BACKGROUND:Medication errors are a common source of adverse healthcare incidents particularly in the emergency department(ED) that has a number of factors that make it prone to medication errors.This project aims to r...BACKGROUND:Medication errors are a common source of adverse healthcare incidents particularly in the emergency department(ED) that has a number of factors that make it prone to medication errors.This project aims to reduce medication errors and improve the health and economic outcomes of clinical care in Hong Kong ED.METHODS:In 2009,a task group was formed to identify problems that potentially endanger medication safety and developed strategies to eliminate these problems.RESULTS:Responsible officers were assigned to look after seven error-prone areas.Strategies were proposed,discussed,endorsed and promulgated to eliminate the problems identified.A reduction of medication incidents(Ml) from 16 to 6 was achieved before and after the improvement work.CONCLUSION:This project successfully established a concrete organizational structure to safeguard error-prone areas of medication safety in a sustainable manner.展开更多
Objective: to study the effect of continuous quality improvement measures on nosocomial infection control in operating room. Methods: in a comparative study, patients and medical staff who underwent surgery in our hos...Objective: to study the effect of continuous quality improvement measures on nosocomial infection control in operating room. Methods: in a comparative study, patients and medical staff who underwent surgery in our hospital between 2018 and 2020 were included in this experimental study, including 100 patients and medical staff who underwent continuous quality improvement measures between 2019 and 2020. The qualification and compliance of hand hygiene of medical staff before and after implementation were analyzed, the incidence of medical disputes and nursing adverse events were compared between the two groups, and the nursing feelings of patients in the operating room were specifically scored. Results: after implementation, the qualified rate of hand hygiene was significantly improved, and the score of patients' nursing feelings in the operating room was significantly improved, and the incidence of medical disputes and adverse events was reduced. Conclusion: carrying out continuous quality improvement measures in the operating room of the hospital can improve the prevention and treatment effect of infection. It is a good measure for patients and medical staff, and reduces the incidence of medical accidents. It is of great significance for the development of the hospital.展开更多
To explore the effect of continuous quality improvement on satisfaction rate of nursing care in hepatobiliary surgery. Methods: 100 patients who were treated in our hospital's hepatobiliary surgery department were...To explore the effect of continuous quality improvement on satisfaction rate of nursing care in hepatobiliary surgery. Methods: 100 patients who were treated in our hospital's hepatobiliary surgery department were randomly divided into the control group and the observation group. The control group received routine nursing, while the observation group received continuous quality improvement nursing on the basis of the control group, and the nursing quality of the two groups was counted. Results: the nursing quality of the patients in the observation group was better than that in the control group (P < 0.05). Conclusion: during the nursing process of hepatobiliary surgery patients, continuous quality improvement measures should be proposed to effectively improve the nursing quality of patients while avoiding patients' conflicting consciousness of nursing work. Nursing staff should be given unified training in clinical practice, so as to improve the professional level of nursing staff. In clinical nursing work, continuous quality improvement measures should be taken for the nursing quality, and scientific exploration should be made for the nursing details in the nursing process, so as to effectively correct the nursing quality of patients and improve the satisfaction of patients with the nursing work, which is of high clinical value. After improving the quality of care, the rehabilitation period of hepatobiliary surgery patients can be shortened, which is widely welcomed by patients. It is suggested to promote it in a wide range of clinical practice.展开更多
Objective: to study the specific application effect of adopting continuous quality improvement in dermatology nursing management. Methods: 70 patients with skin diseases admitted from December 2019 to December 2020 we...Objective: to study the specific application effect of adopting continuous quality improvement in dermatology nursing management. Methods: 70 patients with skin diseases admitted from December 2019 to December 2020 were selected as research subjects, and the two groups adopted different nursing methods, evaluated the nursing satisfaction of patients and the incidence of adverse events, and scored the nursing quality of care in the dermatology department of our hospital. Results: after the quality improvement, the incidence of adverse events decreased significantly, and the satisfaction of care was improved. Meanwhile, the study on the quality score of nursing in dermatology also found that the quality of nursing score was significantly improved. Conclusion: through continuous quality improvement project improvement mode, to optimize the content of nursing, improve the nursing quality and reduce adverse effects to the implementation of quality improvement project. Nursing staff themselves can constantly improve their working ability, improve their social responsibility, patients can also strive for hospital discharge as soon as possible, so the hospital should also constantly optimize the quality of nursing, as a long-term project.展开更多
