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find Keyword "持续质量改进" 12 results
  • 持续质量改进在ICU专科护士培训中的评价

    【摘要】 目的 提高院内ICU护士的专科水平,为患者提供优质服务。 方法 2008年1月-2009年12月,将持续质量改进方法应用于ICU专科护士培训,并对护士专科知识和技能进行培训和考核。 结果 经过2年的培训,15名护士的整体素质明显提高,医生对护士的满意度明显上升,患者对护士的满意度由原来的91%上升到99%。 结论 持续质量改进方法应用于基层医院ICU专科护士培训,是提高ICU护士专科水平的有效途径。

    Release date:2016-09-08 09:51 Export PDF Favorites Scan
  • Application and Evaluation of Continuous Quality Improvement in Nursing Quality Control of Operation Room

    目的:调查手术室实施持续质量改进(continuous quality improvement,CQI)对手术室护理工作质量、工作效率和医生、患者满意度的影响。方法:成立科室质量控制小组,全科护理人员均为责任人。根据手术室质量管理中存在的问题确立改进目标,实施CQI。质控小组定期监测及发放问卷调查并比较实施CQI前后手术室工作质量、工作效率及医生和患者的满意度。结果:实施CQI后,手术室的术前用药准备、术前平面清洁、术后整理、药品按序摆放、物品定位放置、仪器完好、器械清洗合格各项指标均较实施CQI前改善;手术等待时间缩短,手术总台次增加;医生和患者的满意度提高。结论:通过实施CQI,规范了护士的行为,提高了手术室的工作质量和工作效率,增加了医生和患者的满意度。

    Release date:2016-09-08 10:01 Export PDF Favorites Scan
  • Application of Continuous Quality Improvement in Laparoscopic Peritoneal Dialysis Catheter Input

    ObjectiveTo reduce the incidence of peritoneal dialysis (PD) catheter complications through a continuous quality improvement (CQI) process. MethodsTwenty-nine patients with catheters inserted (from January 2011 to March 2011) before CQI, and another 41 patients with catheters inserted (between April 2011 and January 2012) after CQI were observed and analyzed. The possible causes of complications of catheter were summarized, and then on the basis of that, a PDCA four-step (plan-do-check-act) method was designed with a view to reducing the incidence of postoperative complications. ResultsPD catheter dysfunction decreased from 6.90% to 2.44%. The incidence of leakage decreased from 44.83% to 9.76%. ConclusionCQI is a useful method to reduce the incidence of postoperative complications of PD catheter in peritoneal dialysis.

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  • Establishing Long-term Mechanism of Cross-inspection to Promote Continuous Quality Improvement of Hospital-acquired Infection Management

    ObjectiveTo explore the supervision and inspection mechanism of hospital-acquired infection management at hospital-level in order to promote continuous quality improvement of hospital-acquired infection control. MethodsInstead of inspecting hospital departments only by hospital infection control professionals, the clinical hospital infection control nurses were also involved in the two cross-inspections carried out respectively in September and December, 2013, which shared the same contents, methods, and the inspectors. According to standard procedures, on-site view and inquiry methods were adopted to check the implementation of the system and measures and the infection control knowledge among medical staff. Inspection results were written down to feed back to each department with a unified form. The problems found during the two inspections were classified to be analyzed and solved. The results of the two inspections were compared to understand whether the effect of continuous quality improvement can be achieved through cross-inspections and subsequent work. ResultsThe excellent rate of department and overall accuracy rate of the second inspection increased with statistical significance compared to that of the first inspection (χ2=619.902, P=0.000; χ2=40.347, P=0.000). Meanwhile, the correct rate of each module and infection control knowledge among all kinds of medical staff also increased compared with the first inspection with statistically significant differences (P<0.05). ConclusionLong-term mechanism of cross-inspection involving hospital infection control nurses should be established to facilitate the continuous quality improvement of hospital-acquired infection management.

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  • Implementation and Effects of Continuous Quality Improvement in the Care of Peripherally Inserted Central Catheter

    ObjectiveTo evaluate the clinical effects of continuous quality improvement (CQI) in the care of peripherally inserted central catheter (PICC). MethodsWe retrospectively analyzed the clinical data of 40 patients who received PICC treatment in our hospital between January and December 2011, and then we found out the main problems of PICC catheter care, analyzed the related factors for complications of PICC, and formulated corresponding nursing countermeasures. PICC receivers between January and December 2012 were regarded as controls. Then, we compared the complication incidence and satisfaction of patients between the two groups before and after the implementation of CQI. ResultsAfter the implementation of CQI, complication incidence was significantly lower (P<0.05). The satisfaction degree of patients toward caring rose to 87.8%, which was statistically significant (P<0.05). ConclusionThe implementation of CQI is beneficial to reduce complications of PICC treatment, and patients'satisfaction rate is also significantly increased.

