Aims: Prescribing medication is a complex process that, when done inappropriately, can lead to adverse drug events, resulting in patient harm and hospital admissions. Worldwide cost is estimated at 42 billion USD each year. Despite several efforts in the past years, medication-related harm has not declined. The aim was to determine whether a prescriber-focussed participatory action intervention, initiated by a multidisciplinary pharmacotherapy team, is able to reduce the number of in-hospital prescriptions containing ≥1 prescribing error (PE), by identifying and reducing challenges in appropriate prescribing. Methods: A prospective single-centre before- and after study was conducted in an academic hospital in the Netherlands. Twelve clinical wards (medical, surgical, mixed and paediatric) were recruited. Results: Overall, 321 patients with a total of 2978 prescriptions at baseline were compared with 201 patients with 2438 prescriptions postintervention. Of these, m456 prescriptions contained ≥1 PE (15.3%) at baseline and 357 prescriptions contained ≥1 PEs (14.6%) postintervention. PEs were determined in multidisciplinary consensus. On some study wards, a trend toward a decreasing number of PEs was observed. The intervention was associated with a nonsignificant difference in PEs (incidence rate ratio 0.96, 95% confidence interval 0.83–1.10), which was unaltered after correction. The most important identified challenges were insufficient knowledge beyond own expertise, unawareness of guidelines and a heavy workload. Conclusion: The tailored interventions developed with and implemented by stakeholders led to a statistically nonsignificant reduction in inappropriate in-hospital prescribing after a 6-month intervention period. Our prescriber-focussed participatory action intervention identified challenges in appropriate in-hospital prescribing on prescriber- and organizational level.
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This report was produced within the framework of the RAAK PRP project ‘Veiligheid op de werkvloer’. Personal protective equipment (PPE) is used on a daily basis by millions of people all over the EU, voluntarily or as a result of EU legislation. In this report we deal specifically with the textile/garment aspects of PPE. In this context we must consider the fact that PPE encompasses a huge area with hundreds of different applications of materials and systems tuned to specific needs;from a materials point of view it represents a complex area due to the large diversity of labour conditions. Textiles and clothing represent an area where PPE is an important area of attention. On a global scale it is an area of much research. Safety and comfort are becoming more and more important and these aspects must be in balance. Uncomfortable systems will not be used and put safe working at risk. Thus there is a continuous need for technological innovation to improve the effectiveness of PPE systems. Specialization and specific combinations aimed at use under well-defined conditions contributes to finding a good balance between comfort and safety. The design of products, taking into account the individual needs represent an area of intensive research: Safety directed ‘fashion design’.The ultimate goal is the development of proactive systems by which workers (but capital goods as well) are optimally protected. There is also a lot of attention for maintenance and cleaning since protective functions may deteriorate as a result of cleaning processes. Another important point is standardization because producers need directions for product development and supply of goods. In our overview we make a distinction between static and dynamic systems. Static systems provide passive protection, simply by being a part of an equipment that separates the worker from the danger zone. Dynamic systems are more ‘intelligent’ because these can react to stimuli and subsequently can take action. These dynamic systems use sensors, communication technology and actuators. From this research the following may be concluded: 1. Safety is obtained by choice of materials for a textile construction, including the use of coatings with special properties, application of specific additives and he use of special designed fibre shapes. 2. The architecture and ultimate construction and the combinations with other materials result in products that respond adequately. This is of great importance because of the balance comfort – safety. But a lot can be improved in this respect. 3. Insight in human behaviour, ambient intelligence and systems technology will lead to new routes for product development and a more active approach and higher levels of safety on the work floor. Consequently there is a lot of research going on that is aimed at improved materials and systems. Also due to the enormous research area of smart textiles a lot of development is aimed at the integration of new technology for application in PPE. This results in complex products that enhance both passive and active safety. Especially the commissioners, government and industry, must pay a lot of attention to specifying the required properties that a product should meet under the specific conditions. This has a cost aspect as well because production volumes are usually not that large if for small groups of products specific demands are defined. We expect that through the technology that is being developed in the scope of mass customization production technologies will be developed that allows production at acceptable cost, but still aimed at products that have specific properties for unique application areas. Purchasing is now being practiced through large procurements. We must than consider the fact that specification takes place on the basis of functionality. In that case we should move away from the current cost focus but the attention should shift towards the life cycle
