Abstract
Objective: To assess application and effect evaluation of 'Five Routine Working Regulation' method in nursing quality management of outpatient injection room. Methods: We invested 16 nurses and 200 patients to join our study in treatment process. Additionally, we grouped the data accord to different time periods. The time periods of control group are from July 2017 to June 2018, we did not implement 'Five Routine Working Regulation' method in this time period. The time periods of intervention group are from July 2018 to June 2019, we implement 'Five Routine Working Regulation' method in this time period. Our researchers collected the information include the quality indicators, nurse satisfaction and patient satisfaction. Result: In the quality indicators research, intervention group participants have better performance than that of control group in this study. In particular, the intervention group has not cases in Total number of no-write opening time of sterile articles in use and Total number of expired or waste of medicine and substance. But the control group has cases in those two domains (0 vs 25, 0 vs 210). In nurse satisfaction research, the result indicate intervention group has better nurse satisfaction assessment in our research result (87.5% vs 62.5%). In patient satisfaction, the intervention group patients provide more good assessment in satisfaction research, and the result is statistical significance (190 vs 171, p = 0.012). Conclusion: the 'Five Routine Working Regulation' method has influence to improve the nursing quality in outpatient injection room.
Highlights
Nurses is key personnel in healthcare delivery, their work include prevention of adverse events, the provision and coordination of care, and optimization of health service productivity and patient outcomes [1]
Despite the universal desire to monitor healthcare quality and substantial international efforts to identify and share best practice in measuring it, our cross-country comparison reveals striking differences in the official indicator sets used by statutory regulators to monitor the quality of hospital care in England, Germany, France, and the Netherlands [10]
In quality indicators research, ‘Total number of no-write opening time of sterile articles in use’ and ‘Total number of expired or waste of medicine and substance’ have big gap in different between intervention group and control group. It indicates 'Five Routine Working Regulation' method can influence those two domains. Another 3 domains are similar in our study, it indicates 'Five Routine Working Regulation' method has weak effect to those 3 domains
Summary
Nurses is key personnel in healthcare delivery, their work include prevention of adverse events, the provision and coordination of care, and optimization of health service productivity and patient outcomes [1]. They often need to measure, monitor and report on the appropriateness and effectiveness of healthcare, informing improvements in healthcare quality [2]. ‘Five Routine Working Regulation’ method is a fast and effective management method for units or organizations to improve quality environment, improve safety and work efficiency, reduce the incidence of failures, and improve the social image and competitiveness of units or organizations [8]. Xiaoxia Liu and Guohua Huang: Application and Effect Evaluation of 'Five Routine Working Regulation' Method in Nursing Quality Management of Outpatient Injection Room application and effect evaluation of 'Five Routine Working Regulation' method in nursing quality management of outpatient injection room
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