ABSTRACT
Objective to investigate the application of the whole course case tracking method in continuous improvement of nursing quality of out-patient operation unit. Methods Administration frames were established for this project,such as monitoring group and executive group. the medi-cal treatment procedure and patients′experience were followed by referees. the results were quantified for statistical analysis. the problems were rec-ognized by priorities and rectification was correspondingly performed. Afterward,another group of patients were traced to evaluate the results of the rectification. We focus on those items of lower scores and undertook rectifications accordingly. Particularly,we optimized signs in outpatient unit, made pamphlets to clarify the procedures,and were cautious to provide more easy-to-understand informs. Results By the second round evaluate, these scores were effectively improved. Especially,the item of“clear informed consent”was statistically significant(P = 0.003). Meanwhile,the team of outpatient operation unit became more cohesion,with enhanced service consciousness,and was initiative to improve the work. Conclusion the whole course case tracking method is feasible for short-range medical service evaluation such as outpatient surgery. the evaluation results clarify the direction for quality improvement,thus set the starting point of quality management aiming at continuously improvement of the patients′ experi-ence and quality of nursing service.
ABSTRACT
Objective:To investigate whether monitored anesthetical care(MAC) is better than traditional regional anesthesia in mammary augmentation surgery.Methods:Thirty two patients,American Society Anesthesia (ASA) Ⅰ～Ⅱ,undergoing mammary augmentation surgery were randomly divided into two groups,either MAC or control.MAC group was administered with Fentanyl and Propofol plus regional anesthesia.Control group was administered with traditional regional anesthesia only.Results:The efficacy of anesthetization in MAC group was better than that in control group(P