PDCA Cycle Management Research Articles

Regulating the Rational Use of Antimicrobial Drugs and Improving the Quality of Healthcare Big Data: A Development and Usability Study as A Prelude to AI Assisted Healthcare

Background: Healthcare big data has become an important strategic resource, and the study of applying it to the rational application of antimicrobial drugs is of great significance in improving and optimizing the various tasks of medicine and health and promoting the development of social health. Based on its own characteristics, the issue of data quality has important research value in promoting data output and application. Objective: To optimize the status quo of antimicrobial drug use in medical institutions, to explore the value of healthcare big data, and to explore the data governance methods in the era of digital intelligence in order to build a good ecosystem for the application of healthcare big data. Methods: This paper constructs a set of intelligent full-closed-loop antimicrobial rational application management platform integrated with data quality, adopts PDCA cycle management mode, analyzes the problems in the process of applying healthcare big data and gives the corresponding solutions, authorizes according to the personnel's duties, and guarantees the data security. Results: Since the platform went online in January 2021, the antimicrobial drug use intensity indicator of a hospital has decreased year by year from 38 to 34.4 as of June 2023, effectively standardizing the use of antimicrobial drugs. The time consumed for the statistics of antimicrobial use intensity related data has decreased from an average of 30min to 2min, which has significantly improved the work efficiency.Healthcare professionals are able to monitor indicator data in real time, with or without abnormal cases, and fully grasp the trend of indicators. At the same time, the patient's medication can be viewed at any time, and the condition can be grasped in a timely manner. Conclusions: The platform not only effectively solves the problem of information barriers, but also accurately determines the data source and statistical logic of indicator collection, reflecting the actual clinical diagnosis and treatment, and at the same time greatly reduces labor costs and optimizes the workflow.The practical experience of platform construction has important reference significance for the governance and application of healthcare big data, which provides data support and technical guarantee for the scientific, standardized and refined management of hospitals.

Application of PDCA cycle management to improve the nursing quality and work enthusiasm of nursing staff in the Geriatric Department

Application of PDCA cycle management to improve the nursing quality and work enthusiasm of nursing staff in the Geriatric Department

Application of PDCA cycle management model in home-based nursing of patients with indwelling gastric tubes

Application of PDCA cycle management model in home-based nursing of patients with indwelling gastric tubes

Clinical Practice of Evidence-Based PDCA Cycle Management Model in Accelerated Recovery of Lung Cancer Patients

Clinical Practice of Evidence-Based PDCA Cycle Management Model in Accelerated Recovery of Lung Cancer Patients

Reduction of postoperative cerebral edema and depression by evidence-based nursing with PDCA cycle in patients with brain tumor after surgery

BackgroundTo evaluate the clinical effect and application of evidence-based nursing combined with PDCA cycle management in reducing postoperative brain edema and depression in patients with brain tumors. MethodsA total of 110 patients with brain tumors were selected as the research objects and randomly divided into the research group and control group, with 55 patients in each group respectively. The patients in the control group were given routine nursing, while those in the research group were given evidence-based nursing combined with PDCA cycle management nursing intervention. The cerebral edema and other adverse reactions, depression, satisfaction degree of nursing intervention, and daily life ability after 6 months were observed and compared between the two groups. ResultsWith the implementation of evidence-based nursing combined with PDCA cycle management nursing intervention, the incidence of cerebral edema in the research group was 12.73%. The satisfaction degree of nursing intervention in the research was group 94.55%, which was significantly better than the control group 70.91% (P < 0.05); Comparing the daily life ability after 6 months, the ADL score of the research group was significantly better than that of the control group (P < 0.05). ConclusionEvidence-based nursing combined with PDCA cycle management nursing intervention for patients with brain tumors after surgery will reduce the incidence of postoperative cerebral edema, relieve patients' emotions, reduce the degree of pain, and improve patients’ satisfaction degree with medical staff.

Retracted: Changes in the Quality of Life, Psychological Status, Medication Compliance, and Prognosis of Patients with Acute Myocardial Infarction after PCI by Applying PDCA Cycle Management Model.

[This retracts the article DOI: 10.1155/2021/7318653.].

