Objective: To explore the effect of evidence-based quality control circle (QCC) in improving the implementation rate of airway management measures in adult critically ill patients. Methods: Based on the Joanna Briggs ...Objective: To explore the effect of evidence-based quality control circle (QCC) in improving the implementation rate of airway management measures in adult critically ill patients. Methods: Based on the Joanna Briggs Institute (JBI) evidence-based health care model, the best evidence of airway management in adult critically ill patients was obtained and applied to the clinic. Results: The total implementation rate of airway management measures in adult critically ill patients increased from 23.62% before the implementation of quality control circle to 88.82%, and the pulmonary infection rate in critically ill patients decreased from 42.31% to 21.74%, with statistical significance between the two groups (P 0.05). Conclusion: Evidence-based quality control circle activities can standardize the practice standards of airway management in critically ill patients, reduce the occurrence of patients’ airway related complications, and improve clinical outcomes.展开更多
Objective:Lung cancer has the highest incidence and mortality of all malignant tumors in China.Cancer pain dramatically affects patients’comfort level,causing insomnia,anorexia,anxiety,fear,depression,and a decline i...Objective:Lung cancer has the highest incidence and mortality of all malignant tumors in China.Cancer pain dramatically affects patients’comfort level,causing insomnia,anorexia,anxiety,fear,depression,and a decline in the quality of life(QOL).The literature suggests a shortage of adequate cancer pain management for 59.1% of patients in China.The quality control circle(QCC)activity reflects the people-oriented core idea of management.This study aimed to assess the efficacy of QCC in enhancing the effectiveness of drug interventions in lung cancer patients with moderate to severe pain.Methods:From January 2019 to July 2019,lung cancer patients with moderate to severe pain were treated with drugs.The total number of drug interventions was 3072.A QCC activity was performed following the ten steps of the plan-do-check-act(PDCA)model.The reasons for the poor effectiveness of drug intervention in lung cancer patients with moderate to severe pain were analyzed.Countermeasures were designed to improve the effectiveness of drug intervention,including setting up a pain college,writing a medication education manual,and formulating operational rules for the administration of narcotic drugs.The effectiveness of drug intervention in lung cancer patients with moderate to severe pain and activity ability scores of QCC members were analyzed statistically before and after QCC activity.The effectiveness of drug intervention was investigated and compared before and after establishing the QCC.Results:After establishing the PDCA model,the effectiveness of drug intervention for moderate to severe pain in lung cancer patients increased from 56.28% to 85.29%.Members had significant improvement in problem-solving ability,responsibility,communication,coordination,self-confidence,team cohesion,enthusiasm,QCC skills,and harmony.Conclusion:QCC activity can significantly improve the efficiency of drug intervention in lung cancer patients with moderate to severe pain and their quality of life.展开更多
Purpose: To investigate how to shorten patient wait times between continuous ocular operations and to evaluate the influence of a quality control circle(QCC) on operating room management.Methods:.QCC management was es...Purpose: To investigate how to shorten patient wait times between continuous ocular operations and to evaluate the influence of a quality control circle(QCC) on operating room management.Methods:.QCC management was established to conduct activities..Clinical data were collected to analyze the causes of long wait times between continuous surgeries. Effective measures were undertaken correspondingly.Results:.The staff from QCC actively undertook measures that would significantly shorten patient wait times between continuous ocular surgeries(P<0.05).Conclusion:.Multiple measures,.such as setting up a QCC,enhancing the arrangement of surgical procedures,.establishing effective communication channels,.optimizing human resources, and integrating the use of instruments, can effectively shorten patient wait times between continuous vitreous or retinal surgeries.展开更多
Background:Good adherence to post-operative exercise is crucial for long-term exercise intervention programs aimed at improving compliance,motivation for functional exercise,and quality of life among breast cancer pat...Background:Good adherence to post-operative exercise is crucial for long-term exercise intervention programs aimed at improving compliance,motivation for functional exercise,and quality of life among breast cancer patients.This study aims to evaluate the application effect of quality control circles on postoperative functional exercise compliance in breast neoplasm patients.Methods:A comprehensive search was conducted in CNKI,Wanfang,VIP,CBM,PubMed,Cochrane Library,Web of Science and CINAHL databases from their establishment to May 06,2023.Manual search and backtracking of relevant literature were also conducted.The search terms included a combination of subject terms and free words.Meta-analysis was performed using RevMan 5.4 software on eligible literature.Results:Initially,517 papers were retrieved,and after removing duplicates 238 papers using NoteExpress software,279 titles and abstracts were reviewed.Subsequently,225 non-compliant papers were excluded,leaving 54 full texts to be read.After excluding 38 non-compliant papers,16 eligible papers were included for Meta-analysis.These papers comprised a total of 1,342 patients(679 in the test group and 663 in the control group).The heterogeneity test using a fixed effects model showed P=0.22 and I2=21%.The Meta-analysis results demonstrated that the implementation of quality control circles alongside usual care significantly improved compliance with postoperative functional exercise in breast cancer patients(odds ratio=6.68,95%confidence interval(4.97,8.98),P<0.00001).Conclusion:Quality control circles activities can effectively enhance compliance with post-operative functional exercise among breast cancer patients,aiding in the recovery of affected limb function,improvement of self-care ability,and early reintegration into society and normal life,thereby enhancing quality of life.It is important to continually accumulate experience in applying relevant quality control circles activities in clinical work and promptly enhance the level of care accordingly,as the functional exercise of breast cancer patients after surgery involves a long-term and gradual improvement process.展开更多
