Quality Control Circle Activities Research Articles

Effect of quality control circle activity on improvement of the health education awareness rate in patients with enteral nutrition in general surgery department

目的 探讨品管圈活动对普外科肠内营养患者健康教育知晓率的影响，规范健康教育流程，为患者提供优质的护理服务。 方法 选择普外科肠内营养患者82例为观察对象，根据是否采用品管圈活动管理分为两组，开展品管圈活动前42例为对照组，采用常规健康教育；应用品管圈活动进行健康教育的42例为观察组。比较两组患者护理效果及健康教育知识知晓率。 结果 对照组基础护理及并发症护理、疾病知识、药物知识、管路自我保护、心理护理维度评分分别为(7.21±1.00)分、(4.14±1.00)分、(6.90±2.08)分、(4.98±0.78)分、(1.64±0.53)分，均高于观察组的(6.38±1.08)分、(3.45±0.77)分、(3.88±0.80)分、(3.60±0.54)分、(1.14±0.35)分，两组差异均有统计学意义(t＝3.666、3.539、8.785、9.409、5.064，均P<0.01)。 结论 运用品管圈活动提高了肠内营养患者健康教育知识的知晓率，进一步提高了工作效率，同时规范了健康教育内容的完整性，提高了普外科肠内营养患者的满意度。

Minimization of the perianal infection rate of hematological malignancies with agranulocytosis by quality control circle activity and patient-hospital-student win-win concept.

ObjectiveThe agranulocytosis-associated perianal infection (PI) rate ranges from 60% to 100% among patients with hematopoietic malignancies. In this study, we assessed the efficacy of a quality control circle (QCC) to minimize the PI rate.MethodsAmong 274 patients with severe immunodeficiency (agranulocytosis of ≥2 weeks) in our bone marrow transplantation center, the PI rate was 17.20%. A QCC was established following the 10 steps of the plan-do-check-act (PDCA) model; this was scientifically supported by culturing the bacterial colony from patients’ perianal skin to determine the sanitization effect and interval time. Because a warm aqueous solution of potassium permanganate is recommended for sanitization, the bacterial colony culture was also used to determine the proper drug concentration, water temperature, and soaking time. All procedures were standardized. Patients, hospital staff, and medical students were enrolled into the QCC team based on the patient–hospital–student (PHS) win–win concept.ResultsAfter establishment of the PDCA model, the PI rate among 253 patients decreased from 17.20% to 5.93% and remained at 5.25% during the following year. The medical expenses and length of hospital stay consequently decreased.ConclusionThe QCC and PHS win–win concept can reduce the PI rate and promote medical quality.

The application of the quality control circle in improving the rate of PICC thrombosis prevention in tumor patients

Objective To explore the application effect of quality control circle activities in improving the rate of PICC thrombosis in patients with tumor. Methods Quality control circle group was established.In addition, status survey, reason analysis, goal setting, countermeasure formulation and implementation were conducted with the theme of improving PICC thrombus prevention measure implementation rate of cancer patients to compare the difference of PICC thrombus prevention situation before and after quality control circle activity. Results After quality control circle activity, the implementation of PICC thrombus prevention measure(82%) was improved significantly compared with it before activity(29%), and the difference was statistically significant(P<0.01). The occurrence rate of PICC thrombus was significantly reduced compared with it before implementing quality control circle(P<0.01). After quality control circle activity, the comprehensive quality of quality control circle was improved. Conclusions The implementation of QCC can improve the rate of PICC thrombosis prevention in tumor patients, and finally achieve the goal of reducing the incidence of PICC thrombosis.The activity improves the quality of specialized nursing care and improves the comprehensive quality of the group members. Key words: Quality control circle; Peripherally Inserted Central Catheter; Thrombosis; Prevention measure

Effect of quality control circle on improving the quality of pre-hospital care in patients with ST-segment elevation myocardial infarction

