Effect Of Quality Control Circle Research Articles

Application of quality control circle on reducing incidence of chemotherapy related oral mucositis in children with acute lymphoblastic leukemia

Objective To investigate the effect of quality control circle (QCC) application in reducing incidence of oral mucositis in children with acute lymphoblastic leukemia (ALL) during chemotherapy. Methods We founded QCC team and established Reducing incidence of oral mucositis in children with as the subject, conducted survey, analyzed the reasons for the occurrence of oral mucositis, set goals, developed countermeasures, and conducted effect evaluation. Results The incidence of oral mucositis in children with ALL was 14.86% in the experimental group compared 39.19% of the control group (χ2=22.20, P<0.01), both were lower than the goals and achieved our aims. The severity in the experimental group was significantly lower than that the control group in oral mucositis incidence (P<0.05). Conclusions QCC application can not only reduces incidence of oral mucositis in children with ALL, but also improves the responsibilities and quality management capabilities of QCC members, and promotes the continuous improvement of the quality of nursing in Department of Hematology. Key words: Children; Quality control circle; Acute lymphoblastic leukemia; Oral mucositis; Chemotherapy

Effect of quality control circle on Burnout syndrome of emergency nurses

Objective To evaluate quality control circle (QCC) impacting on Burnout syndrome of emergency nurse and satisfaction of patients in one hospital of Wenzhou. Methods Emergency nurse, who worked at one hospital of Wenzhou during January 2012 to December 2013, were chosen as sampling objects and divided into QCC group (47 nurses) and control group (39 nurses). The nurses of QCC group underwent QCC activities while nurses of the control group received routine management. The QCC activities lasted 3 months, and one week before and after QCC activities, we questionnaired Burnout syndrome, normal population sociology information, frequency of job burnout syndrome, work performance, and patient′s satisfaction. Results Before activities, there was no statistical significance for occurrence of Burnout syndrome between two groups (P>0.05); one week after the implementation of activities, the fatigue, headache, insomnia, negative emotion had statistical significance between two groups (χ2=5.88, 6.01, 5.88, 6.11, respectively; P 0.05). Before activities, the work performance and patient′s satisfaction had no statistical significance; one week after the accomplishment of activities, the scores of colleague relationship, work satisfaction, work efficient, patient′s satisfaction for nurses in the QCC group were (5.81±0.19), (5.13±0.29), (5.12±0.80), (5.33±0.54) higher than (4.90±0.83), (4.73±0.37), (4.01±0.91), (4.48±0.30) of the control group (t=2.613, 2.433, 2.695, 2.497, respectively; P<0.05). The intention of turnover was (2.11±0.98) score in the QCC group lower than that of control group (4.85± 0.71) score (t=2.946, P<0.01). Conclusions The QCC can promote the Burnout syndrome of emergency nurses, decrease nurse′s intention to turnover, and enhance the enthusiasm nurse′s work and patient′s satisfaction. Key words: Emergency department; Quality control circle; Burnout syndrome; Satisfaction

Effect of quality control circle nursing on self efficacy and prognosis of myocardial infarction recovery patients

Objective To investigate the application nursing effect of quality control circle(QCC)nursing recovery period of myocardial infarction patients. Methods 60 cases of myocardial infarction recovery patients were divided into observation group and control group by QCC nursing as the cut- off point. Patients in control group were given routine nursing, in observation group were given QCC nursing. Health knowledge situation, self- efficacy of facing disease, prognosis and life quality were compared between the two groups. Results Health knowledge of disease knowledge, medication knowledge, reasonable diet, timely review and other aspects in observation group were higher than those of control group, the sense of self- efficacy score was higher than that of control group(P< 0.05). The rate of sudden cardiac death, myocardial infarction, malignant arrhythmia in observation group were lower than those of control group, the improvement of the life quality was higher than that of control group(P<0.05). Conclusions QCC nursing could improve the ability to cope with the disease, the prognosis and life quality of myocardial infarction patients. Key words: Quality control circle care; Myocardial infarction; Recovery; Self efficacy; Prognosis

Application of quality control circle on shortening waiting time of CT Examination

