BACKGROUND with the widespread application of computer network systems in the medical field,the plan-do-check-action(PDCA)and the international classification of diseases tenth edition(ICD-10)coding system have also a...BACKGROUND with the widespread application of computer network systems in the medical field,the plan-do-check-action(PDCA)and the international classification of diseases tenth edition(ICD-10)coding system have also achieved favorable results in clinical medical record management.However,research on their combined application is relatively lacking.Objective:it was to explore the impact of network systems and PDCA management mode on ICD-10 encoding.Material and Method:a retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.AIM To study the adoption of network and PDCA in the ICD-10.METHODS A retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.RESULTS In the 3,6,12,18,and 24 months of PDCA cycle management mode,the coding accuracy and medical record completion rate were higher,and the coding time was lower in the observation group as against the controls(P<0.05).The satisfaction of coders(80.22%vs 53.45%)and patients(84.89%vs 51.72%)in the observation group was markedly higher as against the controls(P<0.05).CONCLUSION The combination of computer networks and PDCA can improve the accuracy,efficiency,completion rate,and satisfaction of ICD-10 coding.展开更多
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 fu...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.展开更多
Malcolm Baldrige National Quality Award-BNQA-SA was introduced in 1987 in US companies to create overall excellence in all parts of an organisation, leading to “integrated companies” as the ultimate goal for sustain...Malcolm Baldrige National Quality Award-BNQA-SA was introduced in 1987 in US companies to create overall excellence in all parts of an organisation, leading to “integrated companies” as the ultimate goal for sustained performance by using the Baldrige Excellence Framework (BEF). The “Balanced Score Cards” (BSC) methodology, as an instrument of designing, cascading and communicating strategy, was introduced in 1992. Operations excellence is an outcome of a well-designed, monitored and implemented operations strategy (OS). This paper traces the evolution of an “OS Wheel” model of operations strategy, for continuous manufacturing industries (CMI), deployed using the BEF, using BSC’s, to achieve performance excellence and sustained competitive advantage. The model was applied in a large scale, CMI company in India, over a period of fifteen years (a longitudinal study), the description of which will demonstrate its utility.展开更多
目的探讨循环质量管理(plan do check action,PDCA)护理模式在经外周静脉穿刺中心静脉置管(pe-ripherally inserted central catheter,PICC)护理过程中的应用及其效果。方法对8名护理人员进行PDCA管理模式培训。选择276例PICC置管肿瘤...目的探讨循环质量管理(plan do check action,PDCA)护理模式在经外周静脉穿刺中心静脉置管(pe-ripherally inserted central catheter,PICC)护理过程中的应用及其效果。方法对8名护理人员进行PDCA管理模式培训。选择276例PICC置管肿瘤患者进行导管相关护理,以2009-2010年行PICC的118例患者作为PDCA实施前组,以2011-2012年行PICC的158例患者作为PDCA实施后组,比较两组患者护理相关并发症的发生情况及导管留置时间。结果 PDCA实施后组护理相关并发症发生率(14.6%)低于PDCA实施前组(36.4%),PD-CA实施后组PICC导管留置时间为(145±38.5)d,长于PDCA实施前组的(116±22.4)d,差异均有统计学意义(P<0.05)。结论采用PDCA循环护理模式能够提高PICC导管护理质量,减少导管相关并发症的发生。展开更多
目的:探讨计划实施检查评价(plan do check action,PDCA)循环模式用于改善急诊胃镜患者焦虑情绪的应用效果.方法:对需要行急诊胃镜检查的96例急诊患者随机分为实验组50例和对照组46例,对照组采用传统的胃镜检查护理方法,实验组应用PDCA...目的:探讨计划实施检查评价(plan do check action,PDCA)循环模式用于改善急诊胃镜患者焦虑情绪的应用效果.方法:对需要行急诊胃镜检查的96例急诊患者随机分为实验组50例和对照组46例,对照组采用传统的胃镜检查护理方法,实验组应用PDCA循环法,即对急诊胃镜患者焦虑情绪进行分析、总结,并落实相应护理干预措施,比较两组干预前后焦虑自评量表焦虑自评量表评分(self-rating anxiety scale,SAS)评分、焦虑情绪改善疗效及心率、呼吸、血压等指标变化.结果:两组患者干预前SAS评分及心率、呼吸、血压均无统计学差异(均P>0.05);干预后,实验组SAS评分、心率、呼吸、血压水平均显著低于干预前及低于对照组(干预前后SAS评分53.71±9.29 vs 40.75±2.66,P<0.01;心率96.23次/min±0.04次/min vs 81.25次/min±1.22次/min,P<0.01;呼吸16.77次/min±2.38次/min vs 12.33次/min±2.36次/min,P<0.05;收缩压126.23 mmHg±15.14 mmHg vs 112.25mmHg±8.55 mmHg,P<0.05;舒张压72.29mmHg±7.11 mmHg vs 62.74 mmHg±9.32mmHg,P<0.05),而焦虑情绪改善有效率明显高于对照组(80%vs 67.3%,P<0.05).结论:通过实施PDCA循环模式,对急诊胃镜患者焦虑情绪不断进行评估、分析,并进行相应护理干预,能有效缓解急诊胃镜检查患者的紧张情绪,减轻患者痛苦,值得临床推广应用.展开更多
文摘BACKGROUND with the widespread application of computer network systems in the medical field,the plan-do-check-action(PDCA)and the international classification of diseases tenth edition(ICD-10)coding system have also achieved favorable results in clinical medical record management.However,research on their combined application is relatively lacking.Objective:it was to explore the impact of network systems and PDCA management mode on ICD-10 encoding.Material and Method:a retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.AIM To study the adoption of network and PDCA in the ICD-10.METHODS A retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.RESULTS In the 3,6,12,18,and 24 months of PDCA cycle management mode,the coding accuracy and medical record completion rate were higher,and the coding time was lower in the observation group as against the controls(P<0.05).The satisfaction of coders(80.22%vs 53.45%)and patients(84.89%vs 51.72%)in the observation group was markedly higher as against the controls(P<0.05).CONCLUSION The combination of computer networks and PDCA can improve the accuracy,efficiency,completion rate,and satisfaction of ICD-10 coding.