Retracted: The Influence of PDCA Cycle Management Mode on the Enthusiasm, Efficiency, and Teamwork Ability of Nurses

Retracted: The Influence of PDCA Cycle Management Mode on the Enthusiasm, Efficiency, and Teamwork Ability of Nurses

Application research of PDCA cycle management in improving the usage rate of rubber dam in root canal therapy

Application research of PDCA cycle management in improving the usage rate of rubber dam in root canal therapy

The Influence of PDCA Cycle Management Mode on the Enthusiasm, Efficiency, and Teamwork Ability of Nurses.

Background The PDCA cycle consists of four stages: P (plan), D (design), C (check), and A (action). With the wide acceptance of PDCA cycle, there is an urgent need to verify the effect of combining this concept with clinical nursing work. Therefore, on the basis of in-depth study of a large number of related literature, the influence of PDCA cycle management mode on nurses' work efficiency, work enthusiasm, and teamwork ability was explored, so as to provide reference experience for exploring the nursing quality management model adapted to the development of medicine. Objective To explore the application of PDCA circulation management mode in clinical nursing work and to explore its influence on the work efficiency, enthusiasm, and team cooperation ability of nurses. Methods From January 2019 to January 2021, the patients were divided into two groups. The control group received routine nursing care, and the research group received the PDCA circulation management mode. Both groups of nurses received one-year training. The nursing quality, the ability of teamwork, the scores of personal quality control in clinical departments, the scores of nursing satisfaction, the number of problems in nursing document quality management, and nurses' enthusiasm were compared between the two groups. Results The scores of relationships and family and work balance were greater than those of the control group. The nursing quality result suggested the nursing quality of gynecological operation area, emergency operation area, comprehensive operation area, and surgical operation area in research nurses was significantly better than the control cases (P < 0.05). The quality management of nursing documents showed that the number of problems in nursing documents such as nursing record displayed fewer than control group (P < 0.05). The personal quality-controlled checking in medical department showed that the points of ward governance, head nurse management quality control examination, first-level nursing, recovery, publications on therapeutics, pill governance, and healthcare documentation in the research group were higher than control group (P < 0.05). The teamwork ability implied the scores of interpersonal communications, problem definition, project division, team evaluation assistance and motivation, data collection, interpretation, and extraction of results in the observation group were remarkably greater than those of control group (P < 0.05). The satisfaction mark showed that the scores of care information exchange, advanced technologies, attitude towards care providing, healthcare establishing, knowledge publicity, and learning in the researches were markedly more than those of the control group (P < 0.05). Conclusion Compared with the traditional clinical nursing management, the use of the PDCA circulation management mode can effectively improve the quality of hospital nursing work, strengthen nurses' ability of teamwork, improve nurses' work efficiency and enthusiasm, enhance their sense of achievement of clinical nursing work, then improve patient satisfaction, and enhance the reputation and competitiveness of hospitals. Therefore, the PDCA management model is worth popularizing and applying in clinic.

Application of plan-do-check-act management to improve first-attempt insertion success rates of internal jugular vein catheterization for standardized training residents in an intensive care unit

