calltorp (Johan); F. Nunes (Francisco); A.M. Weggelaar (Anne Marie); C. Vincent (Charles); N.J. Fulop (Naomi)

    2011-01-01

    textabstractBackground: although there is a wealth of information available about quality improvement tools and techniques in healthcare there is little understanding about overcoming the challenges of day-to-day implementation in complex organisations like hospitals. The 'Quality and Safety in

  5. 78 FR 17212 - Patient Safety Organizations: Voluntary Relinquishment From Universal Safety Solution PSO

    Science.gov (United States)

    2013-03-20

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Patient Safety... Research and Quality (AHRQ), HHS. ACTION: Notice of delisting. SUMMARY: The Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act), Public Law 109-41, 42 U.S.C. 299b-21--b-26, provides for the...

  6. Patient safety: Safety culture and patient safety ethics

    DEFF Research Database (Denmark)

    Madsen, Marlene Dyrløv

    2006-01-01

    ,demonstrating significant, consistent and sometimes large differences in terms of safety culture factors across the units participating in the survey. Paper 5 is the results of a study of the relation between safety culture, occupational health andpatient safety using a safety culture questionnaire survey......Patient safety - the prevention of medical error and adverse events - and the initiative of developing safety cultures to assure patients from harm have become one of the central concerns in quality improvement in healthcare both nationally andinternationally. This subject raises numerous...... challenging issues of systemic, organisational, cultural and ethical relevance, which this dissertation seeks to address through the application of different disciplinary approaches. The main focus of researchis safety culture; through empirical and theoretical studies to comprehend the phenomenon, address...

  7. Quality and microbiological safety of fermented bovine dairy produced in Federal District, Brazil

    Directory of Open Access Journals (Sweden)

    Diana Lima dos Reis

    2014-12-01

    Full Text Available Considering the growing importance of fermented dairy products in the domestic market and the scarcity of data in the Federal District (DF, it was evaluated the quality and microbiological safety of these products in the DF and its adaptation to current standards. The study was conducted in five dairy being collected 105 samples of fermented dairy products corresponding to 21 lots (n = 5 per lot, with 65 samples of yogurt, 20 of curd and 20 of fermented dairy drink. All samples were submitted to a count of aerobic mesophilic, psychrotrophic, coliforms at 35 ° C, Escherichia coli, Staphylococcus coagulase positive, Salmonella spp., molds, yeasts and viable lactic acid bacteria (BAL. The total lots analyzed, 62% were considered acceptable under the Regulatory Instructions n ° 46/2007 and n ° 16/2005. In order of quality, fermented dairy drink was the one with lots more apt to consumption (75% followed by yoghurt (61.5% and, lastly, curd (50%. For samples units, the results showed that: 17% of yoghurt samples, 15% of curd and 20% of fermented dairy drink showed scores above the allowed CT; 11% of yoghurt samples and 30% of fermented dairy drink showed BAL counts below specific minimum limits; and 61% samples of yogurt and curd were 30% of curd was with yeasts and molds counts above permitted. No samples showed the development of E. coli or Salmonella spp. Despite the absence of microbiological hazards in the samples analyzed, the study indicates problems in the production of these products in the DF that may be related to deficiencies in hygienic of the processes, most rigor in the quality controls of dairy and oversight of industries is needed.

  8. [Implementation of good quality and safety practices. Descriptive study in a occupational mutual health centre].

    Science.gov (United States)

    Manzanera, R; Plana, M; Moya, D; Ortner, J; Mira, J J

    2016-01-01

    To describe the level of implementation of quality and safety good practice elements in a Mutual Society health centre. A Cross-sectional study was conducted to assess the level of implementation of good practices using a questionnaire. Some quality dimensions were also assessed (scale 0 to 10) by a set of 87 quality coordinators of health centres and a random sample of 54 healthcare professionals working in small centres. Seventy quality coordinators and 27 professionals replied (response rates 80% and 50%, respectively. There were no differences in the assessment of quality attributes between both groups. They identified as areas for improvement: use of practice guidelines (7.6/10), scientific and technical skills (7.5/10), and patient satisfaction (7.7/10). Availability and accessibility to clinical reports, informed consent, availability of hydro-alcoholic solution, and to record allergies, were considered of high importance to be implemented, with training and research, improvements in equipment and technology plans, adherence to clinical practice guidelines and the preparation of risk maps, being of less importance. The good practices related to equipment and resources have a higher likelihood to be implemented, meanwhile those related to quality and safety attitudes have more barriers before being implemented. The mutual has a similar behaviour than other healthcare institutions. Copyright © 2015 SECA. Published by Elsevier Espana. All rights reserved.

  9. Quality assurance: image production and film quality

    International Nuclear Information System (INIS)

    Abd Aziz Mhd Ramli

    2004-01-01

    The contents of this chapter are follows - Factors Affecting Image Quality and Patient Dose: Quality Control in Diagnostic Radiology, Mechanical Safety, Electrical Safety, Radiation Protection, Performance and Safety Standard, Calibration of QC Test Tools

  10. Self-reported Quality of ADL Task Performance in Adults with Schizophrenia

    DEFF Research Database (Denmark)

    Nielsen, Kristina Tomra; Petersen, Rikke S.; Wæhrens, Eva Ejlersen

    quality of both personal ADL (PADL) and instrumental ADL (IADL). Aside from decreased independence, the participants also reported problems related to increased effort, increased use of time, and some safety issues. Although most of the participants reported to be competent in relation to PADL tasks......, how they perceive the quality of their performance in terms of effort/fatigue, use of time, safety risks, and need for assistance. The aim was to investigate the self-reported quality of ADL task performance in adults with schizophrenia. Subjects Participants were recruited from October 2013...... evaluation tool developed to describe and measure the quality of ADL task performance in terms of effort/fatigue, use of time, safety risks, and need for assistance based on self-report. Occupational therapists employed at the hospitals and trained in conducting the ADL–I were collecting data. The interviews...

  11. A perinatal care quality and safety initiative: are there financial rewards for improved quality?

    Science.gov (United States)

    Kozhimannil, Katy B; Sommerness, Samantha A; Rauk, Phillip; Gams, Rebecca; Hirt, Charles; Davis, Stanley; Miller, Kristi K; Landers, Daniel V

    2013-08-01

    Although costs of providing care may decrease with hospital initiatives to improve obstetric and neonatal outcomes, the accompanying reduced adverse outcomes may negatively affect hospital revenues. In 2008 a Minnesota-based hospital system (Fairview Health Services) launched the Zero Birth Injury (ZBI) initiative, which used evidence-based care bundles to guide management of obstetric services. A pre-post analysis of financial impacts of ZBI was conducted by using hospital administrative records to measure costs and revenues associated with changes in maternal and neonatal birth injuries before (2008) and after (2009-2011) the initiative. For the Fairview Health Services hospitals, after adjusting for relevant covariates, implementation of ZBI was associated with a mean 11% decrease in the rate of maternal and neonatal adverse outcomes between 2008 and 2011 (adjusted odds ratio [AOR] = 0.89, p = .076). As a result of the adverse events avoided, the hospital system saved $284,985 in costs but earned $324,333 less revenue, which produced a net financial decrease of $39,348 (or a $305 net financial loss per adverse event avoided) in 2011, compared with 2008. Adoption of a perinatal quality and safety initiative that reduced birth injuries had little net financial impact on the hospital. ZBI produced better clinical results at a lower cost, which represents potential savings for payers, but the hospital system offering improved quality reaped no clear financial rewards. These results highlight the important role for shared-savings collaborations (among patients, providers, government and third-party payers, and employers) to incentivize QI. Widespread adoption of perinatal safety initiatives combined with innovative payment models may contribute to better health at reduced cost.

