With the development of intelligent terminals and mobile applications,the influence of continuous improvement on mobile content services to the continuance use intention is more and more significant.Based on the expec...With the development of intelligent terminals and mobile applications,the influence of continuous improvement on mobile content services to the continuance use intention is more and more significant.Based on the expectation-confirmation theory and information system continuance use theory,this paper proposes a mobile content continuance use model and puts forward related assumptions under the mobile commerce environment by introducing the continuous improvement variables.Questionnaire data are collected from 219 mobile content service users for research,and the hypothetical model is validated by the structural equation modeling.Results show that the information system continuance use model is still valid under the mobile commerce environment,and the continuous improvement on mobile content services have positive impacts on user's expectations after they have experienced certain mobile content services.展开更多
The relationship between major quality tools such as quality function development （QFD）, failure mode and effects analysis （FMEA）, design of experiments （DOE） and statistical process control （SPC） is analyzed ...The relationship between major quality tools such as quality function development （QFD）, failure mode and effects analysis （FMEA）, design of experiments （DOE） and statistical process control （SPC） is analyzed through an extensive review of the literature and the concurrent quality engineering philosophy, and a basic structure for the integration of quality tools is presented. An integrated quality management system （IQMS） is developed using C＋＋ Builder, running in the Windows 2000 Server environment with the basic internet connections, and SQL Server 2000 as the platform for developing the database, An illustrative example applying IQMS to the continuous quality improvement for a crane equipment manufacturing is reported. The result shows that the application of IQMS can optimize the process of design and manufacturing, shorten the cycle time of product, reduce the cost, and realize quality improvement continuously, The proposed integrated framework with IOMS is believed to be applicable to continuous quality improvement in many manufacturing companies.展开更多
Objective: to study and analyze the value of medical record quality management in the continuous improvement of medical quality. Methods: 30 cases were included in our hospital from May 2021 to June 2022. From May 202...Objective: to study and analyze the value of medical record quality management in the continuous improvement of medical quality. Methods: 30 cases were included in our hospital from May 2021 to June 2022. From May 2021 to May 2021,15 cases and 15 cases from January 2022 to June 2022 were included in the control group;The quality management quality, writing quality and quality control of the two groups were evaluated. Results: study group patients management quality, writing quality, quality control patients management quality score is higher than the control group, patients writing quality assessment of grade A is higher than the control group, patients homepage, admission records, hospital records, discharge records, the incidence of quality control defects are lower than the control group, the difference has statistical significance (P 0.05). Conclusion: the application of medical record quality management has an outstanding value in improving the quality of medical record management, writing quality and quality control quality.展开更多
Objective: to evaluate the effectiveness of the continuous improvement of nursing quality in uterine fibroids care. Methods: the study range from January 2020 to July 2021, choose to our hospital gynecology of uterine...Objective: to evaluate the effectiveness of the continuous improvement of nursing quality in uterine fibroids care. Methods: the study range from January 2020 to July 2021, choose to our hospital gynecology of uterine fibroids patients for the research goal, statistics of 136 cases according to computer random distribution method, control group accept routine care, observation group to take nursing quality continuous improvement scheme, evaluation of the quality of life, psychological status and clinical care quality score. Results: the quality of life scores in the observation group were significantly higher than the control group (P <0.05), the psychological status score was insignificant, and the anxiety and depression scores were significantly lower than the control group, with statistical results P <0.05. Conclusion: the continuous nursing quality of uterine fibroids patients can not only achieve a high level of nursing services, but also further improve the quality of life and treatment mood, which is worth clinical application.展开更多
Objective: to investigate the nursing effect of continuous improvement of intestinal preparation (CQI) in three-dimensional intestinal CT imaging. Methods: a total of 60 patients who underwent intestinal three-dimensi...Objective: to investigate the nursing effect of continuous improvement of intestinal preparation (CQI) in three-dimensional intestinal CT imaging. Methods: a total of 60 patients who underwent intestinal three-dimensional CT examination in our hospital from January 2019 to January 2021 were selected and divided into two groups according to random number table method, with 30 patients in each group. The control group was given routine nursing intervention, and the observation group was given intestinal preparation continuous improvement intervention. The success rate of examination, awareness rate before examination, satisfaction rate of image quality and complications were compared between the two groups. Results: the success rate and awareness rate before examination in the observation group were higher than those in the control group, and the difference was statistically significant (P < 0.05). The satisfaction rate of image quality in the observation group was higher than that in the control group, and the incidence of complications in the observation group was lower than that in the control group, with statistical significance (P < 0.05). Conclusion: intestinal preparation CQI intervention can improve the success rate of intestinal three-dimensional CT examination, improve the knowledge of patients, enhance the quality of CT imaging, and reduce the incidence of complications.展开更多