Objective To improve the quality of pre-hospital care in patients with ST-segment elevation myocardial infarction (STEMI) by quality control circle (QCC) . Methods From August 2016 to February 2017, the QCC activity on the theme of the quality of pre-hospital care for patients with acute was carried out in Zhengzhou Central Hospital. The factors influencing the pre-hospital treatment of 79 patients with acute STEMI were investigated. In addition, the reasons were analyzed, so as to formulate and implement the corresponding countermeasures. The rate of bypass and the change of site disposal time in patients with acute STEMI were observed. Results After the QCC activity, the bypass rate of the pre-hospital patients with STEMI increased from 58.2% to 91.7%, and the site disposal time was shortened from 42.1 min to 29.3 min, and the differences were statistically significant (P<0.05) . Conclusions QCC activity has an obvious effect on improving the quality of pre-hospital care in patients with STEMI, which significantly increases the bypass rate and greatly shortens the site disposal time. At the same time, it improves the comprehensive quality of QCC activity team members. Key words: Quality control circle; ST-segment elevation myocardial infarction; Primary percutaneous coronary intervention; First medical contact

Application of quality control circle activity in reducing the rate of falls with stroke patients in the department of rehabilitation

Objective To explore the role of quality control circle activity in reducing the rate of falls with stroke patients in the department of rehabilitation. Methods The quality control circle was established in August 2015.The cognition of falls in stroke patients was analyzed and summarized by the self-made questionnaires, which adopted the Brainstorming method in the quality control circle of the department and appraised by nursing experts.The quality control circle activities included analysis of fall causes, setting goals, formulating and implementing countermeasures on 5 cases of inpatients from the rehabilitation department between September to December in 2015, which was used the retrospective analysis.The rate of fall about the inpatients of rehabilitation department was compared between September to December in 2015 and February to April in 2016. Results By implementing quality control circle activities, the falling-down occurrence rate of patients hospitalized in rehabilitation department was reduced from 4.1% (before improvement) to 1.9% (after improvement), and the difference was statistically significant(P<0.05). Conclusions The correct use of quality control circle activities can effectively reduce the rate of falls in the inpatients of rehabilitation department, in addition, it can improve the quality and research capabilities of circle members. Key words: Quality control circle; Department of rehabilitation; Stroke; Fall rate

Application of quality control circle in improving the correct rate of intravenous chemotherapy path selection in lung cancer patients

Objective To explore the application effect of quality control circle (QCC) management tool on the correct rate of intravenous chemotherapy path selection in lung cancer patients in Oncology Department. Methods QCC group was set up and the activity theme was established as improving the correct rate of intravenous chemotherapy path selection in lung cancer patients. The whole process consisted of status investigation, goal setting, cause analysis and countermeasures implemented according to quality control principle. The choice of intravenous chemotherapy path before and after QCC activity and patients' compliance to the choice of intravenous chemotherapy path were observed. In addition, 8 aspects abilities' improvement of every member in the QCC group were investigated before and after the activity. Results After carrying out QCC, the correct rate of the path choice for intravenous chemotherapy of lung cancer patients increased from 38.14%% to 58.74% (P<0.05) , and the progress rate was 54.01%. The proportion of patients' full compliance increased to 93.97% from 79.52% (P<0.05) . The QCC members' 8 aspects abilities improved by 14.71% to 80.77%. Conclusions Applying QCC in managing and monitoring the intravenous chemotherapy path selection can effectively improve the correct rate of path choice, so as to ensure patients' safety in intravenous chemotherapy. Key words: Nursing administration research; Quality control circle; Intravenous chemotherapy; Pathway

Effect analysis of quality control circle in the follow-up rate of upper limb functional exercise in elderly patients after permanent pacemaker implantation

