Background: An increasing trend of cytotoxic drug use, mainly in cancer treatment, has increased the occupational exposure among the nurses. This study aimed to assess the change of nurses' safety-related knowledge as well as attitude levels and subsequently to assess the change of cytotoxic drug handling practices in wards after a series of pharmacist-based interventions. Materials and Methods: This prospective interventional study with a before and after design requested a single group of 96 nurses in 15 wards actively providing chemotherapy to answer a self-administered questionnaire. A performance checklist was then used to determine the compliance of all these wards with the recommended safety measures. The first and second assessments took 2 months respectively with a 9-month intervention period. Pharmacist-based interventions included a series of technical, educational and administrative support measures consisting of the initiation of closed-system cytotoxic drug reconstitution (
Based on the generalization of current service quality situation of automobile 4S stores in China, this paper introduces the definition of service quality, the discrepancy analytical model, and the service profit chain of automobile industry. Then it analyzes the evaluation indices system, and establishes a set of evaluation model for measuring the service quality of automobile 4S stores based on AHP and fuzzy synthetic evaluation methods. Finally, it uses practical calculation process to illustrate the validity and applying capability of this evaluation model, and provides valuable benefits to enhance the service quality of automobile 4S stores.
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