品管圈活動匯報

1、ICU 品管圈活動匯報匯報人：郭秀榮2013-10-30Evaluation Warning : The document was created with Spire.Presentation for .NET在科內(nèi)進進行品管管圈相關(guān)關(guān)基礎(chǔ)知知識培訓(xùn)訓(xùn)具體做法法通過培訓(xùn)訓(xùn)讓每個護護理人員都對對QCC有一個基基礎(chǔ)的了解，明確科室現(xiàn)現(xiàn)階段的工作作重點，提高高參與率。Evaluation Warning : The document was created with Spire.Presentation for .NET輸液安全全管理品品管圈盡心盡力力守護患患者安全全守護圈圈名意義 圈徽圈名Eva

2、luation Warning : The document was created with Spire.Presentation for .NET圈的組成成基本信信息Evaluation Warning : The document was created with Spire.Presentation for .NET圈員的基基本信息息Evaluation Warning : The document was created with Spire.Presentation for .NET圈員的產(chǎn)產(chǎn)生自發(fā)自自愿（舉舉手表決決）原計劃：舉手表表決超過過十人，將進行行選舉決決定Evaluat

3、ion Warning : The document was created with Spire.Presentation for .NET1.主題選定2.目標設(shè)定3.活動計劃與與擬定4.把握現(xiàn)狀狀5.(要因分分析)6.對策擬定定7.對策實施施與檢討討8.效果果確認9.標準化10.檢討與展展望亦可如此此調(diào)整沒有效果果時PLAN計劃DO執(zhí)行CHECK檢查ACTION修正QCC品管圈活動基本本步驟Evaluation Warning : The document was created with Spire.Presentation for .NET圈名、圈圈輝及主主題選定定采采用頭腦腦風暴法法

4、落實圈長申請公共郵箱存放品管圈基礎(chǔ)內(nèi)容布置任務(wù)圈員積極參與在指定時間內(nèi)完成任務(wù)圈長根據(jù)大家提供的信息內(nèi)容及時開會討論推動QCC活動的落實對有疑問、難度較大問題進行集體商討不確定性問題采用評價法（民主決定）品管圈活活動開始始了，圈員員們每人人提供一圈名名、圈輝輝、寓意意、及活動動主題.8月15號之之前完成成Evaluation Warning : The document was created with Spire.Presentation for .NET圈名、圈圈輝及主主題選定定具體做做法品管圈活活動開始始了，圈圈員們每每人提供一圈圈名、圈圈輝、寓寓意、及及活動主題題.ICUEvaluat

5、ion Warning : The document was created with Spire.Presentation for .NET圈名、圈圈輝及主主題選定定具體做做法Evaluation Warning : The document was created with Spire.Presentation for .NET圈名、圈圈輝及主主題選定定具體做做法Evaluation Warning : The document was created with Spire.Presentation for .NET圈輝意義義I:代表我們們ICU的每一位醫(yī)護人人員C(care):代表看護護

6、，照顧顧U(you):代表患者者。我們們希望在在我們的的關(guān)心和和照顧下下，能給給患者帶帶來一副副滿意的的答卷。Evaluation Warning : The document was created with Spire.Presentation for .NET主題選定定采采用頭腦腦風暴法法Evaluation Warning : The document was created with Spire.Presentation for .NET主題選定定理由靜脈輸液液是護理理過程中中最常用用的一項項技術(shù)操操作，在在一定程程度上反反映出護護理質(zhì)量量的優(yōu)劣劣。我科存在在輸液滴滴空未及及時更換換

7、的現(xiàn)象象頻繁出出現(xiàn)，相相關(guān)領(lǐng)導(dǎo)導(dǎo)已多次次提醒。提高護理理人員的的輸液安安全意識識，減少少醫(yī)患糾糾紛。Evaluation Warning : The document was created with Spire.Presentation for .NET制定計劃劃備注：實實線為計計劃時間間，虛線線為實際際操作時時間Evaluation Warning : The document was created with Spire.Presentation for .NET現(xiàn)狀調(diào)查查自制現(xiàn)狀狀調(diào)查表表調(diào)查時間間9月5號-9月15號調(diào)查輸液液更換頻次次1276次；空水未及及時更換例例次80次現(xiàn)狀空水