Objective: to analyze the application value of continuous quality improvement in hospital infection nursing. Methods: a total of 60 patients admitted to our hospital from January 2018 to January 2019 were selected and...Objective: to analyze the application value of continuous quality improvement in hospital infection nursing. Methods: a total of 60 patients admitted to our hospital from January 2018 to January 2019 were selected and randomly divided into two groups, among which 30 patients received routine infection management measures, and the other 30 patients received continuous quality improvement management measures. The infection rate, health knowledge and nursing satisfaction were compared between the two management measures. Results: the infection rate, health knowledge and nursing satisfaction of the observation group were better than those of the control group (P < 0.05), with statistical significance. Conclusion: continuous quality improvement in infection nursing can effectively improve patients' understanding of health knowledge, reduce the infection rate, promote disease recovery, and improve nursing satisfaction.展开更多
Objective: to explore the continuous quality improvement method to provide effective scientific basis for the treatment of acute respiratory infection in the future. Methods: from February 2019 to February 2011, 60 pa...Objective: to explore the continuous quality improvement method to provide effective scientific basis for the treatment of acute respiratory infection in the future. Methods: from February 2019 to February 2011, 60 patients with respiratory diseases in our hospital were randomly divided into observation group and control group, with an average of 30 cases. Care is provided through continuous improvement of quality and regular care programs, which are compared with the results. Results: the incidence of complications in the group was 13.33%, which was lower than 43.33% in the control group. This group has short hospitalization time and low hospitalization expenses. The satisfaction rate of medical service in this group was 90.00%, which was higher than that in the control group of 66.67%. The evaluation of quality of life of the group was higher than that of the control group, and the difference between the two groups met the statistical standard (P<0.05). Conclusion: the application of continuous quality improvement plan in the treatment of respiratory tract infection can help to reduce complications, promote the rehabilitation of patients and reduce the medical burden, which is of great significance and can make patients more recognized and satisfied with the care, and is worthy of recommendation.展开更多
Objective: to analyze the effect of continuous quality improvement intervention for patients with surgical catheter receiving general surgical catheter care. Methods: a total of 990 patients with surgical catheterizat...Objective: to analyze the effect of continuous quality improvement intervention for patients with surgical catheter receiving general surgical catheter care. Methods: a total of 990 patients with surgical catheterization admitted to our hospital from March 2021 to March 2022 were selected and randomly divided into two groups, the patients who received conventional general surgical pipeline nursing program (n 495), that is, the control group, and the patients who received continuous quality improvement intervention (n 495), that is, the observation group. The intervention effects of the two groups were compared. Results: the incidence of adverse events, SAS and SDS scores of observation group were lower than those of control group;the nursing satisfaction of observation group was higher than that of control group;the number of qualified cases in theory and skills of nursing staff in observation group was higher than that of control group, and the qualified scores in theory and skills were higher than that of control group;the difference was statistically significant (P < 0.05). Conclusion: patients with clinical surgical catheterization are faced with great treatment risks in the process of treatment, including unplanned extubation, which will not only have a great impact on patients normal treatment work, but also interfere with patients normal emotional state, with high risk. Combining continuous quality improvement measures to nurse the pipeline can standardize the catheter technology and operation steps, reduce the probability of risk events to the lowest possible level and thus improve the level of nursing quality, which is worthy of clinical application.展开更多
Objective: to explore and analyze the effect of continuous quality improvement on the quality management of obstetrics and gynecology nursing. Methods: 59 patients were randomly selected from the relevant medical reco...Objective: to explore and analyze the effect of continuous quality improvement on the quality management of obstetrics and gynecology nursing. Methods: 59 patients were randomly selected from the relevant medical record system of our hospital as the experimental objects, and 20 nursing staffs were selected to implement nursing quality management. The patients were then divided into group A (reference group) with 30 cases and group B (observation group) with 29 cases. Patients in group A were given nursing quality intervention according to the conventional mode, while patients in group B were given continuous quality improvement based on the conventional method;After the experiment, different effects of nursing management were observed in group A and B. Results: the evaluation scores of various nursing quality management indexes of the nurses in group B were significantly higher than those of the nurses in group A;The incidence rate of adverse nursing accidents in group B (1 case, 3.45%) was significantly lower than that in group A (7 cases, 23.33%). The overall satisfaction degree of group B patients on the quality of nursing work (28 cases, 96.55%) was significantly higher than that of group A (25 cases, 83.33%). P < 0.05, the difference was statistically significant. Conclusion: the continuous quality improvement plan formulated and strictly implemented in the daily nursing management of obstetrics and gynecology department can effectively improve the management quality of nursing work, do a good job in comprehensive prevention, reduce the occurrence of adverse accidents of patients, and thus quickly restore health, which is worthy of promotion.展开更多
