The application of quality control circle and deming circle in nursing quality management
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摘要: 目的 探讨品管圈(quality control circle,QCC)与戴明环(PDCA循环)联合应用的管理模式在护理质量管理中的应用效果。 方法 牡丹江医学院第二附属医院于2013年7月选取8个试点科室开展QCC活动,以PDCA循环为基础进行临床护理质量管理,取得了良好成效后在全院推广,至2015年6月全院45个护理单元全部开展QCC活动。本研究随机选取活动前2013年1-6月住院治疗的600例患者设为对照组,随机选取活动后2015年7-12月住院治疗的600例患者设为观察组,对2组患者护理质量管理效果进行比较。 结果 全院45个护理单元现已成立68个QCC小组,完成活动目标值设定的有65个,达标率为95.59%,制定标准化的工作流程和规章制度的有51个,形成长效的护理质量管理机制;开展QCC活动后全院在护理文书书写、病房管理、健康教育知晓率、护士技术操作水平方面明显高于活动前;护理差错、事故发生率由活动前2.33%降至0.83%;患者满意度由活动前95.33%增至97.83%,增幅达2.50%,实施前后比较,U=3.226,P<0.05;实施QCC活动前后对2组患者护理质量管理效果进行比较,差异均具有统计学意义(P<0.05)。 结论 品管圈与戴明环在护理工作中的联合应用有利于增强护士的管理意识,充分发挥护士工作的主动性和创造性,提高护士的综合素质,并逐步改善质量管理机制,开创了护理质量管理的新局面,值得在临床护理工作中进一步推广使用。Abstract: Objective To study the application of quality control circle and deming circle application in nursing quality management. Methods QCC activity was studied in eight pilot departments form July,2013 in the second affiliated hospital of Mudanjiang Medical College.The PDCA cycle was used in clinical nursing quality management and achieved a good result.All nursing unit carried out QCC activity from December,2015.This study randomly selected hospitalized 600 patients as control group during 1-6 month in,2013 randomly selected hospitalized 600 patients as observation group from during 7-12 months after hospital treatment,and compared two groups of patient care quality management effect. Results Forty-five nursing unit has established 68 QCC groups.The complete target set was 65,and reaching standard was 95.59%,the number of standardized work processes and rules was 51,and formed a long-term quality of care management mechanism.After QCC activity,the hospital health education in nursing documents writing,ward management,awareness,technical operation level were significantly higher than the activities before QCC activity;the rate of nursing mistakes and accidents decrease 2.33% to 0.83%;the rate of patient satisfaction increase 95.33% to 97.83%,U=3.226,P<0.05.The differences of implement QCC activity of two groups in patients before and after the nursing quality management effect were statistically significant (P<0.05). Conclusion The effect of qc circle and deming circle joint application in nursing was beneficial to enhance nurses consciousness of management,promote the initiative of nurses work and creativity,improve the comprehensive quality of nurses,and gradually improve the quality management system,create a new situation of the nursing quality management,it is worth to promote the use in the clinical nursing work.
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Key words:
- Quality control loops /
- PDCA cycle /
- The nursing quality /
- Management
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