ABSTRACT
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.
ABSTRACT
To investigate and step in the compliance of clinician hand hygiene, we used vari-ous management tools of the quality control circle (QCC), and then compared the change of the com-pliance before and after any operations. Firstly, we followed this 5 steps: selecting themes, drafting plans, grasping current situations, setting goals and analyzing objectives. Then, we formulated and im-plemented the interventions pertinently. All of the QCC members participated actively in the whole process. The compliance of clinician hand hygiene was improved from 41.11%to 57.59%. The realiza-tion rate was 115.97%, the progress rate was 40.99%, and the hand hygiene compliance of hand hy-giene in different time was significantly improved with the average value 1.25. Standardized result formed by quality control circle activity had a comprehensive promotion in the hospital and promoted the management of hospital infection and the development of hospital.