Background:Strong scientific evidence is needed to support low-income countries in building effective and sustainable immunization programs and proactively engaging in global vaccine development and implementation ini...Background:Strong scientific evidence is needed to support low-income countries in building effective and sustainable immunization programs and proactively engaging in global vaccine development and implementation initiatives.This study aimed to implement and evaluate the effectiveness of system-wide continuous quality improvement(CQI)interventions to improve national immunization programme performance in Ethiopia.Methods:The study used a prospective,quasi-experimental design with an interrupted time-series analysis to collect data from 781 government health sectors(556 healthcare facilities,196 district health offices,and 29 zonal health departments)selected from developing and emerging regions in Ethiopia.Procedures included baseline quality assessment of immunization programme and services using structured checklists;immunization systems strengthening using onsite technical support,training,and supportive supervision interventions in a Plan-Do-Check-Act cycle over 12 months;and collection and analysis of data at baseline and at the 6th and 12th month of interventions using statistical process control and the t-test.Outcome measures were the coverage of the vaccines pentavalent 3,measles,Bacillus Calmette-Guérin vaccine(BCG),Pneumococcal Conjugate Vaccine(PCV),as well as full vaccination status;while process measures were changes in human resources,planning,service delivery,logistics and supply,documentation,coordination and collaboration,and monitoring and evaluation.Analysis and interpretation of data adhered to SQUIRE 2.0 guidelines.Results:Prior to the interventions,vaccination coverage was low and all seven process indicators had an aggregate score of below 50%,with significant differences in performance at healthcare facility level between developing and emerging regions(P=0.0001).Following the interventions,vaccination coverage improved significantly from 63.6%at baseline to 79.3%for pentavalent(P=0.0001),62.5 to 72.8%for measles(P=0.009),62.4 to 73.5%for BCG(P=0.0001),65.3 to 81.0%for PCV(P=0.02),and insignificantly from 56.2 to 74.2%for full vaccination.All seven process indicators scored above 75%in all regions,with no significant differences found in performance between developing and emerging regions.Conclusions:The CQI interventions improved immunization capacity and vaccination coverage in Ethiopia,where the unstable transmission patterns and intensity of infectious diseases necessitate for a state of readiness of the health system at all times.The approach was found to empower zone,district,and facility-level health sectors to exercise accountability and share ownership of immunization outcomes.While universal approaches can improve routine immunization,local innovative interventions that target local problems and dynamics are also necessary to achieve optimal coverage.展开更多
The relationship between major quality tools such as quality function development （QFD）, failure mode and effects analysis （FMEA）, design of experiments （DOE） and statistical process control （SPC） is analyzed ...The relationship between major quality tools such as quality function development （QFD）, failure mode and effects analysis （FMEA）, design of experiments （DOE） and statistical process control （SPC） is analyzed through an extensive review of the literature and the concurrent quality engineering philosophy, and a basic structure for the integration of quality tools is presented. An integrated quality management system （IQMS） is developed using C＋＋ Builder, running in the Windows 2000 Server environment with the basic internet connections, and SQL Server 2000 as the platform for developing the database, An illustrative example applying IQMS to the continuous quality improvement for a crane equipment manufacturing is reported. The result shows that the application of IQMS can optimize the process of design and manufacturing, shorten the cycle time of product, reduce the cost, and realize quality improvement continuously, The proposed integrated framework with IOMS is believed to be applicable to continuous quality improvement in many manufacturing companies.展开更多
Objective: to analyze the application value of continuous nursing quality improvement to improve the quality of emergency pre-examination and triage nursing. Methods: a total of 76 patients were admitted to the emerge...Objective: to analyze the application value of continuous nursing quality improvement to improve the quality of emergency pre-examination and triage nursing. Methods: a total of 76 patients were admitted to the emergency department of our hospital. The study was conducted from January 2019 to December 2019. According to the principle of random number method, all patients were divided into observation and routine groups, with an equal number of study subjects of 38 cases. Among them, the observation group adopted the quality of continuous care to optimize the triage care, while the routine group adopted the routine emergency triage care model. Statistics and comparison of the two groups of patients were conducted, including the score of nursing quality, nursing service satisfaction, emergency reception, triage evaluation, emergency aid time, the general indicators of pre-examination and triage accuracy of emergency treatment, and the success rate of rescue. Results: compared with the conventional group, observation group of nursing service attitude, psychological intervention level, health education ability, business level, emergency preview triage accuracy, rescue success rate, and emergency environment and nursing staff instrument, sense of responsibility, patrol clinic nursing satisfaction score are higher, and emergency reception, triage evaluation, first aid time is lower, P <0.05. Conclusion: the continuous improvement method of emergency nursing quality can significantly improve the quality of emergency pre-examination and triage nursing, reduce the treatment time of emergency patients, ensure the quality of emergency nursing and the satisfaction of nursing, and have high clinical promotion value.展开更多
