Saxion University of Applied Sciences

About: Saxion University of Applied Sciences is a education organization based out in Enschede, Netherlands. It is known for research contribution in the topics: Health care & Context (language use). The organization has 390 authors who have published 653 publications receiving 8859 citations. The organization is also known as: Saxion University of Applied Sciences.

Regional Sustainability, Innovation and Welfare Through an Adaptive Process Model

Abstract: Over the last 10 years or so the EU has supported many initiatives focused on enhancing regional competitiveness, regional innovation, and regional sustainability. Whilst a plethora of initiatives has been developed and presented, ongoing sustainability of regional innovation processes and regional innovation clusters still eludes us. A proposed solution is the Adaptive Model for Creating a RTD (Research and Technology Development) Investment Policy for Regions in Emerging and Developed Economies (CRIPREDE), which was developed as part of an EU FP6, Regions of Knowledge 2 co-funded project. The Adaptive Model was co-developed, and tested, in a highly interactive process, involving stakeholders and research organisations in six very different (political, cultural, economic) regions across the EU.

Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional survey and an analysis of registration data.

Abstract: Background Advanced medical technologies (AMTs), such as respiratory support or suction devices, are increasingly used in home settings and incidents may well result in patient harm. Information about risks and incidents can contribute to improved patient safety, provided that those are reported and analysed systematically. Objectives To identify the frequency of incidents when using AMTs in home settings, the effects on patient outcomes and the actions taken by nurses following identification of incidents. Methods A cross-sectional study of 209 home care nurses in the Netherlands working with infusion therapy, parenteral nutrition or morphine pumps, combining data from a questionnaire and registration forms covering more than 13 000 patient contacts. Descriptive statistics were used. Results We identified 140 incidents (57 adverse events; 83 near misses). The frequencies in relation to the number of patient contacts were 2.7% for infusion therapy, 1.3% for parenteral nutrition and 2.6% for morphine pumps. The main causes were identified as related to the product (43.6%), the organisation of care (27.9%), the nurse as a user (15.7%) and the environment (12.9%). 40% of all adverse events resulted in mild to severe harm to the patient. Incidents had been discussed in the team (70.7%), with the patient/informal caregiver(s) (50%), or other actions had been taken (40.5%). 15.5% of incidents had been formally reported according to the organisation’s protocol. Conclusions Most incidents are attributed to product failures. Although such events predominantly cause no harm, a significant proportion of patients do suffer some degree of harm. There is considerable underreporting of incidents with AMTs in home care. This study has identified a discrepancy in quality circles: learning takes place at the team level rather than at the organisational level.

A Field Study on Thermal Comfort and Cooling Load Demand Optimization in a Tropical Climate

Abstract: Energy consumption to cool an indoor environment is a substantial part of total energy end-use, particularly in a tropical climate with high energy demand for cooling. To improve energy efficiency, cooling systems can be optimized using a variety of neutral indoor temperatures to maintain a balance between an occupant’s thermal comfort and cooling energy demand. This explanatory study investigated the thermal quality and cooling energy demand of a Platinum-certified office building in the tropical climate of Malaysia. The investigation aimed to suggest a balance between occupant thermal comfort and cooling energy demand. The thermal investigation includes an objective field measurement that implements environmental equipment to monitor thermal quality and a subjective occupant’s thermal feedback using a questionnaire survey. To calculate cooling energy demand, the total equivalent temperature difference method (TETD) is applied. The results suggested an occupant’s cooling sensation of around 24 °C, with no significant difference concerning age and gender. Cooling load calculation indicated a 36% energy reduction by increasing air temperature to 26 °C, for occupants to feel thermally comfortable in a tropical climate. These findings contribute to improving sustainable energy policies, sustainable construction, and thermal comfort improvement for a tropical climate.