BackgroundIn the intensive care unit (ICU), internal jugular vein puncture and catheterization are basic rescue operations that physicians need to complete quickly and independently. It is necessary to improve the first-attempt success rate of internal jugular vein catheterization, shorten the catheterization duration and reduce the incidence of complications for standardized training residents (STRs).ObjectiveTo improve first-attempt insertion success rates of internal jugular vein catheterization for STRs.MethodsBased on the PDCA cycle management method and current situation investigation, the PDCA management objectives were set, and the implementation content, monitoring items and continuous improvement plan were formulated. The data of residents who were trained in the ICU of Fangcun Hospital, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, from January 2016 to April 2016 and managed by the PDCA cycle (PDCA group), were compared with the data of residents trained in the same department from August 2015 to November 2015 before the implementation of PDCA (historic control group), the first-attempt success rate of puncture and catheterization, the duration of puncture and catheterization, and the incidence of complications were analysed.ResultsThirty-six cases of internal jugular vein catheterization were performed by the PDCA group, 21 cases (58%) were performed by residents in the third year of standardized training, and 15 cases (42%) were performed by residents in the second year of standardized training. Compared with the historic control group, there was no significant difference in the seniority of residents (X2 = 0.240, P = 0.625) or the ‘majors of the residents (X2 = 1.306, P = 0.835). The first-attempt success rate of puncture in the PDCA group was 94% (34/36), which was significantly higher than that of the historic control group (55% (11/20) (P = 0.001). In the PDCA group, the first-attempt success rate of puncture among third-year standardized training residents was 95% (20/21), and the first-attempt success rate in the second-year was 93% (14/15), which were significantly higher than the corresponding rates of 62% (8/13) and 43% (3/7) respectively, in the historic control group (all P = 0.021). The duration of catheterization was [4 (3,5)] min after PDCA, which was significantly shorter than that in the historic control group [9 (6.25,13.00)] min (Z = − 5.214, P < 0.001). The incidence rate of complications in the PDCA group was 0% (0 /36), which was significantly lower than the rate of 20% (4 / 20) in the historic control group (P < 0.013).ConclusionPDCA cycle management can help improve the first-attempt success rate of internal jugular vein puncture and catheterization, shorten the duration of puncture and catheterization, and reduce the incidence of complications. The idea and method of PDCA cycle management can be applied to other training and management protocols for STRs.

A PDCA Model for Disinfection Supply Rooms in the Context of Artificial Intelligence to Reduce the Incidence of Adverse Events and Improve the Disinfection Compliance Rate.

As an important section for controlling hospital infection, the main responsibility of the sterilization supply room is to clean, disinfect, sterilize, store, and distribute all medical devices that need to be reused in the hospital, and the quality of its work is closely related to the normal work of the hospital. Disinfection and supply department is the premise and foundation of the hospital department, mainly responsible for the recovery, cleaning, disinfection, sterilization, storage, and distribution of medical devices. The cleaning and disinfection work is characterized by strong technicality and high requirements, and the work effect is directly related to the safety of patients' lives and the occurrence of hospital infections. Therefore, there is an urgent need for a scientific and efficient management mode to be applied to the work of the supply room. The traditional management mode has some drawbacks, which affects the actual work of the hospital. Disinfection and supply rooms are an important part of hospital infection control and an important department to ensure the quality of health care. An effective management mode can not only improve the efficiency but also the overall quality of work, and PDCA (plan-do-check action cycle) as an advanced management mode can effectively improve the quality of management. This study investigates the effect of PDCA cycle management based on artificial intelligence algorithms in the nursing management of sterile supply rooms, and the experimental results show that the algorithm model can effectively reduce the incidence of adverse events and improve the rate of sterilization standards, which has certain practical significance.

Discussion on Application of PDCA Cycle Management in Construction Management

Discussion on Application of PDCA Cycle Management in Construction Management

Application of the PDCA cycle for standardized nursing management in sepsis bundles

BackgroundTo explore the application effect of plan, do, check and action circulation management mode in improving the compliance of sepsis bundle treatment.Methods113 patients with sepsis admitted from January 1 to December 31, 2018 were selected as the control group, and the bundle treatment measures of sepsis were routinely implemented. The above treatment measures were completed within 6 h. 113 patients with sepsis admitted from January 1 to December 31, 2019 were selected as the study group. All clinical staff took the same measures as the control group, supplemented by PDCA cycle management. Objective to compare the changes of compliance of clinical staff to sepsis bundle treatment before and after the implementation of PDCA cycle management.ResultsCompared with the control group, the study group achieved the completion rate of sepsis bundle treatment in 1 h from 66.4 to 81.4%, the completion rate in 3 h from 77.0 to 89.4%, and the completion rate in 6 h from 82.3 to 95.6%. The difference was statistically significant (P < 0.05 for all).ConclusionsThe implementation of PDCA cycle management mode can effectively improve the compliance of clinical staff to the bundle treatment of sepsis, improve the treatment efficiency of sepsis, and improve the quality of medical care.

Evaluation of the Effect of PDCA in Hospital Health Management.