Objective: To carry out empirical research on the role of project-achieving quality control circle (QCC) in constructing a new model of contactless medical service for outpatients. Methods: A QCC, consisting of inform...Objective: To carry out empirical research on the role of project-achieving quality control circle (QCC) in constructing a new model of contactless medical service for outpatients. Methods: A QCC, consisting of information office members from a grade A tertiary hospital in Wenzhou, was established to conduct a research project with the theme “Constructing a new model of contactless medical service based on outpatients’ experience.” According to the ten steps and PDCA cycle, an analysis was carried out before and after the QCC activities, focusing on improving pre-consultation services, providing steward-like services, and facilitating post-consultation management. Results: After the QCC activities, the mobile appointment rate, missed appointment rate, the proportion of smart check-ins, and the average check-in time were 55.68%, 4.02%, 39.75%, and 8.24 ± 3.66 min, respectively;in contrast, before the activities, they were 32.00%, 7.88%, 0.00%, and 14.96 ± 4.98 min, respectively;the difference between the two groups was statistically significant (χ2 = 3480.112, 4994.496;Fisher’s exact probability = 963788.570;t = 5.323, P < 0.001). Many experts have also visited the hospital to learn about this system, thus rendering social and economic benefits. Conclusion: Project-achieving QCC activities are suitable for complex situations, such as constructing a new model of contactless medical service, and can significantly improve outpatient service quality, enhance patients’ experience, and improve the abilities of circle members.展开更多
Objective To explore the effect of applying pharmacy quality control circle to reduce the error rate of drug delivery in inpatient pharmacy,and to improve the service quality of inpatient pharmacy staff.Methods Accord...Objective To explore the effect of applying pharmacy quality control circle to reduce the error rate of drug delivery in inpatient pharmacy,and to improve the service quality of inpatient pharmacy staff.Methods According to the ten standardized steps of pharmaceutical product management and Gantt chart,fishbone diagram and Plato were used to analyze the causes of drug delivery errors in hospital pharmacies,to find countermeasures and confirm the implementation effect.Results and Conclusion The error rate was reduced from 52% before implementation to 27.8%,and the target achievement rate was 100%.The staff’s understanding and application ability of pharmaceutical product circle was further enhanced.The “Training Standard for Newcomers” has reference value for hospital inpatient pharmacies and it can be promoted continuously.Pharmaceutical quality control circle can improve the quality of pharmacy services in hospitals.展开更多
Objective:To analyze the effect of quality control circle on the central sterile supply department(CSSD).Methods:The control group and the observation group each consisted of 180 instruments received by the sterilizat...Objective:To analyze the effect of quality control circle on the central sterile supply department(CSSD).Methods:The control group and the observation group each consisted of 180 instruments received by the sterilization supply center from January to March 2023 and 11 CSSD staff.The control group underwent routine management while quality control circle was implemented in the observation group.The quality of work,disinfection and sterilization qualification rates,disinfection and sterilization of various instruments,cleaning indicators,and management satisfaction of both groups were compared.Results:The observation group scored higher in terms of work quality,the qualification rate of disinfection and sterilization in each link,the disinfection and sterilization of instruments,and cleaning indicators compared to the control group.Besides,the management satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion:A quality control circle ensures the quality of work,improves the cleaning,disinfection,and sterilization of instruments of the CSSD,and improves the management satisfaction of the CSSD staff.展开更多
Objective To improve the management level of pharmacy dispensing center,reduce dispensing errors and promote the safety of drug use.Methods Hospital pharmacies could be managed according to the theory of quality contr...Objective To improve the management level of pharmacy dispensing center,reduce dispensing errors and promote the safety of drug use.Methods Hospital pharmacies could be managed according to the theory of quality control circle(QCC).Based on the ten steps of QCC,the internal difference error rate in pharmacies could be reduced.Results and Conclusion The error rate of pharmacies was reduced from 2.74‰to 0.57‰,and the goal achievement rate was 108.466.Besides,the progress rate reached 84.82%.The abilities of circle members were improved,and the operation of pharmacy was more standardized.The activity of QCC is helpful to reduce the internal difference error rate,improve the operation level of pharmacy and ensure the safety of drug use.展开更多
