Objective To analyze the effect and the problems of the comprehensive application of
quality management tools in order to improve
nursing quality and ensure
patient safety.
Methods To summarize the implementation of Plan,Do,Check,Action(PDCA),
quality control circle(QCC),
root cause analysis(RCA),
healthcare failure mode and effect analysis(
HFMEA) in the
nursing quality improvement.Aiming at problems arising in application process,the
measures such as systematic
training of
quality management knowledge,case demonstration,standardized evaluation throughout the whole process,holding competition activities,inviting experts to give immediate guidance were applied.Results Among 1 798 PDCA and QCC programs,the result of 1 795 programs reached the target value,3 substandard programs reached the expected outcome finally after cause
analysis,
procedure break down and adjust of improvement contents.No
nursing error or adverse events occurred.The
indicators of
nursing quality improved and
patient satisfaction was 98.58%,which got the third position among all national
hospitals.Conclusions The comprehensive application of four
quality management tools was helpful in enhancing the effect of
nursing quality improvement.