  12. Impact of problem finding on the quality of authentic open inquiry science research projects

    Science.gov (United States)

    Labanca, Frank

    2008-11-01

    Problem finding is a creative process whereby individuals develop original ideas for study. Secondary science students who successfully participate in authentic, novel, open inquiry studies must engage in problem finding to determine viable and suitable topics. This study examined problem finding strategies employed by students who successfully completed and presented the results of their open inquiry research at the 2007 Connecticut Science Fair and the 2007 International Science and Engineering Fair. A multicase qualitative study was framed through the lenses of creativity, inquiry strategies, and situated cognition learning theory. Data were triangulated by methods (interviews, document analysis, surveys) and sources (students, teachers, mentors, fair directors, documents). The data demonstrated that the quality of student projects was directly impacted by the quality of their problem finding. Effective problem finding was a result of students using resources from previous, specialized experiences. They had a positive self-concept and a temperament for both the creative and logical perspectives of science research. Successful problem finding was derived from an idiosyncratic, nonlinear, and flexible use and understanding of inquiry. Finally, problem finding was influenced and assisted by the community of practicing scientists, with whom the students had an exceptional ability to communicate effectively. As a result, there appears to be a juxtaposition of creative and logical/analytical thought for open inquiry that may not be present in other forms of inquiry. Instructional strategies are suggested for teachers of science research students to improve the quality of problem finding for their students and their subsequent research projects.

  13. Chitosan Dilutable and Dilactin Forte: Assessment of Their Efficiency for Safety and Quality of Foodstuff

    Science.gov (United States)

    Iurchikova, N.; Khlebosolova, O.

    2018-01-01

    The modern natural food preservatives used to process and store foodstuff allow to ensure its safety and high quality. Chitosan and dilactin-forte are among such medicines. These preservatives are not only safe, but also are beneficial to a human body in virtue of their effects onto human digestive system. The article describes the results of the research conducted to identify the impact of these natural preservatives on safety of carrot (Daucus carota subsp. sativus)

  14. Organization and Nuclear Safety: Safety culture

    International Nuclear Information System (INIS)

    Martin Marquinez, A.

    1998-01-01

    This book presents the experience in nuclear safety and its influence in the exploitation on nuclear power plants. The safety organization and quality management before and after Chernobylsk and three mile island accidents

  15. Safety considerations of lithium-thionyl chloride cells

    Energy Technology Data Exchange (ETDEWEB)

    Subbarao, S.; Halpert, G.; Stein, I.

    1986-06-01

    The use of spirally wound lithium-thionyl chloride (Li-SOCl/sub 2/) cells is currently limited because of their hazardous behavior. Safety hazards have ranged from mild venting of toxic materials to violent explosions and fires. These incidents may be related to both user- and manufacturer-induced causes. Many explanations have been offered to explain the unsafe behavior of the cells under operating and abuse conditions. Explanations fall into two categories: (1) thermal mechanisms, and (2) chemical mechanisms. However, it is quite difficult to separate the two. Both may be responsible for cell venting or explosion. Some safety problems encountered with these cells also may be due to design deficiencies and ineffective quality control during cell fabrication. A well-coordinated basic and applied research program is needed to develop safe Li-SOCl/sub 2/ cells. Recommendations include: (1) learnig more about Li-SOCl/sub 2/ cell chemistry; (2) modeling cell and battery behavior; (3) optimizing cell design for safety and performance, (4) implementing quality control procedures; and (5) educating users.

  16. Caregivers’ Use of Child Passenger Safety Resources and Quality of Future Child Restraint System Installations

    Directory of Open Access Journals (Sweden)

    Jessica H. Mirman

    2017-10-01

    Full Text Available Objectives: Child Restraint System (CRS misuse is common. We characterized caregivers’ use of child passenger safety informational and instructional resources and determined whether there were differences in the quality of CRS installations associated with prior exposure to specific resources as evaluated in a standardized CRS installation environment. Methods: Caregivers completed self-report surveys and installed a forward-facing CRS in a controlled environment. Installations were evaluated for security (tightness and accuracy (no errors by a child passenger safety technician (CPST. Results: CRS manuals were the most common way caregivers learned to install a CRS. Primary care providers (PCPs were the most frequently endorsed source of CRS safety information. There was no strong pattern of associations between prior exposure to resources and installation quality (security or accuracy, although some evidence supports protective effects of learning from CPSTs; 13% (19 out of 151 installations were secure and 57% (86 out of 151 installations were accurate. Conclusions: A focus on developing effective and lasting behavioral interventions is needed.

  17. Software quality assurance and software safety in the Biomed Control System

    International Nuclear Information System (INIS)

    Singh, R.P.; Chu, W.T.; Ludewigt, B.A.; Marks, K.M.; Nyman, M.A.; Renner, T.R.; Stradtner, R.

    1989-01-01

    The Biomed Control System is a hardware/software system used for the delivery, measurement and monitoring of heavy-ion beams in the patient treatment and biology experiment rooms in the Bevalac at the Lawrence Berkeley Laboratory (LBL). This paper describes some aspects of this system including historical background philosophy, configuration management, hardware features that facilitate software testing, software testing procedures, the release of new software quality assurance, safety and operator monitoring. 3 refs

  18. Beyond metrics? Utilizing ‘soft intelligence’ for healthcare quality and safety

    OpenAIRE

    Martin, Graham P.; McKee, Lorna; Dixon-Woods, Mary

    2015-01-01

    Formal metrics for monitoring the quality and safety of healthcare have a valuable role, but may not, by themselves, yield full insight into the range of fallibilities in organizations. ‘Soft intelligence’ is usefully understood as the processes and behaviours associated with seeking and interpreting soft data—of the kind that evade easy capture, straightforward classification and simple quantification—to produce forms of knowledge that can provide the basis for intervention. With the aim of ...

  19. The Trends and their Impact on Fishery Products Safety and Quality

    OpenAIRE

    Gheorghe Adrian ZUGRAVU; Maria Magdalena TUREK RAHOVEANU

    2012-01-01

    The paper follows two main objectives: to understand consumers’ perception of safety and quality of fishery products and to identify communication levers in order to improve the perceived image of fishery products. The present research is focused on the fishery products, regardless of their presentation – fresh, frozen or processed. This paper conducted a questionnaire survey of Romanian consumers’ perception toward fishery products. The empirical study with brands indicated that consumers ar...

  20. Quality of life of people with mental health problems: a synthesis of qualitative research

    OpenAIRE

    Connell, Janice; Brazier, John; O?Cathain, Alicia; Lloyd-Jones, Myfanwy; Paisley, Suzy

    2012-01-01

    Abstract Purpose To identify the domains of quality of life important to people with mental health problems. Method A systematic review of qualitative research undertaken with people with mental health problems using a framework synthesis. Results We identified six domains: well-being and ill-being; control, autonomy and choice; self-perception; belonging; activity; and hope and hopelessness. Firstly, symptoms or ‘ill-being’ were an intrinsic aspect of quality of life for people with severe m...

