Application Of Continuous Quality Improvement Research Articles

Application of continuous quality improvement in pediatric nursing quality management

Objective To investigate the clinical effect of continuous quality improvement in pediatric nursing quality management. Methods The implementation of continuous nursing quality improvement measures were carried out in 24 in-service nursing staffs from March 2012 to April 2015, and 82 hospitalized children in our hospital from March 2012 to March 2014 were selected as the control group before the nursing quality improvement was carried out.And another 82 hospitalized children in our hospital from April 2014 to April 2015 were selected as the experimental group after the nursing quality improvement was carried out.The improvement of nursing quality, children's adverse events and their families' satisfaction in the two groups before and after the implementation of nursing quality improvement were observed. Results The nursing score of the nursing staffs after the implementation of continuous quality improvement was significantly higher than that before the implementation, and the difference was statistically significant (P<0.05); the incidence of adverse events of the experimental group was just 1.22%, which was significantly lower than that of the 8.54% of the control group, and the difference was statistically significant (P<0.05); patients' families' satisfaction rate in the experimental group reached 96.34%, which was significantly higher than that of 87.80% of the control group, and the difference was statistically significant (P<0.05). Conclusions The implementation of continuous quality improvement in pediatric nursing management can significantly improve the quality of care, reduce the incidence of adverse events, and improve the family satisfaction, it is worth promoting. Key words: Pediatric nursing; Quality management; Continuous quality improvement; Effect

持续质量改进在静脉用药调配中心退药管理中的应用

持续质量改进在静脉用药调配中心退药管理中的应用

Application of continuous quality improvement on the patients′ nursing of infectious disease departments

Objective To explore the prevention effects of continuous quality improvement (CQI) nursing on infections of infectious diseases departments. Methods A total of 280 patients of infectious diseases departments were randomly divided into control group (routine nursing) and experimental group (CQI nursing based on control group) according to even and odd-numbered admission number. We compared infection status and nursing satisfaction of two groups. Results The infection rate of experimental group was lower than that of the control group (χ2=3.97, P=0.046); patient′s grading of nursing quality and patient′s satisfaction in the experimental group were higher than those of the control group (P<0.05). Conclusions The patients of infectious diseases departments are used CQI nursing based on routine nursing can apparently decrease infection rate and enhance patient′s satisfaction, which deserve to spread. Key words: Nursing; Infectious disease department; Continuous quality improvement

Application of continuous quality improvement in implement of centralized management mode in supply room

Objective To enhance the implement of continuous quality improvement in supply room, in order to strengthen the communication of supply room with other administrative or technical offices and improve the management quality. Methods During the continuous quality improvement, whole process quality supervision and the quality control were paid attention to, the prevention work was completed, and the work was improved. Results After the continuous quality improvement, the unqualified rates of cleaning quality, packaging quality, sterilization quality and issue quality were significantly lower than before(P<0.05). The time of morning routine items service, afternoon routine items service and temporary items service were significantly lower than before(P< 0.05). The satisfaction rates of service attitude, timely supply, feeding work, effective communication were significantly increased than before(P< 0.05). Conclusions Continuous quality improvement in supply room plays a very active role in centralized management mode, and it is worth further promotion. Key words: Continuous quality improvement; Supply room; Centralized management mode; Application

Application of continuous quality improvement in the quality control of nursing documentation