Different techniques including Quality Control Circles, Business Process Reengineering and Statistical Process Control （SPC）, Total Quality Management have been in use to reduce waste in the industry. Waste is consi...Different techniques including Quality Control Circles, Business Process Reengineering and Statistical Process Control （SPC）, Total Quality Management have been in use to reduce waste in the industry. Waste is considered as necessary evil and there are many types of waste in the industry. There are many ways and means to reduce waste but the less costly is to use Quality Control Circles technique effectively and efficiently. In quality control circles human resources that consist of small groups of employees are selected, who voluntarily meet at regular intervals to identify, analyze and solve quality and other problems in their work areas. In the Quality Control Circles different techniques of the quality improvement and total quality management are utilized which could be numeric or nonnumeric such as statistical quality control techniques and fish bone diagram or brain storming respectively. This article discusses that how reduction of waste in Pakistan industry is possible by using Quality Control Circles implementation.展开更多
Objective:To investigate the effectiveness of using quality control circle(QCC)techniques to reduce the cost of non-priced consumables in medical oncology.Methods:Analytic statistics were compiled on the performance a...Objective:To investigate the effectiveness of using quality control circle(QCC)techniques to reduce the cost of non-priced consumables in medical oncology.Methods:Analytic statistics were compiled on the performance appraisal form.Aiming at the key points of improvement with respect to the excess cost of non-valuable consumables,the reasons were analyzed,and corresponding measures were formulated to compare the cost before and after the improvement.Results:After the QCC activity,the cost of non-priced consumables decreased from RMB 6.57/bed day to RMB 3.96/bed day.Conclusion:QCC has effectively reduced the cost of non-priced consumables in the oncology department,and it is worthy of promotion.展开更多
Objective To study the effect of quality control circle(QCC)activities on customer satisfaction of retail pharmacies so as to improve the level of customer management.Methods After choosing the theme of improving cust...Objective To study the effect of quality control circle(QCC)activities on customer satisfaction of retail pharmacies so as to improve the level of customer management.Methods After choosing the theme of improving customer satisfaction research(CSR)in pharmacies,Gantt chart,questionnaire,fishbone diagram and other tools were applied in the“endeavor circle”to find out the factors affecting the theme.Then corresponding countermeasures were made and implemented to verify them in different stages.Meanwhile,the radar map and other technologies were used to compare the changes of CSR and circle members’growth before and after the activities.Results and Conclusion Sales clerk’s lack of drug knowledge,serious shortage of drugs,incapability of establishing a good relationship with customers and the lack of after-sales service were identified as the main factors.After implementing corresponding countermeasures,the target achievement rate was 116.12%,and the progress rate was 19.02%.Besides,customer satisfaction increased from 79.54%to 94.67%and the team growth value of circle members increased from 3.29 to 5.83,with significant tangible and intangible effects.QCC activities in retail pharmacies can not only standardize pharmaceutical service mode,but also improve the overall competence of sales clerks.The key factors and management methods for CSR improvement obtained from QCC activities will provide reference for the customer management of retail pharmacies.展开更多
Objective: to discuss the satisfaction survey of hospitalized patients before and after the quality control circle activities. Methods: a "satisfaction questionnaire" was issued to collect information. The d...Objective: to discuss the satisfaction survey of hospitalized patients before and after the quality control circle activities. Methods: a "satisfaction questionnaire" was issued to collect information. The distribution targets are newly admitted patients within three days of hospitalization or postoperative patients within five days of operation to ensure the authenticity of the questionnaire. Two circle members are responsible for data collection. Each person distributes 5 copies per week, and a total of 40 copies are distributed to ensure the credibility of the questionnaire. The circle members of the quality control circle in this area analyze the reasons through brainstorming and various QC methods and take corresponding measures to solve the problem. Results: the satisfaction rate of our department was increased from 90.6% to 99.03%, and the original unqualified rate (95% qualified rate of the hospital) was changed to qualified rate. The problems in our work were highlighted, and the solutions were found out in time to obtain the satisfaction of the patients.展开更多
Objective: to explore the clinical effect of quality control circle in blood purification nursing management. Methods: 80 hemodialysis patients admitted to our hospital between March 2021 and March 2022 were selected ...Objective: to explore the clinical effect of quality control circle in blood purification nursing management. Methods: 80 hemodialysis patients admitted to our hospital between March 2021 and March 2022 were selected and divided into two groups according to the difference of clinical nursing mode, namely, the experimental group (quality control circle management, n 40 cases) and the control group (traditional management, n 40 cases);The changes of clinical compliance, quality of life, satisfaction and other indicators in the two groups were statistically compared. Results: the compliance, quality of life and satisfaction of the experimental group were better than that of the control group. The data of the two groups were significantly different with statistical advantage (P < 0.05);The complication rate of the experimental group was 7.50%, which was significantly lower than that of the control group (32.50%). The difference was statistically significant (P < 0.05). Conclusion: for the clinical nursing mode of hemodialysis patients, the selection of quality control circle management activities is conducive to reducing the complication rate, improving the quality of life of patients, and greatly improving the satisfaction of patients. Therefore, this nursing management scheme has strong clinical application value.展开更多