  1. Human factors in safety assessment. Safety culture assessment

    International Nuclear Information System (INIS)

    Zhang Li; Deng Zhiliang; Wang Yiqun; Huang Weigang

    1996-01-01

    This paper analyses the present conditions and problems in enterprises safety assessment, and introduces the characteristics and effects of safety culture. The authors think that safety culture must be used as a 'soul' to form the pattern of modern safety management. Furthermore, they propose that the human safety and synthetic safety management assessment in a system should be changed into safety culture assessment. Finally, the assessment indicators are discussed

  2. Epidemiological comparisons of problems and positive qualities reported by adolescents in 24 countries

    DEFF Research Database (Denmark)

    Rescorla, Leslie; Achenbach, Thomas M; Ivanova, Masha Y

    2007-01-01

    In this study, the authors compared ratings of behavioral and emotional problems and positive qualities on the Youth Self-Report (T. M. Achenbach & L. A. Rescorla, 2001) by adolescents in general population samples from 24 countries (N = 27,206). For problem scales, country effect sizes (ESs) ran...

  3. Procurement in the Nuclear Industry, Quality, Safety and Decision Making

    International Nuclear Information System (INIS)

    Jakobsson, Marianne; Svenson, Ola; Salo, Ilkka

    2010-03-01

    are formed. This means that external personal sometimes has to be engaged in such a team and therefore the emphasis on safety has to be communicated effectively to those joining the team from outside the plant. From a competition point of view, the number of potential suppliers is often too small. There is a feedback system of experience from previous contracts, but this information is of little use since it is not documented so that it is possible to conduct a quick and efficient information search, which would be a weakness when safety and quality information is needed quickly in a procurement process

  4. Quality and safety aspects of reusable plastic food packaging materials : a European study to underpin future legislation

    NARCIS (Netherlands)

    Jetten, J.; Kruijf, N. de; Castle, L.

    1999-01-01

    The objective of this study was to develop a comprehensive package of quality assurance criteria for use by industry and regulatory authorities for ensuring the quality and safety-in-use (sensory, microbiological and chemical) of reused plastics for food packaging. The study included thermal

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

    Directory of Open Access Journals (Sweden)

    Anzhen Chen

    2017-10-01

    Full Text Available 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 the top-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 “iVarious” system. This system highlighted a holistic strategy for effectiveness, security, integrity and systematization of quality and safety control standards of TCMs. The establishment of “iVarious” 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.

  6. Improving the safety and quality of nursing care through standardized operating procedures in Bosnia and Herzegovina.

    Science.gov (United States)

    Ausserhofer, Dietmar; Rakic, Severin; Novo, Ahmed; Dropic, Emira; Fisekovic, Eldin; Sredic, Ana; Van Malderen, Greet

    2016-06-01

    We explored how selected 'positive deviant' healthcare facilities in Bosnia and Herzegovina approach the continuous development, adaptation, implementation, monitoring and evaluation of nursing-related standard operating procedures. Standardized nursing care is internationally recognized as a critical element of safe, high-quality health care; yet very little research has examined one of its key instruments: nursing-related standard operating procedures. Despite variability in Bosnia and Herzegovina's healthcare and nursing care quality, we assumed that some healthcare facilities would have developed effective strategies to elevate nursing quality and safety through the use of standard operating procedures. Guided by the 'positive deviance' approach, we used a multiple-case study design to examine a criterion sample of four facilities (two primary healthcare centres and two hospitals), collecting data via focus groups and individual interviews. In each studied facility, certification/accreditation processes were crucial to the initiation of continuous development, adaptation, implementation, monitoring and evaluation of nursing-related SOPs. In one hospital and one primary healthcare centre, nurses working in advanced roles (i.e. quality coordinators) were responsible for developing and implementing nursing-related standard operating procedures. Across the four studied institutions, we identified a consistent approach to standard operating procedures-related processes. The certification/accreditation process is enabling necessary changes in institutions' organizational cultures, empowering nurses to take on advanced roles in improving the safety and quality of nursing care. Standardizing nursing procedures is key to improve the safety and quality of nursing care. Nursing and Health Policy are needed in Bosnia and Herzegovina to establish a functioning institutional framework, including regulatory bodies, educational systems for developing nurses' capacities or the

  7. Assessment of CFD Codes for Nuclear Reactor Safety Problems - Revision 2

    International Nuclear Information System (INIS)

    Smith, B.L.; Andreani, M.; Bieder, U.; Ducros, F.; Bestion, D.; Graffard, E.; Heitsch, M.; Scheuerer, M.; Henriksson, M.; Hoehne, T.; Houkema, M.; Komen, E.; Mahaffy, J.; Menter, F.; Moretti, F.; Morii, T.; Muehlbauer, P.; Rohde, U.; Krepper, E.; Song, C.H.; Watanabe, T.; Zigh, G.; Boyd, C.F.; Archambeau, F.; Bellet, S.; Munoz-Cobo, J.M.; Simoneau, J.P.

    2015-01-01

    Following recommendations made at an 'Exploratory Meeting of Experts to Define an Action Plan on the Application of Computational Fluid Dynamics (CFD) Codes to Nuclear Reactor Safety (NRS) Problems', held in Aix-en-Provence, France, 15-16 May, 2002, and a follow-up meeting 'Use of Computational Fluid Dynamics (CFD) Codes for Safety Analysis of Reactor Systems including Containment', which took place in Pisa on 11-14 Nov., 2002, a CSNI action plan was drawn up which resulted in the creation of three Writing Groups, with mandates to perform the following tasks: (1) Provide a set of guidelines for the application of CFD to NRS problems; (2) Evaluate the existing CFD assessment bases, and identify gaps that need to be filled; (3) Summarise the extensions needed to CFD codes for application to two-phase NRS problems. Work began early in 2003. In the case of Writing Group 2 (WG2), a preliminary report was submitted to Working Group on the Analysis and Management of Accidents (WGAMA) in September 2004 that scoped the work needed to be carried out to fulfil its mandate, and made recommendations on how to achieve the objective. A similar procedure was followed by the other two groups, and in January 2005 all three groups were reformed to carry out their respective tasks. In the case of WG2, this resulted in the issue of a CSNI report (NEA/CSNI/R(2007)13), issued in January 2008, describing the work undertaken. The writing group met on average twice per year during the period March 2005 to May 2007, and coordinated activities strongly with the sister groups WG1 (Best Practice Guidelines) and WG3 (Multiphase Extensions). The resulting document prepared at the end of this time still represents the core of the present revised version, though updates have been made as new material has become available. After some introductory remarks, Chapter 3 lists twenty-three (23) NRS issues for which it is considered that the application of CFD would bring real benefits

  8. Health IT for Patient Safety and Improving the Safety of Health IT.

    Science.gov (United States)

    Magrabi, Farah; Ong, Mei-Sing; Coiera, Enrico

    2016-01-01

    Alongside their benefits health IT applications can pose new risks to patient safety. Problems with IT have been linked to many different types of clinical errors including prescribing and administration of medications; as well as wrong-patient, wrong-site errors, and delays in procedures. There is also growing concern about the risks of data breach and cyber-security. IT-related clinical errors have their origins in processes undertaken to design, build, implement and use software systems in a broader sociotechnical context. Safety can be improved with greater standardization of clinical software and by improving the quality of processes at different points in the technology life cycle, spanning design, build, implementation and use in clinical settings. Oversight processes can be set up at a regional or national level to ensure that clinical software systems meet specific standards. Certification and regulation are two mechanisms to improve oversight. In the absence of clear standards, guidelines are useful to promote safe design and implementation practices. Processes to identify and mitigate hazards can be formalised via a safety management system. Minimizing new patient safety risks is critical to realizing the benefits of IT.