Objective To explore the application and effects of quality control circle activities on the compliance rate of upper limb functional exercise in elderly patients after permanent pacemaker implantation. Methods The application of quality control circle was used to analyze the causes, so as to find out the real cause of low compliance of upper limb functional exercise in permanent pacemaker implantation elderly patient including lack of accessary for upper limp training excise, the lake of education materials pacemaker for upper limb functional training after implantation without image, the lack of upper limb function exercise knowledge after pacemaker implantation in nurses, fear of pacemaker shift and bleeding, 5 aspects of team coaching patients with upper limb functional exercise, according to it due to the development of effective countermeasures which organized the implementation of standardized management. Results After the implementation of quality control circle activities, the follow-up rate of upper limb functional exercise in elderly patients increased from 57.89% to 100.00% before permanent pacemaker implantation, and the difference was statistically significant (P<0.05) . The goal of the event rate increased to 151%, and progress rate of 72.74%. Conclusions The application of quality control circle can improve follow-up rate in permanent pacemaker implantation in elderly patients after upper limb functional exercise, the upper limb function, and the quality of life of patients, as well as the members of quality control techniques, professional knowledge, communication and coordination, team spirit, and ability to explore problems were improved. Key words: Aged; Pacemaker implantation; Quality control circle; Upper limb functional exercise; Follow-up rate

Effect of quality control circle activities on improving exclusive breastfeeding rates in department of obstetrics

Objective To explore the application effect of quality control circle (QCC) activities on exclusive breastfeeding rates in department of obstetrics. Methods The QCC, with the theme of improving exclusive breastfeeding rates in department of was organized according to implementation rules. Factors influence exclusive breastfeeding rates in department of obstetrics were analyzed, so that corresponding measures could be made and carried out. Results After implementation of QCC activities, the exclusive breastfeeding rate in department of obstetrics was improved from 35% to 85%, with an achievement rate of 111.11%. Conclusions The QCC activities can effectively improve exclusive breastfeeding rates in department of obstetrics, which can provide clinical guidance for the popularization of exclusive breastfeeding in department of obstetrics, and can promote development of a baby-friendly hospital. Key words: Breastfeeding; Obstetrical nursing; Quality control circle

Application of quality control circle in shortening treatment waiting time of hospitalized patients with lymphoma

Objective To explore the effects of quality control circle (QCC) in the treatment waiting time of hospitalized with lymphoma. Methods QCC activities themed with shortening treatment waiting time of hospitalized patients were launched in Department of Lymphoma in Beijing Cancer Hospital since March 2016. The status quo was studied in accordance with quality control procedures, followed by problem analysis and root cause verification using QCC methods and scientific statistical methods. And finally, reformational measures were mapped and carried out accordingly. Results After QCC activities, the admission time of hospitalized with lymphoma were reduced from (182.47±22.41) min to (97.70±14.63) min (P<0.05) . Conclusions QCC activities can help to shorten the treatment waiting time of hospitalized with lymphoma, optimize admission procedures and improve nursing quality. Key words: Lymphoma; Quality control circle; Hospitalized patients; Treatment waiting time

The application of quality control circle activities to improve the use rate of venous indwelling needle in pediatric infusion room

Objective To explore and analyze the effect of quality control circle activities on the use rate of intravenous indwelling needle in pediatric infusion room, so as to provide reference for improving the use rate of intravenous indwelling needle in pediatric infusion room. Methods On January 8, 2016, the quality control circle was set up, in the theme of to improve the utilization rate of intravenous indwelling needle in pediatric infusion .300 cases of hand vein, foot step of great saphenous vein in children with intravenous indwelling needle after the activity were treated as the quality control circle group.Its usage of intravenous indwelling needle was objectively analyzed, and formulated the corresponding countermeasures for the existing problems and organize their implementation.At the same time, from July 6, 2015 to January 5, 2016, the children of 300 routine intravenous injection needles were treated as control group.The use rate of the intravenous needle of the two groups were observed. Results The success rate of catheter puncture, the retention time indwelling needle, the incidence of accidental removal and the statistical analysis of satisfaction of the patients and their families were significantly higher than those of the control group (P<0.05). At the same time, the results of statistical analysis of the intangible results after the quality control circle activities were significantly higher than that before the activities (P<0.01). Conclusions Quality control circle activity can effectively stimulate the passion of work, and creativity, and has a positive effect on improving their work efficiency.At the same time, the implementation of quality control activities in the pediatric intravenous infusion room can fully enhance the use of intravenous catheter infusion for children and extend indwelling time.The model has great clinical value. Key words: Quality control circle activities; Pediatrics; Infusion Room; Intravenous catheter; Utilization rate