Objective To evaluate the effect of quality control circle (QCC) on nursing of CT examination in non-emergency patients. Methods A quality control circle was founded to improve the nursing of CT examination and solve the problem in the nursing of CT examination.t test was used to compare the mean waiting time between before and after application of quality control circle. Results After application of quality control circle, the mean waiting time for patients with non-enhanced CT examination was significantly shortened from (75.7±12.4) min to (48.6±10.7) min, the mean waiting time for patients with enhanced CT examination was significantly shortened from (107.1±19.9) min to (75.1±11.5) min,t values were 16.66 and 11.32. The improvement ranges of patients with non-enhanced CT and enhanced CT after application of quality control circle were 35.8% and 29.9%, respectively, and the control rates were 106.0% and 102.9%, respectively. Conclusions The application of quality control circle can be used to shorten the waiting time before CT examination and improve the efficiency of nursing. Key words: Nursing care; Appointments and schedules; Nursing administration research; Quality control circle

Observation of effect of quality control circle on improvement of success rate of sedation for children undergoing MRI examination

Objective The aim of the study was to analyze the effect of quality control circle (QCC) on improving the success rate of sedation for children undergoing MRI examination. Methods Children who finished MRI after the first sedation was defined as sedation success, otherwise, sedation failure. Hospitalized children (less than 3 years old ) in Department of Infectious Disease were taken as the research objects. 89 patients (from March to December 2013) who were named as the control group were just given routine nursing care. Another 145 patients (from March to August 2014) were set as the observation group, and these patients were managed by QCC management methods, by which the causes of sedation failure was analyzed and relevant measures were established. Success rate of sedation and satisfaction of nursing quality were compared between two groups. Results The success rate of sedation was 84.83% (123/145) in the observation group, higher than 68.54%(61/89) of the control group (χ2=6.28). The satisfaction of nursing quality in the observation group was 93.79% (136/145) significantly higher than that of the control group, 80.90% (72/89), χ2=6.04. Conclusions Application of QCC in management of sedation for children before MRI can effectively increase success rate of sedation, so as to improve satisfaction of nursing quality. Key words: Child; Magnetic resonance imaging; Quality control circle

Effect of quality control circle on reducing the incidence of pressure ulcer during operation

Objective To explore the effect of quality control circle (QCC) on reducing the incidence of pressure ulcer during operation. Methods The quality control circle was organized by who aimed to reduce the incidence of pressure ulcer for patients undergoing operations. A total of 260 cases of operating patients were selected as control group from May 2013 to July 2013 (Before the QCC group) and investigated the conditions of the pressure ulcer form during operation. By a series of QCC activity, we set target, found out the cause of pressure ulcer during operation, and took countermeasures to improve quality continually. A total of 282 operating patients had been accounted for the incidence of pressure ulcer from October 2013 to December 2013 (after the QCC group). We compared the skin damage related operation, the knowledge control of pressure ulcer among theatre nurses, standard rate of operation posture, et al. Results After the QCC activities, the rate of pressure ulcer was reduced from 9.3% to 1.4%, nursing knowledge control of the pressure ulcer among theatre nurses and standard rate of operation posture were improved obviously compared these of group before QCC (P<0.05). Conclusions The QCC activities can minimize the incidence rate of pressure ulcer, but promote knowledge control of pressure ulcer among theatre and the standard rate of operation posture. Key words: Operation Room; Pressure Ulcer related to operation; Nursing care; Quality control circle; Operation posture

Application of quality control circle on collecting specimens of urine culture

Objective To explore the effects of quality control circle (QCC) on decreasing fraction defective of urine culture collecting. Methods QCC team was established. Followed the steps of QCC techniques, we analyzed the reasons of fraction defective of the urine culture, formulated countermeasures, and analyzed the results between before and after the implementation of countermeasures. Results The fraction defective of the urine culture declined from 10.37% to 2.46%, and objective achieved 111.72% with the progress rate of 76.28% after the implementation of countermeasures. Conclusions QCC program is a useful method to decrease fraction defective of the urine culture and regulate the standard of collecting. Meanwhile, the ability of the circle members was improved to resolve clinical problems. Key words: Quality control circle; Urine culture; Specimen; Fraction defective

Effect of quality control circle to reduce intraoperative hypothermia during transurethral resection or prostate for elderly patients