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  • Application of Continuous Quality Improvement Measures in Prevention of Peritoneal Dialysis Related Peritonitis

    ObjectiveTo investigate whether continuous quality improvement (CQI) measures can reduce the episodes of peritonitis. MethodsWe analyzed the data of 114 cases of peritoneal dialysis related peritonitis from January to December 2011 before applying CQI measures and 72 cases from January and December 2012 after applying CQI measures in West China Hospital. Then we studied the episodes, cause and pathogenic bacteria species of peritonitis in peritoneal dialysis patients. We implemented the process of reducing the episodes of peritonitis by applying PDCA four-step design: plan-do-check-act. ResultsThe episodes of peritonitis were reduced from per 60.8 patient-months (0.197/patient-years) to per 66.6 patient-months (0.180/patient-years) after applying CQI measures. The positive rate of pathogenic bacteria culture was both 50.0% before and after applying CQI measures, in which 66.7% were gram-positive cocci. The curing rate of peritonitis was increased from 57 case/times (76.3%) to 87 case/times (79.2%). Switching to hemodialysis rate was reduced from 17 cases/times (14.9%) to 10 cases/times (13.9%). Death cases was reduced from 9 cases/times (7.9%) to 5 cases/times (6.9%). ConclusionThese results show that the incidence of peritoneal dialysis related peritonitis decreases and the curing rate increases through CQI measures.

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  • 持续质量改进在眼科日间手术患者住院体验与满意度中的应用及效果

    目的探讨提高眼科日间手术患者住院体验与满意度的方法与途经。 方法对2013年11月-2014年2月眼科日间住院患者进行住院体验与满意度调查,并针对调查所得相关问题,运用持续质量改进法,对收治流程、病区环境、健康宣教落实进行整改,并就改进措施及改进后患者的住院体验及满意度进行描述与总结。 结果2013年11月质量评价未达到满意度的条目较多,患者住院体验及满意度百分比仅为74.1%;持续质量改进后,2014年1月-2月每半个月的患者住院体验与满意度分别为90.1%、91.3%、99.1%和100.0%,质量改进成效明显。 结论通过持续质量改进,眼科日间手术病房收治流程更加有序,病区环境更整洁,健康宣教内容细化并落实,患者住院体验及满意度有了明显的改善。

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  • Impact of Continuous Quality Improvement on the Quality of Life and Complications in End-stage Hemodialysis Patients

    ObjectiveTo explore the impact of continuous quality improvement on the quality of life and complications in end-stage hemodialysis patients. MethodWe reviewed the clinical data of 128 end-stage renal disease patients undergoing hemodialysis from January 2013 to January 2014. The patients were divided into observation group and control group randomly with 64 patients in each. Patients in the control group received routine nursing only during hemodialysis, while those in the observation group received extra continuous quality improvement nursing on the basis of routine one. Quality of life of the two groups of patients was evaluated by World Health Organization Quality of Life Scale-brief before and after intervention. Adverse reactions during hemodialysis were also observed in these two groups. ResultsThe incidences of hypotension, malnutrition, thrombosis, infection and arrhythmia in the observation group were significantly lower than those in the control group (P<0.05). Psychological dimension, social dimension, physiological adaptability and total scales of quality of life in the observation group were significantly better than those in the control group (P<0.05). ConclusionsContinuous quality improvement of nursing reduces the rates of complications and improves patients' quality of life.

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  • Application of Continuous Quality Improvement to Reduce the Nursing Record Defects for Blood Transfusion

    ObjectiveTo analyze and reduce the defects in nursing records for blood transfusion by continuous quality improvement (CQI) method, in order to prevent blood transfusion related medical disputes. MethodsIn October 2014, CQI team was established to analyze the reason for transfusion record defects and make standardized process and quality monitoring forms for nursing record of blood transfusion. Six months after the implementation of CQI, 40 records were randomly selected before the CQI implementation (April to September 2014) and after the implementation (April to September 2015) for comparison and analysis. ResultAfter 6 months of implementation of CQI, nursing record defects of blood transfusion decreased significantly from 228 to 55 items. ConclusionUsing CQI method can effectively reduce nursing record defects of blood transfusion. CQI can also improve the quality of nursing records and prevent medical disputes caused by blood transfusion.

    Release date:2016-11-23 05:46 Export PDF Favorites Scan
  • The framework of evidence-based continued quality improvement

    Objective This study was to develop a framework of evidence-based continuous quality improvement and provide a framework for nursing professionals to promote evidence transfer and clinical nursing quality improvement. Methods Guided by the principles of PDCA, evidence-based nursing and work process, a framework of evidence-based quality continuous improvement was established through a citation analysis of evidence implementation related projects and literatures. Results The framework of evidence-based continuous quality improvement consisted of four stages and twelve steps, including evidence searching, practice audit, evidence implementation and outcome evaluation, and then it would turn to next cycle. Conclusion The framework of evidence-based continuous quality improvement provides nursing professionals a concept and method of promoting evidence into practice and promoting clinical nursing quality improvement.

    Release date:2017-05-18 02:12 Export PDF Favorites Scan
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