Collaborative Quality Research Articles

Advancements in GitHub Automation and Workflow: A Comprehensive Exploration

The landscape of software development has been significantly transformed by the integration of automation and streamlined workflows, with GitHub emerging as a pivotal platform in this evolution. This research paper delves into the multifaceted realm of GitHub automation and workflow, investigating key aspects that contribute to enhanced efficiency, collaboration, and code quality in modern development practices. The paper begins by exploring the utilization of GitHub Actions for establishing robust Continuous Integration and Continuous Deployment (CI/CD) pipelines. Best practices for designing reliable workflows are discussed, along with insights into customizing workflows to suit diverse project requirements through the use of custom actions and templates. The automation of code reviews is scrutinized, with a focus on tools and practices that facilitate objective and efficient evaluation of code quality. The paper also investigates GitHub's role in security automation, covering strategies for vulnerability detection and integration of security checks into the development lifecycle. Collaborative workflows on GitHub, including branch management, pull requests, and code reviews, are explored as pivotal components fostering teamwork. The integration of GitHub into DevOps practices is analyzed, showcasing its synergy with popular DevOps tools and platforms. As a forward-looking endeavor, the research paper concludes by examining emerging trends and technologies in GitHub automation. By encapsulating a comprehensive overview of the current state and future trajectories of GitHub automation and workflow, this paper aims to contribute to the collective understanding of best practices, challenges, and opportunities in contemporary software development.

Survey of collaboration supporting students who are deaf and hard of hearing.

Collaboration between teachers of students who are deaf and hard of hearing (TSDHH) and educational audiologists is essential when developing successful, comprehensive service delivery plans for students who are deaf and hard of hearing. Despite the importance, little is known about how these two professions work together. This study sought to describe the current state of collaboration between educational audiologists and TSDHH and to explore the barriers and facilitators to this collaboration. Anonymous survey responses from 752 educational audiologists and TSDHH showed that collaboration is considered valuable and is occurring frequently, via a variety of formats and despite significant barriers. More research is needed to understand how efforts to minimize barriers to collaboration might improve the quality of collaboration and ultimately impact the success of student support.

Can Leadership Improve Interorganizational Collaboration? Field-Experimental Evidence From a Team-Based Leadership Training Intervention

The delivery of coherent public services often depends on collaboration across organizations and organizational units, which is challenging and necessitates effective leadership. This article advances our knowledge about the value of leadership training for interorganizational collaboration. In a field experiment, 122 public healthcare managers from 68 organizational units were randomly assigned to a treatment or a control group. The treatment included a 10-month interorganizational team-based leadership training program, which focuses on establishing and sustaining shared direction, alignment, and commitment across organizational boundaries. The results from our analytic approach—including survey responses from the participating managers and more than 3,000 of their subordinates (frontline managers and employees) and 32 interviews before and after training—show that training has positive effects on relational coordination, structural coordination mechanisms, and overall collaborative quality as assessed by the participating managers and their frontline managers. We do not find significant effects among the frontline employees. We discuss our findings in relation to the literature on leadership training, nuances to existing theory, and implications for practice.

Analysis and Design of Web-based Internal Office Memo (IOM) Management System

This research focuses on the design and implementation of a web-based Internal Office Memo (IOM) Management System in the PT InnoArk Servis Internasional Optipedia Team. The main problem relates to ineffective communication and coordination between divisions, which results in backlogs and repetition of work as well as difficulties in monitoring task progress. The research method adopts a System Development Life Cycle (SDLC) approach with a waterfall model and uses the Unified Modeling Language (UML) for system design. Implementation was carried out by utilizing the CodeIgniter framework and MySQL as a database, followed by black box testing of the requirements testing type. The result is a system that successfully improves operational efficiency, team collaboration, and transparency of work progress. This application not only overcomes communication obstacles, but also provides a basis for making better decisions based on actual data, maintaining the smooth implementation of tasks, and improving the quality of team collaboration in the PT InnoArk Servis Internasional Optipedia Team.

