醫(yī)療護(hù)理品管圈主題課件 三

品管圈醫(yī)療QC提高孕婦從穿刺到分娩后留置針完好率Professionalcustomallkindsofindustryppttemplate,thisworkbelongstoflyimpressiondesignoriginal,donotdownloadafterthenetworkcommunication.目錄CONTENTS成員介紹主題選定計劃擬定現(xiàn)況把握目標(biāo)設(shè)定原因分析一二三四五六對策實施效果確認(rèn)標(biāo)準(zhǔn)化總結(jié)七八九一Professionalcustomallkindsofindustryppttemplate,thisworkbelongstoflyimpressiondesignoriginal,donotdownloadafterthenetworkcommunication.成員介紹PARTONE成立改進(jìn)小組ADDRELATEDTITLEWORDS組長:仇春波TherearemanyvariationsofpassagesofLoremIpsum

availablebutthemajorityhavesufferedalteration.一協(xié)調(diào)員/秘書:陳潔TherearemanyvariationsofpassagesofLoremIpsum

availablebutthemajorityhavesufferedalteration.二成員:王淵萍王芳邱燕燕許夢霞洪雅華朱維娜岑月方梅丹妮戎丹露江瑛三Professionalcustomallkindsofindustryppttemplate,thisworkbelongstoflyimpressiondesignoriginal,donotdownloadafterthenetworkcommunication.主題選定PARTONE主題選定ADDRELATEDTITLEWORDS靜脈留置針在產(chǎn)婦分娩中有著很大優(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)婦分娩中應(yīng)用體會朱曉紅一八G留置針在產(chǎn)婦分娩中應(yīng)用體會王英靜脈留置針在分娩過程中應(yīng)用選題背景但是孕婦在分娩過程中留置針容易滑脫,反折,三M敷貼固定容易卷邊導(dǎo)致:一、輸液不能以最快速度進(jìn)入二、留置針浪費三、孕婦重復(fù)留置四、助產(chǎn)士重復(fù)工作量五、三M敷貼浪費六、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完好率迫在眉睫主題選定ADDRELATEDTITLEWORDS對醫(yī)院而言提高患者滿意度,增加社會效應(yīng),提升醫(yī)院整體品牌形象對個人而言提高個人專業(yè)能力,增加患者對醫(yī)護(hù)人員信任,體現(xiàn)職業(yè)價值感.對患者而言促進(jìn)患者積極配合,確保治療和護(hù)理順利實施,促進(jìn)患者早日康復(fù).對科室而言增加團(tuán)隊凝聚力,改善工作效率和品質(zhì),提高病區(qū)整體形象.Therearemanyvariationsofpassagesofloremipsumavailable,butthemajorityhavesufferedalterationinsomeform,byinjectedhumourrandomizedwordswhichdon'tlookevenslightlybelievable.IfyouaregoingtouseApassageofloremipsum,youneed

tobesurethereembarrassinghiddeninthemiddleoftext.Alltheloremipsumgeneratorsontheinternettendtorepeat

predefinedchunksasoflorembutthemajorityhavesufferedalterationinsomeformnecessary.Professionalcustomallkindsofindustryppttemplate,thisworkbelongstoflyimpressiondesignoriginal,donotdownloadafterthenetworkcommunication.計劃選定PARTONE計劃擬定ADDRELATEDTITLEWORDSWHATWHENWHOHOW主題日期二一七年一月二一七年二月二一七年三月二一七年四月二一七年五月二一七年六月二一七年七月二一七年八月負(fù)責(zé)人PDCA工具周數(shù)一周二周三周四周一周二周三周四周一周二周三周四周一周二周三周四周一周二周三周四周一周二周三周四周一周二周三周四周一周二周三周四周確定成員P主題選定

頭腦風(fēng)暴計劃擬定

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

魚骨圖、柏拉圖對策擬定

頭腦風(fēng)暴、小組討論D實施與檢討

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)