This research seeks to explore the current knowledge management （KM） practice in the Water Recourses Management Company （WRMC） according to Jashpar＇s knowledge management cycle which comprises four loops, includi...This research seeks to explore the current knowledge management （KM） practice in the Water Recourses Management Company （WRMC） according to Jashpar＇s knowledge management cycle which comprises four loops, including knowledge creation, knowledge organization, knowledge sharing and knowledge leverage. This research used a qualitative method, and data were collected through questionnaires. The 92 respondents were the staff of office. The data were analyzed through SPSS software. The findings of this research reveal that, the knowledge creation and knowledge organization were in good level, but knowledge sharing condition was not suitable, therefore, it has negative effect on leveraging knowledge, hence we tried to demonstrate a knowledge management implementation model using the knowledge management concept and taking advantage from the concept of excellence model by the purpose of continuous improvement. This paper suggests proper knowledge management implementation （KMI） is a managerial approach that can turn an organization to an agile one. In order to verify and validate the performed research, the planned model has been accomplished in the Hydropower Plant Department, Water Recourses Management Company, positive and acceptable results were obtained and organizations total factor productivity increase was achieved which was appreciated by the organization.展开更多
BACKGROUND:Medication errors are a common source of adverse healthcare incidents particularly in the emergency department(ED) that has a number of factors that make it prone to medication errors.This project aims to r...BACKGROUND:Medication errors are a common source of adverse healthcare incidents particularly in the emergency department(ED) that has a number of factors that make it prone to medication errors.This project aims to reduce medication errors and improve the health and economic outcomes of clinical care in Hong Kong ED.METHODS:In 2009,a task group was formed to identify problems that potentially endanger medication safety and developed strategies to eliminate these problems.RESULTS:Responsible officers were assigned to look after seven error-prone areas.Strategies were proposed,discussed,endorsed and promulgated to eliminate the problems identified.A reduction of medication incidents(Ml) from 16 to 6 was achieved before and after the improvement work.CONCLUSION:This project successfully established a concrete organizational structure to safeguard error-prone areas of medication safety in a sustainable manner.展开更多
Objective: to study the effect of continuous quality improvement measures on nosocomial infection control in operating room. Methods: in a comparative study, patients and medical staff who underwent surgery in our hos...Objective: to study the effect of continuous quality improvement measures on nosocomial infection control in operating room. Methods: in a comparative study, patients and medical staff who underwent surgery in our hospital between 2018 and 2020 were included in this experimental study, including 100 patients and medical staff who underwent continuous quality improvement measures between 2019 and 2020. The qualification and compliance of hand hygiene of medical staff before and after implementation were analyzed, the incidence of medical disputes and nursing adverse events were compared between the two groups, and the nursing feelings of patients in the operating room were specifically scored. Results: after implementation, the qualified rate of hand hygiene was significantly improved, and the score of patients' nursing feelings in the operating room was significantly improved, and the incidence of medical disputes and adverse events was reduced. Conclusion: carrying out continuous quality improvement measures in the operating room of the hospital can improve the prevention and treatment effect of infection. It is a good measure for patients and medical staff, and reduces the incidence of medical accidents. It is of great significance for the development of the hospital.展开更多
Objective: to analyze the nursing quality of continuous quality improvement in outpatient blood sampling department. Methods: 60 patients who received blood sampling from the outpatient department of our hospital were...Objective: to analyze the nursing quality of continuous quality improvement in outpatient blood sampling department. Methods: 60 patients who received blood sampling from the outpatient department of our hospital were randomly selected as the research object. According to the random grouping method, they were divided into experimental group and control group, with 30 cases in each group. The control group implemented routine blood drawing nursing, the experimental group implemented continuous quality improvement nursing, and finally compared the nursing quality. Results: the results showed that the score of nursing quality in the experimental group was better than that in the control group (P < 0.05). Conclusion: the implementation of continuous quality improvement nursing measures for outpatients with blood sampling can improve the quality of nursing and provide high-quality nursing for patients.展开更多
Objective: to analyze the effect of continuous quality improvement intervention for patients with surgical catheter receiving general surgical catheter care. Methods: a total of 990 patients with surgical catheterizat...Objective: to analyze the effect of continuous quality improvement intervention for patients with surgical catheter receiving general surgical catheter care. Methods: a total of 990 patients with surgical catheterization admitted to our hospital from March 2021 to March 2022 were selected and randomly divided into two groups, the patients who received conventional general surgical pipeline nursing program (n 495), that is, the control group, and the patients who received continuous quality improvement intervention (n 495), that is, the observation group. The intervention effects of the two groups were compared. Results: the incidence of adverse events, SAS and SDS scores of observation group were lower than those of control group;the nursing satisfaction of observation group was higher than that of control group;the number of qualified cases in theory and skills of nursing staff in observation group was higher than that of control group, and the qualified scores in theory and skills were higher than that of control group;the difference was statistically significant (P < 0.05). Conclusion: patients with clinical surgical catheterization are faced with great treatment risks in the process of treatment, including unplanned extubation, which will not only have a great impact on patients normal treatment work, but also interfere with patients normal emotional state, with high risk. Combining continuous quality improvement measures to nurse the pipeline can standardize the catheter technology and operation steps, reduce the probability of risk events to the lowest possible level and thus improve the level of nursing quality, which is worthy of clinical application.展开更多