Pedagogical Strategies for Enhancing Online Collaboration

Purpose: The main objective of this study was to examine the pedagogical strategies for enhancing online collaboration among learners.
 Methodology: The study adopted a desktop research methodology. Desk research refers to secondary data or that which can be collected without fieldwork. Desk research is basically involved in collecting data from existing resources hence it is often considered a low cost technique as compared to field research, as the main cost is involved in executive’s time, telephone charges and directories. Thus, the study relied on already published studies, reports and statistics. This secondary data was easily accessed through the online journals and library.
 Findings: The findings reveal that there exists a contextual and methodological gap relating to pedagogical strategies for enhancing online collaboration. The study provides insights into effective pedagogical strategies for fostering collaboration in online education, emphasizing structured group activities, peer feedback, social media integration, instructor presence, gamification, and cultural sensitivity. It highlights the importance of designing collaborative learning experiences that engage learners, promote interaction, and build community. The findings underscore the pivotal role of instructors in guiding collaborative efforts and fostering a supportive online environment. Continuous research and professional development are essential to enhance the quality of online collaboration, empower learners, and address emerging challenges in digital learning.
 Unique Contribution to Theory, Practice and Policy: Social Constructivism, Community of Inquiry framework and the Connectivism theory may be used to anchor future studies on pedagogical strategies for enhancing online collaboration. The study on pedagogical strategies for enhancing online collaboration recommends that educators diversify collaborative learning activities, leverage technology tools, foster a sense of community, provide scaffolding and support, and support faculty development and infrastructure to create enriching online learning experiences for students. By incorporating these recommendations, educators, instructional designers, policymakers, and educational institutions can promote collaboration, engagement, and success in online courses, ultimately enhancing the quality and effectiveness of online education.

Is it "all in the bag?"Multidisciplinary perspectives on ostomy surgery in pediatric IBD across the ImproveCareNow network.

Pediatric inflammatory bowel disease (IBD) is a chronic illness with various treatments, including ostomy surgery. Ostomy-related medical decision-making (MDM) is complex for multidisciplinary healthcare professionals (HCPs). This study sought to understand national multidisciplinary HCPs' perceptions about pediatric IBD ostomy surgery in the United States. This cross-sectional REDCap survey recruited HCPs in pediatric IBD HCP roles from the ImproveCareNow (ICN) Learning Health System. The survey gathered data on, (1) demographics, (2) participants'perspectives on patients/families'ostomy perceptions,(3) participants'own perspectives on ostomies, and (4) participants'perspectives on multidisciplinary collaboration in ostomy surgery. Participants (n = 69, across n = 30 American ICN sites) were 84% White, 62% female, and 54% gastroenterologists. In reflecting on patients/families'perceptions, participants endorsed most (86%) view ostomies as a "failure," various psychosocial concerns (e.g., 97% endorsed body image concerns), and most (81%) have moderate to significant stigma about ostomies. In reflecting on their own perceptions, nearly half (44%) endorsed some to moderate stigma about ostomies and felt ostomy discussions were difficult when families had negative perceptions (88%). Over half (54%) endorsed currently having multidisciplinary care for pediatric IBD surgery. Most (70%) endorsed variability in the amount and/or quality of multidisciplinary collaboration. MDM related to pediatric IBD ostomy surgery presents nuanced clinical complexities for HCPs. This work underscores interest in multidisciplinary care, notable ostomy-related psychosocial needs, and ostomy-related stigma. Future work should develop systematic approaches to multidisciplinary pediatric IBD ostomy care, bolster psychosocial support, and evaluate how systematic care may impact psychosocial, and healthcare utilization outcomes.

Motivational drivers for health professionals in a large quality improvement collaborative project in Brazil: a qualitative study

BackgroundThe success of collaborative quality improvement (QI) projects in healthcare depends on the context and engagement of health teams; however, the factors that modulate teams’ motivation to participate in these projects are still unclear. The objective of the current study was to explore the barriers to and facilitators of motivation; the perspective was health professionals in a large project aiming to implement evidence-based infection prevention practices in intensive care units of Brazilian hospitals.MethodsThis qualitative study was based on content analysis of semistructured in-depth interviews held with health professionals who participated in a collaborative QI project named “Improving patient safety on a large scale in Brazil”. In accordance with the principle of saturation, we selected a final sample of 12 hospitals located throughout the five regions of Brazil that have implemented QI; then, we conducted videoconference interviews with 28 health professionals from those hospitals. We encoded the interview data with NVivo software, and the interrelations among the data were assessed with the COM-B model.ResultsThe key barriers identified were belief that improvement increases workload, lack of knowledge about quality improvement, resistance to change, minimal involvement of physicians, lack of supplies, lack support from senior managers and work overload. The primary driver of motivation was tangible outcomes, as evidenced by a decrease in infections. Additionally, factors such as the active participation of senior managers, teamwork, learning in practice and understanding the reason for changes played significant roles in fostering motivation.ConclusionThe motivation of health professionals to participate in collaborative QI projects is driven by a variety of barriers and facilitators. The interactions between the senior manager, quality improvement teams, and healthcare professionals generate attitudes that modulate motivation. Thus, these aspects should be considered during the implementation of such projects. Future research could explore the cost-effectiveness of motivational approaches.