小組討論三%四%二%一%Professionalcustomallkindsofindustryppttemplate,thisworkbelongstoflyimpressiondesignoriginal,donotdownloadafterthenetworkcommunication.現(xiàn)況把握PARTONE現(xiàn)況把握ADDRELATEDTITLEWORDS本次改善重點醫(yī)囑開出靜脈輸液進(jìn)行催產(chǎn)素引產(chǎn)判斷有無留置針發(fā)現(xiàn)輸液泵報警準(zhǔn)備用物開始穿刺查看輸液泵報警提示內(nèi)容三M敷貼固定根據(jù)報警內(nèi)容調(diào)整發(fā)現(xiàn)問題,靜脈重新固定,重新穿刺繼續(xù)催產(chǎn)素引產(chǎn)現(xiàn)況把握ADDRELATEDTITLEWORDS

日期項目第一周第二周第三周第四周合計穿刺后護(hù)理環(huán)節(jié)五八七五二五固定環(huán)節(jié)四三二六一五產(chǎn)婦特有因素二二一二七穿刺環(huán)節(jié)一二一一五分娩特有因素一一一三其他一一二合計一三一六一二一六五七查檢表制定現(xiàn)狀完好率:（二二一-五七）/二二一=七四%數(shù)據(jù)收集、分析:時間:二一七年一月一日至二一七年一月三一日收集對象:分娩中心一月份采集數(shù)二二一份現(xiàn)況把握ADDRELATEDTITLEWORDS查檢項目

數(shù)量

所占比例（%）累計百分比（%）穿刺后護(hù)理環(huán)節(jié)二五四三.九四三.九固定環(huán)節(jié)一五二六.三七.二產(chǎn)婦特有因素七一二.三八二.五穿刺環(huán)節(jié)五八.七九一.二分娩特有因素三五.三九六.五其他二三.五一%現(xiàn)況把握ADDRELATEDTITLEWORDS根據(jù)柏拉圖分布結(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”這三個因素在所有原因中占了八%,故將此三項列為本期活動改善重點.結(jié)論P(yáng)rofessionalcustomallkindsofindustryppttemplate,thisworkbelongstoflyimpressiondesignoriginal,donotdownloadafterthenetworkcommunication.目標(biāo)設(shè)定PARTONE目標(biāo)設(shè)定ADDRELATEDTITLEWORDS二一四二一五二一六二一七五六七九標(biāo)題一現(xiàn)況值:健康教育知曉率七四%標(biāo)題二改善重點:來自改善前柏拉圖八%標(biāo)題三組能力:三/三五×一%=八五.七%標(biāo)題四目標(biāo)值=現(xiàn)況值+改善值=現(xiàn)況值+(一-現(xiàn)況值）x改善重點x圈員能力=七四%+(一-七四%）x八%x八五.七%=九二%目標(biāo)設(shè)定ADDRELATEDTITLEWORDS改善前目標(biāo)值七四%九二%到二一七年八月將產(chǎn)房留置針完整率達(dá)到九二%Professionalcustomallkindsofindustryppttemplate,thisworkbelongstoflyimpressiondesignoriginal,donotdownloadafterthenetworkcommunication.原因分析PARTONE原因分析ADDRELATEDTITLEWORDS為什么抗腫瘤藥物操作會不規(guī)范化療廢棄物專用垃圾桶少無專用化療操作箱專用容器缺乏標(biāo)識不清無靜脈給藥流程規(guī)程不夠細(xì)化與靜配室接藥流程缺乏化療藥物外滲應(yīng)急預(yù)案未更新抗腫瘤藥物暴露應(yīng)急預(yù)案不夠責(zé)任心不強(qiáng)防護(hù)意識不強(qiáng)防護(hù)意識不強(qiáng)化療知識防護(hù)信息更新慢防護(hù)知識缺乏與外院缺少學(xué)習(xí)交流人員配置不合理人力不足未按操作規(guī)程無充足放置空間化療廢棄物無專門放置點空間狹小無專用放置容器護(hù)士設(shè)備環(huán)境操作流程Professionalcustomallkindsofindustryppttemplate,thisworkbelongstoflyimpressiondesignoriginal,donotdownloadafterthenetworkcommunication.原因分析PARTONE對策實施ADDRELATEDTITLEWORDSFirstStepTherearemanyinvariationspassageofloremipsumavailablebutthemajorityhaveinslightlySampleTextSampleTextSampleTextSampleTextFirstStepTherearemanyinvariationspassageofloremipsumavailablebutthemajorityhaveinslightlyFirstStepTherearemanyinvariationspassageofloremipsumavailablebutthemajorityhaveinslightlyFirstStepTherearemanyinvariationspassageofloremipsumavailablebutthemajorityhaveinslightlySUCCESS對策實施ADDRELATEDTITLEWORDSTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalterationConstruction&DesignTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalteration.GoCloudTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalterationBrainstorm&IdeasTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalteration.ReviewTheResults對策實施ADDRELATEDTITLEWORDSDescriptionTherearemanyvariationsofThepassagesofloremipsumavailablebutthemajorityhavesufferedofalterationinsomeform.二%DescriptionTherearemanyvariationsofThepassagesofloremipsumavailablebutthemajorityhavesufferedofalterationinsomeform.三%DescriptionTherearemanyvariationsofThepassagesofloremipsumavailablebutthemajorityhavesufferedofalterationinsomeform.五%TherearemanyvariationsofpassagesofLoremoftheIpsumavailable,butthemajorityhavesufferedalterationinsomeform.TherearemanyvariationsofpassagesofLoremoftheIpsumavailable,butthemajorityhavesufferedalterationinsomeform.TherearemanyvariationsofpassagesofLoremoftheIpsumavailable,butthemajorityhavesufferedalterationinsomeform.對策實施ADDRELATEDTITLEWORDSTherearemanyvariationspassagesloremipsumavailablemajorityhavesufferedalteration.Therearemanyvariationspassagesloremipsumavailablemajorityhavesufferedalteration.Therearemanyvariationspassagesloremipsumavailablemajorityhavesufferedalteration.三五%五%一五%NumberOneTherearemanyvariationsofpassageloremipsumavailable一NumberTwoTherearemanyvariationsofpassageloremipsumavailable二NumberThreeTherearemanyvariationsofpassageloremipsumavailable三對策實施ADDRELATEDTITLEWORDSTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalteration.KeywordHereTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalteration.KeywordHereTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalterationKeywordHereTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalterationKeywordHereSUCCESS對策實施ADDRELATEDTITLEWORDSTitleGoesHereTherearemanyvariationsofpassagesofloremipsumavailable,butthemajoritysufferedalteration

