Research on the Application of Evidence-Based Quality Control Circle to Improve the Implementation Rate of Airway Management Measures in Adult Critically Ill Patients

Objective: To explore the effect of evidence-based quality control circle (QCC) in improving the implementation rate of airway management measures in adult critically ill patients. Methods: Based on the Joanna Briggs Institute (JBI) evidence-based health care model, the best evidence of airway management in adult critically ill patients was obtained and applied to the clinic. Results: The total implementation rate of airway management measures in adult critically ill patients increased from 23.62% before the implementation of quality control circle to 88.82%, and the pulmonary infection rate in critically ill patients decreased from 42.31% to 21.74%, with statistical significance between the two groups (P 0.05). Conclusion: Evidence-based quality control circle activities can standardize the practice standards of airway management in critically ill patients, reduce the occurrence of patients’ airway related complications, and improve clinical outcomes.

Application effect of quality control circle in postoperative functional exercise compliance of breast neoplasms patients:a meta-analysis

Background:Good adherence to post-operative exercise is crucial for long-term exercise intervention programs aimed at improving compliance,motivation for functional exercise,and quality of life among breast cancer patients.This study aims to evaluate the application effect of quality control circles on postoperative functional exercise compliance in breast neoplasm patients.Methods:A comprehensive search was conducted in CNKI,Wanfang,VIP,CBM,PubMed,Cochrane Library,Web of Science and CINAHL databases from their establishment to May 06,2023.Manual search and backtracking of relevant literature were also conducted.The search terms included a combination of subject terms and free words.Meta-analysis was performed using RevMan 5.4 software on eligible literature.Results:Initially,517 papers were retrieved,and after removing duplicates 238 papers using NoteExpress software,279 titles and abstracts were reviewed.Subsequently,225 non-compliant papers were excluded,leaving 54 full texts to be read.After excluding 38 non-compliant papers,16 eligible papers were included for Meta-analysis.These papers comprised a total of 1,342 patients(679 in the test group and 663 in the control group).The heterogeneity test using a fixed effects model showed P=0.22 and I2=21%.The Meta-analysis results demonstrated that the implementation of quality control circles alongside usual care significantly improved compliance with postoperative functional exercise in breast cancer patients(odds ratio=6.68,95%confidence interval(4.97,8.98),P<0.00001).Conclusion:Quality control circles activities can effectively enhance compliance with post-operative functional exercise among breast cancer patients,aiding in the recovery of affected limb function,improvement of self-care ability,and early reintegration into society and normal life,thereby enhancing quality of life.It is important to continually accumulate experience in applying relevant quality control circles activities in clinical work and promptly enhance the level of care accordingly,as the functional exercise of breast cancer patients after surgery involves a long-term and gradual improvement process.

Construction of a New Model of Contactless Medical Services for Outpatients Based on the Project-Achieving Quality Control Circle

Objective: To carry out empirical research on the role of project-achieving quality control circle (QCC) in constructing a new model of contactless medical service for outpatients. Methods: A QCC, consisting of information office members from a grade A tertiary hospital in Wenzhou, was established to conduct a research project with the theme “Constructing a new model of contactless medical service based on outpatients’ experience.” According to the ten steps and PDCA cycle, an analysis was carried out before and after the QCC activities, focusing on improving pre-consultation services, providing steward-like services, and facilitating post-consultation management. Results: After the QCC activities, the mobile appointment rate, missed appointment rate, the proportion of smart check-ins, and the average check-in time were 55.68%, 4.02%, 39.75%, and 8.24 ± 3.66 min, respectively;in contrast, before the activities, they were 32.00%, 7.88%, 0.00%, and 14.96 ± 4.98 min, respectively;the difference between the two groups was statistically significant (χ2 = 3480.112, 4994.496;Fisher’s exact probability = 963788.570;t = 5.323, P < 0.001). Many experts have also visited the hospital to learn about this system, thus rendering social and economic benefits. Conclusion: Project-achieving QCC activities are suitable for complex situations, such as constructing a new model of contactless medical service, and can significantly improve outpatient service quality, enhance patients’ experience, and improve the abilities of circle members.

