兒科品管圈改

1、兒科品管圈改思考圈名心連圈愛心圈呵護圈圈名由來愛的呵護生命的誕生希望的延續(xù)。圈介紹科室兒科圈名愛心圈輔導員曾文娟圈長劉惠芳圈員魏曉靖 伍許月 曾艷華 張寒 柳劍慧活動時間2018年6月01日-9月-30日圈員簡介職務姓名學歷年資（年齡）職稱分工輔導員曾文娟本科17/35主管護師監(jiān)督管理、輔導圈長劉惠芳在讀本科6/25護師分配任務、組織圈會圈員伍許月本科11/32主管護師制定計劃、效果確認圈員魏曉靖大專4/24護士現(xiàn)狀把握、標準化圈員曾艷華大專16/36主管護師目標設定、對策實施與檢討圈員張寒在讀本科10/31護師解析、檢討與改進圈員柳劍慧大專1/23護士對策擬定圈會Here is your t

2、extHere is your textHere is your textHere is your textHere is your textHere is your textHere is your text團結(jié) 守護一起呵護我們的孩子共建愛心圈我們的口號是翅膀代表兒科全體護士齊心協(xié)力像和平鴿一樣守護孩子帶來健康紅心代表護士用自己的愛心、善心去關(guān)懷每一個患兒圓圈代表共同托起一片藍天圈徽兒科的“愛心圈”：“愛心”代表著每個成員對待每個患兒都付出愛心，愛心貫穿工作的每一個細節(jié)，使患兒得到最優(yōu)質(zhì)的照顧。借 助品管圈這一管理工具，使每一個我們都成為 科室的主人、成為質(zhì)量觀察員、改進員，為科室質(zhì)量持續(xù)

3、改進盡自己的一份聰明才智意義主題選定 對患兒及家屬的健康指導問題ththth結(jié)合2017年滿意度調(diào)查滿意度不達標項目：病房整潔度問題護士靜脈 靜脈穿刺率問題現(xiàn)狀調(diào)查主題選定主題評價 提案人 提案理由上級政策迫切性圈能力重要性總分 順 序選定1提高病房整潔度滿意率伍許月提高住院患兒病房環(huán)境，利于疾病的康復。182028208632.提高出院指導落實率曾文娟/劉惠芳/梁敏儀/柳劍慧/何映珊增強低年資護士的?？评碚撝R，提高責任心，加強與患兒、家屬的有效溝通。2529232910613.提高護士靜脈穿刺成功率魏曉靖減輕患兒的痛苦與恐懼20252525952 評價說明分數(shù)/人數(shù)重要性迫切性圈能力上級政

4、策次要性次迫切低0-50%次相關(guān)重要迫切中51%-75%相關(guān)極重要極迫切高76%-100%極相關(guān)注：以評價法進行主題評價，共7人參與選題過程，票選分數(shù)：5分最高、3分普通、1分最低，第一順位為本期活動主題，第二順位為下期活動主題主題評價表主題評價表評分方法評分辦法分數(shù)上級政策迫切性圈能力重要性5非常符合很迫切能勝任很重要3符合迫切尚能勝任重要1不相關(guān)不迫切無法勝任不重要名詞解釋 是通過信息傳播和行為干預幫助個人和群體掌握衛(wèi)生保健知識樹立健康觀念資源有利于健康行為和生活方式的教育活動與過程出院指導：人員要及時、熱情、主動病人離院前做好出院指導提供疾病相關(guān)宣傳手冊以普通話為基礎(chǔ)，依據(jù)病人情況選擇合

5、適的語言家庭護理內(nèi)容預防接種指導病人出院后接種疫苗的注意事項告知接種時間告知預防接種前的注意事項合理的飲食指導塑造良好的環(huán)境做好手衛(wèi)生，提高免疫力以以預測和關(guān)注定期電話回訪，做好相應的指導，并記錄。建立醫(yī)患群，季節(jié)性流行病告知預防措施提供科室電話，方便咨詢?nèi)绾巫尣∪顺鲈汉蟮玫絻?yōu)質(zhì)的家庭護理？圖1 親和圖之資料整合親和卡選題理由對患兒及家屬 而言對院方而言對護理人員而言了解疾病相關(guān)知識減輕焦慮促進健康提高家屬滿意度提高護士專業(yè)理論及知識水平提高責任心改善醫(yī)患關(guān)系利于工作的開展提高工作效率減少醫(yī)療糾紛擬定活動計劃書 月份 周期 活動項目2018年6月2018年7月 2018年8月2018年9月負責