someformKeywordTitleGoesHereTherearemanyvariationsofpassagesofloremipsumavailable,butthemajoritysufferedalteration

someformKeywordTitleGoesHereTherearemanyvariationsofpassagesofloremipsumavailable,butthemajoritysufferedalteration

someformKeywordTitleGoesHereTherearemanyvariationsofpassagesofloremipsumavailable,butthemajoritysufferedalteration

someformKeywordProfessionalcustomallkindsofindustryppttemplate,thisworkbelongstoflyimpressiondesignoriginal,donotdownloadafterthenetworkcommunication.效果確認(rèn)PARTONE效果確認(rèn)ADDRELATEDTITLEWORDSTitleGoesHereofpassagesoflorembuttheismajorityalterationoftheisworld.TitleGoesHereofpassagesoflorembuttheismajorityalterationoftheisworld.TitleGoesHereofpassagesoflorembuttheismajorityalterationoftheisworld.TitleGoesHereofpassagesoflorembuttheismajorityalterationoftheisworld.效果確認(rèn)ADDRELATEDTITLEWORDS時間:二一七年八月一日至二一七年八月三日收集對象:分娩中心八月份采集數(shù)二六二份改進(jìn)后查檢表制定效果確認(rèn)ADDRELATEDTITLEWORDSTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalteration.JuststartTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalteration.JuststartTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalteration.JuststartTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalteration.Juststart一二四三Professionalcustomallkindsofindustryppttemplate,thisworkbelongstoflyimpressiondesignoriginal,donotdownloadafterthenetworkcommunication.標(biāo)準(zhǔn)化PARTONE標(biāo)準(zhǔn)化ADDRELATEDTITLEWORDSTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalteration.KeywordHereTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalterationKeywordHereSUCCESSTherearemanyvariatio