PDCA plays a very important role in the hygienic management of hospital operating rooms. Before the PDCA management from February 2018 to February 2019, routine hygiene management in the operating room was adopted; after the PDCA management from February 2018 to February 2019, PDCA cycle management was adopted. 500 surgical patients were randomly selected from both groups. We compare the quality control checklist scores of hand hygiene management, environmental hygiene management, medical waste management, and disinfection and isolation management in the routine group and the PDCA group. We also compared the detection rate of pathogenic bacteria in surgical incisions of the routine group and the PDCA group and the infection rate of various surgical incisions, air samples, surface samples, disinfectants, and sterilization rates of sterile items. The PDCA group's hand hygiene management score, environmental hygiene management score, medical waste management score, and disinfection and isolation management score were higher than those in the conventional group (P < 0.05). The detection rate of pathogenic bacteria in the PDCA group, the infection rate of type I, type II, and type III incisions, and the total infection rate of surgical incisions were lower than those in the conventional group, and the difference was statistically significant (P < 0.05). The qualified rate of air samples and surface samples in the PDCA group was higher than that in the conventional group (P < 0.05), and the difference in the qualified rate of disinfectants and sterile items between the two groups was not statistically significant (P > 0.05). The hygiene management of the operating room adopts PDCA sustainable improvement management measures to effectively increase the qualification rate of disinfection and sterilization, reduce the detection rate of pathogenic bacteria and infection rate of surgical incisions, and strengthen the management quality of hand hygiene, environmental hygiene, medical waste, and disinfection and isolation.

Anesthesia, Sedation, and Unplanned Extubation of Tracheal Intubation in Children with Severe Pneumonia.

We randomly divided 200 children with severe pneumonia who met the indications for tracheal intubation into 2 groups in this prospective study. One group that received dexmedetomidine for sedation was recorded as the dexmedetomidine group (n = 100), and the group that received midazolam for sedation was recorded as the midazolam group (n = 100). We compared the anesthesia sedation scores, time to fall asleep, time to wake up from anesthesia, related hemodynamic parameters, and adverse reactions between the two groups of children. The failure mode and effect analysis method (FMEA) was also used to investigate the causes of unplanned extubation (UEX) of tracheal intubation in 32 children with severe pneumonia. Our conclusion is as follows: (1) Compared with midazolam, the comprehensive effect of dexmedetomidine on children with severe pneumonia undergoing tracheal intubation for anesthesia and sedation is better, it can effectively shorten the anesthesia induction time and the recovery time after stopping the drug, and there are few adverse reactions, which is worthy of application and promotion. (2) UEX is an important risk factor in the monitoring and nursing of children with severe pneumonia tracheal intubation, and the nursing method of PDCA cycle management is particularly important for them.

Application of PDCA Cycle Management Method in the Completion Rate of Scientific Research Projects in Medical University

Application of PDCA Cycle Management Method in the Completion Rate of Scientific Research Projects in Medical University

Effect of PDCA Cycle Management Mode on Drug Loss in Inpatient Pharmacy

Objective: To assess effect of PDCA cycle management mode on drug loss in inpatient pharmacy. Methods: From January 2019 to December 2020, we collected the data from hospital work record of inpatient pharmacy each season and data of total drug loss. The valid data of scrap drugs included item name, specification, packing, quantity, wholesale price, expiry date, and scrap reason. In scrap drugs record of hospital, the inpatient pharmacy managers often record drug data from actual situation of inpatient pharmacy and documents from the drug supplier. In addition, we also collected the change of for each season, and compare the result between 2019 and 2020. Result: The results showed that the number of damaged batches reported in 2019 was significantly higher than the number reported in 2020 (122 vs 77), with a difference of 68% between them. Among the drug loss amount, the loss amount increased with the increase of the number of batches reported to be damaged, and the result of loss amount differed by 54%. In quarter records, we observed that most of the losses occurred in the first quarter and the fourth quarter, with monetary losses of around RMB 2,000 in 2020 and about RMB 3,200 in 2019. Compared with 2019 group, there is a lower amount loss (RMB 10,157.88 vs RMB 5515.14) in the amount loss caused by drug loss in 2020, and the annual reported loss in 2020 group is 54% of the annual reported loss in 2019. Further, the dollar loss for each quarter in 2020 group was lower than for each quarter in 2019. Conclusion: PDCA cycle management mode effectively reduced drug broken event, that it provided continuous improvement as the inpatient pharmacy carried out this cycle management.

