The application of plan, do, check, act (PDCA) quality management in reducing nosocomial infections in endoscopy rooms: It does work

Kong, Xiaoming; Zhu, Xiaolu; Zhang, Yidan; Wu, Jie

doi:10.1111/ijcp.14351

“…Studies have proved that the performance of PDCA theory in nursing work can really put nursing work into practice, improve the connotation of nursing quality service, and improve nursing quality continuously and steadily, so as to improve hospital medical quality [5]. Outpatient surgery is basically a small operation, but at present, due to the large flow of patients and the shortage of nurses in the nursing management of the day operating room, the work is confused and the prevention consciousness is weak, which leads to the poor quality of nursing work in the day operating room [6]. In view of this, in this study, to explore the performance of PDCA process management in the day operation ward and the impact of nursing quality and safety, the research results are reported as follows.…”

Section: Introductionmentioning

confidence: 99%

Application of PDCA Process Management in Day Operation Ward and the Influence of Nursing Quality and Safety

Ma

¹

,

Cao

²

,

Li

³

2022

Computational and Mathematical Methods in Medicine

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Objective. To survey the application of PDCA (plan, do, check, and action) process management in day operation ward and the influence of nursing quality and safety. Methods. The routine nursing management was carried out in our hospital from March 2019 to March 2020, which was set as the control group ( N = 20 ), and the PDCA process management was implemented from March 2020 to March 2021 as the research group ( N = 20 ). Twenty nurses and patients were selected as subjects in two periods of time. The nursing quality, the score of individual quality control examination in clinical department, the nursing quality of operating room, the incidence of adverse events and nursing errors, the number of problems existing in the quality management of nursing documents, and the score of nursing satisfaction were accessed. Results. In the comparison of nursing quality, the nursing safety, specialty quality, and nursing norms of the study group were higher compared to the control ( P < 0.05 ). In terms of the scores of individual quality control examination in clinical departments, the scores of ward management, rescue, therapeutic articles, drug management, first-level nursing, nursing documents, and head nurses in the study group were greater compared to the control ( P < 0.05 ). In terms of the operating room nursing quality score, the instrument management, instrument preparation, nurses’ cooperation skills, disinfection and isolation quality, and the total score of the study group were above the control ( P < 0.05 ). In terms of the incidence of operative adverse events and nursing errors, the incidence of nosocomial infection, iatrogenic injury, information check error, equipment failure, violation of operation regulations, ECG monitoring error, infusion operation error, and medication error in the study group was lower compared to the control ( P < 0.05 ). According to the comparison of the number of problems existing in the quality management of nursing documents, the number of problems in temperature sheet, medical order, evaluation sheet, nursing record, and other nursing documents in the study group was lower than the control ( P < 0.05 ). The scores of nursing communication, professional technology, nursing service attitude, nursing environment, and knowledge education in the study group were higher in contrast to the control ( P < 0.05 ). Conclusion. The application of PDCA management can effectively enhance the nursing quality and safety of the day operation ward, further facilitate the quality of hospital nursing work, and improve patient satisfaction, which exert great potential, and application value in the management of day ward in the future.

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“…It is time-sensitive and sequential [ 9 ]. Kong's team [ 10 ] conducted a study on 1020 patients receiving treatment in the endoscopy room, which included 512 patients in the PDCA group, and implemented a series of PDCA cycle management measures. The results found that, compared with the conventional management group, patients who applied the PDCA method had a lower incidence of nosocomial infections, sharp injury, and biological contamination and a higher rate of endoscopic cavity disinfection.…”

Section: Introductionmentioning

confidence: 99%

Changes in the Quality of Life, Psychological Status, Medication Compliance, and Prognosis of Patients with Acute Myocardial Infarction after PCI by Applying PDCA Cycle Management Model

Li

¹

,

Hong

²

,

Liu

³

2021

Evidence-Based Complementary and Alternative Medicine

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Objective. To discuss the changes in the quality of life, psychological status, medication compliance, and prognosis of patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI) by applying plan-do-check-action (PDCA) cycle management model. Methods. A total of 125 patients with AMI who underwent PCI in our hospital from June 2018 to June 2020 were selected and divided into control group (n = 62) and research group (n = 63) by the random number method. The conventional nursing measures were used in the control group, and the PDCA cycle management model on the basis of the control group was used in the research group. The changes in the quality of life, psychological status, medication compliance, and prognosis were observed. Results. After intervention, the Generic Quality of Life Inventory-74 scores and the self-made medication compliance questionnaire score of the research group were higher than the control group ( P < 0.05 ). After intervention, the self-rating anxiety scale score and self-rating depression scale score of the research group were lower than those of the control group ( P < 0.05 ). The total incidence of adverse events in the research group (7.94%) was lower than that in the control group (20.97%) ( P < 0.05 ). Conclusion. After the application of PDCA cycle management model, the quality of life, psychological status, medication compliance, and prognosis of AMI patients who underwent PCI were improved.

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“…In addition, PDCA cycle management is a step-by-step process of dynamic cycle according to the specific situation of each department, making targeted goals and plans, implementing PDCA small cycle and large cycle, gradually improving the quality of nursing work under repeated plan-do-check-action, and, finally, achieving the ideal goal ( 20 ). PDCA cycle is a comprehensive cycle, the four stages are inseparable, and the cycle is continuous, with standardization and institutionalization ( 21 ). In the PDCA cycle, the small cycle is the decomposition and guarantee of the implementation of the large cycle.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Application Effect of PDCA Cycle Management Combined With Risk Factor Management Nursing for Reducing Infection Rate in Operating Room

Chen

¹

,

Wang

²

,

Qi

³

2022

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PurposeTo explore the application effect of plan-do-check-action (PDCA) cycle management combined with risk factor management nursing in an operating room.MethodsA total of 150 surgical patients in our hospital from November 2020 to February 2021 were selected as the conventional group, and 150 surgical patients in our hospital from March 2021 to June 2021 were selected as the research group. The conventional group implemented routine infection management, and the research group implemented PDCA cycle management combined with risk factor management. Detection of pathogenic bacteria, incidence of incision infection, infection control, occurrence of irregular events, and nursing quality in the operating room were observed in the two groups.ResultsThe detection rate of Gram-negative bacillus and Gram-positive cocci, infection rate of incision, and total incidence of irregular events in the research group were lower than those in the conventional group (P < 0.05). The qualified rate of disinfection of object surface, hands of medical staff and air, and nursing quality scores in the research group were higher than those in the conventional group (P < 0.05).ConclusionPlan-do-check-action (PDCA) cycle management combined with risk factor management nursing can reduce the detection rate of pathogenic bacteria and infection rate of incision in the operating room, reduce the incidence of irregular events, improve the qualified rate of disinfection, and greatly improve the quality of nursing, which can be considered to be widely used in clinical practice.

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The application of plan, do, check, act (PDCA) quality management in reducing nosocomial infections in endoscopy rooms: It does work

Cited by 27 publications

References 32 publications

Application of PDCA Process Management in Day Operation Ward and the Influence of Nursing Quality and Safety

Application of PDCA Process Management in Day Operation Ward and the Influence of Nursing Quality and Safety

Changes in the Quality of Life, Psychological Status, Medication Compliance, and Prognosis of Patients with Acute Myocardial Infarction after PCI by Applying PDCA Cycle Management Model

Analysis of the Application Effect of PDCA Cycle Management Combined With Risk Factor Management Nursing for Reducing Infection Rate in Operating Room

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