Objective: to explore and analyze the application effect of continuous quality improvement in standard nursing of intravenous indwelling needle. Methods: 60 cases of intravenous indwelling needle patients admitted to ...Objective: to explore and analyze the application effect of continuous quality improvement in standard nursing of intravenous indwelling needle. Methods: 60 cases of intravenous indwelling needle patients admitted to our hospital from October 2018 to October 2020 were selected as observation objects, and the patients were divided into two groups according to the analysis needs. Patients in group B were given the conventional nursing mode, while patients in group A were given the continuous quality improvement based on the nursing of patients in group B. The satisfaction degree of nursing work and the incidence of adverse reactions in the two groups were compared. Results: the satisfaction of patients in group a was significantly better than that in group b (96.67% > 86.67%) (P < 0.05). The incidence of adverse reactions in group a was lower than that in group B (6.67% < 20.00%) (P < 0.05). Conclusion: the application effect of continuous quality improvement in standard nursing of intravenous indwelling needle is significant, and it has high use value and promotion value.展开更多
Objective: to study the application effect of continuous quality improvement in nursing safety of rheumatology and immunology department. Methods: 40 patients treated from January 2019 to January 2020 (before continuo...Objective: to study the application effect of continuous quality improvement in nursing safety of rheumatology and immunology department. Methods: 40 patients treated from January 2019 to January 2020 (before continuous quality improvement) were selected as the control group, and 40 patients treated from January 2020 to January 2021 (after continuous quality improvement) were selected as the observation group. The incidence of adverse events, pain score, life ability and comfort score were observed. Results: the incidence rate of adverse events in the observation group was lower than that in the control group. The incidence rate of adverse events in the observation group was 5.0% and that in the control group was 12.5%. The pain score was lower than that in the control group. The life ability score was higher than that in the control group. The comfort level was better than that in the control group, with statistical significance (P < 0.05). Conclusion: continuous quality improvement plays a positive role in promoting the nursing safety of patients in rheumatology and immunology department. It can reduce the incidence of adverse reactions, relieve pain, enhance satisfaction and comfort, and improve living ability. It is worthy of popularization and application.展开更多
Objective: to explore the application value of continuous quality improvement in blood collection nursing. Methods: the nursing management of blood collection in blood stations was divided according to the groups befo...Objective: to explore the application value of continuous quality improvement in blood collection nursing. Methods: the nursing management of blood collection in blood stations was divided according to the groups before and after the implementation of continuous quality improvement. From January 2020 to December 2020, it was the routine nursing group, and routine nursing was implemented, and the continuous quality improvement from January 2021 to December 2021.The satisfaction of blood donors, the incidence of adverse reactions and the scrap rate of blood donors between the two groups were compared. Results: there were significant differences in the satisfaction, incidence of adverse reactions, blood scrap rate and routine care group, P <0.05. The satisfaction and the incidence of adverse reactions in blood donors were higher than those in the usual care group (P <0.05).The satisfaction of the continuous quality improvement care group was 94.22 ± 3.61, the incidence of adverse R was 1.00%, while the usual care group was 80.01 ± 2.12, and the incidence of adverse R was 9.00%.The blood scrap rate in the continuous quality improvement care group was lower than that in the usual care group (p <0.05).One was had blood scrap, accounting for 1%, while 15, accounting for 15.0%.Conclusion: continuous quality improvement of blood collection can improve the quality of care, reduce blood scrap, reduce adverse reactions, and improve the satisfaction of blood donors.展开更多
Objective: to analyze the application value of continuous nursing quality improvement to improve the quality of emergency pre-examination and triage nursing. Methods: a total of 76 patients were admitted to the emerge...Objective: to analyze the application value of continuous nursing quality improvement to improve the quality of emergency pre-examination and triage nursing. Methods: a total of 76 patients were admitted to the emergency department of our hospital. The study was conducted from January 2019 to December 2019. According to the principle of random number method, all patients were divided into observation and routine groups, with an equal number of study subjects of 38 cases. Among them, the observation group adopted the quality of continuous care to optimize the triage care, while the routine group adopted the routine emergency triage care model. Statistics and comparison of the two groups of patients were conducted, including the score of nursing quality, nursing service satisfaction, emergency reception, triage evaluation, emergency aid time, the general indicators of pre-examination and triage accuracy of emergency treatment, and the success rate of rescue. Results: compared with the conventional group, observation group of nursing service attitude, psychological intervention level, health education ability, business level, emergency preview triage accuracy, rescue success rate, and emergency environment and nursing staff instrument, sense of responsibility, patrol clinic nursing satisfaction score are higher, and emergency reception, triage evaluation, first aid time is lower, P <0.05. Conclusion: the continuous improvement method of emergency nursing quality can significantly improve the quality of emergency pre-examination and triage nursing, reduce the treatment time of emergency patients, ensure the quality of emergency nursing and the satisfaction of nursing, and have high clinical promotion value.展开更多