6、人34123412341234主題選定劉惠芳計劃擬定伍許月現(xiàn)狀把握魏曉靖目標設定曾艷華解析張寒對策擬定柳劍慧對策實施劉惠芳效果確認伍許月標準化魏曉靖檢討及改進張寒備注：“ ”計劃線，“ ”實施線 收集資料整理資料 現(xiàn)狀把握根據(jù)5W2H，制定查檢表 Who:負責收集數(shù)據(jù)的人員 全科室護理人員 When:收集數(shù)據(jù)時間 2018-6月21至7-13Where:收集數(shù)據(jù)地點 兒科What:收據(jù)對象 所有住院患兒 家屬Why:收集數(shù)據(jù)的目的 提高護士對出院指導專科知識及落實率How:收集收據(jù)的方法 登記出院指導掌握程度的調(diào)查表 How many:收集數(shù)據(jù) 的多少抽取住院患兒家屬出院對健康指導掌握的程度現(xiàn)

7、狀把握住院患兒家屬問卷調(diào)查改善前問卷調(diào)查結(jié)果得分約 56%?，F(xiàn)狀把握患兒出院醫(yī)生提出（按規(guī)定允許出院告知家屬出院、完成出院宣教指導完成宣教患兒家屬提出（需求自動出院）現(xiàn)狀把握流程圖是否出院家屬簽自動出院同意書護士告知出院，完成出院健康宣教指導至原因6.21-6.256.26-6.307.1-7.57.6-7.107.11-7.13例數(shù)出院指導不到位2322312護士理論知識缺乏12126家屬文化水平低22家屬無心聆聽、缺乏溝通11護士工作量大11收集地點：兒科病房查檢表原因例數(shù)百分率累積百分比出院指導不到位1254.5%54.5%護士理論知識缺乏627.2%81.7%家屬文化水平低 29.1%

8、90.8%家屬無心聆聽，缺乏溝通14.6%95.4%護士工作量大14.6%100%合計22100%數(shù)據(jù)收集統(tǒng)計：50例患兒家屬對出院指導掌握率檢查表結(jié)果原因例數(shù)出院指導不到位12護士理論知識缺乏6家屬文化水平低2家屬無心聆聽，缺乏溝通1護士工作量過大1合計22改善前柏拉圖Here is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here i

9、s your text分析：根據(jù)數(shù)據(jù)查檢表數(shù)據(jù)表明，“出院指導不到位”及“護士理論知識缺乏” 占81.7%，依據(jù)柏拉圖二八定律，將此二大原因例為優(yōu)先改善問題。Here is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is you

10、r text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your textththHere is your text. Here is your text Here is your text. Here is your textHere is your text. Here

11、is your textHere is your text. Here is your text Here is your text. Here is your textHere is your text. Here is your textHere is your text. Here is your text Here is your text. Here is your textHere is your text. Here is your textHere is your text. Here is your text Here is your text. Here is your t

12、extHere is your text. Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your text70%80%60%Here is your text Here is your text Here is your textHere is your text Here i

13、s your text Here is your textHere is your text Here is your text Here is your textHere is your text Here is your text Here is your textHere is your text. Here is your text Here is your text. Here is your textHere is your text. Here is your textHere is your text. Here is your text Here is your text.

14、Here is your text Here is your text. Here is your text Here is your text. Here is your textHere is your text. Here is your text模板設計規(guī)范配色：字體：微軟雅黑、微軟雅黑 Light圖片：本模板使用圖片均來自無版權(quán)免費圖片網(wǎng)站Here is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text H

15、ere is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is your text Here is your textHere is yo