Objective: in this paper, the effect of quality control circle activities on improving the accuracy of limb placement in hemiplegia patients was studied and analyzed. Methods: retrospective analysis method was used to...Objective: in this paper, the effect of quality control circle activities on improving the accuracy of limb placement in hemiplegia patients was studied and analyzed. Methods: retrospective analysis method was used to select research methods. The research subjects were 100 cases of hemiplegia patients admitted to our hospital from May 2017 to May 2018, and the practical application effect of the quality control circle was recorded and observed. Results: in the actual research and investigation process, it can be found that the effect before the implementation of the quality control circle are significantly lower than those after the implementation, indicating that the effect after the implementation of the quality control circle activities is better, with statistical significance (P < 0.05). Conclusion: the application of quality control circle activities in the limb placement process of hemiplegia patients can improve the placement accuracy, which has clinical application value and is worthy of subsequent promotion and application.展开更多
Objective: to explore the practical effect of the activities of the supply tube in the process of colonoscopy nursing. Methods: a total of 110 patients undergoing colonoscopy and nursing in our hospital were randomly ...Objective: to explore the practical effect of the activities of the supply tube in the process of colonoscopy nursing. Methods: a total of 110 patients undergoing colonoscopy and nursing in our hospital were randomly selected. The earliest time to receive examination and treatment was January 2020, and the latest time to receive examination and treatment was December 2020. All were divided by computer into two groups, called control and intervention groups. Patients in the control group need to carry out general quality care with the plan formulated by our hospital, and patients in the intervention group need to carry out the related contents of quality control circle activities for intervention. After nursing the patients in the two groups, the success of colonoscopy in the two groups should be counted, and the satisfaction of the patients in the two groups should be compared and analyzed. Results: after the intervention of different nursing methods, the difference of the above observation indexes was obvious. The success rate of colonoscopy in the intervention group was better than that in the control group (P < 0.05), and the satisfaction of nursing in the intervention group was also better than that in the control group (P < 0.05). Conclusion: in the process of patient care, the reasonable use of quality control circle activities can effectively improve the efficiency and quality of cooperation in the hospital, and then improve the success rate of examination and the satisfaction of patients. Therefore, it can be reasonably promoted in combination with the actual situation in the hospital.展开更多
Objective: to analyze the effect of subcutaneous injection of low molecular weight heparin (LMWH) on reducing the rate of adverse reactions after quality control circle activity. Methods: to construct the quality cont...Objective: to analyze the effect of subcutaneous injection of low molecular weight heparin (LMWH) on reducing the rate of adverse reactions after quality control circle activity. Methods: to construct the quality control circle, determine the theme, find the problem, analyze the cause and determine the effective countermeasures. Results: the patients' condition was improved significantly after the quality control circle activity. Conclusion: quality control circle activities can reduce nursing risk, improve the effect of health education and nurse satisfaction, and have important application value.展开更多
Objective: to analyze the application effect of quality control circle in nursing safety management in the department of critical care medicine. Methods: 80 patients in the department of severe medicine were randomly ...Objective: to analyze the application effect of quality control circle in nursing safety management in the department of critical care medicine. Methods: 80 patients in the department of severe medicine were randomly divided into the control group and the observation group. The control group received routine nursing and the observation group received quality management circle management to compare the effect of nursing management. Results: the effect of nursing management in the observation group was better than that in the control group (P0.05). Conclusion: during the period of clinical nursing for patients in the department of critical care, the quality management circle should be taken as an important means to maintain the safety of patient care. By giving full play to the advantages of the quality management circle in the clinical nursing process, a perfect clinical safety nursing management system should be built to control the possible risk events in the nursing process, reduce the risk coefficient to the lowest, improve the patients satisfaction and quality of care, and improve the incidence of adverse events, which is worth promoting.展开更多
Objective: to discuss the investigation of reducing the utilization rate of sterile items and non-standard drugs before and after the development of quality control circle activities. Methods: to pass the relevant kno...Objective: to discuss the investigation of reducing the utilization rate of sterile items and non-standard drugs before and after the development of quality control circle activities. Methods: to pass the relevant knowledge examination of the department;Set up the inspection team, the leader random spot check;Establish base management to avoid excessive retention;Attention was paid to the validity period of eye drops with less frequency to reduce the non-standard utilization rate of sterile items and drugs. Members of the quality control circle in the ward analyzed the reasons and took corresponding measures through brainstorming and various QC methods. Results: reduced the nonstandard utilization rate of sterile items and drugs from 84% to 28%, highlighted business problems and solved them in time. Conclusion: quality control circle has achieved satisfactory results in effectively reducing the utilization rate of sterile items and non-standard drugs, which is worthy of promotion. The ability of all circle members to solve problems, communicate and cooperate, and the degree of harmony has been improved a lot.展开更多