Objective: To study the application value of continuous improvement of nursing quality in the nursing of uterine fibroids. Methods: 50 patients with uterine fibroids were selected and divided into groups. Routine nurs...Objective: To study the application value of continuous improvement of nursing quality in the nursing of uterine fibroids. Methods: 50 patients with uterine fibroids were selected and divided into groups. Routine nursing and continuous improvement of nursing quality were carried out to compare the nursing quality. Results: The nursing quality of observation group was better than that of control group (P < 0.05). Conclusion: During the clinical care period, the quality of clinical care should be continuously improved, and the clinical care plan should be provided, which means that the information of clinical care of general patients should be continuously understood, and the details of care should be improved. As the whole health care clinical practice value of higher clinical mechanism is a means of effectively taking care of the patients and their families, by continuing to improve clinical nursing details of relative value, at the same time help during nursing care to help patients improve the quality of life, and to improve their psychological condition, in the process of nursing development in our country, can be widely used in clinical practice, While these practices are consistent with the update of the Clinical Nursing Manual, the specific arguments used for care can also be recovered in the minds of patients and their families. So that it has a higher inner psychological state, it is suggested to promote in clinical order.展开更多
Objective: to study and analyze the value of medical record quality management in the continuous improvement of medical quality. Methods: 30 cases were included in our hospital from May 2021 to June 2022. From May 202...Objective: to study and analyze the value of medical record quality management in the continuous improvement of medical quality. Methods: 30 cases were included in our hospital from May 2021 to June 2022. From May 2021 to May 2021,15 cases and 15 cases from January 2022 to June 2022 were included in the control group;The quality management quality, writing quality and quality control of the two groups were evaluated. Results: study group patients management quality, writing quality, quality control patients management quality score is higher than the control group, patients writing quality assessment of grade A is higher than the control group, patients homepage, admission records, hospital records, discharge records, the incidence of quality control defects are lower than the control group, the difference has statistical significance (P 0.05). Conclusion: the application of medical record quality management has an outstanding value in improving the quality of medical record management, writing quality and quality control quality.展开更多
Objective: to explore the effect of focus problem and continuous quality improvement (FOCUS-PDCA) management mode on failure frequency and maintenance in medical equipment management. Methods: 212 medical devices whic...Objective: to explore the effect of focus problem and continuous quality improvement (FOCUS-PDCA) management mode on failure frequency and maintenance in medical equipment management. Methods: 212 medical devices which were implemented the conventional management method in our hospital from January 2020 to December 2020 were taken as the control group and 212 medical devices which were implemented the FOCUS-PDCA management mode from January 2021 to December 2021 were taken as the observation group. The failure rates, average inspection time and satisfaction of medical device users in the two groups were recorded. Results: the incidence and frequency of medical equipment failures in the observation group were significantly lower than those in the control group (3.33% < 8.89%), the average inspection time was significantly shorter than that in the control group, and the satisfaction of medical equipment users was significantly higher than that in the control group (96.00% > 78.00%). the above data differences were statistically significant (p < 0.05). Conclusion: the application of FOCUS-PDCA management model in medical equipment management can reduce the occurrence of failures and promote the common improvement of medical equipment maintenance level and users' satisfaction.展开更多
