Effects of quality control circle activity on reducing the rate of surgery delay and cancellation in hypertension patients with day surgery

Abstract

Objective To explore the effects of quality control circle (QCC) on the rate of delay and cancellation caused by raised blood pressure before in hypertension patients undergoing day surgery. Methods We formed a QCC team and carried out the activity reducing the rate of delay and cancellation caused by raised blood pressure before in hypertension patients undergoing day surgery . From July to October 2015, a total of 248 hypertension patients were selected in control group (before activity) . And then, we implemented investigation of the current situation, collected data and set targets by QCC activity. From November 2015 to February 2016, a total of 276 hypertension patients were selected in experimental group (after activity) . Finally, we evaluated the effects of QCC activity after implementing improved measures. Results After carrying out QCC activity, the standard-reaching rate of preoperative blood pressure raised from 89.52% before activity to 94.93%; the rate of cancellation and delay before reduced from 9.27% to 3.62%; the medication compliance increased from 7.26% before activity to 13.40%, the satisfaction of nurses added from 90.72% before activity to 95.65%, and with significant differences (P<0.05) . Besides, there were improvements in techniques of QCC, communication skills, problem-solving skills, work enthusiasm and team spirit among team members. Conclusions The implementation of QCC activity effectively reduces the rate of delay and cancellation caused by raised blood pressure before in hypertension patients undergoing day surgery, improves nursing quality and patient' satisfaction, enhances nurses' overall quality. Besides, it reflects the importance of preoperative nursing intervention and promotes ordered as well as efficient operation in work specification of day ward. Key words: Hypertension; Quality control circle; Day surgery; Preoperative nursing; Surgery delay