Analysis of the Effect of Quality Control Circle on the Central Sterile Supply Department

Objective:To analyze the effect of quality control circle on the central sterile supply department(CSSD).Methods:The control group and the observation group each consisted of 180 instruments received by the sterilization supply center from January to March 2023 and 11 CSSD staff.The control group underwent routine management while quality control circle was implemented in the observation group.The quality of work,disinfection and sterilization qualification rates,disinfection and sterilization of various instruments,cleaning indicators,and management satisfaction of both groups were compared.Results:The observation group scored higher in terms of work quality,the qualification rate of disinfection and sterilization in each link,the disinfection and sterilization of instruments,and cleaning indicators compared to the control group.Besides,the management satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion:A quality control circle ensures the quality of work,improves the cleaning,disinfection,and sterilization of instruments of the CSSD,and improves the management satisfaction of the CSSD staff.

Application of Quality Control Circle Activity in Improving Effectiveness of Drug Intervention in Lung Cancer Patients with Moderate to Severe Pain

Objective:Lung cancer has the highest incidence and mortality of all malignant tumors in China.Cancer pain dramatically affects patients’comfort level,causing insomnia,anorexia,anxiety,fear,depression,and a decline in the quality of life(QOL).The literature suggests a shortage of adequate cancer pain management for 59.1% of patients in China.The quality control circle(QCC)activity reflects the people-oriented core idea of management.This study aimed to assess the efficacy of QCC in enhancing the effectiveness of drug interventions in lung cancer patients with moderate to severe pain.Methods:From January 2019 to July 2019,lung cancer patients with moderate to severe pain were treated with drugs.The total number of drug interventions was 3072.A QCC activity was performed following the ten steps of the plan-do-check-act(PDCA)model.The reasons for the poor effectiveness of drug intervention in lung cancer patients with moderate to severe pain were analyzed.Countermeasures were designed to improve the effectiveness of drug intervention,including setting up a pain college,writing a medication education manual,and formulating operational rules for the administration of narcotic drugs.The effectiveness of drug intervention in lung cancer patients with moderate to severe pain and activity ability scores of QCC members were analyzed statistically before and after QCC activity.The effectiveness of drug intervention was investigated and compared before and after establishing the QCC.Results:After establishing the PDCA model,the effectiveness of drug intervention for moderate to severe pain in lung cancer patients increased from 56.28% to 85.29%.Members had significant improvement in problem-solving ability,responsibility,communication,coordination,self-confidence,team cohesion,enthusiasm,QCC skills,and harmony.Conclusion:QCC activity can significantly improve the efficiency of drug intervention in lung cancer patients with moderate to severe pain and their quality of life.

Application of a Quality Control Circle to Reduce the Wait Times between Continuous Surgeries

Purpose: To investigate how to shorten patient wait times between continuous ocular operations and to evaluate the influence of a quality control circle(QCC) on operating room management.Methods:.QCC management was established to conduct activities..Clinical data were collected to analyze the causes of long wait times between continuous surgeries. Effective measures were undertaken correspondingly.Results:.The staff from QCC actively undertook measures that would significantly shorten patient wait times between continuous ocular surgeries(P<0.05).Conclusion:.Multiple measures,.such as setting up a QCC,enhancing the arrangement of surgical procedures,.establishing effective communication channels,.optimizing human resources, and integrating the use of instruments, can effectively shorten patient wait times between continuous vitreous or retinal surgeries.

Reducing the Internal Difference Error Rate in Hospital Pharmacies:From the Angle of Quality Control Circle

Objective To improve the management level of pharmacy dispensing center,reduce dispensing errors and promote the safety of drug use.Methods Hospital pharmacies could be managed according to the theory of quality control circle(QCC).Based on the ten steps of QCC,the internal difference error rate in pharmacies could be reduced.Results and Conclusion The error rate of pharmacies was reduced from 2.74‰to 0.57‰,and the goal achievement rate was 108.466.Besides,the progress rate reached 84.82%.The abilities of circle members were improved,and the operation of pharmacy was more standardized.The activity of QCC is helpful to reduce the internal difference error rate,improve the operation level of pharmacy and ensure the safety of drug use.

