醫(yī)療QC品管圈課件

1、匯報(bào)時(shí)間：2020.2匯報(bào)人： 醫(yī)療QC品管圈提高孕婦從穿刺提高孕婦從穿刺到到 分娩分娩后留置針的完好率后留置針的完好率成員介紹 主題選定計(jì)劃擬定 現(xiàn)況把握成員介紹 There are many variations passages of lorem ipsum available majority have suffered alteration .Keyword HereThere are many variations passages of lorem ipsum available majority have suffered alteration .Keyword HereThe

2、re are many variations passages of lorem ipsum available majority have suffered alteration Keyword HereThere are many variations passages of lorem ipsum available majority have suffered alteration Keyword Here成員介紹 WHATWHENWHOHOW主題日期2017年1月2017年2月2017年3月2017年4月2017年5月2017年6月2017年7月2017年8月負(fù)責(zé)人PDCA工具周數(shù)1

3、周2周3周4周1周2周3周4周1周2周3周4周1周2周3周4周1周2周3周4周1周2周3周4周1周2周3周4周1周2周3周4周確定成員P主題選定 頭腦風(fēng)暴計(jì)劃擬定 頭腦風(fēng)暴、甘特圖現(xiàn)況把握 查檢表、柏拉圖目標(biāo)設(shè)定 條形圖解析 魚(yú)骨圖、柏拉圖對(duì)策擬定 頭腦風(fēng)暴、小組討論D實(shí)施與檢討 PDCAC效果確認(rèn) 柏拉圖、雷達(dá)圖A標(biāo)準(zhǔn)化 頭腦風(fēng)暴、小組討論檢討與改進(jìn) 小組討論30%40%20%10%成員介紹 本次改善重點(diǎn)醫(yī)囑開(kāi)出靜脈輸液進(jìn)行催產(chǎn)素引產(chǎn)判斷有無(wú)留置針發(fā)現(xiàn)輸液泵報(bào)警準(zhǔn)備用物開(kāi)始穿刺查看輸液泵報(bào)警的提示內(nèi)容3M敷貼固定根據(jù)報(bào)警內(nèi)容調(diào)整發(fā)現(xiàn)問(wèn)題，靜脈重新固定，重新穿刺繼續(xù)催產(chǎn)素引產(chǎn)成員介紹 Titl

4、e Goes Hereof passages of lorem but the is majority alteration of the is world.Title Goes Hereof passages of lorem but the is majority alteration of the is world.Title Goes Hereof passages of lorem but the is majority alteration of the is world.Title Goes Hereof passages of lorem but the is majority

5、 alteration of the is world.10090807050020406080100120Percentage成員介紹 時(shí)間：2017 年1月 1 日 至 2017 年 1月 31日收集對(duì)象：分娩中心1月份采集數(shù)221份 日期項(xiàng)目第一周 第二周 第三周 第四周合計(jì)穿刺后護(hù)理環(huán)節(jié)587525固定環(huán)節(jié)432615產(chǎn)婦特有因素22127穿刺環(huán)節(jié)12115分娩特有因素11013其他00112合計(jì)1316121657查檢表的制定現(xiàn)狀完好率： （221-57）/221=74%成員介紹 0%0%44%44%70%70%83%83%91%91%97%97%100%100%0%0%10%10%

6、20%20%30%30%40%40%50%50%60%60%70%70%80%80%90%90%100%100%0 020204040穿刺后護(hù)理環(huán)節(jié)穿刺后護(hù)理環(huán)節(jié)固定環(huán)節(jié)固定環(huán)節(jié)產(chǎn)婦特有因素產(chǎn)婦特有因素穿刺環(huán)節(jié)穿刺環(huán)節(jié)分娩特有因素分娩特有因素其他其他根據(jù)柏拉圖分布的結(jié)果顯示，“穿刺后護(hù)理環(huán)節(jié)、固定環(huán)節(jié)、產(chǎn)婦特有因素”這三個(gè)因素在所有的原因中占了80% ，故將此三項(xiàng)列為本期活動(dòng)的改善重點(diǎn)。結(jié)論主題選定組長(zhǎng)：XX There are many variations of passages of Lorem Ipsum available but the majority have suffered

