如何让病人参与住院全过程护理质量控制

现代质量控制管理与传统质量管理的区别是由事后转为过程,即病人住院过程中的质量控制。全面质量管理给护理质量控制提供了依据,护理质量控制一要靠设计,二要靠控制检查。我院在护理质控中通过不间断的全过程质量控制,从病人进入医院到走出医院大门都作为护理服务质量控制的范围,为病人提供一个高质量的连续性护理服务。     

分层管理在精神科护理质量控制中的疗效体会

目的：探讨分层管理在精神科会质量控制中的应用价值。方法：将我院精神科病区的护理人员进行分层管理,改变传统护理模式,加强对护理服务的质量控制。比较精神科病区实施分层管理前后的护理质量。结果：实施分层管理后我病区安全质量、专科护理质量、基础护理质量、护理文件质量、急救物品质量、消毒隔离质量等方面内容评定护理质量评分均高于实施分层管理前,差异有统计学意义（P〈0．05）。结论：在护理质量的临床控制管理中应用参与式分层管理模式,能有效调动护士的主观能动性,提升护士的科研素质,提高护理质量。     

PDCA循环在精神科电子护理病历质量管理中的应用

目的：探讨PDCA循环在精神科电子护理病历质量控制管理中的应用效果。方法：抽取PDCA循环质量控制管理前后各200份出院精神科电子护理病历进行评分并比较。结果：应用PDCA循环质量控制管理后精神科电子护理病历评分明显上升,缺陷率和修改率明显下降。结论：PDCA循环质量控制管理是提高精神科电子护理病历质量的有效方法。     

如何让病人参与住院全过程护理质量控制

现代质量控制管理与传统质量管理的区别是由事后转为过程，即病人住院过程中的质量控制，全面质量管理给护理质量控制提供了依据，护理质量控制一要靠设计，二要靠控制检查，我院在护理质控中通过不间断的全过程质量控制，从病人进入医院到走出医院大门都作为护理服务质量控制的范围，为病人提供一个高质量的连续性护理服务，做法介绍如下：     

质量控制小组管理模式在护理管理中的应用评价

目的:通过采用质量控制小组管理模式对我院护理部门进行管理和监督以后,分析管理前后的管理质量,对质量控制小组管理模式的应用进行评价。方法:在本院2017年5月到2018年5月期间,对我院各科室的护理部门采取质量控制小组管理模式,分析管理前后的管理质量。结果:采用质量控制小组管理模式后护理质量以及护理工作满意程度均明显优于实施前,p0.05。结论:通过采用质量控制小组管理模式对我院护理部门进行管理和监督以后,能够提高护理人员的护理水平,降低不良现象的发生情况,该管理模式值得推广和应用。     

规范护理管理控制医院感染

目的 规范护理管理,控制医院感染,提高护理质量.方法 把医院感染管理纳入护理质量管理,在护理管理中建立健全各项质量管理体系,完善控制医院感染管理规章制度,加强护理人员医院感染知识教育和考核,提高护士医院感染管理意识,规范护理操作程序,定期检查督促各项制度的落实,持续进行质量改进.结果 护理人员自觉执行各项操作规程,医院感染管理形成了制度化、规范化,有效地降低医院感染率.结论 规范护理管理是控制医院感染的有效措施.     

个人护理质量检查表的设计与应用

护理质量是护理工作的核心,质量控制是护理管理的重点.为了适应现代护理工作的要求,实行科学的标准化管理和全面有效的质量控制,我院设计了"护理质量个人质量检查表"(以下简称检查表),经应用,在环节质量管理上收到了较好的效果,现介绍如下.     

持续改进护理文书书写质量控制管理方法的体会

目的：提高护理文件书写质量控制效力,使护理文件书写质量持续改进与提高。方法：规范护理管理,加大对护理人员的培训力度;加强护理文件书写质控环节的管理;不断完善系统的病历质控管理组织。结果：提高了护理人员对护理文件书写重要性的认识,重视护理文件环节、终末质量控制,使护理文件书写质量得到了持续改进和提高。结论：持续改进护理文件书写质控管理方法,能提高护理文书书写质量控制效力,确保护理文件书写质量持续改进和提高。     