Reducing the Error Rate of Drug Delivery in Hospital Pharmacies: From the Angle of Pharmacy Quality Control Circle

Objective To explore the effect of applying pharmacy quality control circle to reduce the error rate of drug delivery in inpatient pharmacy,and to improve the service quality of inpatient pharmacy staff.Methods According to the ten standardized steps of pharmaceutical product management and Gantt chart,fishbone diagram and Plato were used to analyze the causes of drug delivery errors in hospital pharmacies,to find countermeasures and confirm the implementation effect.Results and Conclusion The error rate was reduced from 52% before implementation to 27.8%,and the target achievement rate was 100%.The staff’s understanding and application ability of pharmaceutical product circle was further enhanced.The “Training Standard for Newcomers” has reference value for hospital inpatient pharmacies and it can be promoted continuously.Pharmaceutical quality control circle can improve the quality of pharmacy services in hospitals.

Use of Quality Control Circles-A Fad or Need

Different techniques including Quality Control Circles, Business Process Reengineering and Statistical Process Control （SPC）, Total Quality Management have been in use to reduce waste in the industry. Waste is considered as necessary evil and there are many types of waste in the industry. There are many ways and means to reduce waste but the less costly is to use Quality Control Circles technique effectively and efficiently. In quality control circles human resources that consist of small groups of employees are selected, who voluntarily meet at regular intervals to identify, analyze and solve quality and other problems in their work areas. In the Quality Control Circles different techniques of the quality improvement and total quality management are utilized which could be numeric or nonnumeric such as statistical quality control techniques and fish bone diagram or brain storming respectively. This article discusses that how reduction of waste in Pakistan industry is possible by using Quality Control Circles implementation.

The Application of Quality Control Circles to Reduce the Cost of Non-priced Consumables in Department of Oncology

Objective:To investigate the effectiveness of using quality control circle(QCC)techniques to reduce the cost of non-priced consumables in medical oncology.Methods:Analytic statistics were compiled on the performance appraisal form.Aiming at the key points of improvement with respect to the excess cost of non-valuable consumables,the reasons were analyzed,and corresponding measures were formulated to compare the cost before and after the improvement.Results:After the QCC activity,the cost of non-priced consumables decreased from RMB 6.57/bed day to RMB 3.96/bed day.Conclusion:QCC has effectively reduced the cost of non-priced consumables in the oncology department,and it is worthy of promotion.

Empirical Study on Improving Customer Satisfaction of Retail Pharmacies by Using Quality Control Circle

Objective To study the effect of quality control circle(QCC)activities on customer satisfaction of retail pharmacies so as to improve the level of customer management.Methods After choosing the theme of improving customer satisfaction research(CSR)in pharmacies,Gantt chart,questionnaire,fishbone diagram and other tools were applied in the“endeavor circle”to find out the factors affecting the theme.Then corresponding countermeasures were made and implemented to verify them in different stages.Meanwhile,the radar map and other technologies were used to compare the changes of CSR and circle members’growth before and after the activities.Results and Conclusion Sales clerk’s lack of drug knowledge,serious shortage of drugs,incapability of establishing a good relationship with customers and the lack of after-sales service were identified as the main factors.After implementing corresponding countermeasures,the target achievement rate was 116.12%,and the progress rate was 19.02%.Besides,customer satisfaction increased from 79.54%to 94.67%and the team growth value of circle members increased from 3.29 to 5.83,with significant tangible and intangible effects.QCC activities in retail pharmacies can not only standardize pharmaceutical service mode,but also improve the overall competence of sales clerks.The key factors and management methods for CSR improvement obtained from QCC activities will provide reference for the customer management of retail pharmacies.