7、 alteration.01協(xié)調(diào)員/秘書(shū)： XXThere are many variations of passages of Lorem Ipsum available but the majority have suffered alteration.02成員：XXXXX03主題選定靜脈留置針在產(chǎn)婦分娩中有著很大的優(yōu)越性，運(yùn)用留置針：有利于保持靜脈通路，降低輸液滲透，針頭脫出，針頭堵塞發(fā)生率避免反復(fù)穿刺，減輕孕婦痛苦降低護(hù)士的工作量。提高工作效率參考文獻(xiàn)靜脈留置針在產(chǎn)婦分娩中的應(yīng)用體會(huì) 朱曉紅18G留置針在產(chǎn)婦分娩中的應(yīng)用體會(huì)王英靜脈留置針在分娩過(guò)程中的應(yīng)用選題背景但是孕婦在分娩過(guò)程中留

8、置針容易滑脫，反折，3M敷貼固定容易卷邊導(dǎo)致：1、輸液不能以最快的速度進(jìn)入2、留置針浪費(fèi)3、孕婦重復(fù)的留置4、助產(chǎn)士重復(fù)工作量5、3M敷貼浪費(fèi)6、住院病人滿意度降低。所以，提高孕婦從穿刺到分娩后留置針的完好率迫在眉睫主題選定201420152016201750607090標(biāo)題一現(xiàn) 況 值：健康教育知曉率 74%標(biāo)題二改善重點(diǎn)：來(lái)自改善前的柏拉圖 80%標(biāo)題三組 能 力：30/35100% = 85.7%標(biāo)題四目 標(biāo) 值 =現(xiàn)況值+改善值 =現(xiàn)況值+(1-現(xiàn)況值）x改善重點(diǎn) x 圈員能力 =74%+(1-74%）x80%x85.7% =92% 主題選定對(duì)醫(yī)院而言提高患者滿意度，增加社會(huì)效應(yīng)，提升

9、醫(yī)院的整體品牌形象對(duì)患者而言促進(jìn)患者積極配合，確保治療和護(hù)理的順利實(shí)施，促進(jìn)患者早日康復(fù)。There are many variations of passages of lorem ipsum available, but the majority have suffered alteration in some form, by injected humour randomized words which dont look even slightly believable. If you are going to use A passage of lorem ipsum, you nee

10、d to be sure there embarrassing hidden in the middle of text. All the lorem ipsum generators on the internet tend to repeatpredefined chunks as of lorem but the majority have suffered alteration in some form necessary.主題選定There are many variations passages lorem ipsum available majority have suffere

11、d alteration .35%There are many variations passages lorem ipsum available majority have suffered alteration .50%There are many variations passages lorem ipsum available majority have suffered alteration .15%Number OneThere are many variations of passage lorem ipsum available01Number TwoThere are man

12、y variations of passage lorem ipsum available02Number ThreeThere are many variations of passage lorem ipsum available03主題選定改善前目標(biāo)值74%92%到2020年八月將產(chǎn)房留置針完整率達(dá)到92%計(jì)劃擬定 項(xiàng) 目改善前改善后活動(dòng)成長(zhǎng)正/負(fù)向總分平均總分平均 責(zé)任與榮譽(yù)感 312.8494.51.7 解決問(wèn)題能力312.84441.2 積極性292.6494.51.9 和諧度302.74441.3 溝通技巧343.1494.51.4 質(zhì)管工具應(yīng)用151.4403.62.2 凝聚力

13、343.1524.71.6 在開(kāi)展持續(xù)改進(jìn)提高孕婦從待產(chǎn)室到分娩后留置針的完好率，小組成員通過(guò)集中討論分析原因，及時(shí)更新發(fā)送設(shè)備設(shè)施，制定適合本科的采集發(fā)送流程等一系列對(duì)策，有效減少各種導(dǎo)致標(biāo)本采集發(fā)送環(huán)節(jié)失誤的節(jié)點(diǎn)，同時(shí)提升了相關(guān)人員業(yè)務(wù)水平和解決應(yīng)急事件，溝通等能力。計(jì)劃擬定 查檢項(xiàng)目 數(shù)量 所占比例（%）累計(jì)百分比（%）穿刺后護(hù)理環(huán)節(jié)2543.943.9固定環(huán)節(jié)1526.370.2產(chǎn)婦特有因素712.382.5穿刺環(huán)節(jié)58.791.2分娩特有因素35.396.5其他23.5100%計(jì)劃擬定 First StepThere are many in variations passage of

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21、時(shí)間：2017年8月1日至2017年8月30日收集對(duì)象：分娩中心8月份采集數(shù)262份改進(jìn)后查檢表的制定現(xiàn)況把握Title Goes HereThere are many variations of passages of lorem ipsum available, but the majority suffered alterationsome formKeywordTitle Goes HereThere are many variations of passages of lorem ipsum available, but the majority suffered alterationsome formKeywordTitle Goes HereThere are many variations of pas