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Objective To observe the effect of applying PDCA cycle method to promote the management of key monitoring drug, and provide a basis for the management of key monitoring drug in medical institutions. Methods To compare the consumption of drugs and prescription reviews before and after the adoption of PDCA management in a hospital. The control group was the inpatients with traditional management method in 2019, and the observation group was the inpatients with PDCA method in 2020. Results After the implementation of PDCA cycle, the consumption amount of key monitoring drugs decreased significantly (P<0.001); The problems of irrational prescription such as drug use without indication, repeated drug use, inappropriate dosage and route of administration, and long course of treatment were effectively controlled (P<0.05). The qualified rate of prescription increased from 65.96% to 90.76% (χ2=27.010, P<0.001). The incidence of adverse reactions was significantly decreased (χ2 =37.044, P<0.001). Conclusion PDCA method aims at continuous closed-loop management of key monitoring drugs in medical institutions, which can control drug costs to the greatest extent, reduce the economic burden of patients, promote rational drug use, reduce the incidence of adverse reactions, and ensure the quality of medical care.
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Objective@#To construct evaluation index system of nursing quality in day operation center and to provide the basis for scientific and objective evaluation of nursing quality in day operation center.@*Methods@#Based on Donabedian quality model as the theoretical framework, the evaluation index system of nursing quality in day operation center was constructed by applying literature research, process tracking, hierarchical analysis and Delphi expert letter.@*Results@#The recovery rate of RR for two rounds of questionnaire was 94.12% and 100.00%. The expert authority coefficient Cr values were 0.816/0.857 respectively. The W value of the coordination coefficient was 0.335/0.381, both of which were statistically significant (P < 0.01). Finally, an evaluation index system of quality of assisted fertility treatment care with 3 dimensions, 12 secondary indicators and 48 items was formed. Yaaph software was used to determine the weight coefficients of primary and secondary indicators, and the consistency test (CR<0.1) was performed, and the variation coefficients of all tertiary items were <0.17.@*Conclusion@#The weight distribution of the nursing quality index system in day operation center is reasonable, the index entry is clear, and it is scientific and practical.
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Objetivos: Determinar la Gestión de la Calidad del Cuidado de Enfermería realizada por la directora del departamento o coordinación de Enfermería. Metodología: Estudio descriptivo exploratorio transversal Se determinó la gestión de calidad del cuidado de Enfermería en Barranquilla. Se incluyeron 8 IPS tercer nivel (A H). Se aplicó guía de verificación, considerando el modelo de gestión hospitalaria de Varo. Cada etapa de gestión se estudió como variable y sus elementos como sub variables; medición dicotómica: SI (1), NO (0). Se cuantificó porcentualmente cada variable. Resultados: Existen modelos heterogéneos, el promedio de elementos estructurales del sistema de gestión por IPS; A: 64%, B 52%,C 43%, D 90%, E 81%, F45%, G 40%; H 68%: El promedio de actividades verificados en el proceso de gestión del cuidado orientado a garantizar la calidad : H con 93.75%, A 69%,, D 60%, E 51%, F 17%, G 14%, La comunicación es la máxima fortaleza, la investigación la máxima debilidad. Conclusiones. Se encontró una idea de garantía de la Gestión de la calidad del cuidado en EL37.5%.de IPS. Se requiere promover reflexiones en torno al quehacer del profesional de enfermería, entronizar la cultura de la auto-evaluación del cuidado, abrir el debate en los escenarios de formación y motivar la investigación sobre el tema.
Objectives: To determine the Quality Management of Nursing Care by department head or nursing coordination. Methodology: A descriptive exploratory cross was determined management of nursing care quality in Barranquilla. We included eight IPS third level (A- H). Verification guide was applied , considering the hospital management model Varo. Each stage management was studied as a variable and its sub elements such as variables, dichotomous measure : IF (1), NO ( 0 ) . Percentage each variable was quantified. Results: There heterogeneous models , average structural elements IPS management system : A: 64%, B 52%, C 43%, D 90% , E 81 % F45 % G 40 % 68% H : the average verified activities in the management process d care to ensure quality oriented : H with 93.75 % , a 69 % , d 60 % , E 51 % , F 17 % , G 14 % , is the highest communication strength , maximum weakness research. Conclusions. There was a sense of quality assurance of care in 37.5 %. IPS. It requires promote reflections on nursing task , enthrone the culture of self- evaluation of care , open debate on the stages of training and encourage research on the subject.
Subject(s)
Humans , Male , Female , Quality of Health Care , Nursing, Supervisory , Total Quality Management , Nursing CareABSTRACT
Objective Patient safety is key to quality of care in hospital management, for which drug safety is critical. General hospitals are challenged with how to monitor drug adverse reaction (ADR), and motivate their staff to report ADRs in building a hospital safety culture. Methods The PDCA cycle quality improvement process was called into play, to set the ADR criteria and analyze data of inpatients' ADRs from 2005 to 2009, which was followed by measures proposed for ADR continuous improvement. Results A total of 2850 ADR cases were reported in the past 5 years, averaging 570 cases per year. The ADR incidence rate was 3. 28%, of which 43 were severe ADR cases, or 0. 49% of the total cases, accounting for 1. 51% of all the ADR cases. Year to year, the quantity and quality of ADR reporting have been improving in the hospital, witnessing an initial culture of drug safety. In 2008, the hospital was awarded as an advanced ADR center in Beijing. Conclusion The PDCA cycle is an effective means for ADR management, as it can improve the awareness of the medical staff for proactive ADR reporting. Sustained circular management against ADRs can minimize risks and maximize patient safety.Under-reporting and the corrective measures shall be watched over by the hospital in the future.