Risk assessment of drug management process in women surgery department of qaem educational hospital (QEH) using HFMEA method (2013)

Evaluation and improvement of drug management process are essential for patient safety. The present study was performed whit the aim of assessing risk of drug management process in Women Surgery Department of QEH using HFMEA method in 2013. A mixed method was used to analyze failure modes and their effects with HFMEA. To classify failure modes; nursing errors in clinical management model, for classifying factors affecting error; approved model by the UK National Health System, and for determining solutions for improvement; Theory of Inventive Problem Solving, were used. 48 failure modes were identified for 14 sub-process of five steps drug management process. The frequency of failure modes were as follow:35.3 in supplying step, 20.75 in prescription step, 10.4 in preparing step, 22.9 in distribution step and 10.35 in follow up and monitoring step. Seventeen failure modes (35.14) were considered as non-acceptable risk (hazard score� 8) and were transferred to decision tree. Among 51 Influencing factors, the most common reasons for error were related to environmental factors (21.5), and the less common reasons for error were related to patient factors (4.3). HFMEA is a useful tool to evaluating, prioritization and analyzing failure modes in drug management process. Revision drug management process based focus-PDCA, assessing adverse drug reactions (ADR), USE patient identification bracelet, holding periodical pharmaceutical conferences to improve personnel knowledge, patient contribution in drug therapy; are performance solutions which were placed in work order. © 2015 by School of Pharmac

Petroleum hydrocarbon assessment in the wastewaters of petrochemical special economic zone and sediment benchmark calculation of the coastal area - northwest of the Persian Gulf

Petrochemical industries can potentially impact the environment due to their activities and products. This case study has considered adverse effects of petrochemical industries that are located inside the PETZONE with respect to the presence of polycyclic aromatic hydrocarbons and total petroleum hydrocarbon in wastewater effluents. The average concentrations of ∑PAHs group I and II were lower than the guideline values, thus the effluents of the study area can be considered unpolluted. Also, the average concentration of TPH was lower than the guideline value at all almost stations except the effluent outlets of the Razi and Imam Khomeini petrochemical (BI-PC) companies which are proximal to Khowr-e Musa Bay. Thus, they may have an adverse impact on the aquatic ecosystem of the Bay. Therefore, the concentration of TPH was monitored in the sediments of the Bay (around the PETZONE coastal area) which was relatively moderate compared in the study area. Also, the sum of Chronic Potency Ratio of PAHs in sediments showed that the chronic benchmark was not more than the guideline at all stations (it is exceeded when the sum exceeds 1.0) except in the vicinity of the Aromatic effluent outlet of BI-PC. Thus, the chronic benchmark at this station indicates that it has the potential to cause a chronic effect on sediment-residence organisms like crabs, clams and worms. Moreover, PAHs concentration level in this station approached the NOAA sediment quality guideline value (ERL) of 4000 (ng/g dry weight)

Optimization of non-thermal plasma efficiency in the simultaneous elimination of benzene, toluene, ethyl-benzene, and xylene from polluted airstreams using response surface methodology

Treatment with a non-thermal plasma (NTP) is a new and effective technology applied recently for conversion of gases for air pollution control. This research was initiated to optimize the efficient application of the NTP process in benzene, toluene, ethyl-benzene, and xylene (BTEX) removal. The effects of four variables including temperature, initial BTEX concentration, voltage, and flow rate on the BTEX elimination efficiency were investigated using response surface methodology (RSM). The constructed model was evaluated by analysis of variance (ANOVA). The model goodness-of-fit and statistical significance was assessed using determination coefficients (R2 and R2 adj) and the F-test. The results revealed that the R2 proportion was greater than 0.96 for BTEX removal efficiency. The statistical analysis demonstrated that the BTEX removal efficiency was significantly correlated with the temperature, BTEX concentration, voltage, and flow rate. Voltage was the most influential variable affecting the dependent variable as it exerted a significant effect (p < 0.0001) on the response variable. According to the achieved results, NTP can be applied as a progressive, cost-effective, and practical process for treatment of airstreams polluted with BTEX in conditions of low residence time and high concentrations of pollutants. © 2017, Springer-Verlag GmbH Germany