Background The maximal use of the limited resource to improve peritoneal dialysis （PD） penetration and clinical outcomes is a challenge for all PD centers. In this study, we reported the experience and outcomes in s...Background The maximal use of the limited resource to improve peritoneal dialysis （PD） penetration and clinical outcomes is a challenge for all PD centers. In this study, we reported the experience and outcomes in successfully managing a rapidly growing PD center in Southern China. Methods A standard PD program with a team consisted of 6 nephrologists （3 doctors were in charge of catheter insertion and in-patients care, the other 3 doctors focused on PD patients＇ follow-up and education） and 11 nurses in a PD center at Sun Yat-sen University was established for PD patients follow-up in 2005. A prospective and observational study was conducted in all patients undergoing continuous ambulatory PD （CAPD） at our center from January 1,2006 to December 31,2009. Results The yearly number of prevalent CAPD patients was 297, 409, 547 and 695 in 2006, 2007, 2008 and 2009, respectively. The PD catheter insertion was performed by the nephrologists with open surgical procedure and 94% of catheters were patent at one year. In 841 incident CAPD patients, the survival rates at the end of 1,2, 3 and 4 years were 94%, 87%, 83% and 76%, respectively, while cumulative technique survival rates （death-censored） were 98%, 95%, 91% and 90%, respectively. Peritonitis rate was 1/68.5 patient months. Conclusions Better patient and technical survival rates as well as lower peritonitis episode have been achieved in our rapidly growing PD center. A standardized PD program, well-trained team members of PD doctors and nurses, and continuous quality improvement of PD are important elements in managing a successful PD program.展开更多
文摘BACKGROUND:Medication errors are a common source of adverse healthcare incidents particularly in the emergency department(ED) that has a number of factors that make it prone to medication errors.This project aims to reduce medication errors and improve the health and economic outcomes of clinical care in Hong Kong ED.METHODS:In 2009,a task group was formed to identify problems that potentially endanger medication safety and developed strategies to eliminate these problems.RESULTS:Responsible officers were assigned to look after seven error-prone areas.Strategies were proposed,discussed,endorsed and promulgated to eliminate the problems identified.A reduction of medication incidents(Ml) from 16 to 6 was achieved before and after the improvement work.CONCLUSION:This project successfully established a concrete organizational structure to safeguard error-prone areas of medication safety in a sustainable manner.
文摘Objective: to study the effect of continuous quality improvement measures on nosocomial infection control in operating room. Methods: in a comparative study, patients and medical staff who underwent surgery in our hospital between 2018 and 2020 were included in this experimental study, including 100 patients and medical staff who underwent continuous quality improvement measures between 2019 and 2020. The qualification and compliance of hand hygiene of medical staff before and after implementation were analyzed, the incidence of medical disputes and nursing adverse events were compared between the two groups, and the nursing feelings of patients in the operating room were specifically scored. Results: after implementation, the qualified rate of hand hygiene was significantly improved, and the score of patients' nursing feelings in the operating room was significantly improved, and the incidence of medical disputes and adverse events was reduced. Conclusion: carrying out continuous quality improvement measures in the operating room of the hospital can improve the prevention and treatment effect of infection. It is a good measure for patients and medical staff, and reduces the incidence of medical accidents. It is of great significance for the development of the hospital.
文摘To explore the effect of continuous quality improvement on satisfaction rate of nursing care in hepatobiliary surgery. Methods: 100 patients who were treated in our hospital's hepatobiliary surgery department were randomly divided into the control group and the observation group. The control group received routine nursing, while the observation group received continuous quality improvement nursing on the basis of the control group, and the nursing quality of the two groups was counted. Results: the nursing quality of the patients in the observation group was better than that in the control group (P < 0.05). Conclusion: during the nursing process of hepatobiliary surgery patients, continuous quality improvement measures should be proposed to effectively improve the nursing quality of patients while avoiding patients' conflicting consciousness of nursing work. Nursing staff should be given unified training in clinical practice, so as to improve the professional level of nursing staff. In clinical nursing work, continuous quality improvement measures should be taken for the nursing quality, and scientific exploration should be made for the nursing details in the nursing process, so as to effectively correct the nursing quality of patients and improve the satisfaction of patients with the nursing work, which is of high clinical value. After improving the quality of care, the rehabilitation period of hepatobiliary surgery patients can be shortened, which is widely welcomed by patients. It is suggested to promote it in a wide range of clinical practice.
文摘Objective: to study the specific application effect of adopting continuous quality improvement in dermatology nursing management. Methods: 70 patients with skin diseases admitted from December 2019 to December 2020 were selected as research subjects, and the two groups adopted different nursing methods, evaluated the nursing satisfaction of patients and the incidence of adverse events, and scored the nursing quality of care in the dermatology department of our hospital. Results: after the quality improvement, the incidence of adverse events decreased significantly, and the satisfaction of care was improved. Meanwhile, the study on the quality score of nursing in dermatology also found that the quality of nursing score was significantly improved. Conclusion: through continuous quality improvement project improvement mode, to optimize the content of nursing, improve the nursing quality and reduce adverse effects to the implementation of quality improvement project. Nursing staff themselves can constantly improve their working ability, improve their social responsibility, patients can also strive for hospital discharge as soon as possible, so the hospital should also constantly optimize the quality of nursing, as a long-term project.
