医疗QC品管圈课件

1、汇报时间：2020.2汇报人： 医疗QC品管圈提高孕妇从穿刺提高孕妇从穿刺到到 分娩分娩后留置针的完好率后留置针的完好率成员介绍 主题选定计划拟定 现况把握成员介绍 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成员介绍 WHATWHENWHOHOW主题日期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月负责人PDCA工具周数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周确定成员P主题选定 头脑风暴计划拟定 头脑风暴、甘特图现况把握 查检表、柏拉图目标设定 条形图解析 鱼骨图、柏拉图对策拟定 头脑风暴、小组讨论D实施与检讨 PDCAC效果确认 柏拉图、雷达图A标准化 头脑风暴、小组讨论检讨与改进 小组讨论30%40%20%10%成员介绍 本次改善重点医嘱开出静脉输液进行催产素引产判断有无留置针发现输液泵报警准备用物开始穿刺查看输液泵报警的提示内容3M敷贴固定根据报警内容调整发现问题，静脉重新固定，重新穿刺继续催产素引产成员介绍 Titl

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5、 alteration of the is world.10090807050020406080100120Percentage成员介绍 时间：2017 年1月 1 日 至 2017 年 1月 31日收集对象：分娩中心1月份采集数221份 日期项目第一周 第二周 第三周 第四周合计穿刺后护理环节587525固定环节432615产妇特有因素22127穿刺环节12115分娩特有因素11013其他00112合计1316121657查检表的制定现状完好率： （221-57）/221=74%成员介绍 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穿刺后护理环节穿刺后护理环节固定环节固定环节产妇特有因素产妇特有因素穿刺环节穿刺环节分娩特有因素分娩特有因素其他其他根据柏拉图分布的结果显示，“穿刺后护理环节、固定环节、产妇特有因素”这三个因素在所有的原因中占了80% ，故将此三项列为本期活动的改善重点。结论主题选定组长：XX There are many variations of passages of Lorem Ipsum available but the majority have suffered

7、 alteration.01协调员/秘书： XXThere are many variations of passages of Lorem Ipsum available but the majority have suffered alteration.02成员：XXXXX03主题选定静脉留置针在产妇分娩中有着很大的优越性，运用留置针：有利于保持静脉通路，降低输液渗透，针头脱出，针头堵塞发生率避免反复穿刺，减轻孕妇痛苦降低护士的工作量。提高工作效率参考文献静脉留置针在产妇分娩中的应用体会 朱晓红18G留置针在产妇分娩中的应用体会王英静脉留置针在分娩过程中的应用选题背景但是孕妇在分娩过程中留

8、置针容易滑脱，反折，3M敷贴固定容易卷边导致：1、输液不能以最快的速度进入2、留置针浪费3、孕妇重复的留置4、助产士重复工作量5、3M敷贴浪费6、住院病人满意度降低。所以，提高孕妇从穿刺到分娩后留置针的完好率迫在眉睫主题选定201420152016201750607090标题一现 况 值：健康教育知晓率 74%标题二改善重点：来自改善前的柏拉图 80%标题三组 能 力：30/35100% = 85.7%标题四目 标 值 =现况值+改善值 =现况值+(1-现况值）x改善重点 x 圈员能力 =74%+(1-74%）x80%x85.7% =92% 主题选定对医院而言提高患者满意度，增加社会效应，提升

9、医院的整体品牌形象对患者而言促进患者积极配合，确保治疗和护理的顺利实施，促进患者早日康复。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.主题选定There are many variations passages lorem ipsum available majority have suffere

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12、y variations of passage lorem ipsum available02Number ThreeThere are many variations of passage lorem ipsum available03主题选定改善前目标值74%92%到2020年八月将产房留置针完整率达到92%计划拟定 项 目改善前改善后活动成长正/负向总分平均总分平均 责任与荣誉感 312.8494.51.7 解决问题能力312.84441.2 积极性292.6494.51.9 和谐度302.74441.3 沟通技巧343.1494.51.4 质管工具应用151.4403.62.2 凝聚力

13、343.1524.71.6 在开展持续改进提高孕妇从待产室到分娩后留置针的完好率，小组成员通过集中讨论分析原因，及时更新发送设备设施，制定适合本科的采集发送流程等一系列对策，有效减少各种导致标本采集发送环节失误的节点，同时提升了相关人员业务水平和解决应急事件，沟通等能力。计划拟定 查检项目 数量 所占比例（%）累计百分比（%）穿刺后护理环节2543.943.9固定环节1526.370.2产妇特有因素712.382.5穿刺环节58.791.2分娩特有因素35.396.5其他23.5100%计划拟定 First StepThere are many in variations passage of

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