Financial Sustainability of IoT Platforms: The Role of Quality and Security

The economic significance of Internet of Things (IoT) platforms is evident from the proliferation of smart home assistant platforms like Amazon Alexa and Google Home that center themselves around providing unique and connected experiences to users. Customers do not perceive these platforms valuable if they do not experience adequate levels of quality and security from both the platform and applications (apps) they use. Therefore, the IoT platform provider as well as app developers need to go beyond collaboration and cocreate quality and security for each app on the platform. In this setting, we study the dynamics of the financial sustainability of the platform provider and app developers and find that the collaborative nature of the IoT platform has a significant role in the behavior and profitability of all parties. Specifically, a neutral entrant to the platform not only increases the effort levels of all existing parties, but also increases the profits due to network effects that are intertwined with economies of scale. We further find that a substantial number of apps are needed in the platform for an economically viable platform and that a less efficient platform leader needs even a larger application base. However, based on the number of apps on the platform and which party is more effective in the collaboration, the platform provider might need to provide additional incentives, or sometimes, extract additional rent from the app developers to financially sustain the platform. Furthermore, we verify our results in the presence of competition or complementarity among apps and further derive additional interesting results and managerial insights. For example, we find that the entry of a competing app may be beneficial for existing apps under some conditions.

Assessing the collaborative quality value in nuclear power intelligent construction: A value chain analysis method based on double-layer GERT network

Due to the large number of participants and the multi-dimensional heterogeneity of economic activities, the value creation links are hidden and the value relationship is difficult to identify. Only paying attention to the effect and cost input of a single enterprise’s quality business cannot maximize the value of collaborative quality control, and cannot meet the requirements of nuclear power intelligent construction. Therefore, we propose to use collaborative quality value to characterize the value creation process and coordinate the interest relationship and value distribution among participants. On this basis, a collaborative quality value chain analysis method based on the double-layer GERT network is studied to quantitatively calculate the collaborative quality value. Specifically, the collaborative quality assurance mode is constructed and the interaction behavior among participants is analyzed. The value transfer and enhancement across participants is represented by the double-layer GERT network model, and the global and local values of the value chain are quantitatively measured based on the equivalent transfer function. Then, the key quality assurance business and activities that restrict the whole chain value-added are explored, and the collaborative quality value-added strategies are proposed. Finally, the effectiveness of this method is verified by a case study involving the fabrication of reactor pressure vessel (RPV) support inside a nuclear power project. This study provides a new method for realizing the value evaluation of collaborative quality control and maximizing the collaborative quality value of the whole value chain.

Exploring the potential of blockchain‐enabled smart contracts for achieving net‐zero emissions: An empirical study

AbstractA sustainable future entails addressing net‐zero emissions, which balances greenhouse gas emissions, thereby mitigating climate change. This study explores the relationship between the information quality, system quality, and service quality of blockchain‐enabled smart contracts (BSCs) with collaboration quality to achieve net‐zero emissions. The study further explores the role of collaboration quality in influencing the intention‐to‐use BSC and organizational satisfaction. The study employed the revised DeLone and McLean model and validated it with data from 434 respondents using structural equation modeling. The results validate all the hypotheses derived from the updated DeLone and McLean information system (IS) success model. There exist significant relationships between information quality, system quality, and service quality in the BSCs leading to collaboration quality to achieve net‐zero emissions. The study establishes the significant role of collaboration quality which positively impacts usage behavior and organizational satisfaction, mediated by the intention to use. The findings of this study offer insights for organizations and policymakers seeking to harness blockchain for environmental sustainability.