The study examined the nexus between operations improvement function (dimensioned by contingency planning, benchmarking and continuous improvement processes) and organisational adaptability of Petroleum tank farms in ...The study examined the nexus between operations improvement function (dimensioned by contingency planning, benchmarking and continuous improvement processes) and organisational adaptability of Petroleum tank farms in South-South, Nigeria. The contingency theory and the theory of routine dynamics underpinned the study, and positivism was the underlying philosophy. The study adopted the cross-sectional survey through the use of questionnaire. 820 middle and top-level managers constituted the elements of the population, and the Krejcie & Morgan’s formula was used to determine the sample size of 262 respondents. Structural Equation Modeling was deployed to test the hypotheses at a 0.05 significance level. The results showed that contingency planning;benchmarking and continuous improvement processes all have a significant positive relationship with organisational adaptability of Petroleum tank farms in South-South, Nigeria. The study concludes that Petroleum tank farms’ operations should focus on the adoption of contingency planning, benchmarking and continuous improvement processes to enhance organisational adaptability. Therefore, it is recommended that the management of Petroleum tank farms should put in place mechanisms to advance continuous improvement processes by allocating the necessary amount of resources, such as energy, time and money, in order to promote the continuous development of the continuous improvement systems. Furthermore, managers of Petroleum tank farms should make better the adoption of contingency planning, ensuring that there is as much necessary training and information for employees on how to act during a crises situation, in order to evaluate safety and prepare in advance for recovery from disasters.展开更多
Purpose: To share our clinical experience of an optimized and comprehensive pediatric TBI technique. Methods and Materials: Through the use of incident learning, safety-critical areas were identified in our procedure ...Purpose: To share our clinical experience of an optimized and comprehensive pediatric TBI technique. Methods and Materials: Through the use of incident learning, safety-critical areas were identified in our procedure for total body irradiation (TBI) for pediatric patients under anesthesia for bone-marrow transplant. The previous procedure lacked flexibility to accommodate various requests from the anesthesia team due to the wide range of patient sizes. To address this issue and to improve the process overall, we updated our procedure for TBI simulation, dosimetry planning, patient setup during treatment, and in vivo dosimetry. A simulation form was redesigned with additional detailed instructions and documentation requirements. The dose calculation procedure was reformulated to remove dependence on setup variations. Tissue compensation determination and therefore dose uniformity were improved by introducing rigorous calculation methods. Calculations were performed on 28 previously-treated patients to compare the dose uniformity using the new versus previous methods. Results: The new procedures improve interdepartmental communication, simplify the workflow, decrease the risk of treating patients in a setup that differs from that used during the simulation, and reduce dose heterogeneity. The new compensator design significantly improved patient dose uniformity: 0.8% ± 0.4% (new method) vs. 4.2% ± 2.3% (previous method) (p Conclusion: A near-miss incident reporting system was used to improve the safety and quality of pediatric TBI procedures under anesthesia.展开更多
The objective of this research is to reduce waste in the production ceramics of Ceramics Factory in Thailand. The 7 Quality Control Tools （7 QC Tools） were implemented including Check sheet, Graph, Pareto diagram an...The objective of this research is to reduce waste in the production ceramics of Ceramics Factory in Thailand. The 7 Quality Control Tools （7 QC Tools） were implemented including Check sheet, Graph, Pareto diagram and Fishbone diagram, which were used to analyze and solve the problems. It was found that most of the wastes come from burning ceramics process. The kilns and trolleys has been used for a long time. Furthermore, the equipment and parts were damaged from lack of maintenance. The non-standard of product arrangement method into the kilns were the cause of waste. Thus, the researcher improved trolleys into the kilns and designed a fixture to help worker to product arrangement. The results of the research gathered data from quality inspection department. Then comparing data before the improvement （between September 2013 to December 2013） and after the improvement （between November 2014 to February 2015）, the wastes are reduced from 8.97% to 0.29%. The result of improving is very efficiency because it can reduce the wastes by 8.68%.展开更多
The business challenges of today are managing complexity and the speed of changes with processes and systems since there are continuously new requirements from market, consumers, suppliers, employees, government etc. ...The business challenges of today are managing complexity and the speed of changes with processes and systems since there are continuously new requirements from market, consumers, suppliers, employees, government etc. For example, when product and service innovations are launched on the market, the relevant processes, policies, people, systems, and technologies should have been prepared and set up in advance. Depending on the business sector, the implementation of new processes and systems as well as their continuous improvement can be easy to very complex and of course very costly. Responding to those challenges, there are several methodologies and approaches like Continuous Improvement Process, Lean Management and Kaizen etc. On the other hand, the application of these methodologies to other industries like service and technology companies is not always successful since their conditions and requirements are different than those of manufacturing organizations. Because of these reasons, the management needs to find out （new） ways of working and to implement new solutions in order to master those challenges and problems. This is not always easy and successful. There are different types of solution options that can be applied situational in every organization. Philosophy can help essentially by asking and answering critical questions in order to provide with solution options to reduce the complexity and to increase the speed of processes. There are several proven and new governance concepts, frameworks, and tools which follow their philosophies. This paper demonstrates how those challenges can be responded and managed as well as how a philosophical approach can help primarily to provide with appropriate solutions.展开更多