  9. Nuclear ships and their safety

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1961-04-15

    Several aspects of nuclear ship propulsion, with special reference to nuclear safety, were discussed at an international symposium at Taormina, Italy, from 14-18 November 1960. Discussions on specific topics are conducted, grouped under the following headings: Economics and National Activities in Nuclear Ship Propulsion; International Problems and General Aspects of Safety for Nuclear Ships; Nuclear Ship Projects from the Angle of Safety; Ship Reactor Problems; Sea Motion and Hull Problems; Maintenance and Refuelling Problems; and Safety Aspects of Nuclear Ship Operation.

  10. Physics Teacher Quality

    Science.gov (United States)

    Wallace, Andrew; Bixler, David

    2010-03-01

    Physics Teacher Quality at Angelo State University (ASU) and Education Service Center Region XV is funded through a US Department of Education grant. In this program secondary science teachers from local and rural districts within Region XV learn and practice physics and principles of technology concepts emphasized in the Texas Essential Knowledge and Skills (TEKS), improve practice of 5E model of guided inquiry, and complete activity-based laboratories and field investigations. Investigations include field and laboratory safety, environmental responsibility, ethical practices, application of scientific methods to open-ended problems encountered in the physical sciences, and critical thinking and problem solving. Teachers are assessed through pre- and post- testing, lab practicum, and classroom observation over a two-year cycle. Assessment data from 2004 through 2008 indicates Physics Teacher Quality is changing teaching behavior in the secondary classroom.

  11. Work life and patient safety culture in Canadian healthcare: connecting the quality dots using national accreditation results.

    Science.gov (United States)

    Mitchell, Jonathan I

    2012-01-01

    Fostering quality work life is paramount to building a strong patient safety culture in healthcare organizations. Data from two patient safety culture and work-life questionnaires used for Accreditation Canada's national program were analyzed. Strong team leadership was reported in that units were doing a good job of identifying, assessing and managing risks to patients. Seventy-one percent of respondents gave their unit a positive overall grade on patient safety, and 79% of respondents felt that they could often do their best-quality work in their job. However, healthcare workers felt that they did not have enough time to do their jobs adequately and indicated that co-workers were cutting corners in patient care in order to save time. This article discusses engaging both senior leadership and the entire organization in the change process, ensuring supervisory support, and using performance measures to focus organizational efforts on key priorities all as improvement strategies relevant to these findings. These strategies can be used by organizations across sectors and jurisdictions and by healthcare leaders to positively affect work life and patient safety.

  12. Safety and human factors impacts of introducing quality management into high-risk industries: A field study

    International Nuclear Information System (INIS)

    Chollet, M.G.; Normier, C.; Girault, M.; Tasset, D.

    2002-01-01

    The Institute for Radiological Protection and Nuclear Safety has undertaken a study for getting a better understanding, especially in terms of Safety and Human Factors, of the changes caused by the progressive deployment of the Quality Management in French high risk industries. This study is based on both theoretical elements from the human sciences and management and practical elements from the field, collected from interviews in large French industrial sites involved in integrating this management method. The results show frequent discrepancies between theory, which is very positive and production-oriented, and reality, which is more complex and subtle, ever looking for trade-offs between production requirements and safety constraints. Thus, each step forward announced in the literature may be matched by possible steps backward in terms of safety on the ground. Where, in theory, processes enable practices to be mastered, in practice they can reduce autonomy and fossilize know-how. Where theoretically continuous improvement stimulates and strengthens performances, in reality it can also generate stress and deadlock. Where theoretically personal commitment and collective responsibility work towards all-out performance, in reality they can also operate to conceal safety deviations and infringements. The assessment of Quality Management processes in the nuclear field will benefit from these results raised from theoretical review and confirmed by similar management changes. (author)

  13. Quality assurance of the modernized Dukovany I and C safety system software

    International Nuclear Information System (INIS)

    Karpeta, C.

    2005-01-01

    The approach to quality assurance of the software that implements the instrumentation and control functions for safety category A as per IEC 61226, which has been adopted within the 'NPP Dukovany I and C Refurbishment' project, is described. A survey of the requirements for software quality assurance of the systems that initiate protection interventions in the event of anticipated operational occurrences or accident conditions is given. The software development process applied by the system designers and manufacturers, from the software requirements specification phase to the software testing phase, is outlined. Basic information on technical audits of the software development process is also provided. (orig.)

  14. 78 FR 40146 - Patient Safety Organizations: Voluntary Relinquishment From Northern Metropolitan Patient Safety...

    Science.gov (United States)

    2013-07-03

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Patient Safety Organizations: Voluntary Relinquishment From Northern Metropolitan Patient Safety Institute AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS. ACTION: Notice of Delisting. SUMMARY: The Patient Safety and...

  15. 76 FR 7853 - Patient Safety Organizations: Voluntary Delisting From Oregon Patient Safety Commission

    Science.gov (United States)

    2011-02-11

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Patient Safety Organizations: Voluntary Delisting From Oregon Patient Safety Commission AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS. ACTION: Notice of delisting. SUMMARY: Oregon Patient Safety Commission: AHRQ...

  16. Reusing salad from salad bars – simulating the effects on product loss, microbial safety and product quality

    NARCIS (Netherlands)

    Tromp, S.O.; Rijgersberg, H.; Franz, E.

    2012-01-01

    The goal of this study is to model the effects of reusing salad from salad bars to reduce product loss, while keeping microbial safety and product quality at acceptable levels. We, therefore, expand our previously developed simulation model by incorporating reuse strategies and a quality decay

  17. A review of national policies and strategies to improve quality of health care and patient safety: a case study from Lebanon and Jordan.