QCC质控护理管理措施在消毒供应中心护理管理中的应用

目的研究品管圈(QCC)质控护理管理措施在消毒供应中心护理管理中的应用效果。方法2019年6月至2020年1月期间(实施后)在空军军医大学第三附属医院消毒供应中心护理管理中实施QCC质控护理管理措施,本期品管圈活动圈名为健卫圈。并于2018年10月至2019年5月实施前进行对照分析,实施前后分别选取纸塑包装物品191件,无纺布包装物品169件,共计360件,对其进行清洗消毒、包装、灭菌以及发放,同时对消毒供应中心实施前13名护理人员及实施后19名护理人员的满意度进行电子问卷抽查,记录并比较在实施前后消毒供应中心消毒物品质量(清洗消毒、包装、灭菌、发放)、消毒供应中心不良事件发生情况及消毒供应中心护理人员的满意度。结果QCC实施前消毒供应物品的清洗消毒合格率、包装合格率、灭菌合格率、发放合格率分别为77.78%、81.11%、85.56%、87.22%,明显低于QCC实施后的97.78%、98.33%、97.22%、98.89%,差异均有统计学意义(P<0.05);QCC实施前消毒供应中心不良事件发生率为2.50%,明显高于实施后的0.28%,差异有统计学意义(P<0.05);QCC实施前消毒供应中心护理人员的满意度为61.54%,明显低于实施后的94.74%,差异有统计学意义(P<0.05)。结论QCC质控护理管理措施在消毒供应中心护理管理中的应用,能有效地提高消毒供应中心物品的质量,降低不良事件的发生率,提高消毒供应中心护理人员的满意度,具有临床应用价值。

HFMEA工具结合QCC质控管理措施对消毒供应室院感防控的效果研究

目的探讨医疗失效模式与效应分析(HFMEA)工具结合品管圈(QCC)质控管理措施对消毒供应室院感防控的效果。方法回顾性分析2020年6月至2022年6月西安市第三医院消毒供应室的相关资料。其中以2020年6月至2021年6月实施常规管理时期为实施前阶段,2021年7月至2022年6月实施HFMEA工具结合QCC质控管理措施时期为实施后阶段。评估HFMEA合并QCC质控管理措施实施前后失效模式风险指数(RPN);采用自制量表抽查和比较两个阶段消毒供应室的工作质量(回收、消毒、包装、储存合格率)和工作人员管理效果(工作人员积极性、工作技巧、服务态度);分别随机抽查实施前后各300件消毒物品和50例患者,比较差错发生率及感染发生率;并采用布维-狄克试验(B-D试验)、生物监测方法对实施前后脉动真空灭菌柜的消毒质量进行检查,各抽检100次。结果与实施前比较,HFMEA合并QCC实施后自动清洗消毒机、灭菌器未定期维护、工作人员培训不到位、操作流程不规范、工作区域温、湿度、照明不达标各RPN值显著下降,差异均有统计学意义(P<0.05);实施后消毒供应室的回收合格率、消毒合格率、包装合格率、储存合格率分别为98.00%、98.33%、99.33%、98.67%,明显高于实施前的80.00%、84.33%、87.00%、86.33%,差异均有统计学意义(P<0.05);实施后工作人员的工作积极性、工作技巧及服务态度评分分别为(94.35±5.13)分、(95.56±3.43)分、(98.54±3.25)分,明显高于实施前的(84.23±3.25)分、(87.83±5.22)分、(90.32±3.33)分,差异均有统计学意义(P<0.05);实施后消毒物品的差错发生率、院感发生率分别为1.33%(4/300)、2.00%(1/50),明显低于实施前的10.67%(32/300)、20.00%(10/50),B-D试验合格率、生物监测合格率分别为100.00%(100/100)、93.00%(93/100),明显高于实施前的84.00%(84/100)、81.00%(81/100),差异均有统计学意义(P<0.05)。结论HFMEA工具结合QCC质控管理措施有助于提升消毒供应室院感防控效果,提高器械及物品消毒合格率,提高工作人员积极性,降低医院感染发生风险。

