Pediatric nursing quality control circle ppt
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Improving the success rate of pediatric venipuncture introduction in the pediatric circle of Qiannan People's Accessible Hospital: Circle name: Baby circle establishment time: 2013-1-20 Number of people: 6 Average spring and autumn: 30 years old Length: Zhang Puying Affiliated department: Pediatrics Contact the members of Telefunkine: Song Juxia, Deng Hongmei, Gao Min, and Yang Xiaoyan. Secondary work: Disposal and nursing of various clinical work. Program time: January 20, 2013 --- June 20, 2013. Circle names were selected to collect candidate circle names. After the circle members collectively voted, the baby circle got the highest votes, so it was determined as the QCC circle name. The circle badge healthy baby is about to be successful and lasting forever. The circle will be held. The circle will be held once every two weeks and the meeting time will be about 40-60 minutes. The address will be: Inside or outside the hospital. Circle members' "thought storm" enriched the speeches and discussed the meeting records: the current discussion topics, the implementation of the previous resolutions, the resolutions of the discussions, and the work assignments. QCC topic selection 5 implies the strongest relationship, 3 implies the relationship is popular, and 1 implies the relationship is very few. Four scores are selected based on the main part of the problem, acute fire, feasibility, and ability of the circle member. Children suffering, reduce the anxiety of parents of children. Improve the quality of work, strengthen theoretical knowledge and technical training. Improve patients' stiffness and obtain excellent social benefits. Division of labor, organization of programs, program, organization, program, college, high-sensitivity organization, program, nurse, Deng Hongmei, data collection, statistics, Yang Xiaoyan, data collection, statistics, slide show, deputy director, undergraduate nurse, Song Juxia, program manager, deputy undergraduate nurse, Zhang Puying Education title name 2 1 Love circle ★ 1 3 Baby circle 2 1 Yang 2 1 Donut result ranking vote number candidate circle name 2 80 20 20 19 21 Improve patient stiffness ★ 1 89 20 22 24 23 Improve the success rate of infusion puncture 3 78 18 20 20 20 Shorten the expectation time of patients for infusion 4 68 19 16 17 16 Improve the execution rate of patrols Select the ability of the total sub-circumstances Feasibility Fire acuteness major evaluation project The plan is planned from January 2013 to February 2013 In March 2013, he served as a person's pace. 1w 2w 3w 4w 1w 2w 3w 4w 1w 2w 3w 4w Selected from the topic ... Zhang Puying Song Juxia intends to draw up ... Note by Zhang Puying and Song Juxia:… suggesting the intention of the line; —— suggesting that the implementation line intends to formulate the countermeasures ... Song Juxia Gao Min's implementation of the countermeasures……… The results of Yang Xiaoyan and Deng Hongmei confirmed ... Zhang Puying's high-sensitivity scaling ... Song Juxia's review and improvement ... Zhang Puying's Song Juxia's presentation ... Zhang Puying's Song Juxia Date April 2013 May 2013 June June 1st 2p 3w 4w 1w 2w 3w 4w 1w 2w 3w 4w Note: ... implies the intention of the line;-implies the implementation of the line. The current situation grasps the patient's intravenous infusion process. The patient's admission to the infusion selection of vascular puncture to see the return of blood was successful. The circle is collecting the inspection data from February 8, 2013 to March 8, 2013. The total number of infusion patients is 1. The number of Chinese medical treatment infusion in each link was 23, the rate of accuracy was 23%, and the other 77 patients who passed the check-up were examined and summarized. The checklist before the improvement of Plato collects the data and sorts them. The data is sorted from large to small to calculate the cumulative percentage. The percentage of factors affecting the frequency.% Cumulative percentage%. Tour 22 28.57% 28.57%. Handling techniques 32 41.55 70.12% Office stance 15 19.48% 89.6 % Health education 3 3.89% 93.49% Ward 3 3.89% 97.38% Other 2 2.59% 100% Total 77 100% Set the current value of the histogram guideline before the improvement: For the current emergency patient and the infusion patient's stiffness ratio in all aspects of medical infusion , 23% Improving the sink point: It is determined as untimely inspections, frequent punctures, and bad working abilities. Because of the first quality control circle, set it to 80%. Target value = 23% + (1-23%) * 70.12% * 80% = 66.19% Policy value = Current value + Improved value = (1-Current value) * Improved sink point * Circular ability policy setting policy value = Current value + (1-Current value) * Improved sink point * The ability of the circle to calculate the policy value through the calculation formula is 66.19% 23% 66.19% Analysis (I) Personnel mechanism elements Patient elements do not know how to do things automatically. Many patients need to add fluids at the same time. There is no human capital emergency mechanism. The number of patients increases. The inspection is not timely. Analysis (two) frequent puncture Personnel mechanism elements Patient element technology is unfamiliar with difficult puncture of blood vessels, without superior guidance assistance program elements Vascular element training intensity is insufficient analysis (3) Personnel mechanism equipment, equipment standpoint, elementary factors Patient element communication skills are poor, wording is too busy to be infused Education for patients is expected to take too long to add fluids, puncture unsuccessfully, unsuccessful numbers of patients, no order, no queues, waiting for identification, pagers, less infusion racks, and countermeasures. Implementation of a tour is not timely 1. Add one to the infusion room and human capital is in place. 2. Change the original scheduling mode from 8-4 to 8-4 to ensure that there are enough feet during the infusion peak period. 3. Add a pager, strengthen the inspection process, and randomly inquire the patient about the infusion environment every day. 4. Add emergency deployment staff, carry out support missions when the number of patients suddenly increases, and the inspection workers do not disjoint countermeasures. The results confirm that: the inspections are not timely, from 22 of the first 100 people to the improvement to 8 of the 100 people after the improvement . Persons in charge: Song Juxia and Zhang Puying Implementation time: April 7 to May 12 Address: pediatric ward countermeasures: 1. The results of the countermeasures were confirmed to be effective, and they were decided to be implemented permanently. 2. The results of the countermeasures were confirmed to be effective, and the decision was made to include PDAC countermeasures. 1. Improve the conventional fixation methods, cheap infusion fixation straps, and avoid repeated punctures caused by improper fixation. 2. Perform new and old matching on duty. When encountering blood vessels with difficult puncture, there is superior guidance or assistance. 3. Point the patient to warm their hands before infusion, promote blood flow, and keep the blood vessels in a full shape. 4. Organize technical training to improve puncture skills. Frequent puncture multiple * * * * * * * * *
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