Objective To develop a platform for reporting medication near miss events and evaluate its application effectiveness,aiming to enhance medication safety of patients.Methods Based on literature review,qualitative interviews,and expert group meetings,a medication near-miss event reporting platform was constructed,including 4 modules:event content filling,event risk grading,event handling,and statistical analysis.50 nurses were conveniently selected from the pediatric ward of a tertiary grade A hospital in Henan Province as the application subjects.The reporting situation and filling duration of medication near miss events,the score of the Medication Near Miss Reporting Disorder Scale,and the incidence of medication near miss events were compared after the application of the platform(from March to August 2023)and before the application(from September 2022 to February 2023).Results The reporting rate of medication near miss events after the application of the platform was higher than that before the application of the platform,and the comparison of the distribution of event nature and occurrence links showed statistically significant differences(P＜0.05).After the application of the platform,the reporting duration of medication near miss events was shorter than that before the application of the platform,and the score of the Medication Near Miss Reporting Disorder Scale was lower than that before the application of the platform.The differences were statistically significant(P＜0.001).There was no statistically significant difference in the incidence of medication near miss events before and after the application of the platform(P=0.241).Conclusion Using this platform can help improve the reporting rate of medication near miss events,reduce the time taken to fill out reports,and minimize reporting barriers for nurses.

Objective To develop a platform for reporting medication near miss events and evaluate its application effectiveness,aiming to enhance medication safety of patients.Methods Based on literature review,qualitative interviews,and expert group meetings,a medication near-miss event reporting platform was constructed,including 4 modules:event content filling,event risk grading,event handling,and statistical analysis.50 nurses were conveniently selected from the pediatric ward of a tertiary grade A hospital in Henan Province as the application subjects.The reporting situation and filling duration of medication near miss events,the score of the Medication Near Miss Reporting Disorder Scale,and the incidence of medication near miss events were compared after the application of the platform(from March to August 2023)and before the application(from September 2022 to February 2023).Results The reporting rate of medication near miss events after the application of the platform was higher than that before the application of the platform,and the comparison of the distribution of event nature and occurrence links showed statistically significant differences(P＜0.05).After the application of the platform,the reporting duration of medication near miss events was shorter than that before the application of the platform,and the score of the Medication Near Miss Reporting Disorder Scale was lower than that before the application of the platform.The differences were statistically significant(P＜0.001).There was no statistically significant difference in the incidence of medication near miss events before and after the application of the platform(P=0.241).Conclusion Using this platform can help improve the reporting rate of medication near miss events,reduce the time taken to fill out reports,and minimize reporting barriers for nurses.

Objective:To investigate subjective ranking of factors influencing life and work among submariners in long oceangoing voyage, and to make some exploratory analysis and classification of those factors.Methods:A total of 546 submariners who had taken part in long oceangoing voyage were investigated by the specially designed Questionnaire on the Influence of Various Factors in the Long Oceangoing Voyage of Submariners. The data were analyzed by SPSS 23.0 software. Results:During the long oceangoing voyage, the order of the factors influencing submariners′ life and work from high degree to low degree were as follows: submarine harmful gas, submarine noise, biorhythm disorder, worries about personal health, lack of information, monotonous life, temperature and humidity of post and rest cabin, difficulty in personal hygiene maintenance, worries about parents′ health, food problem, narrow space, pressures from operation on post and learning, seasickness, family economic pressure, limited personal development, effects of color and lighting, relationships with leaders and fellow crew members. These factors constituted two categories of factors: physical and chemical environment factors and psychosocial factors. The physical and chemical environmental factors included loud noise and high pollution, seasickness and visual discomfort, high temperature and humidity, self-hygiene problems and biorhythm disorder; and the psychosocial factors were health concerns, life pressure, monotonous life, interpersonal relationship pressure, and work pressure.Conclusion:The main factors that greatly affect submariners′ work and life in long oceangoing voyage are harmful gas, noise, biorhythm disorder, worries about personal health, lack of information, and monotonous life. Generally speaking, the influence of the physical and chemical environment factors is greater than that of the psychosocial factors, although the latter one cannot be neglected as a major factor. It is necessary to improve the working and living environment of submariners through some targeted work, e. g. optimizing submarine design and providing psychological function care, so as to reduce the influence of various factors on the life and work of submariners.

Objective:To investigate subjective ranking of factors influencing life and work among submariners in long oceangoing voyage, and to make some exploratory analysis and classification of those factors.Methods:A total of 546 submariners who had taken part in long oceangoing voyage were investigated by the specially designed Questionnaire on the Influence of Various Factors in the Long Oceangoing Voyage of Submariners. The data were analyzed by SPSS 23.0 software. Results:During the long oceangoing voyage, the order of the factors influencing submariners′ life and work from high degree to low degree were as follows: submarine harmful gas, submarine noise, biorhythm disorder, worries about personal health, lack of information, monotonous life, temperature and humidity of post and rest cabin, difficulty in personal hygiene maintenance, worries about parents′ health, food problem, narrow space, pressures from operation on post and learning, seasickness, family economic pressure, limited personal development, effects of color and lighting, relationships with leaders and fellow crew members. These factors constituted two categories of factors: physical and chemical environment factors and psychosocial factors. The physical and chemical environmental factors included loud noise and high pollution, seasickness and visual discomfort, high temperature and humidity, self-hygiene problems and biorhythm disorder; and the psychosocial factors were health concerns, life pressure, monotonous life, interpersonal relationship pressure, and work pressure.Conclusion:The main factors that greatly affect submariners′ work and life in long oceangoing voyage are harmful gas, noise, biorhythm disorder, worries about personal health, lack of information, and monotonous life. Generally speaking, the influence of the physical and chemical environment factors is greater than that of the psychosocial factors, although the latter one cannot be neglected as a major factor. It is necessary to improve the working and living environment of submariners through some targeted work, e. g. optimizing submarine design and providing psychological function care, so as to reduce the influence of various factors on the life and work of submariners.