文摘Objective: to analyze the application value of continuous quality improvement in hospital infection nursing. Methods: a total of 60 patients admitted to our hospital from January 2018 to January 2019 were selected and randomly divided into two groups, among which 30 patients received routine infection management measures, and the other 30 patients received continuous quality improvement management measures. The infection rate, health knowledge and nursing satisfaction were compared between the two management measures. Results: the infection rate, health knowledge and nursing satisfaction of the observation group were better than those of the control group (P < 0.05), with statistical significance. Conclusion: continuous quality improvement in infection nursing can effectively improve patients' understanding of health knowledge, reduce the infection rate, promote disease recovery, and improve nursing satisfaction.
文摘Objective: to explore the continuous quality improvement method to provide effective scientific basis for the treatment of acute respiratory infection in the future. Methods: from February 2019 to February 2011, 60 patients with respiratory diseases in our hospital were randomly divided into observation group and control group, with an average of 30 cases. Care is provided through continuous improvement of quality and regular care programs, which are compared with the results. Results: the incidence of complications in the group was 13.33%, which was lower than 43.33% in the control group. This group has short hospitalization time and low hospitalization expenses. The satisfaction rate of medical service in this group was 90.00%, which was higher than that in the control group of 66.67%. The evaluation of quality of life of the group was higher than that of the control group, and the difference between the two groups met the statistical standard (P<0.05). Conclusion: the application of continuous quality improvement plan in the treatment of respiratory tract infection can help to reduce complications, promote the rehabilitation of patients and reduce the medical burden, which is of great significance and can make patients more recognized and satisfied with the care, and is worthy of recommendation.
文摘Objective: to analyze the effect of continuous quality improvement intervention for patients with surgical catheter receiving general surgical catheter care. Methods: a total of 990 patients with surgical catheterization admitted to our hospital from March 2021 to March 2022 were selected and randomly divided into two groups, the patients who received conventional general surgical pipeline nursing program (n 495), that is, the control group, and the patients who received continuous quality improvement intervention (n 495), that is, the observation group. The intervention effects of the two groups were compared. Results: the incidence of adverse events, SAS and SDS scores of observation group were lower than those of control group;the nursing satisfaction of observation group was higher than that of control group;the number of qualified cases in theory and skills of nursing staff in observation group was higher than that of control group, and the qualified scores in theory and skills were higher than that of control group;the difference was statistically significant (P < 0.05). Conclusion: patients with clinical surgical catheterization are faced with great treatment risks in the process of treatment, including unplanned extubation, which will not only have a great impact on patients normal treatment work, but also interfere with patients normal emotional state, with high risk. Combining continuous quality improvement measures to nurse the pipeline can standardize the catheter technology and operation steps, reduce the probability of risk events to the lowest possible level and thus improve the level of nursing quality, which is worthy of clinical application.
文摘Objective: to explore and analyze the effect of continuous quality improvement on the quality management of obstetrics and gynecology nursing. Methods: 59 patients were randomly selected from the relevant medical record system of our hospital as the experimental objects, and 20 nursing staffs were selected to implement nursing quality management. The patients were then divided into group A (reference group) with 30 cases and group B (observation group) with 29 cases. Patients in group A were given nursing quality intervention according to the conventional mode, while patients in group B were given continuous quality improvement based on the conventional method;After the experiment, different effects of nursing management were observed in group A and B. Results: the evaluation scores of various nursing quality management indexes of the nurses in group B were significantly higher than those of the nurses in group A;The incidence rate of adverse nursing accidents in group B (1 case, 3.45%) was significantly lower than that in group A (7 cases, 23.33%). The overall satisfaction degree of group B patients on the quality of nursing work (28 cases, 96.55%) was significantly higher than that of group A (25 cases, 83.33%). P < 0.05, the difference was statistically significant. Conclusion: the continuous quality improvement plan formulated and strictly implemented in the daily nursing management of obstetrics and gynecology department can effectively improve the management quality of nursing work, do a good job in comprehensive prevention, reduce the occurrence of adverse accidents of patients, and thus quickly restore health, which is worthy of promotion.