8、率：6.27%Evaluation Warning : The document was created with Spire.Presentation for .NET現(xiàn)狀調(diào)查查數(shù)據(jù)分析析低年資小容積特殊時段Evaluation Warning : The document was created with Spire.Presentation for .NET影響靜脈脈輸液空空水原因因分析Evaluation Warning : The document was created with Spire.Presentation for .NET改善前柏拉圖88.75%Evaluation W

9、arning : The document was created with Spire.Presentation for .NET目標值設(shè)設(shè)定目標值=現(xiàn)況值-改善值(現(xiàn)況值累計百分分比圈員能力力)目標值=80-(8088.75%82%)=22Evaluation Warning : The document was created with Spire.Presentation for .NET目標值設(shè)設(shè)定80例22例72.5%Evaluation Warning : The document was created with Spire.Presentation for .NET輸液空水水

10、發(fā)生原原因分析析要要因分析析環(huán)境材料小容量液液體多交接班時時段無輸液設(shè)設(shè)備特殊藥物物無家屬陪陪護團隊合作作差意識淡漠漠責任心差差制度人員無輸液管管理制度度無相關(guān)知知識培訓(xùn)訓(xùn)護士年輕輕化人員非配配不合理理引起輸液液空水原原因分析析Evaluation Warning : The document was created with Spire.Presentation for .NET對策擬定定Evaluation Warning : The document was created with Spire.Presentation for .NET對策實施施具體內(nèi)內(nèi)容PDCA問題點一一：輸液液規(guī)范

11、、制度不不健全Evaluation Warning : The document was created with Spire.Presentation for .NET對策實施施具體內(nèi)內(nèi)容PDCA問題點二二：排班班不合理理、個別別班次職職責不明明確、有有時人力力缺乏Evaluation Warning : The document was created with Spire.Presentation for .NET對策實施施具體內(nèi)內(nèi)容PDCA問題點三三：護士年輕輕化、不不明確工工作重點點Evaluation Warning : The document was created with

12、Spire.Presentation for .NET1.主題選定2.目標設(shè)定3.活動計劃與與擬定4.把握現(xiàn)狀狀5.(要因分分析)6.對策擬定定7.對策實施施與檢討討8.效果果確認9.標準化10.檢討與展展望亦可如此此調(diào)整沒有效果果時PLAN計劃DO執(zhí)行CHECK檢查ACTION修正QCC品管圈活動基本本步驟Evaluation Warning : The document was created with Spire.Presentation for .NET效果確認認16例80例6.27%1.15%同期調(diào)查查輸液更換頻頻次1396次次；空水未及及時更換例例次16次次現(xiàn)狀空水水率：1.15%

13、目標實現(xiàn)現(xiàn)Evaluation Warning : The document was created with Spire.Presentation for .NET無形效果果Evaluation Warning : The document was created with Spire.Presentation for .NET1.主題選定2.目標設(shè)定3.活動計劃與與擬定4.把握現(xiàn)狀狀5.(要因分分析)6.對策擬定定7.對策實施施與檢討討8.效果果確認9.標準化10.檢討與展展望亦可如此此調(diào)整沒有效果果時PLAN計劃DO執(zhí)行CHECK檢查ACTION修正QCC品管圈活動基本本步驟Evaluation Warning : The document was created with Spire.Presentation for .NET修訂輸液液規(guī)范，并在科科室管理理中落實實；將輸液空空水現(xiàn)象象列入科科室質(zhì)量量檢查的的標準中中，形成成長效機機制。標準化Evaluation Warning : The document was created with Spire.Presentation for .NET通過本次次開展品品管圈活活動，不不僅提高高了自己己的組織織管理能能力、增增長了電電腦方面面知識，同時讓讓大家認認識了品品管圈，而且還還能用品