2015 Identifying and Managing Visual Impairment in Older Patients with Falls on a Care of the Elderly (COTE) ward

Abstract Introduction In 2019, the Royal College of Physicians (RCP) advised that all patients should have their vision screened if identified as a falls risk. Our aim was to implement a bedside visual screening test and establish an onward inpatient referral to Hospital Eye Services (HES). Method This is a collaborative Quality Improvement project involving Geriatric Medicine, HES and the Royal National Institute of Blind People (RNIB). A pilot study cross referenced falls admissions with previous known ophthalmic data to estimate the proportion of known vision loss in this group. In the second phase of the project, a bedside visual screening test has been introduced for all patients admitted to COTE with a fall. Patients failing the screening are reviewed by an RNIB Eye Clinic Liaison Officer (ECLO) and if necessary, a prompt inpatient HES review is arranged. Results Of 182 patients admitted following a fall, in the pilot study, 112 (61%) were known to ophthalmology previously. Of patients known to ophthalmology, 28 (25%) had vision of 6/18 or worse and would be considered to struggle with daily living tasks. 12 (10%) had a certificate of visual impairment (CVI) and 3 (3%) were eligible for CVI but had not been previously registered. One year following implementation of bedside vision testing, 287 patients had been reviewed after failing bedside screening. 97 of these had an onward referral sent or an intervention performed. The first ‘COTE ECLO’ post has been funded as a result of this work. Conclusion Assessing vision is a critical element of the assessment of patients with falls. Through collaboration with the RNIB and Ophthalmology a successful pathway has been developed to address visual impairment in this vulnerable group of patients.

Improving outcomes in emergency general surgery: Construct of a collaborative quality initiative.

Emergency general surgery conditions are common, costly, and highly morbid. The proportion of excess morbidity due to variation in health systems and processes of care is poorly understood. We constructed a collaborative quality initiative for emergency general surgery to investigate the emergency general surgery care provided and guide process improvements. We collected data at 10 hospitals from July 2019 to December 2022. Five cohorts were defined: acute appendicitis, acute gallbladder disease, small bowel obstruction, emergency laparotomy, and overall aggregate. Processes and inpatient outcomes investigated included operative versus nonoperative management, mortality, morbidity (mortality and/or complication), readmissions, and length of stay. Multivariable risk adjustment accounted for variations in demographic, comorbid, anatomic, and disease traits. Of the 19,956 emergency general surgery patients, 56.8% were female and 82.8% were White, and the mean (SD) age was 53.3 (20.8) years. After accounting for patient and disease factors, the adjusted aggregate mortality rate was 3.5% (95% confidence interval [CI], 3.2-3.7), morbidity rate was 27.6% (95% CI, 27.0-28.3), and the readmission rate was 15.1% (95% CI, 14.6-15.6). Operative management varied between hospitals from 70.9% to 96.9% for acute appendicitis and 19.8% to 79.4% for small bowel obstruction. Significant differences in outcomes between hospitals were observed with high- and low-outlier performers identified after risk adjustment in the overall cohort for mortality, morbidity, and readmissions. The use of a Gastrografin challenge in patients with a small bowel obstruction ranged from 10.7% to 61.4% of patients. In patients who underwent initial nonoperative management of acute cholecystitis, 51.5% had a cholecystostomy tube placed. The cholecystostomy tube placement rate ranged from 23.5% to 62.1% across hospitals. A multihospital emergency general surgery collaborative reveals high morbidity with substantial variability in processes and outcomes among hospitals. A targeted collaborative quality improvement effort can identify outliers in emergency general surgery care and may provide a mechanism to optimize outcomes. Therapeutic/Care Management; Level III.

Family quality of life and family-school collaboration during the COVID-19 pandemic: perceptions of Swedish parents of adolescents with special educational needs

