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(hù)圈圈名由來愛的呵護(hù)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(dǎo)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(dòng)時(shí)間2018年6月01日-9月-30日圈員簡介職務(wù)姓名學(xué)歷年資（年齡）職稱分工輔導(dǎo)員曾文娟本科17/35主管護(hù)師監(jiān)督管理、輔導(dǎo)圈長劉惠芳在讀本科6/25護(hù)師分配任務(wù)、組織圈會(huì)圈員伍許月本科11/32主管護(hù)師制定計(jì)劃、效果確認(rèn)圈員魏曉靖大專4/24護(hù)士現(xiàn)狀把握、標(biāo)準(zhǔn)化圈員曾艷華大專16/36主管護(hù)師目標(biāo)設(shè)定、對策實(shí)施與檢討圈員張寒在讀本科10/31護(hù)師解析、檢討與改進(jìn)圈員柳劍慧大專1/23護(hù)士對策擬定圈會(huì)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(tuán)結(jié) 守護(hù)一起呵護(hù)我們的孩子共建愛心圈我們的口號(hào)是翅膀代表兒科全體護(hù)士齊心協(xié)力像和平鴿一樣守護(hù)孩子帶來健康紅心代表護(hù)士用自己的愛心、善心去關(guān)懷每一個(gè)患兒圓圈代表共同托起一片藍(lán)天圈徽兒科的“愛心圈”：“愛心”代表著每個(gè)成員對待每個(gè)患兒都付出愛心，愛心貫穿工作的每一個(gè)細(xì)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(gè)我們都成為 科室的主人、成為質(zhì)量觀察員、改進(jìn)員，為科室質(zhì)量持續(xù)

3、改進(jìn)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(dǎo)問題ththth結(jié)合2017年滿意度調(diào)查滿意度不達(dá)標(biāo)項(xiàng)目：病房整潔度問題護(hù)士靜脈 靜脈穿刺率問題現(xiàn)狀調(diào)查主題選定主題評價(jià) 提案人 提案理由上級(jí)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(fù)。182028208632.提高出院指導(dǎo)落實(shí)率曾文娟/劉惠芳/梁敏儀/柳劍慧/何映珊增強(qiáng)低年資護(hù)士的?？评碚撝R(shí)，提高責(zé)任心，加強(qiáng)與患兒、家屬的有效溝通。2529232910613.提高護(hù)士靜脈穿刺成功率魏曉靖減輕患兒的痛苦與恐懼20252525952 評價(jià)說明分?jǐn)?shù)/人數(shù)重要性迫切性圈能力上級(jí)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(jià)法進(jìn)行主題評價(jià)，共7人參與選題過程，票選分?jǐn)?shù)：5分最高、3分普通、1分最低，第一順位為本期活動(dòng)主題，第二順位為下期活動(dòng)主題主題評價(jià)表主題評價(jià)表評分方法評分辦法分?jǐn)?shù)上級(jí)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(yù)幫助個(gè)人和群體掌握衛(wèi)生保健知識(shí)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(dòng)與過程出院指導(dǎo)：人員要及時(shí)、熱情、主動(dòng)病人離院前做好出院指導(dǎo)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(hù)理內(nèi)容預(yù)防接種指導(dǎo)病人出院后接種疫苗的注意事項(xiàng)告知接種時(shí)間告知預(yù)防接種前的注意事項(xiàng)合理的飲食指導(dǎo)塑造良好的環(huán)境做好手衛(wèi)生，提高免疫力以以預(yù)測和關(guān)注定期電話回訪，做好相應(yīng)的指導(dǎo)，并記錄。建立醫(yī)患群，季節(jié)性流行病告知預(yù)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(hù)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(hù)理人員而言了解疾病相關(guān)知識(shí)減輕焦慮促進(jìn)健康提高家屬滿意度提高護(hù)士專業(yè)理論及知識(shí)水平提高責(zé)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(dòng)計(jì)劃書 月份 周期 活動(dòng)項(xiàng)目2018年6月2018年7月 2018年8月2018年9月負(fù)責(zé)

6、人34123412341234主題選定劉惠芳計(jì)劃擬定伍許月現(xiàn)狀把握魏曉靖目標(biāo)設(shè)定曾艷華解析張寒對策擬定柳劍慧對策實(shí)施劉惠芳效果確認(rèn)伍許月標(biāo)準(zhǔn)化魏曉靖檢討及改進(jìn)張寒備注：“ ”計(jì)劃線，“ ”實(shí)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(fù)責(zé)收集數(shù)據(jù)的人員 全科室護(hù)理人員 When:收集數(shù)據(jù)時(shí)間 2018-6月21至7-13Where:收集數(shù)據(jù)地點(diǎn) 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(hù)士對出院指導(dǎo)?？浦R(shí)及落實(shí)率How:收集收據(jù)的方法 登記出院指導(dǎo)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(dǎo)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(dǎo)完成宣教患兒家屬提出（需求自動(dòng)出院）現(xiàn)狀把握流程圖是否出院家屬簽自動(dòng)出院同意書護(hù)士告知出院，完成出院健康宣教指導(dǎo)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(dǎo)不到位2322312護(hù)士理論知識(shí)缺乏12126家屬文化水平低22家屬無心聆聽、缺乏溝通11護(hù)士工作量大11收集地點(diǎn)：兒科病房查檢表原因例數(shù)百分率累積百分比出院指導(dǎo)不到位1254.5%54.5%護(hù)士理論知識(shí)缺乏627.2%81.7%家屬文化水平低 29.1%

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