Objective:To investigate the effectiveness of Quality Control Circle(QCC)activities in reducing the loss rate during storage of Traditional Chinese Medicine(TCM)decoction pieces in our hospital pharmacy department.Met...Objective:To investigate the effectiveness of Quality Control Circle(QCC)activities in reducing the loss rate during storage of Traditional Chinese Medicine(TCM)decoction pieces in our hospital pharmacy department.Methods:A QCC team was established to systematically analyze the causes of TCM decoction piece losses.Using quality improvement tools including Pareto charts,the 80/20 rule,and fishbone diagrams,we identified key areas for improvement and developed targeted intervention strategies.The study period spanned from January to December 2023,with pre-intervention data collected from January to December 2022.Loss rates were calculated and compared before and after QCC implementation.Results:According to the“80/20 rule”analysis,the primary improvement targets were identified as inadequate maintenance of decoction pieces and dispensing losses.Following QCC implementation,the loss rate of TCM decoction pieces decreased significantly from 1.27%(pre-intervention)to 0.65%(post-intervention),achieving an improvement rate of 47.40%.The total monetary loss decreased from 9,592.62 RMB to 4,546.97 RMB.Conclusion:QCC activities can effectively reduce the loss rate of TCM decoction pieces in hospital pharmacy departments,improve the quality of herbal medicines,ensure patient medication safety,and enhance pharmaceutical service quality.This systematic approach provides a valuable framework for continuous quality improvement in TCM pharmacy management.展开更多
文摘Objective: To explore the effect of evidence-based quality control circle (QCC) in improving the implementation rate of airway management measures in adult critically ill patients. Methods: Based on the Joanna Briggs Institute (JBI) evidence-based health care model, the best evidence of airway management in adult critically ill patients was obtained and applied to the clinic. Results: The total implementation rate of airway management measures in adult critically ill patients increased from 23.62% before the implementation of quality control circle to 88.82%, and the pulmonary infection rate in critically ill patients decreased from 42.31% to 21.74%, with statistical significance between the two groups (P 0.05). Conclusion: Evidence-based quality control circle activities can standardize the practice standards of airway management in critically ill patients, reduce the occurrence of patients’ airway related complications, and improve clinical outcomes.
基金supported by the National Key Research and Development Plan of China(No.2017YFC0909900).
文摘Objective:Lung cancer has the highest incidence and mortality of all malignant tumors in China.Cancer pain dramatically affects patients’comfort level,causing insomnia,anorexia,anxiety,fear,depression,and a decline in the quality of life(QOL).The literature suggests a shortage of adequate cancer pain management for 59.1% of patients in China.The quality control circle(QCC)activity reflects the people-oriented core idea of management.This study aimed to assess the efficacy of QCC in enhancing the effectiveness of drug interventions in lung cancer patients with moderate to severe pain.Methods:From January 2019 to July 2019,lung cancer patients with moderate to severe pain were treated with drugs.The total number of drug interventions was 3072.A QCC activity was performed following the ten steps of the plan-do-check-act(PDCA)model.The reasons for the poor effectiveness of drug intervention in lung cancer patients with moderate to severe pain were analyzed.Countermeasures were designed to improve the effectiveness of drug intervention,including setting up a pain college,writing a medication education manual,and formulating operational rules for the administration of narcotic drugs.The effectiveness of drug intervention in lung cancer patients with moderate to severe pain and activity ability scores of QCC members were analyzed statistically before and after QCC activity.The effectiveness of drug intervention was investigated and compared before and after establishing the QCC.Results:After establishing the PDCA model,the effectiveness of drug intervention for moderate to severe pain in lung cancer patients increased from 56.28% to 85.29%.Members had significant improvement in problem-solving ability,responsibility,communication,coordination,self-confidence,team cohesion,enthusiasm,QCC skills,and harmony.Conclusion:QCC activity can significantly improve the efficiency of drug intervention in lung cancer patients with moderate to severe pain and their quality of life.
文摘Purpose: To investigate how to shorten patient wait times between continuous ocular operations and to evaluate the influence of a quality control circle(QCC) on operating room management.Methods:.QCC management was established to conduct activities..Clinical data were collected to analyze the causes of long wait times between continuous surgeries. Effective measures were undertaken correspondingly.Results:.The staff from QCC actively undertook measures that would significantly shorten patient wait times between continuous ocular surgeries(P<0.05).Conclusion:.Multiple measures,.such as setting up a QCC,enhancing the arrangement of surgical procedures,.establishing effective communication channels,.optimizing human resources, and integrating the use of instruments, can effectively shorten patient wait times between continuous vitreous or retinal surgeries.