IntroductionCompared to other countries, Sweden did not introduce sudden lockdowns and school closures during the COVID-19 pandemic. Instead, the country chose a less restrictive approach to managing the pandemic, such as staying at home with any symptoms of cold or COVID-19, washing hands, and maintaining social distancing. Preschools and compulsory schools remained open. In this context, limited evidence exists about how Swedish families of students with special educational needs and disabilities (SEND) experienced collaboration with school professionals to support their children during the COVID-19, and how the pandemic affected parents’ perceptions of quality of their family life. The present study investigated parental perceptions of satisfaction with family-school collaboration and with family quality of life during the COVID-19 pandemic.MethodsTwenty-six parents of students with SEND who attended general lower secondary schools (grades 7-9) completed a survey using three measures: the demographic questionnaire, the Beach Center Family Quality of Life scale (FQOL), and the Family-School Collaboration scale – the adapted version of the original Beach Center Family-Professional Partnership Scale. Descriptive statistics, Pearson correlations were used to analyse data.ResultsParents felt less satisfied with family-school collaboration related to child-oriented aspects; they were least satisfied with their emotional well-being aspect of family quality of life. Strong, significant and positive associations were found between family-school collaboration and disability-related support aspect of FQOL.DiscussionThe findings point to the importance of family-school partnerships in promoting students’ positive school achievements, and in enhancing FQOL. The findings have practical implications for professional development of pre- and in-service teachers within the existing curricula of teacher preparation programs. Implications for further research are discussed given the study’s small sample size and challenges in recruitment of participants.

An analysis of interagency collaboration: Lessons learned from Colorado's early intervention program.

The purpose of this study was to describe interagency collaboration in Part C Early Intervention (EI) programs. Between 18 April and 9 May 2022, 48 EI service coordinators (SCs) from 14 programs in one state completed adapted versions of the Interagency Collaboration Activities Scale (IACAS) and Relational Coordination Survey (RCS). Assessing perceptions of shared structures (IACAS) and coordination quality (RCS), these combined measures summarized interagency collaboration with 11 organizations. Mean (SD) survey responses were estimated and ranked. Sample SCs represent a breadth of professional disciples and vary substantially in their current and desired collaborations. The quantity of SCs collaborating with organizations ranged from 0% to 98%. Nearly all (98%) reported collaborating with the school districts, few (15%) reported collaborating with insurance, and none reported collaborating with Supplemental Nutrition Assistance Program or Special Supplemental Nutrition Program for Women, Infants, and Children. The majority of SCs expressed desire to increase their collaborations with most of the listed organizations. The perceived quality of collaborations varied substantially at both individual and organizational levels. When comparing SC perceptions of shared structures and coordination quality, SCs reported more favourable collaborations with school districts (IACAS rank: first and RCS rank: first) and less favourable collaborations with insurance (IACAS rank: ninth and RCS rank: seventh). Some organizations rankings varied across both scales, including pediatric primary care (IACAS rank: third and RCS rank: eighth) and hospitals (IACAS rank: sixth and RCS rank: second). Overall, SCs reported low perceived existence of shared structures while coordination quality varied by organization. Opportunities for collaborative growth were identified. Despite its importance and required implementation in EI, perceptions of interagency collaboration varied substantially within and between EI programs. There is a suggested need to increase the quantity of SCs that collaborate and identified opportunities to increase the quality of collaborations that already exist.

Effect of Weight Control Intervention on Body Mass Index among Adolescents with Overweight: A Systematic Review and Meta-Analysis.

Due to the dramatic rise in overweight and obesity, adolescent weight management interventions are required. Therefore, this study aimed to study the components and the effect size of weight control programs for adolescents with overweight and obese. Following the PRISMA 2020 guidelines, we systematically searched electronic databases (PubMed, Google Scholar, ThaiJo, ThaiLis, and Embase) through December 2021 published in English and Thai, samples aged 15-22 years, and presenting the mean, SD a sample size of both experimental and control groups. However, we excluded articles other than full-text articles. In addition, a risk of bias assessment was performed according to the Cochrane Collaboration's quality assessment tool. Finally, this meta-analysis included six studies that met the criteria. The meta-analysis used a fixed-effects model with a forest plot to compute effect sizes and Cochran's Q and I2 statistics as measures of heterogeneity. We found six primary studies which included 721 overweight adolescents. The analysis of the effectiveness of weight control programs for overweight adolescents revealed that 360 adolescents with overweight and obese (49.93%) who underwent the weight control programs changed body weight and body mass index values with the effect size of -0.80 (-1.03, -0.56) and I2 was 56.00%. The results indicate further studies should focus on constructing programs that consider adolescents' changes in technology and lifestyles. Additionally, social and mobile tools should motivate and educate adolescents about body weight control to help them adapt to a healthy lifestyle and maintain weight control over time.