    Science.gov (United States)

    El-Jardali, Fadi; Fadlallah, Racha

    2017-08-16

    Improving quality of care and patient safety practices can strengthen health care delivery systems, improve health sector performance, and accelerate attainment of health-related Sustainability Development Goals. Although quality improvement is now prominent on the health policy agendas of governments in low- and middle-income countries (LMICs), including countries of the Eastern Mediterranean Region (EMR), progress to date has not been optimal. The objective of this study is to comprehensively review existing quality improvement and patient safety policies and strategies in two selected countries of the EMR (Lebanon and Jordan) to determine the extent to which these have been institutionalized within existing health systems. We used a mixed methods approach that combined documentation review, stakeholder surveys and key informant interviews. Existing quality improvement and patient safety initiatives were assessed across five components of an analytical framework for assessing health care quality and patient safety: health systems context; national policies and legislation; organizations and institutions; methods, techniques and tools; and health care infrastructure and resources. Both Lebanon and Jordan have made important progress in terms of increased attention to quality and accreditation in national health plans and strategies, licensing requirements for health care professionals and organizations (albeit to varying extents), and investments in health information systems. A key deficiency in both countries is the absence of an explicit national policy for quality improvement and patient safety across the health system. Instead, there is a spread of several (disjointed) pieces of legal measures and national plans leading to fragmentation and lack of clear articulation of responsibilities across the entire continuum of care. Moreover, both countries lack national sets of standardized and applicable quality indicators for performance measurement and benchmarking

  18. The complications of controlling agency time discretion: FDA review deadlines and postmarket drug safety.

    Science.gov (United States)

    Carpenter, Daniel; Chattopadhyay, Jacqueline; Moffitt, Susan; Nall, Clayton

    2012-01-01

    Public agencies have discretion on the time domain, and politicians deploy numerous policy instruments to constrain it. Yet little is known about how administrative procedures that affect timing also affect the quality of agency decisions. We examine whether administrative deadlines shape decision timing and the observed quality of decisions. Using a unique and rich dataset of FDA drug approvals that allows us to examine decision timing and quality, we find that this administrative tool induces a piling of decisions before deadlines, and that these “just-before-deadline” approvals are linked with higher rates of postmarket safety problems (market withdrawals, severe safety warnings, safety alerts). Examination of data from FDA advisory committees suggests that the deadlines may impede quality by impairing late-stage deliberation and agency risk communication. Our results both support and challenge reigning theories about administrative procedures, suggesting they embody expected control-expertise trade-offs, but may also create unanticipated constituency losses.

  19. Using clinical supervision to improve the quality and safety of patient care: a response to Berwick and Francis.

    Science.gov (United States)

    Tomlinson, Jonathon

    2015-06-11

    After widely publicised investigations into excess patient deaths at Mid Staffordshire hospital the UK government commissioned reports from Robert Francis QC and Professor Don Berwick. Among their recommendations to improve the quality and safety of patient care were lifelong learning, professional support and 'just culture'. Clinical supervision is in an excellent position to support these activities but opportunities are in danger of being squeezed out by regulatory and managerial demands. Doctors who have completed their training are responsible for complex professional judgements for which narrative supervision is particularly helpful. With reference to the literature and my own practice I propose that all practicing clinicians should have regular clinical supervision. Clinical supervision has patient-safety and the quality of patient care as its primary purposes. After training is completed, doctors may practice for the rest of their career without any clinical supervision, the implication being that the difficulties dealt with in clinical supervision are no longer difficulties, or are better dealt with some other way. Clinical supervision is sufficiently flexible to be adapted to the needs of experienced clinicians as its forms can be varied, though its functions remain focused on patient safety, good quality clinical care and professional wellbeing. The evidence linking clinical supervision to the quality and safety of patient care reveals that supervision is most effective when its educational and supportive functions are separated from its managerial and evaluative functions. Among supervision's different forms, narrative-based-supervision is particularly useful as it has been developed for clinicians who have completed their training. It provides ways to explore the complexity of clinical judgements and encourages doctors to question one another's authority in a supportive culture. To be successful, supervision should also be professionally led and

  20. Nuclear health and safety

    International Nuclear Information System (INIS)

    1990-04-01

    This report summarizes the responsiveness of DOE and contractors to findings contained in DOE technical safety appraisals and environmental surveys. These appraisals and surveys have been done at DOE facilities and sites to find out the extent of the environmental, safety, and health problems and to prioritize them for corrective action. As of January 1990, DOE computer data showed over 1,700 safety and health problems and almost 1,300 environmental problems. The majority of these problems, however, have not yet been corrected. GAO also looked at the extent to which DOE has developed a computerized tracking system to monitor the status of its environmental, safety, and health problems. GAO found that the computer system lacks important information, such as various field office and independent appraisals. Inclusion of this information would provide a more complete picture of the problems at the site

  1. Radiation safety management in health care - The application of Quality Function Deployment

    Energy Technology Data Exchange (ETDEWEB)

    Moores, B.M. [Integrated Radiological Services Ltd., Century Building, Unit 188, Tower Street, Brunswick Park, Liverpool L3 4BJ (United Kingdom)]. E-mail: mikemoores@irs-limited.com

    2006-11-15

    The paper presents a study of the potential for applying the Quality Function Deployment (QFD) method to the analysis of the framework for safety management contained in the Ionising Radiation (Medical Exposure) Regulations (IRMER) of 2000. The QFD method has been successfully applied to many industrial and manufacturing processes in order to ensure that quality is built into products at the outset rather than tested for after their production. In this context, the term quality is used to describe the degree to which the needs and requirements of the customer are fulfilled. More frequently, now, the QFD approach is being applied to health care in order to engineer clinical processes that can best fulfil the needs of the patient. In the case of diagnostic radiology, safety management must not only be concerned with radiation protection but, more importantly, with the accuracy and consistency of any diagnostic outcome. Both are important patient needs. A first stage analysis of IRMER 2000 is presented that assesses how patients' needs are expressed by the individual IRMER components of justification, optimisation, clinical audit, expert advice, equipment and training. The analysis involved a QFD assessment by four radiation protection experts with over 100 man-years of experience. A second stage analysis assesses how the individual IRMER components have been engineered into a safety management framework through specific requirements embodied in IRMER 2000. The results of this assessment are discussed in terms of clinical, human, operational management and equipment related aspects of the radiological process. This study highlights how the QFD approach may be applied to engineer specific aspects of radiological practice that play a key role in ensuring that patients' needs are fully met. As an example, clinical audit requirements are analysed by means of the QFD method to indicate the design requirements of information and knowledge based systems that can

  2. Radiation safety management in health care - The application of Quality Function Deployment

    International Nuclear Information System (INIS)

    Moores, B.M.

    2006-01-01

    The paper presents a study of the potential for applying the Quality Function Deployment (QFD) method to the analysis of the framework for safety management contained in the Ionising Radiation (Medical Exposure) Regulations (IRMER) of 2000. The QFD method has been successfully applied to many industrial and manufacturing processes in order to ensure that quality is built into products at the outset rather than tested for after their production. In this context, the term quality is used to describe the degree to which the needs and requirements of the customer are fulfilled. More frequently, now, the QFD approach is being applied to health care in order to engineer clinical processes that can best fulfil the needs of the patient. In the case of diagnostic radiology, safety management must not only be concerned with radiation protection but, more importantly, with the accuracy and consistency of any diagnostic outcome. Both are important patient needs. A first stage analysis of IRMER 2000 is presented that assesses how patients' needs are expressed by the individual IRMER components of justification, optimisation, clinical audit, expert advice, equipment and training. The analysis involved a QFD assessment by four radiation protection experts with over 100 man-years of experience. A second stage analysis assesses how the individual IRMER components have been engineered into a safety management framework through specific requirements embodied in IRMER 2000. The results of this assessment are discussed in terms of clinical, human, operational management and equipment related aspects of the radiological process. This study highlights how the QFD approach may be applied to engineer specific aspects of radiological practice that play a key role in ensuring that patients' needs are fully met. As an example, clinical audit requirements are analysed by means of the QFD method to indicate the design requirements of information and knowledge based systems that can provide the