文摘Background:Good adherence to post-operative exercise is crucial for long-term exercise intervention programs aimed at improving compliance,motivation for functional exercise,and quality of life among breast cancer patients.This study aims to evaluate the application effect of quality control circles on postoperative functional exercise compliance in breast neoplasm patients.Methods:A comprehensive search was conducted in CNKI,Wanfang,VIP,CBM,PubMed,Cochrane Library,Web of Science and CINAHL databases from their establishment to May 06,2023.Manual search and backtracking of relevant literature were also conducted.The search terms included a combination of subject terms and free words.Meta-analysis was performed using RevMan 5.4 software on eligible literature.Results:Initially,517 papers were retrieved,and after removing duplicates 238 papers using NoteExpress software,279 titles and abstracts were reviewed.Subsequently,225 non-compliant papers were excluded,leaving 54 full texts to be read.After excluding 38 non-compliant papers,16 eligible papers were included for Meta-analysis.These papers comprised a total of 1,342 patients(679 in the test group and 663 in the control group).The heterogeneity test using a fixed effects model showed P=0.22 and I2=21%.The Meta-analysis results demonstrated that the implementation of quality control circles alongside usual care significantly improved compliance with postoperative functional exercise in breast cancer patients(odds ratio=6.68,95%confidence interval(4.97,8.98),P<0.00001).Conclusion:Quality control circles activities can effectively enhance compliance with post-operative functional exercise among breast cancer patients,aiding in the recovery of affected limb function,improvement of self-care ability,and early reintegration into society and normal life,thereby enhancing quality of life.It is important to continually accumulate experience in applying relevant quality control circles activities in clinical work and promptly enhance the level of care accordingly,as the functional exercise of breast cancer patients after surgery involves a long-term and gradual improvement process.
文摘Objective: To carry out empirical research on the role of project-achieving quality control circle (QCC) in constructing a new model of contactless medical service for outpatients. Methods: A QCC, consisting of information office members from a grade A tertiary hospital in Wenzhou, was established to conduct a research project with the theme “Constructing a new model of contactless medical service based on outpatients’ experience.” According to the ten steps and PDCA cycle, an analysis was carried out before and after the QCC activities, focusing on improving pre-consultation services, providing steward-like services, and facilitating post-consultation management. Results: After the QCC activities, the mobile appointment rate, missed appointment rate, the proportion of smart check-ins, and the average check-in time were 55.68%, 4.02%, 39.75%, and 8.24 ± 3.66 min, respectively;in contrast, before the activities, they were 32.00%, 7.88%, 0.00%, and 14.96 ± 4.98 min, respectively;the difference between the two groups was statistically significant (χ2 = 3480.112, 4994.496;Fisher’s exact probability = 963788.570;t = 5.323, P < 0.001). Many experts have also visited the hospital to learn about this system, thus rendering social and economic benefits. Conclusion: Project-achieving QCC activities are suitable for complex situations, such as constructing a new model of contactless medical service, and can significantly improve outpatient service quality, enhance patients’ experience, and improve the abilities of circle members.
文摘Objective To explore the effect of applying pharmacy quality control circle to reduce the error rate of drug delivery in inpatient pharmacy,and to improve the service quality of inpatient pharmacy staff.Methods According to the ten standardized steps of pharmaceutical product management and Gantt chart,fishbone diagram and Plato were used to analyze the causes of drug delivery errors in hospital pharmacies,to find countermeasures and confirm the implementation effect.Results and Conclusion The error rate was reduced from 52% before implementation to 27.8%,and the target achievement rate was 100%.The staff’s understanding and application ability of pharmaceutical product circle was further enhanced.The “Training Standard for Newcomers” has reference value for hospital inpatient pharmacies and it can be promoted continuously.Pharmaceutical quality control circle can improve the quality of pharmacy services in hospitals.
文摘Objective:To analyze the effect of quality control circle on the central sterile supply department(CSSD).Methods:The control group and the observation group each consisted of 180 instruments received by the sterilization supply center from January to March 2023 and 11 CSSD staff.The control group underwent routine management while quality control circle was implemented in the observation group.The quality of work,disinfection and sterilization qualification rates,disinfection and sterilization of various instruments,cleaning indicators,and management satisfaction of both groups were compared.Results:The observation group scored higher in terms of work quality,the qualification rate of disinfection and sterilization in each link,the disinfection and sterilization of instruments,and cleaning indicators compared to the control group.Besides,the management satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion:A quality control circle ensures the quality of work,improves the cleaning,disinfection,and sterilization of instruments of the CSSD,and improves the management satisfaction of the CSSD staff.
基金Source of the project:General Project of Liaoning Social Science Planning Fund[No.L19BGL034]。
文摘Objective To improve the management level of pharmacy dispensing center,reduce dispensing errors and promote the safety of drug use.Methods Hospital pharmacies could be managed according to the theory of quality control circle(QCC).Based on the ten steps of QCC,the internal difference error rate in pharmacies could be reduced.Results and Conclusion The error rate of pharmacies was reduced from 2.74‰to 0.57‰,and the goal achievement rate was 108.466.Besides,the progress rate reached 84.82%.The abilities of circle members were improved,and the operation of pharmacy was more standardized.The activity of QCC is helpful to reduce the internal difference error rate,improve the operation level of pharmacy and ensure the safety of drug use.