An ever more demanding consumer market and the need for companies to be more competitive have led organizations to try to eliminate waste. This research is a case study which presents a proposal for intervention in or...An ever more demanding consumer market and the need for companies to be more competitive have led organizations to try to eliminate waste. This research is a case study which presents a proposal for intervention in order to improve performance of a pre-cast concrete block factory in outer Goihnia. As a first step, waste in the production process was identified through analysis of data on time involved in each step of the process. Then, applying the concepts of lean production, a list of activities was drawn up with a view to eliminating non-value-added work, identifying waste, decreasing cycle time, streamlining the production process and increasing the flexibility and transparency of the process. From the results, it was possible to identify the sources of waste and provide management with information for strategic decisions about production. Finally, various suggestions were made with a view to eliminating or mitigating bottlenecks in the production process.展开更多
基金supported by China Fundamental Research Funds for the Central University under Grant No.BUPT 2009RC1022
文摘With the development of intelligent terminals and mobile applications,the influence of continuous improvement on mobile content services to the continuance use intention is more and more significant.Based on the expectation-confirmation theory and information system continuance use theory,this paper proposes a mobile content continuance use model and puts forward related assumptions under the mobile commerce environment by introducing the continuous improvement variables.Questionnaire data are collected from 219 mobile content service users for research,and the hypothetical model is validated by the structural equation modeling.Results show that the information system continuance use model is still valid under the mobile commerce environment,and the continuous improvement on mobile content services have positive impacts on user's expectations after they have experienced certain mobile content services.
基金This project is supported by National Natural Science Foundation of China (No.70372062)Tianjin City Key Technologies R&D Program(No.04310881R)New Century Excellent Talent Program of Education Ministry of China(No.NCET-04-0240).
文摘The relationship between major quality tools such as quality function development （QFD）, failure mode and effects analysis （FMEA）, design of experiments （DOE） and statistical process control （SPC） is analyzed through an extensive review of the literature and the concurrent quality engineering philosophy, and a basic structure for the integration of quality tools is presented. An integrated quality management system （IQMS） is developed using C＋＋ Builder, running in the Windows 2000 Server environment with the basic internet connections, and SQL Server 2000 as the platform for developing the database, An illustrative example applying IQMS to the continuous quality improvement for a crane equipment manufacturing is reported. The result shows that the application of IQMS can optimize the process of design and manufacturing, shorten the cycle time of product, reduce the cost, and realize quality improvement continuously, The proposed integrated framework with IOMS is believed to be applicable to continuous quality improvement in many manufacturing companies.
文摘Objective: to study and analyze the value of medical record quality management in the continuous improvement of medical quality. Methods: 30 cases were included in our hospital from May 2021 to June 2022. From May 2021 to May 2021,15 cases and 15 cases from January 2022 to June 2022 were included in the control group;The quality management quality, writing quality and quality control of the two groups were evaluated. Results: study group patients management quality, writing quality, quality control patients management quality score is higher than the control group, patients writing quality assessment of grade A is higher than the control group, patients homepage, admission records, hospital records, discharge records, the incidence of quality control defects are lower than the control group, the difference has statistical significance (P 0.05). Conclusion: the application of medical record quality management has an outstanding value in improving the quality of medical record management, writing quality and quality control quality.
文摘Objective: to evaluate the effectiveness of the continuous improvement of nursing quality in uterine fibroids care. Methods: the study range from January 2020 to July 2021, choose to our hospital gynecology of uterine fibroids patients for the research goal, statistics of 136 cases according to computer random distribution method, control group accept routine care, observation group to take nursing quality continuous improvement scheme, evaluation of the quality of life, psychological status and clinical care quality score. Results: the quality of life scores in the observation group were significantly higher than the control group (P <0.05), the psychological status score was insignificant, and the anxiety and depression scores were significantly lower than the control group, with statistical results P <0.05. Conclusion: the continuous nursing quality of uterine fibroids patients can not only achieve a high level of nursing services, but also further improve the quality of life and treatment mood, which is worth clinical application.
