ABSTRACT
Objective: To shorten emergency deployment time of defibrillator by using the management method of Deming cycle (plan do check action, PDCA). Methods: The PDCA management method was used to guide the quality control of the emergency deployment of defibrillator. And according to the actual situation of the emergency deployment rehearsal for the defibrillator, the "brainstorming method" was applied to analyze the reasons of the problem, and the main influence factors that affect the emergency deployment time of defibrillator were confirmed. And the specific solutions were formulated according to the "5W1H" method. And then these measurements were implemented and the inspection results were further summarized and analyzed. Results: From February 2016 to September, the average deployment time of defibrillator was 4.14 minutes in the 28 emergency drills. Compared with the pre-implementation of the PDCA management measures, the deployment time was shortened by 40.9%, and it saved 2.86 minutes. Conclusion: The application of PDCA management method can shorten the emergency deployment time of defibrillator, and its effect is obvious. This method can be used in other emergency management and devices management of life support so as to ensure the emergency deployment efficiency of first-aid and life support devices in hospital.
ABSTRACT
Objective To explore the application of PBL teaching method and brainstorming method in the training of medical students' medical record writing ability,in order to strengthen the cultivation of medical students' medical record writing ability.Methods 122 medical undergraduate interns of Grade 2010 majoring in clinical medicine in our hospital were taken as the research object,of which 60 were in the experimental group,62 were in the control group.PBL teaching combined with brainstorming method was used in the experimental group,while the control group used the traditional teaching method of teaching.After the end of the training course,data were analyzed using SPSS 19.0 software,count data and measurement data were analyzed using chi square test and t test to carry out the significant test between the two groups of data,the training effect was compared between the two groups.Results The results of questionnaire in the experimental group were significantly higher than those in the control group,and the difference was statistically significant,The experimental group theory test scores were higher than the control group[(84.28 ± 6.65) vs.(74.52 ± 6.75)],and the difference was statistically significant;The experimental group outstanding achievement ratio was higher than the control group,and the difference was statistically significant;The proportion of operation and non operative medical records in the experimental group were higher than that in the control group (P=0.005,P=0.004).Conclusion Combined application of PBL teaching method and brainstorming method plays a positive role in superposition and complementation.It gives full play to and mobilizes the students' enthusiasm and initiative,and the training effect is obviously superior to the traditional teaching method,therefore it is worth popularization and application in the training of students' medical record writing ability.