文摘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.
文摘Malcolm Baldrige National Quality Award-BNQA-SA was introduced in 1987 in US companies to create overall excellence in all parts of an organisation, leading to “integrated companies” as the ultimate goal for sustained performance by using the Baldrige Excellence Framework (BEF). The “Balanced Score Cards” (BSC) methodology, as an instrument of designing, cascading and communicating strategy, was introduced in 1992. Operations excellence is an outcome of a well-designed, monitored and implemented operations strategy (OS). This paper traces the evolution of an “OS Wheel” model of operations strategy, for continuous manufacturing industries (CMI), deployed using the BEF, using BSC’s, to achieve performance excellence and sustained competitive advantage. The model was applied in a large scale, CMI company in India, over a period of fifteen years (a longitudinal study), the description of which will demonstrate its utility.
文摘目的探讨循环质量管理(plan do check action,PDCA)护理模式在经外周静脉穿刺中心静脉置管(pe-ripherally inserted central catheter,PICC)护理过程中的应用及其效果。方法对8名护理人员进行PDCA管理模式培训。选择276例PICC置管肿瘤患者进行导管相关护理,以2009-2010年行PICC的118例患者作为PDCA实施前组,以2011-2012年行PICC的158例患者作为PDCA实施后组,比较两组患者护理相关并发症的发生情况及导管留置时间。结果 PDCA实施后组护理相关并发症发生率(14.6%)低于PDCA实施前组(36.4%),PD-CA实施后组PICC导管留置时间为(145±38.5)d,长于PDCA实施前组的(116±22.4)d,差异均有统计学意义(P<0.05)。结论采用PDCA循环护理模式能够提高PICC导管护理质量,减少导管相关并发症的发生。
文摘目的:探讨计划实施检查评价(plan do check action,PDCA)循环模式用于改善急诊胃镜患者焦虑情绪的应用效果.方法:对需要行急诊胃镜检查的96例急诊患者随机分为实验组50例和对照组46例,对照组采用传统的胃镜检查护理方法,实验组应用PDCA循环法,即对急诊胃镜患者焦虑情绪进行分析、总结,并落实相应护理干预措施,比较两组干预前后焦虑自评量表焦虑自评量表评分(self-rating anxiety scale,SAS)评分、焦虑情绪改善疗效及心率、呼吸、血压等指标变化.结果:两组患者干预前SAS评分及心率、呼吸、血压均无统计学差异(均P>0.05);干预后,实验组SAS评分、心率、呼吸、血压水平均显著低于干预前及低于对照组(干预前后SAS评分53.71±9.29 vs 40.75±2.66,P<0.01;心率96.23次/min±0.04次/min vs 81.25次/min±1.22次/min,P<0.01;呼吸16.77次/min±2.38次/min vs 12.33次/min±2.36次/min,P<0.05;收缩压126.23 mmHg±15.14 mmHg vs 112.25mmHg±8.55 mmHg,P<0.05;舒张压72.29mmHg±7.11 mmHg vs 62.74 mmHg±9.32mmHg,P<0.05),而焦虑情绪改善有效率明显高于对照组(80%vs 67.3%,P<0.05).结论:通过实施PDCA循环模式,对急诊胃镜患者焦虑情绪不断进行评估、分析,并进行相应护理干预,能有效缓解急诊胃镜检查患者的紧张情绪,减轻患者痛苦,值得临床推广应用.