Objective To explore the application effect of continuous quality improvement in the quality control of nursing documentation , and carry out the whole monitoring of the quality of writing nursing documentation so as to improve the quality of nursing documentation .Methods The groups of quality control of nursing documentation in the departments and the department of nursing were established in order to the effective supervision and guidance of writing nursing documentation in the whole process .One thousand two hundred and fifty-one archived medical records from August 2013 to December 2013 were chosen as the observation group , and 1162 records from September 2012 to January 2013 were chosen as the control group .The incidence of defects was compared between two groups .Results The incidences of defects including the temperature records, doctor’s advice, the admission and discharge evaluation records and nursing records were respectively 4.40%,2.80%,4.16%,13.11%in the observation group, and were 11.53%,9.03%,15.49%,35.80% in the control group, and the differences were statistically significant （χ2 =42.487,42.898,84.873,160.424, respectively;P〈0.01）.Temperature records, doctor’s advice, the admission and discharge evaluation records in each defect rate in the observation group were lower than the control group , the difference was statistically significant （P〈0.01）.Incidence rate of most of the problems in nursing records in observation group were lower than the control group , the incidence of individual problems between the two groups has no statistical significance （ P 〉0.05 ）.Conclusions The groups of quality control of nursing documentation in the departments and the department of nursing play important role in the whole process management of writing nursing documentation so as to improve the quality of nursing documentation . Key words: Nursing management Nursing documentation Continuous quality improvement

Application of continuous quality improvement in the criterion for the treatment of diabetic patients with hypoglycemia

Objective To explore the method and effect of continuous quality improvement (CQI) on the criterion for the treatment of diabetic patients with hypoglycemia in nurses. Methods The treatment process of diabetic patients with hypoglycemia was carried out the quality control and improvement in department of endocrinology using the FOCUS-PDCA process of CQI. The records of nursing including 187 cases before the implementation and 197 cases after the implementation were consulted. The effect of the criterion for the treatment of diabetic patients with hypoglycemia was compared before and after the implementation of the CQI. Results The compliance rate of instructing the patients with hypoglycemia to eat in nurses according to the standard was increased from 15.5% to 77.6%, and the compliance rate of the time of measuring the fingertip blood sugar again was increased from 2.1% to 39.8%, and the compliance rate of recording the simultaneous phenomenon of hypoglycemia was increased from 13.9% to 77.6%, and the degree of mastering the knowledge of hypoglycemia in nurses was increased from 43.7% to 100.0%, and the differences were statistically significant (χ2=1.449, 79.63, 1.529, 3.742, respectively; P<0.01). Conclusions CQI can standardize the method of the treatment of diabetic patients with hypoglycemia in nurses, and improve the knowledge of hypoglycemia in nurses, and provide the security for the treatment in diabetic patients. Key words: Diabetes; Hypoglycemia; Nurses; Continuous quality improvement

The application of continuous quality improvement in the surgical nursing documents management

Objective To explore the effect of continuous quality improvement in in the surgical nursing documents management.Methods In January 2011,continuous quality improvement intervention was applied,implementing key aspects of quality control,and strengthening supervision and inspection according to the characteristics of specialist care documents defect.Compared with the 2010's result in the nursing documents defect rate.Results 2011's nursing documents defect rate was significantly lower than that in 2010 (P ＜ 0.01).Conclusions The implementation of continuous quality improvement interventions can effectively improve the quality of surgical documents. Key words: Continuous quality improvement; Surgical care records; Process quality

Application of continuous quality improvement managernent on blood specimen collection in the clinical trials of anticancer drugs

Objective To investigate the application and effect of continuous quality improvement(CQI) on blood specimen collection in the clinical trials of anticancer drugs.Methods To analyze the causes of 94 unqualified blood specimens in total of 1896 blood specimens in clinical trial which were sent to central laboratory between March and December 2011.In view of the existing problem of blood specimen collection,the CQI was used in February 2012 for improvement of the management of nurse,patient compliance and blood collection process and evaluate the effect after CQI.Results After application of CQI,unqualified rate of blood specimens reduced from 4.92％ to 1.42％,patients' satisfaction with blood collection technique of nurses increased from 85.6％ to 97.2％,patients' satisfaction with service attitude increased from 90.5％ to 99.5％,and the differences were statistically significant between before and after application of CQI (x2 ＝ 42.93,15.57,14.97,respectively; P ＜0.01).Conclusions The application of CQI can improve the qualified rate of blood specimens and raise patients' satisfaction. Key words: Drug clinical trial, antitumor; Nursing; Continuous quality improvement; Blood specimens