质量控制在手术室安全管理中的应用

目的：遵循＂以患者为中心＂的服务宗旨,以质量管理为核心,建立质量可追溯机制,持续质量改进,使手术室护理工作规范化。方法：在制定手术室护理质量检查标准基础上,确定质量控制小组管理人员架构,制定质量控制职责及质量控制内容,并采取专人专项管理检查、护士长核心环节控制、项目质量控制、每月质量控制分析及整改等项质量控制措施。结果：实施质量控制提高了手术室工作及管理效益,有利于护士管理能力的培养,并可促进和谐护理团队的形成。结论：将质量控制运用在手术室安全管理中,可以为患者提供优质、高效、安全、便捷的护理服务,值得推广应用。     

分级质量控制在手术室护理管理中的应用

目的:观察分级质量控制在手术室护理管理中的应用效果.方法:2017年1～12月未实施分级质量控制,2018年1～12月实施分级质量控制,比较手术室护理管理中分级质量控制实施前后护理满意度、护理质量评分.结果:实施后手术医生护理满意度97.50％,明显高于实施前87.50％(P＜0.05);实施后手术室护理质量各项评分明...     

A comparative analysis of remuneration models for pharmaceutical professional services

ObjectivesPharmacists provide a wide range of professional services to support the appropriate use of medicines by patients. This study aims to conduct an international, comparative analysis of remuneration models for pharmaceutical professional services.MethodsInformation about remuneration models was derived from a literature review and a semi-structured questionnaire completed by experts.ResultsRemuneration models differ in the way that pharmacists are paid for professional services beyond dispensing medicines. Also, the scope of services that are remunerated varies. The majority of countries regulate remuneration for services only when the medicine is paid for under the reimbursement scheme. Remuneration of services implies a commitment to assure their quality in some countries. Collaborative practice models have been set up where pharmacists work together with other health care professionals to deliver diagnosis-specific services or services based on the patient's use of medicines. The remuneration of services is influenced by the value of services, budgetary constraints, the payer perspective, and the attitude of physicians, pharmacists and patients.ConclusionsProfessional organisations need to formulate a clear strategy for developing and gaining remuneration for pharmaceutical professional services. This implies that pharmacists not only demonstrate the value of services, but also assure their quality.     

Professional quality of life and organizational changes: a five-year observational study in Primary Care

Background  

The satisfaction and the quality of life perceived by professionals have implications for the performance of health organizations. We have assessed the variations in professional quality of life (PQL) and their explanatory factors during a services management decentralization process.     

浅谈医疗设备维修管理模式与实践

目的：解决临床医疗急需、方便百姓就诊、降低医疗设备维修成本,保证医疗安全质量及诊疗工作的正常开展。方法：利用社会资源,专业化队伍服务于医院,以实现真正意义上的医疗设备维修保养的社会化、擘业化、规范化管理。结果：医院通过医疗设备专业队伍的服务与实践工作,使医疗设备维修管理水平得到了极大提高,临床科室对医疗设备的维修保养、巡检等服务效果给予充分肯定,服务满意度达N98％以上。结论：医院医疗设备整体管理水平、设备开机率、临床服务满意度等效果证明,医疗设备专业队伍服务于医院的管理模式是一种先进的、可行的、成熟的医疗设备维修管理模式,具有推广意义。     

Quality improvement of medical diagnostic laboratories

Service quality in medical laboratories is influenced by a number of variables. Medical laboratories have long recognized the need for total quality management that incorporates the continuous improvement of all stages, such as the pre-analytical, analytical and post-analytical phases, of the diagnostic process, in addition to the traditional internal and external quality control of analytical procedures. Based on national and international experience, continuous improvement of quality and its external assessment are of high priority in order to guarantee a reliable, effective and cost-effective diagnostic service. Certification of health care services, according to ISO 9001 standards in Hungarian hospitals, is not sufficient to prove professional competence of medical laboratories, which called for a system of laboratory accreditation. Accreditation is an external professional audit by which an independent accreditation body gives formal recognition that the medical laboratory is competent to provide high quality services that are compliant with rigorous professional standards of best practice. The primary aim of accreditation is the improvement of the quality of diagnostic services by voluntary participation, professional peer review, continuous training and education and compliance with professional standards. In vitro medical laboratories have pioneered quality control and quality assurance in health care. Based on these strengths and traditions, the introduction of the accreditation program of medical laboratories in Hungary is one of the key professional and ethical responsibilities of diagnostic professions, in order to improve the quality, efficiency and effectiveness of laboratory services during the course of Hungary's accession to the European Union.     

Quality systems in health care: a situational approach

Many views on quality management in professional service firms derived from ideas of industrial quality management. It seems that in the area of professional services these ideas are taken over without much criticism. For instance, the ideas on quality control and quality assurance generally are heavily based on the ISO 9000 standards. In The Netherlands the PACE-standards have been deduced from the ISO 9000 standards for application in hospitals. In this paper it has been argued that in many cases a more situational approach will be preferable. A global framework for a quality system in a professional service firm has been presented. This framework has been compared with the restrictions for quality systems in hospitals, following from the PACE-standards.     