Application of quality control circle tool in improving the accuracy rate of the first operation

Objective To explore the application of quality control circle in the punctuality rate to begin an and utilization ratio of operating room in patients with the first of operating room. Methods A quality control circle team was formed. The theme of improving the punctuality rate to begin an in patients with the first operation was confirmed combined with multi-departments cooperation to analyze the current situation and causes, to validate the real reason, to draw up countermeasures and to organize the implementation. Results The punctuality rate to begin an in patients with the first increased from 70.74% to 85.56% with 119.42% for the standard-reaching rate by applying quality control circle tool. The technique of quality control, an ability to solve the problem, coordination of communication, team cohesiveness, self-confidence, positivity and so on of quality control circle team all improved. Conclusions The quality control circle activity not only optimizes the workflow of operating room, improves the punctuality rate to go into the room in patients with the first and the work efficiency of health care providers, cut the cost of all departments, save resources, but also improves the team spirit and the ability of quality of management among the team members. Key words: Managment of operating room; Quality control circle; The first operation; Accuracy

The application of quality control circle activity in the characteristical rehabilitation of psychotic patients during convalescence

Objective To explore the application of quality control circle activity in the characteristical rehabilitation of psychotic patients during convalescence. Methods Quality control circle was established with the theme of To improve the participation rate of psychotic patients during convalescence to resume their social functions and reflect their own . The current situation was analyzed, the goal was set, improvement measures were formulated and carried out on the basis of causes, the participation rate of psychotic patients during convalescence to resume their social functions and reflect their own value was calculated, and the overall quality of members of quality control circle was evaluated, meanwhile, the effectiveness before the activity and after 24 weeks' application was assessed by NOSIE. Results The participation rate of occupational and recreational treatment was increased from 68.52% to 92.59% (P<0.01). The set target was achieved and the control rate was 116.49%, the quality of members of quality control circle was significantly increased.There was statistical significance in terms of differences of each factor of NOSIE(P<0.05). Conclusions The application of quality control circle activity in the characteristical rehabilitation of patients can effectively improve the participation rate of occupational and recreational therapy and the rehabilitation skills of psychosis, which is helpful for the recovery of social function, and meanwhile the will and ability of quality management of nurses was improved as well. Key words: Quality control circle; Convalescent psychosis patients; Features rehabilitation; Occupational and recreational treatment

Application and effect of quality control circle in improving the overall quality of new nurses

Objective To explore the application and effect of Quality Control Circle (QCC) in improving the overall quality of new nurses. Methods Totally 6 QCC teaching activities were conducted in 6 pilot departments throughout Suqian Hospital of TCM, which involved 31 new nurses as an observation group, while another 46 new nurses from other departments received the traditional one-to-one teaching model as a control group for 6 months. Their comprehensive competency composed of theoretical knowledge, practical skills and on-site reply examined by the steering group from the Nursing Dept. was compared, in addition to their average core competency score measured with Competency Inventory for Registered Nurse (CIRN) . Results The 6 QCC activities for the observation group showed better scores, and the new nurses in this group had better theoretical knowledge, practical skills, on-site reply as well as core competency scores than the new nurses in the control group (P<0.01) . Conclusions The QCC teaching model can improve new nurses' theoretical learning, practical ability and core competency and contribute to their better comprehensive quality, thus worthy of further promotion in clinical practice. Key words: Nurses; Quality control circle; Teaching model; Core competency