Effect of nursing intervention based on Plan-Do-Check-Action cycle management applied to parturient with abnormal head position

Objective To analyze the effect of nursing intervention based on Plan-Do-Check-Action cycle management applied to parturient with abnormal head position. Methods From May 2017 to May 2018, 152 patients with abnormal head position who gave birth in Central Hospital of Huanggang City, Hubei Province were randomly selected and divided into experimental group and control group, 76 cases of each group.The control group received routine nursing intervention, and the experimental group received PDCA circulation management on the basis of the control group.The basic conditions of puerpera or fetus, delivery mode and outcome of puerpera, pelvic floor exercise compliance, pelvic floor muscle strength, urinary incontinence and sexual life quality were compared between the two groups. Results The experimental group had significantly more vaginal delivery patients than the control group, and the patients with eclampsia and postpartum hemorrhage were significantly less than the control group.There were statistically significant differences between the two groups in pelvic floor functional exercise compliance and pelvic floor muscle strength 3 months after delivery (P<0.05). With the migration of time, the compliance of pelvic floor functional exercise and pelvic floor muscle strength showed a significant improvement trend.After 3 months of production, the pelvic floor exercise compliance and pelvic floor muscle strength of the experimental group were significantly better than that of the control group.The urinary incontinence of the experimental group was significantly better than that of the control group 3 months after the birth, and the quality of sexual life was significantly higher than that of the control group, with statistically significant differences (P<0.05). Conclusions PDCA circulation management nursing is better than conventional nursing for the recovery of pelvic floor function, can effectively improve the quality of life of patients. Key words: PDCA cycle management; Nursing intervention; Head position abnormality

Application of PDCA cycle management mode combined with detail nursing in department of general surgery nursing management

目的 探讨分析PDCA循环管理模式联合细节护理在普外科手术室护理管理中的应用效果。 方法 随机抽取2016年10月至2017年9月在湖州市中心医院普外科手术治疗患者110例作为对照组，再选取2017年10月至2018年9月患者125例作为观察组，对照组给予常规手术护理对策，观察组患者给予PDCA循环管理模式联合手术室细节护理。比较两组护理质量评分、风险事件发生情况及患者对护理满意度。 结果 观察组护理质量各维度评分及护理质量总分均显著高于对照组[(17.81±1.20)分比(15.94±1.63)分，(26.87±1.63)分比(24.55±1.31)分，(25.47±2.14)分比(23.08±1.77)分，(18.26±1.61)分比(15.83±1.37)分，(88.16±4.83)分比(79.57±5.02)分，t=9.900、12.085、9.366、12.499、13.323，均P<0.05]。观察组护理风险事件发生率显著低于对照组(2.40%比11.83%，χ2=8.180，P<0.05)。观察组患者护理满意度显著高于对照组(95.20%比84.55，χ2=7.523，P<0.05)。 结论 PDCA循环管理模式联合细节护理可有效提高手术室护理管理质量、降低手术护理风险事件发生率，保障手术患者安全，同时有助于患者对手术室护理满意度的提升，值得临床推广运用。

The quality improvement and effect evaluation of scientific research methodological service in the hospital

Objective To analyze problems existing in our scientific research methodological service process in our hospital and realize the continuous improvement of service quality through project management. Methods We took the method of PDCA cycle management model and combined with the project management tools (such as fishbone diagram brainstorming method was used to perform causal analysis, adopting the Gantt chart making project plan, using SMART principle to set the target theme, etc.), by using some strategies such as improving the standard of service system for departments, establishing a professional and partitioned service flow, adjusting the division of labor according to professional specialties, communicating and learning to optimize solutions regularly, equipping with professional technicians to improve operation and maintenance security of service platform, etc. Results We completed the three target themes of service quality improvement about shortening the period of service statistics analysis report , improving the accuracy of scientific research design and reducing the number of service data platform problem report . Conclusions The adoption of PDCA cycle management can effectively improve the quality of scientific research methodological service in the hospital. Key words: PDCA cycle; Quality improvement; Effect evaluation