基金The project received financial support from Gavi,the Vaccine Alliance through the FMoH of the Government of Ethiopia.
文摘Background:Strong scientific evidence is needed to support low-income countries in building effective and sustainable immunization programs and proactively engaging in global vaccine development and implementation initiatives.This study aimed to implement and evaluate the effectiveness of system-wide continuous quality improvement(CQI)interventions to improve national immunization programme performance in Ethiopia.Methods:The study used a prospective,quasi-experimental design with an interrupted time-series analysis to collect data from 781 government health sectors(556 healthcare facilities,196 district health offices,and 29 zonal health departments)selected from developing and emerging regions in Ethiopia.Procedures included baseline quality assessment of immunization programme and services using structured checklists;immunization systems strengthening using onsite technical support,training,and supportive supervision interventions in a Plan-Do-Check-Act cycle over 12 months;and collection and analysis of data at baseline and at the 6th and 12th month of interventions using statistical process control and the t-test.Outcome measures were the coverage of the vaccines pentavalent 3,measles,Bacillus Calmette-Guérin vaccine(BCG),Pneumococcal Conjugate Vaccine(PCV),as well as full vaccination status;while process measures were changes in human resources,planning,service delivery,logistics and supply,documentation,coordination and collaboration,and monitoring and evaluation.Analysis and interpretation of data adhered to SQUIRE 2.0 guidelines.Results:Prior to the interventions,vaccination coverage was low and all seven process indicators had an aggregate score of below 50%,with significant differences in performance at healthcare facility level between developing and emerging regions(P=0.0001).Following the interventions,vaccination coverage improved significantly from 63.6%at baseline to 79.3%for pentavalent(P=0.0001),62.5 to 72.8%for measles(P=0.009),62.4 to 73.5%for BCG(P=0.0001),65.3 to 81.0%for PCV(P=0.02),and insignificantly from 56.2 to 74.2%for full vaccination.All seven process indicators scored above 75%in all regions,with no significant differences found in performance between developing and emerging regions.Conclusions:The CQI interventions improved immunization capacity and vaccination coverage in Ethiopia,where the unstable transmission patterns and intensity of infectious diseases necessitate for a state of readiness of the health system at all times.The approach was found to empower zone,district,and facility-level health sectors to exercise accountability and share ownership of immunization outcomes.While universal approaches can improve routine immunization,local innovative interventions that target local problems and dynamics are also necessary to achieve optimal coverage.
基金This project is supported by National Natural Science Foundation of China (No.70372062)Tianjin City Key Technologies R&D Program(No.04310881R)New Century Excellent Talent Program of Education Ministry of China(No.NCET-04-0240).
文摘The relationship between major quality tools such as quality function development （QFD）, failure mode and effects analysis （FMEA）, design of experiments （DOE） and statistical process control （SPC） is analyzed through an extensive review of the literature and the concurrent quality engineering philosophy, and a basic structure for the integration of quality tools is presented. An integrated quality management system （IQMS） is developed using C＋＋ Builder, running in the Windows 2000 Server environment with the basic internet connections, and SQL Server 2000 as the platform for developing the database, An illustrative example applying IQMS to the continuous quality improvement for a crane equipment manufacturing is reported. The result shows that the application of IQMS can optimize the process of design and manufacturing, shorten the cycle time of product, reduce the cost, and realize quality improvement continuously, The proposed integrated framework with IOMS is believed to be applicable to continuous quality improvement in many manufacturing companies.
文摘Objective: to analyze the application value of continuous nursing quality improvement to improve the quality of emergency pre-examination and triage nursing. Methods: a total of 76 patients were admitted to the emergency department of our hospital. The study was conducted from January 2019 to December 2019. According to the principle of random number method, all patients were divided into observation and routine groups, with an equal number of study subjects of 38 cases. Among them, the observation group adopted the quality of continuous care to optimize the triage care, while the routine group adopted the routine emergency triage care model. Statistics and comparison of the two groups of patients were conducted, including the score of nursing quality, nursing service satisfaction, emergency reception, triage evaluation, emergency aid time, the general indicators of pre-examination and triage accuracy of emergency treatment, and the success rate of rescue. Results: compared with the conventional group, observation group of nursing service attitude, psychological intervention level, health education ability, business level, emergency preview triage accuracy, rescue success rate, and emergency environment and nursing staff instrument, sense of responsibility, patrol clinic nursing satisfaction score are higher, and emergency reception, triage evaluation, first aid time is lower, P <0.05. Conclusion: the continuous improvement method of emergency nursing quality can significantly improve the quality of emergency pre-examination and triage nursing, reduce the treatment time of emergency patients, ensure the quality of emergency nursing and the satisfaction of nursing, and have high clinical promotion value.