文摘Objective: to investigate the nursing effect of continuous improvement of intestinal preparation (CQI) in three-dimensional intestinal CT imaging. Methods: a total of 60 patients who underwent intestinal three-dimensional CT examination in our hospital from January 2019 to January 2021 were selected and divided into two groups according to random number table method, with 30 patients in each group. The control group was given routine nursing intervention, and the observation group was given intestinal preparation continuous improvement intervention. The success rate of examination, awareness rate before examination, satisfaction rate of image quality and complications were compared between the two groups. Results: the success rate and awareness rate before examination in the observation group were higher than those in the control group, and the difference was statistically significant (P < 0.05). The satisfaction rate of image quality in the observation group was higher than that in the control group, and the incidence of complications in the observation group was lower than that in the control group, with statistical significance (P < 0.05). Conclusion: intestinal preparation CQI intervention can improve the success rate of intestinal three-dimensional CT examination, improve the knowledge of patients, enhance the quality of CT imaging, and reduce the incidence of complications.
文摘This research seeks to explore the current knowledge management （KM） practice in the Water Recourses Management Company （WRMC） according to Jashpar＇s knowledge management cycle which comprises four loops, including knowledge creation, knowledge organization, knowledge sharing and knowledge leverage. This research used a qualitative method, and data were collected through questionnaires. The 92 respondents were the staff of office. The data were analyzed through SPSS software. The findings of this research reveal that, the knowledge creation and knowledge organization were in good level, but knowledge sharing condition was not suitable, therefore, it has negative effect on leveraging knowledge, hence we tried to demonstrate a knowledge management implementation model using the knowledge management concept and taking advantage from the concept of excellence model by the purpose of continuous improvement. This paper suggests proper knowledge management implementation （KMI） is a managerial approach that can turn an organization to an agile one. In order to verify and validate the performed research, the planned model has been accomplished in the Hydropower Plant Department, Water Recourses Management Company, positive and acceptable results were obtained and organizations total factor productivity increase was achieved which was appreciated by the organization.
文摘BACKGROUND:Medication errors are a common source of adverse healthcare incidents particularly in the emergency department(ED) that has a number of factors that make it prone to medication errors.This project aims to reduce medication errors and improve the health and economic outcomes of clinical care in Hong Kong ED.METHODS:In 2009,a task group was formed to identify problems that potentially endanger medication safety and developed strategies to eliminate these problems.RESULTS:Responsible officers were assigned to look after seven error-prone areas.Strategies were proposed,discussed,endorsed and promulgated to eliminate the problems identified.A reduction of medication incidents(Ml) from 16 to 6 was achieved before and after the improvement work.CONCLUSION:This project successfully established a concrete organizational structure to safeguard error-prone areas of medication safety in a sustainable manner.
文摘Objective: to study the effect of continuous quality improvement measures on nosocomial infection control in operating room. Methods: in a comparative study, patients and medical staff who underwent surgery in our hospital between 2018 and 2020 were included in this experimental study, including 100 patients and medical staff who underwent continuous quality improvement measures between 2019 and 2020. The qualification and compliance of hand hygiene of medical staff before and after implementation were analyzed, the incidence of medical disputes and nursing adverse events were compared between the two groups, and the nursing feelings of patients in the operating room were specifically scored. Results: after implementation, the qualified rate of hand hygiene was significantly improved, and the score of patients' nursing feelings in the operating room was significantly improved, and the incidence of medical disputes and adverse events was reduced. Conclusion: carrying out continuous quality improvement measures in the operating room of the hospital can improve the prevention and treatment effect of infection. It is a good measure for patients and medical staff, and reduces the incidence of medical accidents. It is of great significance for the development of the hospital.
文摘Objective: to analyze the nursing quality of continuous quality improvement in outpatient blood sampling department. Methods: 60 patients who received blood sampling from the outpatient department of our hospital were randomly selected as the research object. According to the random grouping method, they were divided into experimental group and control group, with 30 cases in each group. The control group implemented routine blood drawing nursing, the experimental group implemented continuous quality improvement nursing, and finally compared the nursing quality. Results: the results showed that the score of nursing quality in the experimental group was better than that in the control group (P < 0.05). Conclusion: the implementation of continuous quality improvement nursing measures for outpatients with blood sampling can improve the quality of nursing and provide high-quality nursing for patients.
文摘Objective: to analyze the effect of continuous quality improvement intervention for patients with surgical catheter receiving general surgical catheter care. Methods: a total of 990 patients with surgical catheterization admitted to our hospital from March 2021 to March 2022 were selected and randomly divided into two groups, the patients who received conventional general surgical pipeline nursing program (n 495), that is, the control group, and the patients who received continuous quality improvement intervention (n 495), that is, the observation group. The intervention effects of the two groups were compared. Results: the incidence of adverse events, SAS and SDS scores of observation group were lower than those of control group;the nursing satisfaction of observation group was higher than that of control group;the number of qualified cases in theory and skills of nursing staff in observation group was higher than that of control group, and the qualified scores in theory and skills were higher than that of control group;the difference was statistically significant (P < 0.05). Conclusion: patients with clinical surgical catheterization are faced with great treatment risks in the process of treatment, including unplanned extubation, which will not only have a great impact on patients normal treatment work, but also interfere with patients normal emotional state, with high risk. Combining continuous quality improvement measures to nurse the pipeline can standardize the catheter technology and operation steps, reduce the probability of risk events to the lowest possible level and thus improve the level of nursing quality, which is worthy of clinical application.