Effects observation of quality control circle activities on the improvement of two weeks revisiting rate in discharged patients with chronical hepatitis B

Objective To study the effects of quality control circle (QCC) activities on improving the revisiting rate in discharged patients with chronic hepatitis B, so as to supervise patients to return visit regularly and improve medical compliance. Methods To investigate the revisiting situation of chronic hepatitis B patients discharged from infection department from January to March 2016 through QCC activities, in which the causes of the missing revisits were analyzed, and goals for improvement and corresponding measurements were set up. Corresponding measures were taken from April to October, 2016. Statistical analysis was made to compare the revisiting rate before and after QCC activities. Results After taken the measures, the revisiting rate of discharged chronic hepatitis B patients was raised from 30.56% to 63.22%. Conclusions QCC activity can improve the revisiting rate and satisfaction of discharged patients with chronic hepatitis B. Key words: Hepatitis, type B; Quality control circle; Revisiting rate

The application effect of WeChat-based QCC to the standardization of the management of oral medicine of the hospitalized patients

Objective To explore the application effect of quality control circle activities on the reduction of the non-standard medicine-taking of hospitalized patients. Methods Quality control circle activities were set up. The non-standard medicine-taking factors during taking oral medicine of 50 patients in our department was investigated and the deficiencies of daily nursing was discussed and meanwhile the main causes of non-standard medicine-taking was found out.The corresponding countermeasures were formulated, organized and carried out. The standardization of the management of oral medication was fixed as the theme of the activity, and the relevant quality-improvement was carried out according to the steps of QCC. Results After the implementation of quality management circle activity, the non-standard medication was greatly reduced compared with that before the implementation, which was reduced from 36.6% to 9.4%.Target yield rate was 156.3%.The patients' satisfaction was improved from 74% to 100%, and the results were significant. Conclusions The application of quality control circle to manage the oral administration can standardize the management of oral administration, improve the nurses' sense of responsibility and guarantee the safety of nursing.Patients' satisfaction and team spirit was improved virtually.Moreover, it improves the positivity, capability and sense of professional accomplishment of the nurses, etc. Key words: Quality control circle; WeChat-based; Standardizaton; Oral medicine

Application of quality control circle on improving the awareness rate of venous transfusion health education

Objective To discuss about the application effect of quality control circle on improving the awareness rate of venous transfusion health education. Methods Improvement on the awareness rate of venous transfusion health education was the activity theme.Statistics, analysis and solution were conducted to the causes why the awareness rate of venous transfusion health education was low.In addition, rectification measures were formulated and completed to analyze and compare the effect before and after quality control circle. Results The awareness rate of venous transfusion health education was 75.31% after carrying out quality control circle activity, and 26.83% was increased compared with it before activity(48.48%), which was beyond the expected target.After carrying out quality control circle, the scores in the aspects of problem solving ability, responsibility, coordination, confidence, team cohesiveness, enthusiasm, quality control skill and harmonious degree of 9 members were higher than that before it was carried out, and the difference had statistical significance(P<0.05). Conclusions The activity of quality control circle can not only improve the awareness rate of venous transfusion health education, but also improve the problem solving ability and execution of members. Key words: Quality control circle activities; Intravenous infusion; Health education; Awareness rate

Application of quality control circle in improving awareness rate of health knowledge among COPD patients