Application of continuous quality improvement in control of potential danger during transfer of patients in department of gastroenterology

Objective To observe the effect of continuous quality improvement ( CQI ) in control of potential danger during transfer of patients in department of gastroenterology.Methods 200 patients who had been hospitalized during the period of 2009 to 2010 and needed to be transferred inside the hospital were assigned to receive conventional care management ( 100 patients,control group ) or CQI management ( 100 patients,study group ).Results As compared with the control group,the rates of potiental danger and accident during transfer were markedly declined in the study group ( P ＜ 0.05 ).The rate of patient satisfaction was significantly higher in the study group than in the control group ( P ＜ 0.01 ).Conclusions CQI management can obviously decrease the potential danger during transfer of patients in department of gastroenterology and enhance patient satisfaction. Key words: Department of gastroenterology; Continuous quality improvement; Intra-hospital transfer; Potential danger

American Dietetic Association: Standards of Practice and Standards of Professional Performance for Registered Dietitians (Competent, Proficient, and Expert) in Extended Care Settings

American Dietetic Association: Standards of Practice and Standards of Professional Performance for Registered Dietitians (Competent, Proficient, and Expert) in Extended Care Settings

Application of continuous quality improvement in nursing management of intercross infection

通过对医院感染质量的监控,找出存在问题,确定整改目标,采用鱼刺图方法分析原因,制定相应的质量改进方案,限期整改,定期检查实施结果;结果2004年与2005年消毒隔离质量平均分提高6.38%.认为持续质量改进是一个不断渐进的过程,遵循护理质量持续改进原则,大力推行持续质量改进,才能使护理质量达到更高标准。

2.2 Continuous quality improvement.

Continuous quality improvement (CQI) can be envisaged as a circular process of goal-setting, followed by external and internal evaluations resulting in improvements that can serve as goals for a next cycle. The need for CQI is apparent, because of public accountability, maintaining European standards and the improvement of dental education. Many examples are known where recommendations from both external and internal evaluation are used for the improvement of dental education. Unfortunately, the implementation of the recommendations is inconsistent, rarely systematic and usually not transparent. This section agreed that it is essential to apply CQI in a structured, systematic and transparent way if we are to improve and maintain the quality of dental education. A model is proposed which includes three aspects: a) the process of CQI; b) the subjects to which CQI should be applied; and c) the management tools to govern CQI. It is stressed, that CQI is a process that can be applied in any dental school irrespective of curriculum or educational approach within the relevant context of the country or the region. The approach needs to recognize the complexity and the need to balance a quality improvement with accountability. A CQI system is also constrained in any organization by the attitudes and values of the staff. Inevitably there has to be a wide range in the application of CQI. Nevertheless, an agreed model on CQI might enhance convergence towards higher standards of dental education. The process of CQI can be supported by developments in information and communication technology (ICT): collection of data, identifying the steps in CQI, formats of reports, etc. The section was set, as one of its tasks, to advise on the development of a network based on a number of case studies on the application of CQI in dental education.

Achieving health improvements through interprofessional learning in south west England

The NHS Executive South West, part of the Department of Health for England, has developed a programme of action to demonstrate that health improvements can be achieved through interprofessional learning. The NHS Executive South West has funded three projects to develop and evaluate interprofessional learning opportunities for health care practitioners at postgraduate and undergraduate levels. The paper describes the origins, progress and early learning from the project sites. The project sites are addressing improvement issues by the application of continuous quality improvement to elderly care, mental health, child and family care, severe and enduring mental heath problems, and the lived experience of people with cancer.

Using early clinical experiences to integrate quality-improvement learning into medical education.