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This article considers how lecturers can use human rights education as a core element of preparing students for professional social work practice. This paper is based on a symposium held at the EASSW conference in Madrid 2019 which was hosted by members of an interest group of lecturers, from Belgium, the Netherlands and Ireland. The symposium elaborated on the interest groups action plan: ‘Human Rights, turning words into action’. The group posit that the application of human rights in social work practice should follow the rights and interests of service-users. The challenge for educators is that that in the first instance, students must learn about human rights instruments and enforcement mechanisms and then they must be schooled about the discursive, dialogical and democratic particularity of rights. Ignoring this character of human rights risks reducing rights to a technical debate. This article reflects on some of the difficulties, pitfalls and drawbacks that we have encountered, and some of the critiques of current human rights structures. The aim is to try to develop a ‘practice of critique’ and propose a strategic human rights agenda for professional social work education and practice.
The growing energy demand and environmental impact of traditional sources highlight the need for sustainable solutions. Hydrogen produced through water electrolysis, is a flexible and clean energy carrier capable of addressing large-electricity storage needs of the renewable but intermittent energy sources. Among various technologies, Proton Exchange Membrane Water Electrolysis (PEMWE) stands out for its efficiency and rapid response, making it ideal for grid stabilization. In its core, PEMWEs are composed of membrane electrode assemblies (MEA), which consist of a proton-conducting membrane sandwiched between two catalyst-coated electrodes, forming a single PEMWE cell unit. Despite the high efficiency and low emissions, a principal drawback of PEMWE is the capital cost due to high loading of precious metal catalysts and protective coatings. Traditional MEA catalyst coating methods are complex, inefficient, and costly to scale. To circumvent these challenges, VSParticle developed a technology for nanoparticle film production using spark ablation, which generates nanoparticles through high-voltage discharges between electrodes followed by an impaction printing module. However, the absence of liquids poses challenges, such as integrating polymeric solutions (e.g., Nafion®) for uniform, thicker catalyst coatings. Electrohydrodynamic atomization (EHDA) stands out as a promising technique thanks to its strong electric fields used to generate micro- and nanometric droplets with a narrow size distribution. Co-axial EHDA, a variation of this technique, utilizes two concentric needles to spray different fluids simultaneously.The ESPRESSO-NANO project combines co-axial EHDA with spark ablation to improve catalyst uniformity and performance at the nanometer scale by integrating electrosprayed ionomer nanoparticles with dry metal nanoparticles, ensuring better distribution of the catalyst within the nanoporous layer. This novel approach streamlines numerous steps in traditional synthesis and electrocatalyst film production which will address material waste and energy consumption, while simultaneously improve the electrochemical efficiency of PEMWEs, offering a sustainable solution to the global energy crisis.
The project is for protecting valuable museum contents against seismic actions. Assessment and protection methods and equipment will be developed and tested. - Assessment methods for seismic safety of museum contents- Protective devices for the musem contentsA museum virtual exhibition room (MVER) will be created, it will contain exhibits such as sculptures and artefacts of different size and geometry, while the proposed experimental work will first examine the seismic behaviour of the test specimens without any protection system. The tests will be repeated using different protective configurations, emphasising on low-mass base isolation systems. Two new and highly efficient base isolation systems will be extensively tested for the first time. The first isolator is a pendulum-based system, while the second utilises shape-memory-alloy wires.The project will also develop and calibrate novel numerical models for single- and two- block rocking systems, while experimental and numerical results will be combined in order to develop quick overturning assessment criteria for the artefacts considered.The final task of the project will combine the shaking table experimental outcomes with numerical results using calibrated numerical models in order to develop fragility curves for museum artefacts.
