Application of Plan-Do-Check-Action cycle and fishbone diagram analysis in optimizing surgical procedures to improve satisfaction degree of doctor-nurse-patient

Background:To study the application of management tools such as Plan-Do-Check-Action(PDCA)cycle and fishbone diagram in optimizing surgical procedures to improve the satisfaction of doctor-nurse-patient.Methods:The fundus surgery nursing team of our hospital began to implement the PDCA cycle management mode to optimize the surgical procedure from July 2017,set up a project activity improvement team,unified the surgical labeling processing plan,and made the fundus surgery procedure,and established the preoperative health education for surgical patients,and standardized the training content of post-rotating doctors and interns.Results:The satisfaction degree to surgical procedure after implementation of doctors and nurses was higher than that before implementation.Conclusions:Using PDCA cycle and fishbone diagram analysis tools to manage the surgical procedure optimization can better integrate doctor-nurse medical care,improve the efficiency and accuracy of the surgical procedure delivery and operation,and optimize the satisfaction of the three parties of doctor-nurse-patient.

Risk assessment of mountain tourism on the Western Sichuan Plateau,China

As an important site for tourism activities,mountainous areas may generate greater tourism risks than plain areas due to potential natural disasters,social issues,scenic area management,and tourist behavior.Western Sichuan Plateau is mostly mountainous area and tourism is its pillar industry,Therefore,the assessment of the tourism risks on the Western Sichuan Plateau is of academic value and practical significance.In this study,we use statistical and remote sensing data,fishbone diagram,and the entropy weighting method to construct a tourism risk evaluation model and classify risks into different levels,and we also use a geographic information system(GIS)for spatial mapping to quantify and spatialize the results.The objectives are 1)to identify the risk sources in the Western Sichuan Plateau and analyze their causal mechanisms,precisely reveal the distribution of tourism risks in the study area;2)improve the precision of tourism risk evaluation in scenic areas and analyze the causes and spatial distribution patterns of tourism risks and propose targeted management measures.This study found that the evaluation results of the four elements of hazard,exposure,vulnerability,and disaster prevention and mitigation capacity on the Western Sichuan Plateau showed significant spatial variability,depending on the natural conditions and the quantity difference of tourism resources in different regions.In addition,the tourism risk is low in most areas of the Western Sichuan Plateau,and disaster prevention and mitigation capacity is higher in areas with high tourism risk where attractions are densely populated and tourism is concentrated.Our study can provide a reference for future analyses of tourism risks in mountainous tourist areas such as in China and worldwide.