Objective To explore the application effect of quality control circle in improving awareness rate of health knowledge among COPD patients. Methods 160 COPD patients treated in Department of Respiratory Medicine, Guangzhou Hospital of Guangzhou Military Command of PLA from March to December 2015 were selected, with the 80 admitted from March to May in 2015 as the control group, and the other 80 admitted from September to December in 2015 as the intervention group. Before the intervention, patients in the two groups were surveyed by a self-designed questionnaire on status quo of the COPD patients' health knowledge. Patients in the control group were instructed in a conventional way, while those in the intervention group were instructed by quality control circle activities. For patients in the intervention group, goal of this activity was set according to tesults of the survey, causal factors were analyzed and implementation countermeasures were made. Before leaving the hospital, patients in both groups were surveyed by the questionnaire again about their awareness on COPD health knowledge, basing on which, intervention effect was compared. Results After the intervention, awareness rate of COPD health knowledge among patients in the intervention group was 100%. Before the intervention, difference in awareness on COPD health knowledge between patients in the two groups was not statistically significant (P>0.05) . After the intervention, the awareness rate in the intervention group was higher than that in the control group (P<0.05) . Conclusions Hospitalized COPD patients' awareness rate on health knowledge is low, which can be effectively improved by implementing quality control circle. Key words: Pulmonary disease, chronic obstructive; Quality control circle; Awareness rate

Analysis of the effect of the quality control circle activity on the management of hand hygiene for medical workers in Tibetan hospital

Objective To explore the application and effect of quality control circle on the management of hand hygiene for medical workers in Tibetan hospital. Methods QCC was applied to the management of hand hygiene in Tibetan hospital.The influencing factors of hand hygiene for medical workers in Tibetan hospital were analyzed by surveys and secret inquiries.The corresponding countermeasures were formulated and implemented.Moreover, the effect of QCC management was also assessed. Results After the application of QCC, the compliance and correctness of hand hygiene of medical workers in Tibetan Hospital was increased significantly from 44% to 78% (P<0.05)and 53% to 91% respectively, which exceeded expectations largely.Moreover, the problem-solving skills, responsibility, self-confidence and QCC techniques of the circle members were also improved. Conclusions The application of QCC can not only increase the compliance and correctness of hand hygiene of medical workers in Tibetan hospital, but also improve team cohesiveness and harmony, which is worth recommendation and promotion in all national hospital. Key words: Quality control circle; Medical workers in Tibetan hospital; Hand hygiene management

Effect analysis of quality control circle activity on reducing the operative instrument vacancy rate of operating room

Objective To investigate the effect of quality control circle activity on reducing the operative instrument vacancy rate of operating room. Methods Quality control circle was constituted by 8 people. Aimed at the operative instrument vacancy rate of operating room, the causes of operative instrument vacancy rate were found out to formulate the corresponding improvement measures through the activity procedures of quality control circle. In addition, the causes that made operative instrument sets unqualified due to operative instrument vacancy rate before and after improvement were compared. Results With the implementation of quality control circle activity, the failure rate of operative instrument sets reduced from 90.75% to 22.54% due to operative instrument vacancy after improvement. The improved range was 75%. Compared with the result before and after implementation, the difference had statistical significance(P<0.05). Conclusions Quality control circle implemented reduces the vacancy rate of operative instruments, saves cost for the departments, improves work efficiency, normalized the management of operative instruments, promotes the continuous improvement of operating room management quality, which is conducive to exerting the subjective initiative of nurses, improving the team cohesiveness and problem-solving ability of departments. Key words: QCC; Surgical instruments; Leave unused rate; Quality management

Effect evaluation of quality control circle on the health promotion of diabetic patient

Objective To investigate the effect of quality control circle on the health promotion of diabetic patient. Methods Diabetes activity group of quality control circle was organized to have continuous disease control management on diabetic patients. Self-care capability, blood glucose, blood fat and body mass index variation of patients before and after the management were analyzed and controlled. Results After QCC management, the self-care capability of patients was significantly improved before admission to hospital(P<0.01). After being controlled by QCC activity group, 6 months after discharge from hospital, the fasting blood glucose, blood glucose 2 hours after dinner and blood fat declined dramatically, and the average body mass index also relieved significant, which was significantly different from it before admission to hospital (P<0.01). Conclusion Continuous and effective service conducted by quality control circle activity to diabetic patients can not only reach self-management, but also an effective way to cure diabetes and control complications, which is worth popularizing. Key words: Diabetic patients; Quality control circle; Self-care ability; Blood glucose control