Objective To investigate the implementation of surgical dressing change standard and related factors influencing the implementation in a hospital
and to formulate the corresponding countermeasure for improving the dressing change standardization of clinicians. Methods From February to September
2018
the quality control circle (QCC) was comprehensively exerted and QCC activities were implemented through selecting topic
making plans
controlling current status
setting goals
analyzing causes
proposing and practicing countermeasures
confirming effects and standardizing the process. The quality was continuously improved on the basis of the PDCA cycle and effects were evaluated. In this study
self-control study was used; QCC activity team of hand-in-hand circle was set up; quality management tools were used; self-designed assessment table of dressing change skills and questionnaire for nonstandard reasons of dressing change were used to conduct the questionnaire survey and observation for 77 clinicians
and improvement of standard rate before and after the QCC intervention was compared. SPSS 20.0 was used to perform the t-test and χ2 test. Results After QCC activity
relative quality indexes of dressing change were significantly increased. The pre-activity average score was (80.45±9.42) and the post-activity average score was (90.06±3.43) (P<0.01). The standard rate of dressing change of the clinical physician was increased from pre-activity 57.14% to post-activity 98.70% (P<0.01)
which reached the target value of 90.98%. After QCC activity
dress standard rate
enforced rate of hand hygiene measures
qualification rates of disinfection isolation measures
aseptic operation and disposed items were improved significantly. In addition
the ability of circle members also improved differently. Conclusion QCC activities can continuously improve the quality
obtaining good results. Quality management of QCC can effectively solve problems in infection management
which is an effective tool in the standardization
normalization and scientization of infection management.
关键词
品管圈 临床医师 换药操作 规范率
Keywords
Quality control circle Clinicians Dressing change Standard rate