文摘Objective: To study the application value of continuous improvement of nursing quality in the nursing of uterine fibroids. Methods: 50 patients with uterine fibroids were selected and divided into groups. Routine nursing and continuous improvement of nursing quality were carried out to compare the nursing quality. Results: The nursing quality of observation group was better than that of control group (P < 0.05). Conclusion: During the clinical care period, the quality of clinical care should be continuously improved, and the clinical care plan should be provided, which means that the information of clinical care of general patients should be continuously understood, and the details of care should be improved. As the whole health care clinical practice value of higher clinical mechanism is a means of effectively taking care of the patients and their families, by continuing to improve clinical nursing details of relative value, at the same time help during nursing care to help patients improve the quality of life, and to improve their psychological condition, in the process of nursing development in our country, can be widely used in clinical practice, While these practices are consistent with the update of the Clinical Nursing Manual, the specific arguments used for care can also be recovered in the minds of patients and their families. So that it has a higher inner psychological state, it is suggested to promote in clinical order.
文摘Objective: to study and analyze the value of medical record quality management in the continuous improvement of medical quality. Methods: 30 cases were included in our hospital from May 2021 to June 2022. From May 2021 to May 2021,15 cases and 15 cases from January 2022 to June 2022 were included in the control group;The quality management quality, writing quality and quality control of the two groups were evaluated. Results: study group patients management quality, writing quality, quality control patients management quality score is higher than the control group, patients writing quality assessment of grade A is higher than the control group, patients homepage, admission records, hospital records, discharge records, the incidence of quality control defects are lower than the control group, the difference has statistical significance (P 0.05). Conclusion: the application of medical record quality management has an outstanding value in improving the quality of medical record management, writing quality and quality control quality.
文摘Objective: to explore the effect of focus problem and continuous quality improvement (FOCUS-PDCA) management mode on failure frequency and maintenance in medical equipment management. Methods: 212 medical devices which were implemented the conventional management method in our hospital from January 2020 to December 2020 were taken as the control group and 212 medical devices which were implemented the FOCUS-PDCA management mode from January 2021 to December 2021 were taken as the observation group. The failure rates, average inspection time and satisfaction of medical device users in the two groups were recorded. Results: the incidence and frequency of medical equipment failures in the observation group were significantly lower than those in the control group (3.33% < 8.89%), the average inspection time was significantly shorter than that in the control group, and the satisfaction of medical equipment users was significantly higher than that in the control group (96.00% > 78.00%). the above data differences were statistically significant (p < 0.05). Conclusion: the application of FOCUS-PDCA management model in medical equipment management can reduce the occurrence of failures and promote the common improvement of medical equipment maintenance level and users' satisfaction.
文摘Background The maximal use of the limited resource to improve peritoneal dialysis （PD） penetration and clinical outcomes is a challenge for all PD centers. In this study, we reported the experience and outcomes in successfully managing a rapidly growing PD center in Southern China. Methods A standard PD program with a team consisted of 6 nephrologists （3 doctors were in charge of catheter insertion and in-patients care, the other 3 doctors focused on PD patients＇ follow-up and education） and 11 nurses in a PD center at Sun Yat-sen University was established for PD patients follow-up in 2005. A prospective and observational study was conducted in all patients undergoing continuous ambulatory PD （CAPD） at our center from January 1,2006 to December 31,2009. Results The yearly number of prevalent CAPD patients was 297, 409, 547 and 695 in 2006, 2007, 2008 and 2009, respectively. The PD catheter insertion was performed by the nephrologists with open surgical procedure and 94% of catheters were patent at one year. In 841 incident CAPD patients, the survival rates at the end of 1,2, 3 and 4 years were 94%, 87%, 83% and 76%, respectively, while cumulative technique survival rates （death-censored） were 98%, 95%, 91% and 90%, respectively. Peritonitis rate was 1/68.5 patient months. Conclusions Better patient and technical survival rates as well as lower peritonitis episode have been achieved in our rapidly growing PD center. A standardized PD program, well-trained team members of PD doctors and nurses, and continuous quality improvement of PD are important elements in managing a successful PD program.