探究静脉用药调配中心开展精细化管理对输液质量安全的影响

目的探讨静脉用药调配中心开展精细化管理对输液质量安全的影响。方法随机选取2018-01至2018-12滨州医学院附属医院静脉用药调配科200张处方为对照组,对照组为静脉用药调配中心精细化管理前阶段;随机选取2019-01至2019-12我科200张处方为研究组,研究组为精细化管理后阶段。比较两组不合格处方检出率、科室人员专业知识与操作考核成绩优良率、静脉用药调配中心差错事件发生率。结果研究组不合格处方检出率低于对照组,差异有统计学意义(P<0.05);研究组科室人员专业知识与操作考核优良率高于对照组,静脉用药调配中心差错事件发生率低于对照组,差异均有统计学意义(P<0.05)。结论静脉用药调配中心开展精细化管理对输液质量安全有积极影响,可有效提高科室人员专业知识与操作水平,并降低其静脉用药调配中心差错事件发生率,减少不合格处方,保证输液质量与患者安全。     

The struggle to improve patient care in the face of professional boundaries

Professional boundaries make inter-professional communication, collaboration and teamwork more challenging and can jeopardise the provision of safe, high quality patient care. This in-depth interview study conducted in three UK acute hospital organisations in 2003-2004 explored how professional boundaries affected efforts to improve routine practice by acute pain services (small specialist teams set up to drive improvements in postoperative pain management through education, training, standard-setting and audit). The study found that many anaesthetists and to a lesser extent nursing staff saw postoperative pain management as a new and unjustified addition to their professional role. Professional identities and strong fears about the risks of treatments meant that health professionals resisted attempts by the acute pain services to standardise practice and to change medical and nursing roles in relation to postoperative pain management. Efforts by the acute pain services to improve practice were further hindered by inter-professional boundaries (between the medical and nursing professions) and by intra-professional boundaries (within the medical and nursing professions). The inter-professional boundaries led to the acute pain services devoting a substantial part of their time to performing a 'go-between' function between nurses and doctors. The intra-professional boundaries hindered collaborative working among doctors and limited the influence that the acute pain service nurses could have on improving the practice of other nurses. Further work is needed to address the underlying fears that can lead to resistance around role changes and to develop effective strategies to minimise the impact of professional boundaries on patient care.     

深圳市某区社区卫生服务机构员工工作生活质量研究

工作生活质量作为人力资源管理的重要内容之一，在社区卫生服务机构中还鲜有研究。本文采用定量与定性相结合的方法对社区卫生服务机构员工的工作生活质量进行了初步研究，并在如何提高其工作生活质量方面作了初步的探索。认为不仅要提高其薪资水平，还要给予其专业发展指导，建立起员工对机构的归属感。     

Quality management of occupational health services: The necessity of a powerful medical profession

Over the past few years there has been a growing interest inquality management in occupational health services. In thisarticle the central role of the medical profession in this areais highlighted from a personal point of view. It is argued thata powerful and active profession is needed as a countervailingpower in the field of tension between employees and the company,and for balancing the interests of these two main clients. Therefore,the medical profession should develop a policy on quality andapply quality management on national and local levels to reacha high professional level. In this way the profession can maintainthe clinical autonomy that is necessary to be a countervailingpower. Elements of such quality management are national guidelines,local peer review and intercolleagual visitation. These activitiesmust be incorporated in the quality management of the occupationalhealth services unit.     

Assessing management training needs: a study in the Punjab health services,Pakistan

Pakistan's public sector is organized in a federal system with many management and planning functions devolved to the 4 provincial governments. Provincial health secretariats lead on most policy and planning decisions for health services. The provinces employ health personnel, although the national Public Service Commission controls some key aspects of human resources management. Reporting the findings of a training needs assessment (TNA) for health personnel in the provincial health services of Punjab, the authors show how TNA can be used systematically to improve the quality of health professional training. They also discuss the extent to which better training could contribute to improved health management capacity in Pakistan, and describe the context and problems of Pakistan's health services, focusing upon management capacity, and the methods and results of a training needs assessment conducted to address the problems. A final section covers the usefulness of the TNA method in Pakistan and its applicability to other countries. Moreover, the implications of decentralization and the problems of preparing training plans in the absence of decentralized structures are discussed.