  3. Efficacy, safety, quality control, marketing and regulatory guidelines for herbal medicines (phytotherapeutic agents

    Directory of Open Access Journals (Sweden)

    J.B. Calixto

    2000-02-01

    Full Text Available This review highlights the current advances in knowledge about the safety, efficacy, quality control, marketing and regulatory aspects of botanical medicines. Phytotherapeutic agents are standardized herbal preparations consisting of complex mixtures of one or more plants which contain as active ingredients plant parts or plant material in the crude or processed state. A marked growth in the worldwide phytotherapeutic market has occurred over the last 15 years. For the European and USA markets alone, this will reach about $7 billion and $5 billion per annum, respectively, in 1999, and has thus attracted the interest of most large pharmaceutical companies. Insufficient data exist for most plants to guarantee their quality, efficacy and safety. The idea that herbal drugs are safe and free from side effects is false. Plants contain hundreds of constituents and some of them are very toxic, such as the most cytotoxic anti-cancer plant-derived drugs, digitalis and the pyrrolizidine alkaloids, etc. However, the adverse effects of phytotherapeutic agents are less frequent compared with synthetic drugs, but well-controlled clinical trials have now confirmed that such effects really exist. Several regulatory models for herbal medicines are currently available including prescription drugs, over-the-counter substances, traditional medicines and dietary supplements. Harmonization and improvement in the processes of regulation is needed, and the general tendency is to perpetuate the German Commission E experience, which combines scientific studies and traditional knowledge (monographs. Finally, the trend in the domestication, production and biotechnological studies and genetic improvement of medicinal plants, instead of the use of plants harvested in the wild, will offer great advantages, since it will be possible to obtain uniform and high quality raw materials which are fundamental to the efficacy and safety of herbal drugs.

  4. The impact of cooking methods on the nutritional quality and safety of chicken breaded nuggets.

    Science.gov (United States)

    Gonçalves Albuquerque, Tânia; Oliveira, M Beatriz P P; Sanches-Silva, Ana; Cristina Bento, Ana; Costa, Helena S

    2016-06-15

    The impact of cooking methods (industrial pre-frying, deep-fat frying and baking) on the nutritional quality and safety of chicken breaded nugget samples from supermarket and commercial brands was evaluated. The changes in the quality characteristics (nutritional composition, fatty acids profile, cholesterol and salt) of the fried food and frying oil, after ten consecutive frying operations, were evaluated. The total fat content of nuggets varied between 10.9 and 22.7 g per 100 g of edible portion and the salt content ranged from 0.873 to 1.63 g per 100 g. Taking into account one portion of nuggets, the daily intake of salt can reach 49%, which can have a significant impact on the health of those who regularly consume this type of food, especially considering the prevalence of hypertension around the world. The analysed chicken breaded nuggets are rich in unsaturated fatty acids, which have been related with potential health benefits, namely regarding cardiovascular diseases. The cholesterol content of baked samples was two times higher when compared with the fried ones. The trans fatty acids and polar compounds contents of the frying oil used for frying significantly increased, but the values were still away from the maximum recommended by legal entities for its rejection. From a nutritional point of view, it is possible to conclude that the applied cooking methods can significantly influence the nutritional quality and safety of the analysed chicken breaded nuggets. This study will contribute to important knowledge on how the applied cooking methods can change the nutritional quality and safety of foods, namely of chicken nuggets, and can be very useful for dietary recommendations and nutritional assessment.

  5. Ethics and choosing appropriate means to an end: Problems with coal mine and nuclear workplace safety

    Energy Technology Data Exchange (ETDEWEB)

    Shrader-Frechette, K.; Cooke, R. [University of Notre Dame, Notre Dame, IN (USA). Dept. of Biological Science

    2004-02-01

    A common problem in ethics is that people often desire an end but fail to take the means necessary to achieve it. Employers and employees may desire the safety end mandated by performance standards for pollution control, but they may fail to employ the means, specification standards, necessary to achieve this end. This article argues that current (de jure) performance standards, for lowering employee exposures to ionizing radiation, fail to promote de facto worker welfare, in part because employers and employees do not follow the necessary means (practices known as specification standards) to achieve the end (performance standards) of workplace safety. To support this conclusion, the article argues that (1) safety requires attention to specification, as well as performance, standards; (2) coal-mine specification standards may fail to promote performance standards; (3) nuclear workplace standards may do the same; (4) choosing appropriate means to the end of safety requires attention to the ways uncertainties and variations in exposure may mask violations of standards; and (5) correcting regulatory inattention to differences between de jute and de facto is necessary for achievement of ethical goals for safety.

  6. Concepts of nuclear quality assurance

    International Nuclear Information System (INIS)

    Randers, G.; Morris, P.A.; Pomeroy, D.

    1976-01-01

    While the safety record of the nuclear industry continues to be excellent, the forced outage rates for recent years continue to be 15% or more. Quality assurance, therefore, needs to be applied not only to nuclear safety matters, but to the goals of increased productivity and reduced construction and operating costs. Broadening the application of the general concept of quality assurance in this way leads to the introduction of reliability technology. The total activity might better be called reliability assurance. That effective quality assurance systems do pay off is described by examples from the utility industry, from a manufacturer of instruments and systems and from the experience of Westinghouse Electric Company's manufacturing divisions. The special situation of applying quality assurance to nuclear fuel is discussed. Problems include the lack of a fully developed regulatory policy in this area, incomplete understanding of the mechanism for pellet-clad interaction failures, incomplete access to manufacturers design and process information, inability to make desirable changes on a timely basis and inadequate feedback of irradiation experience. (author)

  7. Fostering Future Leadership in Quality and Safety in Health Care through Systems Thinking.

    Science.gov (United States)

    Phillips, Janet M; Stalter, Ann M; Dolansky, Mary A; Lopez, Gloria McKee

    2016-01-01

    There is a critical need for leadership in quality and safety to reform today's disparate spectrum of health services to serve patients in complex health care environments. Nurse graduates of degree completion programs (registered nurse-bachelor of science in nursing [RN-BSN]) are poised for leadership due to their recent education and nursing practice experience. The authors propose that integration of systems thinking into RN-BSN curricula is essential for developing these much needed leadership skills. The purpose of this article is to introduce progressive teaching strategies to help nurse educators achieve the student competencies described in the second essential of the BSN Essentials document (American Association of Colleges of Nursing, 2009), linking them with the competencies in Quality and Safety Education for Nurses (QSEN; L. Cronenwett et al., 2007) using an author-created model for curricular design, the Systems-level Awareness Model. The Systems Thinking Tool (M. A. Dolansky & S. M. Moore, 2013) can be used to evaluate systems thinking in the RN-BSN curriculum. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. Radiation safety requirements for radioactive waste management in the framework of a quality management system

    International Nuclear Information System (INIS)

    Salgado, M.M.; Benitez, J.C.; Pernas, R.; Gonzalez, N.