文摘Different techniques including Quality Control Circles, Business Process Reengineering and Statistical Process Control （SPC）, Total Quality Management have been in use to reduce waste in the industry. Waste is considered as necessary evil and there are many types of waste in the industry. There are many ways and means to reduce waste but the less costly is to use Quality Control Circles technique effectively and efficiently. In quality control circles human resources that consist of small groups of employees are selected, who voluntarily meet at regular intervals to identify, analyze and solve quality and other problems in their work areas. In the Quality Control Circles different techniques of the quality improvement and total quality management are utilized which could be numeric or nonnumeric such as statistical quality control techniques and fish bone diagram or brain storming respectively. This article discusses that how reduction of waste in Pakistan industry is possible by using Quality Control Circles implementation.
文摘Objective:To investigate the effectiveness of using quality control circle(QCC)techniques to reduce the cost of non-priced consumables in medical oncology.Methods:Analytic statistics were compiled on the performance appraisal form.Aiming at the key points of improvement with respect to the excess cost of non-valuable consumables,the reasons were analyzed,and corresponding measures were formulated to compare the cost before and after the improvement.Results:After the QCC activity,the cost of non-priced consumables decreased from RMB 6.57/bed day to RMB 3.96/bed day.Conclusion:QCC has effectively reduced the cost of non-priced consumables in the oncology department,and it is worthy of promotion.
基金General projects of social science planning fund of Liaoning Province:“Boost healthy Liaoning-Research on collaboration of industry-university-research in pharmaceutical quality control circle”.No.L19BGL034。
文摘Objective To study the effect of quality control circle(QCC)activities on customer satisfaction of retail pharmacies so as to improve the level of customer management.Methods After choosing the theme of improving customer satisfaction research(CSR)in pharmacies,Gantt chart,questionnaire,fishbone diagram and other tools were applied in the“endeavor circle”to find out the factors affecting the theme.Then corresponding countermeasures were made and implemented to verify them in different stages.Meanwhile,the radar map and other technologies were used to compare the changes of CSR and circle members’growth before and after the activities.Results and Conclusion Sales clerk’s lack of drug knowledge,serious shortage of drugs,incapability of establishing a good relationship with customers and the lack of after-sales service were identified as the main factors.After implementing corresponding countermeasures,the target achievement rate was 116.12%,and the progress rate was 19.02%.Besides,customer satisfaction increased from 79.54%to 94.67%and the team growth value of circle members increased from 3.29 to 5.83,with significant tangible and intangible effects.QCC activities in retail pharmacies can not only standardize pharmaceutical service mode,but also improve the overall competence of sales clerks.The key factors and management methods for CSR improvement obtained from QCC activities will provide reference for the customer management of retail pharmacies.
文摘Objective: to discuss the satisfaction survey of hospitalized patients before and after the quality control circle activities. Methods: a "satisfaction questionnaire" was issued to collect information. The distribution targets are newly admitted patients within three days of hospitalization or postoperative patients within five days of operation to ensure the authenticity of the questionnaire. Two circle members are responsible for data collection. Each person distributes 5 copies per week, and a total of 40 copies are distributed to ensure the credibility of the questionnaire. The circle members of the quality control circle in this area analyze the reasons through brainstorming and various QC methods and take corresponding measures to solve the problem. Results: the satisfaction rate of our department was increased from 90.6% to 99.03%, and the original unqualified rate (95% qualified rate of the hospital) was changed to qualified rate. The problems in our work were highlighted, and the solutions were found out in time to obtain the satisfaction of the patients.
文摘Objective: to explore the clinical effect of quality control circle in blood purification nursing management. Methods: 80 hemodialysis patients admitted to our hospital between March 2021 and March 2022 were selected and divided into two groups according to the difference of clinical nursing mode, namely, the experimental group (quality control circle management, n 40 cases) and the control group (traditional management, n 40 cases);The changes of clinical compliance, quality of life, satisfaction and other indicators in the two groups were statistically compared. Results: the compliance, quality of life and satisfaction of the experimental group were better than that of the control group. The data of the two groups were significantly different with statistical advantage (P < 0.05);The complication rate of the experimental group was 7.50%, which was significantly lower than that of the control group (32.50%). The difference was statistically significant (P < 0.05). Conclusion: for the clinical nursing mode of hemodialysis patients, the selection of quality control circle management activities is conducive to reducing the complication rate, improving the quality of life of patients, and greatly improving the satisfaction of patients. Therefore, this nursing management scheme has strong clinical application value.