基于QCC的链式质控护理管理措施在急诊PCI患者中的应用

目的 观察基于品管圈(QCC)的链式质控护理管理措施在急诊经皮冠状动脉介入术(PCI)患者中的应用效果。方法 选取2020年7月至2021年6月于空军军医大学第二附属医院行急诊PCI的128例患者为研究对象。按照随机数表法分研究组和对照组各64例。对照组患者行常规护理,研究组患者在对照组的基础上行基于QCC的链式质控护理。比较两组患者急诊室进出时间、住院时间、急诊到球囊扩张时间与随访6个月生活质量健康调查简表(SF-36)评分、心功能指标[包括N末端B型利钠肽原(NT-proBNP)、6min步行距离、左心射血分数]、不良事件发生情况。结果 研究组患者的急诊室进出时间、住院时间、急诊到球囊扩张时间分别为(48.65±9.87) min、(8.85±1.93) d、(47.50±10.32) min,明显短于对照组的(60.36±11.24) min、(13.10±3.52) d、(66.09±11.21) min,差异均有统计学意义(P<0.05);随访6个月,研究组患者的总体健康、躯体健康、躯体疼痛、情绪角色、躯体角色、社会功能、精力、精神健康评分分别为(51.04±8.26)分、(76.92±18.37)分、(77.26±13.29)分、(75.15±18.24)分、(61.33±16.31)分、(72.26±8.42)分、(77.15±8.93)分、(70.35±6.74)分,明显高于对照组的(43.28±7.31)分、(55.83±16.14)分、(67.91±10.37)分、(64.25±17.49)分、(50.02±15.09)分、(60.56±7.25)分、(65.81±9.46)分、(60.77±5.01)分,差异均有统计学意义(P<0.05);研究组患者的NT-proBNP为(357.14±28.54) ng/mL,明显低于对照组的(392.71±30.26) ng/mL,左心射血分数、6 min步行距离为(59.26±6.37)%、(420.73±58.41) m,明显高于对照组的(53.08±5.96)%、(363.96±51.85) m,差异均具有统计学意义(P<0.05);研究组患者的不良事件发生率为25.00%,明显低于对照组的48.44%,差异有统计学意义(P<0.05)。结论 基于QCC的链式质控护理管理措施应用于急诊PCI中可缩短患者的住院时间,有效改善心功能及生存质量,同时还能降低不良事件发生率,值得推广应用。

基于QCC的精细化护理模式在手术室腹腔镜下结直肠肿瘤切除术患者中的应用

目的探讨基于品管圈活动(QCC)的精细化护理模式在手术室腹腔镜下结直肠肿瘤切除术患者中的应用效果。方法选取2019年10月至2021年12月陕西省肿瘤医院诊治的113例行腹腔镜下结直肠肿瘤切除术患者为研究对象,据随机单双数法将其分为对照组56例和研究组57例。对照组患者予以手术室常规护理模式,研究组患者予以手术室基于QCC的精细化护理模式。出院时,比较两组患者的手术相关指标、胃肠功能恢复情况、并发症状况及其对护理的满意度。结果研究组患者的手术时长、手术出血量、首次下床活动时间及出院时间分别为(2.57±0.27)h、(130.43±20.26)mL、(57.11±6.61)h、(8.81±1.13)d,明显短(少)于对照组的(3.45±0.33)h、(163.56±25.05)mL、(68.09±7.42)h、(12.24±1.44)d,差异均有统计学意义(P<0.05);研究组患者的首次排气时间、肠鸣恢复时间分别为(61.50±10.07)h、(35.56±5.12)h,明显短于对照组的(74.19±11.18)h、(46.49±6.67)h,差异均有统计学意义(P<0.05);研究组患者的并发症发生率为5.26%,明显低于对照组的23.21%,差异有统计学意义(P<0.05);研究组患者对护理的满意度为94.74%,明显高于对照组的76.79%,差异有统计学意义(P<0.05)。结论基于QCC的精细化护理模式应用于手术室腹腔镜下结直肠肿瘤切除术患者,能有效改善其手术相关指标,加快其胃肠功能的恢复,应用效果显著,且能减少并发症的发生,进一步提高患者对护理的满意度,值得推广应用。