    2007-01-01

    The Center for Radiation Protection and Hygiene (CPHR) is the institution responsible for the management of radioactive wastes generated from nuclear applications in medicine, industry and research in Cuba. Radioactive Waste Management Service is provided at a national level and it includes the collection and transportation of radioactive wastes to the Centralized Waste Management Facilities, where they are characterized, segregated, treated, conditioned and stored. A Quality Management System, according to the ISO 9001 Standard has been implemented for the RWM Service at CPHR. The Management System includes the radiation safety requirements established for RWM in national regulations and in the Licence's conditions. The role of the Regulatory Body and the Radiation Protection Officer in the Quality Management System, the authorization of practices, training and personal qualification, record keeping, inspections of the Regulatory Body and internal inspection of the Radiation Protection Officer, among other aspects, are described in this paper. The Quality Management System has shown to be an efficient tool to demonstrate that adequate measures are in place to ensure the safety in radioactive waste management activities and their continual improvement. (authors)

  9. Radiation safety and quality control in the cyclotron laboratory

    International Nuclear Information System (INIS)

    Sharma, S.; Krause, G.; Ebadi, M.

    2006-01-01

    Radiation safety was determined to maintain quality control in the cyclotron laboratory. Based on the results of 438 runs in the Faraday cup (20 μA for 10 min), 20 runs on 18 O-water target (40 μA for 2 h) and 10 runs on 18 O-gas targets (30 μA for 45 min), we have established that occupationally exposed workers remain 10 ± 5 times below federal regulatory limits (FRLs) in the cyclotron vault, 30 ± 8 times below FRL in the radiochemistry laboratory and 200 ± 10 times below the FRL outside the cyclotron laboratory during beam operation. (The FRL for unrestricted area are <20 μSv in 1 h.) The non-occupationally exposed workers serving in offices in the vicinity of the cyclotron vault within 100 m distance remained 200 times below the FRL irrespective of beam being on or off, suggesting that routine beam operation of 40 μA for 2 h once a day during office hours is safe provided quality control and system performance measures as discussed in this report are strictly maintained. (authors)

  10. Association between overuse of mobile phones on quality of sleep and general health among occupational health and safety students.

    Science.gov (United States)

    Eyvazlou, Meysam; Zarei, Esmaeil; Rahimi, Azin; Abazari, Malek

    2016-01-01

    Concerns about health problems due to the increasing use of mobile phones are growing. Excessive use of mobile phones can affect the quality of sleep as one of the important issues in the health literature and general health of people. Therefore, this study investigated the relationship between the excessive use of mobile phones and general health and quality of sleep on 450 Occupational Health and Safety (OH&S) students in five universities of medical sciences in the North East of Iran in 2014. To achieve this objective, special questionnaires that included Cell Phone Overuse Scale, Pittsburgh's Sleep Quality Index (PSQI) and General Health Questionnaire (GHQ) were used, respectively. In addition to descriptive statistical methods, independent t-test, Pearson correlation, analysis of variance (ANOVA) and multiple regression tests were performed. The results revealed that half of the students had a poor level of sleep quality and most of them were considered unhealthy. The Pearson correlation co-efficient indicated a significant association between the excessive use of mobile phones and the total score of general health and the quality of sleep. In addition, the results of the multiple regression showed that the excessive use of mobile phones has a significant relationship between each of the four subscales of general health and the quality of sleep. Furthermore, the results of the multivariate regression indicated that the quality of sleep has a simultaneous effect on each of the four scales of the general health. Overall, a simultaneous study of the effects of the mobile phones on the quality of sleep and the general health could be considered as a trigger to employ some intervention programs to improve their general health status, quality of sleep and consequently educational performance.

  11. Classroom quality at pre-kindergarten and kindergarten and children's social skills and behavior problems

    NARCIS (Netherlands)

    Broekhuizen, Martine L.; Mokrova, Irina L.; Burchinal, Margaret R.; Garrett-Peters, Patricia T.

    2016-01-01

    Focusing on the continuity in the quality of classroom environments as children transition from preschool into elementary school, this study examined the associations between classroom quality in pre-kindergarten and kindergarten and children's social skills and behavior problems in kindergarten and

  12. The problem of maintenance of strength, lifetime and safety of the structural components operational NPP from items of a system approach

    International Nuclear Information System (INIS)

    Getman, A.F.

    2005-01-01

    The strength of the structural components and pipelines NPP determines largely their lifetime, radiation and nuclear safety. As shows world experience of operation NPP, in a series of cases during operation the local damages, breaks and destructions of elements of the equipment and pipelines emerge. These cases force maintaining organizations to execute on NPP large volumes of the control, repair and modernizing of the equipment and pipelines. These activities require large material inputs (net less than 50% of the cost of operation NPP), however not always are effective and in a series of cases do not allow to reach required of level reliability and safety. The reason of such condition of a problem is that the measures executed on NPP, developed on stretch of long time and under influence of the diverse factors. Besides until now there is no unified scientific methodology of a case study of maintenance of strength, lifetime and safety of the operational equipment and pipelines NPP. The application of a system approach to a problem of maintenance of strength, lifetime and safety of the equipment and pipelines operational NPP allows to consider a problem as a whole, from unified items, to define the most fast and effective paths it of the solution and to decide problems in as much as possible short times at minimum material inputs. The experience of practical application of a system approach at the solution of separate problems of operation NPP has allowed to develop a lot of effective new techniques, technologies and means, which application allows essentially to increase reliability and gamma percentage lifetime of elements NPP, to which they were applied. As an example in the report the outcomes of application of a system approach for maintenance of SG tubes integrity of reactors of a type WWER are adduced. The application of a system approach for all elements of the equipment and pipelines NPP will allow to increase it reliability and safety not less, than on 10

  13. DESIGN SAFETY PROBLEMS OF NUCLEAR REACTORS IN SPACE FOR ELECTRICAL POWER

    Energy Technology Data Exchange (ETDEWEB)

    Pickler, D A

    1963-06-15

    A general treatment is presented of some of the problems in the design safety of reactors which are to be operated in space. The basic requirements of these reachigh temperatures. The usual concept of a space reactor is described briefly, and the hazards of an assumed unmanned vehicle with an enriched-U-fueled reactor are examined during its launching, orbit, and reentry. Graphs are given for the dose vs distance downwind for an excursion of 100 Mw-sec, for the activity vs time after shutdown of a reactor which has been operated for 5 yr at 100 kw(t), and for the altitude vs orbital lifetime. Apparent conflicts between the basic requirements are discussed. (D.L.C.)

  14. Problems of nuclear power plant safety evaluation

    International Nuclear Information System (INIS)

    Suchomel, J.

    1977-01-01

    Nuclear power plant safety is discussed with regard to external effects on the containment and to the human factor. As for external effects, attention is focused on shock waves which may be due to explosions or accidents in flammable material transport and storage, to missiles, and to earthquake effects. The criteria for evaluating nuclear power plant safety in different countries are shown. Factors are discussed affecting the reliability of man with regard to his behaviour in a loss-of-coolant accident in the power plant. Different types of PWR containments and their functions are analyzed, mainly in case of accident. Views are discussed on the role of destructive accidents in the overall evaluation of fast reactor safety. Experiences are summed up gained with the operation of WWER reactors with respect to the environmental impact of the nuclear power plants. (Z.M.)

  15. Relationships between Undergraduates' Argumentation Skills, Conceptual Quality of Problem Solutions, and Problem Solving Strategies in Introductory Physics

    Science.gov (United States)

    Rebello, Carina M.