文摘Objective: in this paper, the effect of quality control circle activities on improving the accuracy of limb placement in hemiplegia patients was studied and analyzed. Methods: retrospective analysis method was used to select research methods. The research subjects were 100 cases of hemiplegia patients admitted to our hospital from May 2017 to May 2018, and the practical application effect of the quality control circle was recorded and observed. Results: in the actual research and investigation process, it can be found that the effect before the implementation of the quality control circle are significantly lower than those after the implementation, indicating that the effect after the implementation of the quality control circle activities is better, with statistical significance (P < 0.05). Conclusion: the application of quality control circle activities in the limb placement process of hemiplegia patients can improve the placement accuracy, which has clinical application value and is worthy of subsequent promotion and application.
文摘Objective: to explore the practical effect of the activities of the supply tube in the process of colonoscopy nursing. Methods: a total of 110 patients undergoing colonoscopy and nursing in our hospital were randomly selected. The earliest time to receive examination and treatment was January 2020, and the latest time to receive examination and treatment was December 2020. All were divided by computer into two groups, called control and intervention groups. Patients in the control group need to carry out general quality care with the plan formulated by our hospital, and patients in the intervention group need to carry out the related contents of quality control circle activities for intervention. After nursing the patients in the two groups, the success of colonoscopy in the two groups should be counted, and the satisfaction of the patients in the two groups should be compared and analyzed. Results: after the intervention of different nursing methods, the difference of the above observation indexes was obvious. The success rate of colonoscopy in the intervention group was better than that in the control group (P < 0.05), and the satisfaction of nursing in the intervention group was also better than that in the control group (P < 0.05). Conclusion: in the process of patient care, the reasonable use of quality control circle activities can effectively improve the efficiency and quality of cooperation in the hospital, and then improve the success rate of examination and the satisfaction of patients. Therefore, it can be reasonably promoted in combination with the actual situation in the hospital.
文摘Objective: to analyze the effect of subcutaneous injection of low molecular weight heparin (LMWH) on reducing the rate of adverse reactions after quality control circle activity. Methods: to construct the quality control circle, determine the theme, find the problem, analyze the cause and determine the effective countermeasures. Results: the patients' condition was improved significantly after the quality control circle activity. Conclusion: quality control circle activities can reduce nursing risk, improve the effect of health education and nurse satisfaction, and have important application value.
文摘Objective: to analyze the application effect of quality control circle in nursing safety management in the department of critical care medicine. Methods: 80 patients in the department of severe medicine were randomly divided into the control group and the observation group. The control group received routine nursing and the observation group received quality management circle management to compare the effect of nursing management. Results: the effect of nursing management in the observation group was better than that in the control group (P0.05). Conclusion: during the period of clinical nursing for patients in the department of critical care, the quality management circle should be taken as an important means to maintain the safety of patient care. By giving full play to the advantages of the quality management circle in the clinical nursing process, a perfect clinical safety nursing management system should be built to control the possible risk events in the nursing process, reduce the risk coefficient to the lowest, improve the patients satisfaction and quality of care, and improve the incidence of adverse events, which is worth promoting.
文摘Objective: to discuss the investigation of reducing the utilization rate of sterile items and non-standard drugs before and after the development of quality control circle activities. Methods: to pass the relevant knowledge examination of the department;Set up the inspection team, the leader random spot check;Establish base management to avoid excessive retention;Attention was paid to the validity period of eye drops with less frequency to reduce the non-standard utilization rate of sterile items and drugs. Members of the quality control circle in the ward analyzed the reasons and took corresponding measures through brainstorming and various QC methods. Results: reduced the nonstandard utilization rate of sterile items and drugs from 84% to 28%, highlighted business problems and solved them in time. Conclusion: quality control circle has achieved satisfactory results in effectively reducing the utilization rate of sterile items and non-standard drugs, which is worthy of promotion. The ability of all circle members to solve problems, communicate and cooperate, and the degree of harmony has been improved a lot.
文摘Objective:To investigate the effectiveness of Quality Control Circle(QCC)activities in reducing the loss rate during storage of Traditional Chinese Medicine(TCM)decoction pieces in our hospital pharmacy department.Methods:A QCC team was established to systematically analyze the causes of TCM decoction piece losses.Using quality improvement tools including Pareto charts,the 80/20 rule,and fishbone diagrams,we identified key areas for improvement and developed targeted intervention strategies.The study period spanned from January to December 2023,with pre-intervention data collected from January to December 2022.Loss rates were calculated and compared before and after QCC implementation.Results:According to the“80/20 rule”analysis,the primary improvement targets were identified as inadequate maintenance of decoction pieces and dispensing losses.Following QCC implementation,the loss rate of TCM decoction pieces decreased significantly from 1.27%(pre-intervention)to 0.65%(post-intervention),achieving an improvement rate of 47.40%.The total monetary loss decreased from 9,592.62 RMB to 4,546.97 RMB.Conclusion:QCC activities can effectively reduce the loss rate of TCM decoction pieces in hospital pharmacy departments,improve the quality of herbal medicines,ensure patient medication safety,and enhance pharmaceutical service quality.This systematic approach provides a valuable framework for continuous quality improvement in TCM pharmacy management.
