Objective:To analyze the existing risks in breast milk management at the neonatal department and provide corresponding countermeasures.Methods:22 risk events were identified in 7 risk links in the process of bottle-fe...Objective:To analyze the existing risks in breast milk management at the neonatal department and provide corresponding countermeasures.Methods:22 risk events were identified in 7 risk links in the process of bottle-feeding of breast milk.Hazard Vulnerability Analysis based on the Kaiser model was applied to investigate and evaluate the risk events.Results:High-risk events include breast milk quality inspection,hand hygiene during collection,disinfection of collectors,cold chain management,hand hygiene during the reception,breast milk closed-loop management,and post-collection disposal.Root cause analysis of high-risk events was conducted and breast milk management strategies outside the hospital and within the neonatal department were proposed.Conclusion:Hazard Vulnerability Analysis based on the Kaiser model can identify and assess neonatal breast milk management risks effectively,which helps improve the management of neonatal breast milk.It is conducive to the safe development and promotion of bottle feeding of breast milk for neonates,ensuring the quality of medical services and the safety of children.展开更多
Social vulnerability in this study represents the differences between the capacity to cope with natural hazards and disaster losses suffered within and between places.The assessment of social vulnerability has been re...Social vulnerability in this study represents the differences between the capacity to cope with natural hazards and disaster losses suffered within and between places.The assessment of social vulnerability has been recognized as a critical step in understanding natural hazard risks and enhancing effective response capabilities.This article presents an initial study of the social vulnerability of the Beijing-Tianjin-Hebei(B-T-H) Region in China.The goal is to replicate and test the applicability of the United States Social Vulnerability Index(So VI) method in a Chinese cultural context.Thirty-nine variables adapted from the So VI were collected in relation to two aspects:socioeconomic vulnerability and built environment vulnerability.Using factor analysis,seven factors were extracted from the variable set:the structure of social development,the level of economic and government financial strength,social justice and poverty,family structure,the intensity of space development,the status of residential housing and transportation,and building structure.Factor scores were summed to get the final So VI scores and the most and least vulnerable units were identified and mapped.The highest social vulnerability is concentrated in the northwest of the study area.The least socially vulnerable areas are mainly distributed in the Beijing,Tianjin and Shijiazhuang core urban peripheral and central city areas of the prefecture-level cities.The results show that this method is a useful tool for revealing places that have a high level of vulnerability,in other words,areas which are more likely to face significant challenges in coping with a large-scale event.These findings could provide a scientific basis for policy making and the implementation of disaster prevention and mitigation in China.展开更多
文摘Objective:To analyze the existing risks in breast milk management at the neonatal department and provide corresponding countermeasures.Methods:22 risk events were identified in 7 risk links in the process of bottle-feeding of breast milk.Hazard Vulnerability Analysis based on the Kaiser model was applied to investigate and evaluate the risk events.Results:High-risk events include breast milk quality inspection,hand hygiene during collection,disinfection of collectors,cold chain management,hand hygiene during the reception,breast milk closed-loop management,and post-collection disposal.Root cause analysis of high-risk events was conducted and breast milk management strategies outside the hospital and within the neonatal department were proposed.Conclusion:Hazard Vulnerability Analysis based on the Kaiser model can identify and assess neonatal breast milk management risks effectively,which helps improve the management of neonatal breast milk.It is conducive to the safe development and promotion of bottle feeding of breast milk for neonates,ensuring the quality of medical services and the safety of children.
基金Under the auspices of National Natural Science Foundation of China(No.41401176,41201550,41201114)New Starting Point of Beijing Union University(No.ZK10201406,ZK10201302)+1 种基金Humanities and Social Science Key Research Base of Zhejiang Province(Applied Economics at Zhejiang Gongshang University)(No.JYTyyjj20130105)Incubation Programme of Great Wall Scholars of Beijing Municipal University&College(No.IDHT20130322)
文摘Social vulnerability in this study represents the differences between the capacity to cope with natural hazards and disaster losses suffered within and between places.The assessment of social vulnerability has been recognized as a critical step in understanding natural hazard risks and enhancing effective response capabilities.This article presents an initial study of the social vulnerability of the Beijing-Tianjin-Hebei(B-T-H) Region in China.The goal is to replicate and test the applicability of the United States Social Vulnerability Index(So VI) method in a Chinese cultural context.Thirty-nine variables adapted from the So VI were collected in relation to two aspects:socioeconomic vulnerability and built environment vulnerability.Using factor analysis,seven factors were extracted from the variable set:the structure of social development,the level of economic and government financial strength,social justice and poverty,family structure,the intensity of space development,the status of residential housing and transportation,and building structure.Factor scores were summed to get the final So VI scores and the most and least vulnerable units were identified and mapped.The highest social vulnerability is concentrated in the northwest of the study area.The least socially vulnerable areas are mainly distributed in the Beijing,Tianjin and Shijiazhuang core urban peripheral and central city areas of the prefecture-level cities.The results show that this method is a useful tool for revealing places that have a high level of vulnerability,in other words,areas which are more likely to face significant challenges in coping with a large-scale event.These findings could provide a scientific basis for policy making and the implementation of disaster prevention and mitigation in China.
