Objective To evaluate the application effect of quality control circle (QCC) in improving the number of cases received in the follow-up management of chronic kidney disease (CKD). Methods The outpatient and inpatient CKD patients who were filed in the CKD follow-up management center of West China Hospital of Sichuan University from March 10 to October 10, 2020 were selected. We analyzed the reasons that affected CKD patients’ willingness to file by carrying out QCC, improved the case collection by establishing standardized processes, broadened the collection channels, established a collective team, strengthened training management and education of CKD patients and their families, so as to increase the number of cases received in CKD follow-up management. Then, we observed the score of active ability of QCC members before and after this activity. Results After the implementation of QCC activities, the number of follow-up cases increased from 8 per month to 15 per month. The target achievement rate was 140%, and the progress rate was 87.5%. The ability of all circle members in the evaluation indicators of team training has been improved. Conclusions QCC activity can effectively improve the number of cases received in CKD follow-up management. It is helpful for the medical staff to provide better disease management for CKD patients.
ObjectiveTo investigate the effect of quality control circle (QCC) activity in reducing the temporarily stopping rate of day surgery.MethodsThe QCC activity was carried out from December 2018 to October 2019. By determining the theme of the activity and drawing up the plan, a retrospective analysis of pre-hospital day surgery stoppage status and reasons was performed based on 2 696 patients who had reserved surgery in the day surgery center from December 2018 to February 2019. Based on the data, the goal was determined, and measures were developed and confirmed from May to August 2019. Then the measures were standardized and implemented continuously from September to October 2019. The rate of surgical cessation before the implementation of the measures (from December 2018 to February 2019) was compared with that after the implementation of the measures (from September to October 2019).ResultsAfter the QCC activity, the temporarily stopping rate decreased from 2.89% to 1.34%, and the difference was statistically significant (P<0.001).ConclusionThe QCC activity can effectively reduce the temporarily stopping rate of day surgery, and lay the foundation for continuously promoting the optimization of day surgery resources and quality improvement.
ObjectiveTo study the effect of quality control circle activities on reducing the risk of observed patients. MethodBy carrying out the quality control circle, it was done that confirming the subject, grasping the risk of observed patients, setting a goal, analyzing the risk factors of existing problems, finding out the real reasons, drawing up and actualizing the countermeasures. ResultsAfter carrying out the quality control circle, the main risk factor, emergency rescue, of observed patients was ameliorated significantly (P < 0.05). The risk was declined from 0.41% to 0.14% (P < 0.05). The self-evaluation of circle members was improved (P < 0.001). ConclusionBy the quality control circle, it is actualized effectively that reducing the risk of observed patients and improving the overall qualities of nurses. This thing is helpful to improve the quality of nursing.
Objective To investigate the application of quality control circle (QCC) activities in improving weight management ability of patients with renal edema. Methods A QCC activity group was founded, and " improving weight management ability of edema patients with kidney disease” was selected as the theme. Then the status of weight management ability in 51 patients with renal edema who were admitted to the Department of Nephrology from April 1st to 30th 2015 was investigated, the reasons of the low weight management ability were analyzed, and then appropriate countermeasures were carried out. After this activity, the status of weight management ability in 54 patients with renal edema who were admitted to the Department of Nephrology from October 1st to 31th 2015 was investigated, to assess the effect and consolidate the results of activities. Result After the QCC activities, the scores of weight management ability increased from 23.84±6.34 to 28.43±4.08 with statistical significance (P<0.05), and the qualified rate of weight management ability increased from 25.5% to 44.4% with statistical significance (P<0.05). Conclusion QCC activities can improve the weight management ability and the qualified rate of weight management ability of patients with renal edema, at the same time, it can improve the overall quality of nurses.
Objective To observe the effect of quality control circle (QCC) management tools to improve the electronic medical record timely writing rate. Methods Between June 2014 and January 2015, we used QCC to manage electronic medical record timely writing rate. By determining the subjects, investigation of the status quo, factor analysis, and and formulation and implementation of strategies, we tried to improve the electronic medical record timely writing rate. Results After QCC implementation, electronic medical records untimely rate dropped from 39.6% to 13.8%, with surgical departments dropping from 45.6% to 15.2% and non-surgical departments from 33.6% to 12.4%. Target compliance rate reached 124.04%, of which the untimely rate of nursing records and the overtime rate of rescue records were both reduced to 0. Quality management methods, team cohesion, confidence, personal comprehensive ability and problem-solving ability all improved significantly. Conclusions The timeliness of electronic medical records management has its importance and urgency. We should make good use QCC management to ensure timely electronic medical records writing.
目的 了解国内医院品质管理圈（品管圈）活动的发展现况，为品管圈活动的进一步推广和研究提供依据。 方法 2012年2月－6月采用文献研究法，检索公开发表于国内学术期刊的有关品管圈活动的所有文献，并阅读分析全文。 结果 共收集符合要求的文献125篇，文献主要来源于我国东部地区、类型以回顾性分析为主，主题内容侧重护理质量与药事服务管理。 结论 我国医院品管圈活动发展迅速，涉及面广，但研究方法、研究内容如社区发展等方面仍亟待进一步加强。
Objective To explore the application of quality control circle in reducing the same-day cancellation rate of day surgery. Methods A quality control circle team was set up, and determined the theme of reducing the same-day cancellation rate of day surgery. A survey was conducted among all patients who had made appointments for day surgeries at the First Affiliated Hospital of the Air Force Military Medical University between August and October 2023. The number of patients who cancelled their surgeries on the day and the reasons for their cancellations were recorded. Based on the ten steps of the quality control circle, relevant measures and improvement processes were formulated. In March 2024, the same-day cancellation rate of day surgery after the quality control circle activity was analyzed. Results The same-day cancellation rate decreased from 2.39% to 0.67%, the target achievement rate was 135.43%, and the progress rate was 71.97%. Conclusion The quality control circle activity can effectively reduce the same-day cancellation rate of day surgery.
Objective To decrease broken appointment rate of day surgery by conducting quality control circle (QCC) activities, in order to make full use of quality resources. Methods All the patients who made an appointment in the day surgery units in Xiangya Hospital of Central South University between July and September 2015 were chosen as the research subjects. By counting the number of patients who broke the appointment, we analyzed the broken appointment rate. In October 2015, we established a QCC management team to deal with the phenomenon of high broken appointment rate, and set up a theme of " decreasing broken appointment rate of day surgery”. Related regulations were implemented and procedures were optimized. In December 2015, we compared the broken appointment rates before and after the implementation of QCC activities among all 1 879 patients. Results After the implementation of QCC activities, the day surgery broken appointment rate decreased from 17.16% to 6.06%, and the target achievement rate was 122.65%. Conclusion QCC activities can effectively reduce day surgery broken appointment rate.