Employee Experiences with Flexible Work Arrangements and Their Impact on Productivity

The evolving nature of work-life dynamics has prompted increased adoption of flexible work arrangements (FWAs). This study investigates the impacts of FWAs on employee experiences and productivity, aiming to identify the benefits and challenges of such arrangements and to understand how they influence work-life balance and job satisfaction. A qualitative research design was employed, utilizing semi-structured interviews to collect data from 30 participants across various industries known for implementing FWAs. Participants were chosen through purposive sampling to ensure diversity in age, gender, job role, and experience. Theoretical saturation was achieved to ensure comprehensive data coverage. Data were analyzed using thematic analysis to identify themes, subthemes, and underlying concepts. Three main themes were identified: Work-Life Balance, Productivity Dynamics, and Challenges and Barriers. Work-Life Balance covered aspects such as time management, family and personal life integration, stress levels, boundary setting, and overall satisfaction. Productivity Dynamics highlighted efficiency, collaboration, adaptability, focus, innovation, and output quality. Challenges and Barriers included technological issues, communication gaps, organizational support, professional isolation, and work overload. FWAs offer significant potential benefits by enhancing work-life balance and productivity. However, their success and sustainability depend on addressing the associated challenges, such as communication difficulties and potential isolation. Effective implementation of FWAs requires tailored strategies that consider individual and organizational needs, emphasizing the need for supportive technologies and robust management practices.

The Collaborative Improvement and Innovation Network for Children With Medical Complexity.

In response to a number of emerging issues, in 2017 the federal Maternal and Child Health Bureau funded its first collaborative quality improvement network aimed at improving the quality of life for children with medical complexity, the well-being of their families and the cost-effectiveness of their care. This paper is intended as a brief introduction to the Collaborative Improvement and Innovation Network to Advance Care for Children with Medical Complexity or CMC CoIIN project. In it, you will learn about the origins of the project, the guiding principles used to cocreate and promote measurable, meaningful family engagement in systems-level change efforts, its goals and objectives, the impact of the coronavirus disease 2019 pandemic on the project and some high-level learnings from our experiences, which have implications for future care delivery improvements for this growing and vulnerable population of children.

Game-Theoretic Incentive Mechanism for Collaborative Quality Control in Blockchain-Enhanced Carbon Emissions Verification

Game-Theoretic Incentive Mechanism for Collaborative Quality Control in Blockchain-Enhanced Carbon Emissions Verification

A Mixed Methods Evaluation of a Quality Improvement Model to Optimize Perinatal and Primary Care in the Community Health Setting.

Many maternal deaths occur beyond the acute birth encounter. There are opportunities for improving maternal health outcomes through facilitated quality improvement efforts in community settings, particularly in the postpartum period. We used a mixed methods approach to evaluate a collaborative quality improvement (QI) model in 6 Chicago Federally Qualified Health Centers (FQHCs) that implemented workflows optimizing care continuity in the extended postpartum period for high-risk prenatal patients. The Quality Improvement Learning Collaborative focused on the implementation of a registry of high-risk prenatal patients to link them to primary care and was implemented in 2021; study data were collected in 2021-2022. We conducted a quantitative evaluation of FQHC-reported aggregate structure, process, and outcomes data at baseline (2020) and monthly (2021). Qualitative analysis of semistructured interviews of participating FQHC staff focused on the experience of participating in the collaborative. At baseline, none of the 6 participating FQHCs had integrated workflows connecting high-risk prenatal patients to primary care; by the end of implementation of the QI intervention, such workflows had been implemented at 19 sites across all 6 FQHCs, and 54 staff were trained in using these workflows. The share of high-risk patients transitioned to primary care within 6 months of delivery significantly increased from 25% at baseline to 72% by the end of implementation. Qualitative analysis of interviews with 11 key informants revealed buy-in, intervention flexibility, and collaboration as facilitators of successful engagement, and staffing and data infrastructure as participation barriers. Our findings show that a flexible and collaborative QI approach in the FQHC setting can help optimize care delivery. Future evaluations should incorporate the patient experience and patient-level data for comprehensive analysis.

A Baby Step Toward Planetary Health: A Collaborative Quality Improvement Initiative to Reduce Single-Use Plastics in a Pharmacy and Neonatal Intensive Care Unit.

A Baby Step Toward Planetary Health: A Collaborative Quality Improvement Initiative to Reduce Single-Use Plastics in a Pharmacy and Neonatal Intensive Care Unit.