文摘Objective: to explore and analyze the application effect of continuous quality improvement in standard nursing of intravenous indwelling needle. Methods: 60 cases of intravenous indwelling needle patients admitted to our hospital from October 2018 to October 2020 were selected as observation objects, and the patients were divided into two groups according to the analysis needs. Patients in group B were given the conventional nursing mode, while patients in group A were given the continuous quality improvement based on the nursing of patients in group B. The satisfaction degree of nursing work and the incidence of adverse reactions in the two groups were compared. Results: the satisfaction of patients in group a was significantly better than that in group b (96.67% > 86.67%) (P < 0.05). The incidence of adverse reactions in group a was lower than that in group B (6.67% < 20.00%) (P < 0.05). Conclusion: the application effect of continuous quality improvement in standard nursing of intravenous indwelling needle is significant, and it has high use value and promotion value.
文摘Objective: to study the application effect of continuous quality improvement in nursing safety of rheumatology and immunology department. Methods: 40 patients treated from January 2019 to January 2020 (before continuous quality improvement) were selected as the control group, and 40 patients treated from January 2020 to January 2021 (after continuous quality improvement) were selected as the observation group. The incidence of adverse events, pain score, life ability and comfort score were observed. Results: the incidence rate of adverse events in the observation group was lower than that in the control group. The incidence rate of adverse events in the observation group was 5.0% and that in the control group was 12.5%. The pain score was lower than that in the control group. The life ability score was higher than that in the control group. The comfort level was better than that in the control group, with statistical significance (P < 0.05). Conclusion: continuous quality improvement plays a positive role in promoting the nursing safety of patients in rheumatology and immunology department. It can reduce the incidence of adverse reactions, relieve pain, enhance satisfaction and comfort, and improve living ability. It is worthy of popularization and application.
文摘Objective: to explore the application value of continuous quality improvement in blood collection nursing. Methods: the nursing management of blood collection in blood stations was divided according to the groups before and after the implementation of continuous quality improvement. From January 2020 to December 2020, it was the routine nursing group, and routine nursing was implemented, and the continuous quality improvement from January 2021 to December 2021.The satisfaction of blood donors, the incidence of adverse reactions and the scrap rate of blood donors between the two groups were compared. Results: there were significant differences in the satisfaction, incidence of adverse reactions, blood scrap rate and routine care group, P <0.05. The satisfaction and the incidence of adverse reactions in blood donors were higher than those in the usual care group (P <0.05).The satisfaction of the continuous quality improvement care group was 94.22 ± 3.61, the incidence of adverse R was 1.00%, while the usual care group was 80.01 ± 2.12, and the incidence of adverse R was 9.00%.The blood scrap rate in the continuous quality improvement care group was lower than that in the usual care group (p <0.05).One was had blood scrap, accounting for 1%, while 15, accounting for 15.0%.Conclusion: continuous quality improvement of blood collection can improve the quality of care, reduce blood scrap, reduce adverse reactions, and improve the satisfaction of blood donors.
文摘Objective: to analyze the application value of continuous nursing quality improvement to improve the quality of emergency pre-examination and triage nursing. Methods: a total of 76 patients were admitted to the emergency department of our hospital. The study was conducted from January 2019 to December 2019. According to the principle of random number method, all patients were divided into observation and routine groups, with an equal number of study subjects of 38 cases. Among them, the observation group adopted the quality of continuous care to optimize the triage care, while the routine group adopted the routine emergency triage care model. Statistics and comparison of the two groups of patients were conducted, including the score of nursing quality, nursing service satisfaction, emergency reception, triage evaluation, emergency aid time, the general indicators of pre-examination and triage accuracy of emergency treatment, and the success rate of rescue. Results: compared with the conventional group, observation group of nursing service attitude, psychological intervention level, health education ability, business level, emergency preview triage accuracy, rescue success rate, and emergency environment and nursing staff instrument, sense of responsibility, patrol clinic nursing satisfaction score are higher, and emergency reception, triage evaluation, first aid time is lower, P <0.05. Conclusion: the continuous improvement method of emergency nursing quality can significantly improve the quality of emergency pre-examination and triage nursing, reduce the treatment time of emergency patients, ensure the quality of emergency nursing and the satisfaction of nursing, and have high clinical promotion value.