Objective To explore the effect of quality control circle(QCC) to prevent intraoperative hypothermia during transurethral resection or prostate(TURP) of aging patients. Methods We founded QCC team, utilized PDCA, and established 'To prevent Intraoperative hypothermia during TURP of elderly patients’ as a theme.Elderly, who met the sampling criteria and implement of TURP from January to October 2013 were assigned, for stock taking, setting goals, analyzing the causes, implementing rectification measures and evaluating the effect. Results Through the QCC, the rates of intraoperative hypothermia, chills and postoperative agitation (14.3%, 13.4% and 8.9%) were significant differences before QCC carried out (41.6%, 30.9% and 21.4%) (χ2=18.694, 12.311, 6.125, respectively; P<0.05). Each member of QCC was improved in the use of QCC, teamwork, expertise, relationships, the power of executive and the ability to resolve problems. Conclusions To carry out the quality control circle activity in elderly patients with TURP can effectively reduce the intraoperative hypothermia occurs, reduce intraoperative shivering and agitation and other complications, and improve the ability of team members to use QCC problem. Key words: Aged; Transurethral resection or prostate; Intraoperative hypothermia; QCC

运用品管圈改进医疗服务计费工作质量

Objective: To investigate the application of QCC management tools in improving the work quality of medical service pricing. Methods： To retrospectively analyze the effect of quality control circle on the work quality of medical service pricing. Results: Using the QCC circle management tool, can charge and accurately to guide clinical price project link, reduce the error rate, guarantee both doctors and win-win. Conclusions: QCC management tool, can improve the accuracy of the medical fees prices, transparency, is advantageous to the hospital economic operations and the interest of the patient, is today's medical institutions to adapt to the market economy and an effective regulatory tool.

Application of quality control circle in health education for chronic renal disease patients

Objective To investigate the effect of quality control circle (QCC) in the health education for chronic renal disease patients.Methods Totals of 200 chronic renal disease patients were randomly enrolled in the study from January to December,2013.The patients,enrolled from January to June,received traditional health education (Group A,n =100),and the patients,enrolled from July to December received QCC health education (Group B,n =100).Patients' health education quality and twenty primary nurses' comprehensive qualities were evaluated.Results The number of emotional stability,good compliance,mastering relevant knowledge,active consultation,changing bad health behavior,satisfaction to nursing service was 98,98,97,99,98,95,respectively,after QCC,and 80,61,69,57,60,85,respectively,before QCC,and the differences were significant (x2 =16.547,42.000,27.782,51.399,43.520,5.556,respectively; P ＜ 0.05).Primary nurses' comprehensive qualities advanced notably with the application of QCC (t =-30.357,-45.768,-55.969,-50.567,-24.182,-42.354,-32.931,-30.427,respectively; P ＜ 0.01).Conclusions QCC can improve the quality of health education in chronic renal disease patients and enhance nursing quality. Key words: Health education; Quality control circle; Chronic renal disease

Quality control circle for reducing risk of accidental falls of elderly inpatients

Objective To investigate the effect of quality control circle(QCC) for reducing the risk of accidental falls of elderly inpatients.Methods A relational seminar was organized and a specific QCC group was set up to analyze the risk factors of accidental falls of elderly inpatients.Some specific activites including enhanced training,implementation of regulations,regular inspection,multi-sectoral communication and coordination were carried out.Results After the implementation of QCC,the ratio of accidental falls of elderly inpatients decreased from 0.14％ to 0.05％,with statistical differences (P ＜ 0.005).Conclusions Implementing QCC can make the patients safer,prevent them from accidental falls,and effectively enhance the security management awareness of nurses. Key words: Quality control circle; Hospitalized elderly patients; Accidental fall

Effect of quality control circle on pre-operation visit

Objective To evaluate the use of quality control circle (QCC) in patient visit before major surgery (grade 3 or 4).Methods QCC team was established by nine nurses,who aim to find out the insufficiency in pre-operation visit program for major surgery then improve it,using the QCC techniques and PDCA circulation method.The defect rate was counted before and after the QCC program to evaluate the effectiveness.Results After the intervention,‘ the rate of target completion' of deficient related to imperfect visit content was 233.3％ with the progress rate of 77.8％,and ‘the rate of target completion' of deficient related to no visit was 161.5％ with the progress rate of 91.3％.‘The rate of target completion' of deficient related to imperfect preparation of goods and emergency measure was130.0％ with the progress rate of 92.9％.The defect rate was significantly decreased from 43.0％ to 6.0％ by using the QCC program in major surgery pre-operation visit,which predict effectively (x2 =73.179,P ＜0.01).And significant difference was found in the achievement of QCC program among nine nurses before and after the intervention(P ＜0.05).Conclusions QCC program is a useful method in pre-operation visit,which can decrease the defect rate and promote the visiting quality.Meanwhile,the QCC program can improve group spirit,communication skill,subject knowledge and nursing quality. Key words: QCC program; Pre-operation visit; Nursing quality