手术室QCC精细化护理在胃癌根治术患者中的应用

目的:探讨胃癌根治术患者接受手术室品管圈(QCC)精细化护理的效果。方法:将2020年2月-2023年2月南京医科大学附属淮安第一医院收治的80例胃癌患者作为研究对象。采用随机数表法将患者分为对照组(n=40,接受手术室常规护理)与观察组(n=40,在常规护理干预基础上接受手术室QCC精细化护理)。对比两组术后康复指标时间(肛门初次排气时间、初次饮水时间、初次肠鸣时间、初次排便时间、初次下床活动时间、导管拔除时间及术后住院时间)、并发症(胃肠功能障碍、肺部感染、切口感染、胸腔积液、深静脉血栓)发生率以及生活质量(生理状况、心理状况、功能状况、社会状况、精神状况)。结果:观察组术后康复指标时间均明显短于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。护理后,两组生活质量评分均升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:胃癌根治术患者围手术期在常规护理干预基础上接受手术室QCC精细化护理,可明显缩短术后康复指标时间,使并发症发生率降低,全面提升患者生活质量。

专业平台智能信息系统联合QCC在改善血透患者体液不达标中的应用分析

目的探讨专业平台智能信息系统联合品质控制圈(quality control circle,QCC)在血液透析患者体液不达标管理中的效果。方法将专业平台智能信息系统与QCC联合起来用作改善血透患者体液管理的手段,分析其效果。结果维持性血液透析患者透析间期体重不达标率由19%降低到13.4%,实现了目标值。结论通过联合应用专业平台智能信息系统管理和QCC,能有效改善透析患者对体液管理的成效,使患者体重达到精准管理度,较大程度减少透析并发症,实现降低护理风险的目的。

品管圈管理在静脉用药调配中心的应用效果

目的:观察品管圈管理在静脉用药调配中心(PIVAS)的应用效果。方法:选取2020年1—12月该院PIVAS的46名护士作为对照组,实施常规管理;另选取2021年1—12月该院PIVAS的46名护士作为观察组,实施品管圈管理。比较两组配药安全知识知晓率、药物配制差错率和药物配送时间延长率。结果:观察组药物配置流程、药物配伍禁忌、药物剂量换算、用药前正确评估患者、药物输注流程、输注时观察要点等配药安全知识知晓率均高于对照组,差异有统计学意义(P<0.05);观察组药物配置差错率为0.48%(12/2500),低于对照组的2.32%(58/2500),差异有统计学意义(P<0.05);观察组药物配送延长率为0.36%(9/2500),低于对照组的2.48%(62/2500),差异有统计学意义(P<0.05)。结论:品管圈管理应用于PIVAS可提高配药安全知识知晓率,以及降低药物配制差错率和药物配送时间延长率的效果优于常规管理效果。

品管圈活动提高门诊哮喘患儿用药依从率应用效果分析

目的探索品管圈对门诊哮喘患儿用药依从率的应用效果。方法成立品管圈(2022年2~8月),以“提高门诊哮喘患儿用药依从率”为主题,运用质量管理工具开展活动。结果实施品管圈活动后,门诊哮喘儿童用药依从率由45%提高至72.5%,完成设定目标;患者满意度由92%提高到98%,健康教育知晓率由86%提高到98%;圈员们在解决问题能力、品管手法、沟通协调能力较前大幅上升。结论品管圈活动可有效提高门诊哮喘患儿用药依从率,同时能完善相关制度和流程,药师在专业能力及职业素养方面得到全面提升。

应用QCC降低病区噪音污染的方法及成效

目的:发现病房主要噪音来源,改善患者就医环境,开展优质护理服务。方法:开展以"降低病区噪音"为主题的品管圈活动,采用现状调查方法对160名住院患者进行了病房噪音主观评价的调查研究,分析原因,制定相应的对策并组织实施,比较开展品管圈主题活动前后病区的噪音改善情况。结果:各类主要噪音均有不同程度的降低;患者对病区环境满意度提高。结论:品管圈活动在降低病区噪音活动中效果显著,有效地提高了病区环境的舒适度、病人的满意度,也提高了护士护理管理的参与意识和工作的积极性。