Health care providers are delivering care in an increasingly complex environment; this requires that providers develop new competencies to better understand their work and to design changes that can help them succeed. Recognizing these new educational requirements, Dartmouth Medical School created a model two-pronged program for teaching quality improvement to its medical students. The goal of the program is to provide students with an active learning experience as well as an education in the theory and application of continuous quality improvement. The program includes two educational experiences: one curriculum is for all medical students and the other is for selected, highly motivated students. The first curriculum is incorporated in Dartmouth's required "On Doctoring" course, in which students spend time with community-based physician preceptors. The quality-improvement curriculum is designed around an improvement project developed at the students' preceptor sites. The second curriculum for students with a special interest in quality improvement is offered as an elective summer program between the first and second years of medical school. Working in groups of two, students identify an area for improvement within a preceptor's practice, assist the practice in articulating an improvement plan, help implement that plan, and write up their experiences. The authors describe the two curricula, factors associated with their successful implementation, and lessons learned.

In it for the long haul: the integration of outcomes assessment, clinical services, and management decision-making

Behavioral health providers are increasingly called upon to develop outcomes strategies that highlight opportunities for performance improvement and assess in turn the impact of applying total quality management (TQM) principles to treatment outcomes. This article describes the evolution of an outcomes assessment program at a private psychiatric facility, and presents two case studies of the integration of outcomes data into clinical decision-making. In Study I, outcomes data were used to identify patterns in the responsiveness to treatment of child/adolescent patients with behavioral disorders and document changes in improvement rates following the application of continuous quality improvement (CQI) principles within the inpatient services. In Study II, improvements sought in the outcomes methodology resulted in improved response rates, improved data quality, and new opportunities for both clinical intervention and staff development. Benefits of committing to outcomes assessment over the long haul to facilitate empirically driven planning processes are described.

Nutritional status: a continuous quality improvement approach.

Intradialytic parenteral nutrition (IDPN) has been used as nutritional repletion in severely malnourished patients with end-stage renal disease (ESRD). This study presents a retrospective look at hemodialysis patients with malnutrition who were followed-up in the process of continuous quality improvement (CQI). The costs of intravenous supplies, hospitalizations, and morbidity are reviewed. The application of continuous quality improvement was used to identify and follow-up malnourished patients. There were significant decreases in number of hospitalizations and days in the hospital.

Continuous quality improvement in contract research organizations--the customer focus.

The challenge of quality improvement extends beyond traditional service delivery organizations. This is the first of a two-part series on the application of continuous quality improvement (CQI) to contract research organizations associated with the pharmaceutical and biotechnology industry. The challenges and processes of clinical trials research, and the role of CQI within that process, are presented. The importance of customer focus, which is a key element of CQI, is described here as the foundation of the CQI process among contract research organizations (CROs) and as a major contributing factor to their success in recent years.

Delivering effective health care through teamwork: the role of pharmaceutical care management.

In recent years, there has been significant interest in the application of continuous quality improvement (CQI) and total quality management (TQM), and patient-focused care (PFC) in health care organisations around the globe. The hospital industry has substantially embraced the concepts of CQI and TQM with the belief that these concepts and programmes will lead to an improvement in both the quality and efficiency with which health services are delivered. The objective of this article is to achieve better outcomes in health care services with fewer resources by studying the implementation of patient-focused care in the health care provision context and particularly in the area of pharmaceutical care management as an integrated process in the delivery of health care in a hospital setting. The changes in health care provision have in many instances meant that the provision of pharmaceutical services needed re-assessing.

Continuous quality improvement, total quality management, and reengineering: one hospital's continuous quality improvement journey.

In recent years, there has been significantly increasing interest in the application of continuous quality improvement (CQI) and total quality management (TQM) in the health care arena. This case analysis is designed to identify and assess the strategies and processes that led to the successful implementation of CQI in the Emergency Care Center at St. Mary's Hospital in Grand Rapids, MI.

Quality improvement efforts at St Mary’s Hospital: a case study

In recent years, there has been significant interest in the application of continuous quality improvement (CQI) into health care organizations. This paper reports the findings of an in‐depth, detailed investigation to identify and assess the ingredients that lead to the successful implementation of CQI programs in the emergency care of St Mary’s Hospital in Grand Rapids, Michigan. The field work was undertaken from January to November 1996.