文摘The study examined the nexus between operations improvement function (dimensioned by contingency planning, benchmarking and continuous improvement processes) and organisational adaptability of Petroleum tank farms in South-South, Nigeria. The contingency theory and the theory of routine dynamics underpinned the study, and positivism was the underlying philosophy. The study adopted the cross-sectional survey through the use of questionnaire. 820 middle and top-level managers constituted the elements of the population, and the Krejcie & Morgan’s formula was used to determine the sample size of 262 respondents. Structural Equation Modeling was deployed to test the hypotheses at a 0.05 significance level. The results showed that contingency planning;benchmarking and continuous improvement processes all have a significant positive relationship with organisational adaptability of Petroleum tank farms in South-South, Nigeria. The study concludes that Petroleum tank farms’ operations should focus on the adoption of contingency planning, benchmarking and continuous improvement processes to enhance organisational adaptability. Therefore, it is recommended that the management of Petroleum tank farms should put in place mechanisms to advance continuous improvement processes by allocating the necessary amount of resources, such as energy, time and money, in order to promote the continuous development of the continuous improvement systems. Furthermore, managers of Petroleum tank farms should make better the adoption of contingency planning, ensuring that there is as much necessary training and information for employees on how to act during a crises situation, in order to evaluate safety and prepare in advance for recovery from disasters.
文摘Purpose: To share our clinical experience of an optimized and comprehensive pediatric TBI technique. Methods and Materials: Through the use of incident learning, safety-critical areas were identified in our procedure for total body irradiation (TBI) for pediatric patients under anesthesia for bone-marrow transplant. The previous procedure lacked flexibility to accommodate various requests from the anesthesia team due to the wide range of patient sizes. To address this issue and to improve the process overall, we updated our procedure for TBI simulation, dosimetry planning, patient setup during treatment, and in vivo dosimetry. A simulation form was redesigned with additional detailed instructions and documentation requirements. The dose calculation procedure was reformulated to remove dependence on setup variations. Tissue compensation determination and therefore dose uniformity were improved by introducing rigorous calculation methods. Calculations were performed on 28 previously-treated patients to compare the dose uniformity using the new versus previous methods. Results: The new procedures improve interdepartmental communication, simplify the workflow, decrease the risk of treating patients in a setup that differs from that used during the simulation, and reduce dose heterogeneity. The new compensator design significantly improved patient dose uniformity: 0.8% ± 0.4% (new method) vs. 4.2% ± 2.3% (previous method) (p Conclusion: A near-miss incident reporting system was used to improve the safety and quality of pediatric TBI procedures under anesthesia.
文摘The objective of this research is to reduce waste in the production ceramics of Ceramics Factory in Thailand. The 7 Quality Control Tools （7 QC Tools） were implemented including Check sheet, Graph, Pareto diagram and Fishbone diagram, which were used to analyze and solve the problems. It was found that most of the wastes come from burning ceramics process. The kilns and trolleys has been used for a long time. Furthermore, the equipment and parts were damaged from lack of maintenance. The non-standard of product arrangement method into the kilns were the cause of waste. Thus, the researcher improved trolleys into the kilns and designed a fixture to help worker to product arrangement. The results of the research gathered data from quality inspection department. Then comparing data before the improvement （between September 2013 to December 2013） and after the improvement （between November 2014 to February 2015）, the wastes are reduced from 8.97% to 0.29%. The result of improving is very efficiency because it can reduce the wastes by 8.68%.
文摘The business challenges of today are managing complexity and the speed of changes with processes and systems since there are continuously new requirements from market, consumers, suppliers, employees, government etc. For example, when product and service innovations are launched on the market, the relevant processes, policies, people, systems, and technologies should have been prepared and set up in advance. Depending on the business sector, the implementation of new processes and systems as well as their continuous improvement can be easy to very complex and of course very costly. Responding to those challenges, there are several methodologies and approaches like Continuous Improvement Process, Lean Management and Kaizen etc. On the other hand, the application of these methodologies to other industries like service and technology companies is not always successful since their conditions and requirements are different than those of manufacturing organizations. Because of these reasons, the management needs to find out （new） ways of working and to implement new solutions in order to master those challenges and problems. This is not always easy and successful. There are different types of solution options that can be applied situational in every organization. Philosophy can help essentially by asking and answering critical questions in order to provide with solution options to reduce the complexity and to increase the speed of processes. There are several proven and new governance concepts, frameworks, and tools which follow their philosophies. This paper demonstrates how those challenges can be responded and managed as well as how a philosophical approach can help primarily to provide with appropriate solutions.
文摘An ever more demanding consumer market and the need for companies to be more competitive have led organizations to try to eliminate waste. This research is a case study which presents a proposal for intervention in order to improve performance of a pre-cast concrete block factory in outer Goihnia. As a first step, waste in the production process was identified through analysis of data on time involved in each step of the process. Then, applying the concepts of lean production, a list of activities was drawn up with a view to eliminating non-value-added work, identifying waste, decreasing cycle time, streamlining the production process and increasing the flexibility and transparency of the process. From the results, it was possible to identify the sources of waste and provide management with information for strategic decisions about production. Finally, various suggestions were made with a view to eliminating or mitigating bottlenecks in the production process.