    2012-01-01

    This study explored the effects of alternative forms of argumentation on undergraduates' physics solutions in introductory calculus-based physics. A two-phase concurrent mixed methods design was employed to investigate relationships between undergraduates' written argumentation abilities, conceptual quality of problem solutions, as well…

  16. Editorial: Advances in healthcare provider and patient training to improve the quality and safety of patient care

    Directory of Open Access Journals (Sweden)

    Elizabeth M. Borycki

    2015-09-01

    Full Text Available This special issue of the Knowledge Management & E-Learning: An International Journal is dedicated to describing “Advances in Healthcare Provider and Patient Training to Improve the Quality and Safety of Patient Care.” Patient safety is an important and fundamental requirement of ensuring the quality of patient care. Training and education has been identified as a key to improving healthcare provider patient safety competencies especially when working with new technologies such as electronic health records and mobile health applications. Such technologies can be harnessed to improve patient safety; however, if not used properly they can negatively impact on patient safety. In this issue we focus on advances in training that can improve patient safety and the optimal use of new technologies in healthcare. For example, use of clinical simulations and online computer based training can be employed both to facilitate learning about new clinical discoveries as well as to integrate technology into day to day healthcare practices. In this issue we are publishing papers that describe advances in healthcare provider and patient training to improve patient safety as it relates to the use of educational technologies, health information technology and on-line health resources. In addition, in the special issue we describe new approaches to training and patient safety including, online communities, clinical simulations, on-the-job training, computer based training and health information systems that educate about and support safer patient care in real-time (i.e. when health professionals are providing care to patients. These educational and technological initiatives can be aimed at health professionals (i.e. students and those who are currently working in the field. The outcomes of this work are significant as they lead to safer care for patients and their family members. The issue has both theoretical and applied papers that describe advances in patient

  17. Practices and Exploration on Competition of Molecular Biological Detection Technology among Students in Food Quality and Safety Major

    Science.gov (United States)

    Chang, Yaning; Peng, Yuke; Li, Pengfei; Zhuang, Yingping

    2017-01-01

    With the increasing importance in the application of the molecular biological detection technology in the field of food safety, strengthening education in molecular biology experimental techniques is more necessary for the culture of the students in food quality and safety major. However, molecular biology experiments are not always in curricula…

  18. Development of Quality Assurance System and Element for Digital I and C

    International Nuclear Information System (INIS)

    Kim, K. H.; Park, C. K.; Ha, J. H.; Kwon, H. I.

    2008-06-01

    The Quality Assurance system should play an importance role in order to create safety operation. And management of KNICS R and D should have strong leadership to build he safety mind and quality mind. Quality assurance system can help to develop safety management system and to create a positive safety culture in operating organization of nuclear development. The establishment and implementation of QA system is prerequisite for achieving goals of the worker's health, quality, environment and public acceptance in operation of nuclear facilities whether they are regulated by the governmental requirements or not. The focus of nuclear QA system is brought on establishment of an appropriate system and assurance of implementation of the system by continuous improvement of quality problems. As for QA activities related to nuclear R and D, we set up QA systems and supported implementation of the system. We conducted periodic audit of KNICS projects related to safety system development and took corrective actions according to the result. Radiation exposure riskiness of the KAERI's nuclear facilities is lower than that of nuclear power plant and they are more safe. But their safety have being supervised by regulatory body in compliance with laws and technical requirements of nuclear power plant. The present QA system should be changed to an integrated safety management system where elements of environment management, safety management and quality management are complimentarily interacting, and thus meet legal requirements. It is necessary to compare subsystems with KNICS QA and management system requirements to improve the effectiveness of existing implementing procedures in other KNICS projects.

  19. Challenge problem and milestones for : Nuclear Energy Advanced Modeling and Simulation (NEAMS) waste Integrated Performance and Safety Codes (IPSC).

    Energy Technology Data Exchange (ETDEWEB)

    Freeze, Geoffrey A.; Wang, Yifeng; Howard, Robert; McNeish, Jerry A.; Schultz, Peter Andrew; Arguello, Jose Guadalupe, Jr.

    2010-09-01

    This report describes the specification of a challenge problem and associated challenge milestones for the Waste Integrated Performance and Safety Codes (IPSC) supporting the U.S. Department of Energy (DOE) Office of Nuclear Energy Advanced Modeling and Simulation (NEAMS) Campaign. The NEAMS challenge problems are designed to demonstrate proof of concept and progress towards IPSC goals. The goal of the Waste IPSC is to develop an integrated suite of modeling and simulation capabilities to quantitatively assess the long-term performance of waste forms in the engineered and geologic environments of a radioactive waste storage or disposal system. The Waste IPSC will provide this simulation capability (1) for a range of disposal concepts, waste form types, engineered repository designs, and geologic settings, (2) for a range of time scales and distances, (3) with appropriate consideration of the inherent uncertainties, and (4) in accordance with robust verification, validation, and software quality requirements. To demonstrate proof of concept and progress towards these goals and requirements, a Waste IPSC challenge problem is specified that includes coupled thermal-hydrologic-chemical-mechanical (THCM) processes that describe (1) the degradation of a borosilicate glass waste form and the corresponding mobilization of radionuclides (i.e., the processes that produce the radionuclide source term), (2) the associated near-field physical and chemical environment for waste emplacement within a salt formation, and (3) radionuclide transport in the near field (i.e., through the engineered components - waste form, waste package, and backfill - and the immediately adjacent salt). The initial details of a set of challenge milestones that collectively comprise the full challenge problem are also specified.

  20. Challenge problem and milestones for: Nuclear Energy Advanced Modeling and Simulation (NEAMS) waste Integrated Performance and Safety Codes (IPSC)

    International Nuclear Information System (INIS)

    Freeze, Geoffrey A.; Wang, Yifeng; Howard, Robert; McNeish, Jerry A.; Schultz, Peter Andrew; Arguello, Jose Guadalupe Jr.

    2010-01-01

    This report describes the specification of a challenge problem and associated challenge milestones for the Waste Integrated Performance and Safety Codes (IPSC) supporting the U.S. Department of Energy (DOE) Office of Nuclear Energy Advanced Modeling and Simulation (NEAMS) Campaign. The NEAMS challenge problems are designed to demonstrate proof of concept and progress towards IPSC goals. The goal of the Waste IPSC is to develop an integrated suite of modeling and simulation capabilities to quantitatively assess the long-term performance of waste forms in the engineered and geologic environments of a radioactive waste storage or disposal system. The Waste IPSC will provide this simulation capability (1) for a range of disposal concepts, waste form types, engineered repository designs, and geologic settings, (2) for a range of time scales and distances, (3) with appropriate consideration of the inherent uncertainties, and (4) in accordance with robust verification, validation, and software quality requirements. To demonstrate proof of concept and progress towards these goals and requirements, a Waste IPSC challenge problem is specified that includes coupled thermal-hydrologic-chemical-mechanical (THCM) processes that describe (1) the degradation of a borosilicate glass waste form and the corresponding mobilization of radionuclides (i.e., the processes that produce the radionuclide source term), (2) the associated near-field physical and chemical environment for waste emplacement within a salt formation, and (3) radionuclide transport in the near field (i.e., through the engineered components - waste form, waste package, and backfill - and the immediately adjacent salt). The initial details of a set of challenge milestones that collectively comprise the full challenge problem are also specified.