How to do a good job in nursing quality management, establish nursing standards and publicize them,
Require the implementation of standards, and timely check and collect the opinions of customers (patients);
Update nursing standards when necessary.
Continuous improvement.
How to improve nursing management quality? Nursing service standards should keep pace with the times and meet the needs of customers (patients);
Nursing staff training in place, strict implementation of norms.
Check the implementation of the specification and solicit customers' opinions.
Find the problems, analyze the reasons, and take measures to improve the service standards.
The significance of nursing quality management Nursing quality is an important part of hospital quality, one of the important signs to measure the quality of medical service, and the epitome to reflect the overall medical quality level. The quality of nursing depends not only on the quality and technical quality of nursing staff, but also on the level of nursing management, especially the methods of nursing quality management. Scientific, effective, rigorous and perfect management methods are the basis of ensuring nursing quality and an important measure to improve nursing quality.
Nursing quality management plan 1, nursing quality management objectives
Strengthen the service concept of patient-centered, quality-centered, adhere to people-oriented, nursing first, pay attention to the quality of nursing service, build a Shandong nursing brand, and strive to achieve the goal requirements of zero distance between nurses and patients, zero error in nursing quality, zero defect in nursing technology and zero complaint in nursing service.
2, nursing quality management standards
Floating upward on the basis of the evaluation standard of secondary general hospitals. Conduct weekly link inspection and monthly comprehensive inspection to continuously improve the quality of nursing and spiral upward. The inspection results are linked to economic benefits. If the pass rate is higher than 1%, 1 minute will be deducted. Now the standard list is as follows:
Project Level II Hospital Standards Our hospital formulates standards.
The intact rate of first-aid articles 100% 100%.
Emergency and critical rescue ≥82% ≥82%
The success rate of rescuing critically ill patients in wards is ≥84% ≥84%.
The number of holistic nursing wards is 100% 100%.
Qualified rate of basic nursing
(The eligibility criterion is 85 points) 100% 100%
The qualified rates of intensive care and first-class nursing are ≥ 85% and ≥ 95%.
The nursing qualification rate of critically ill patients 100% 100%.
"Three Basics" Assessment of Health Technicians
The qualified rate is 100% 100%.
Qualified rate of nursing technology operation
(Pass rate is 85 points) 100% 100%
The number of bedsores per year is 0 times 0 times.
The intact rate of medical equipment and instruments is ≥ 80% and ≥ 90%.
The qualified rate of nursing documents is ≥90% ≥90%.
The qualified rate of ward management is ≥90% ≥90%.
Patient discharge satisfaction ≥95% ≥95%
Satisfaction of nursing service ≥95% ≥95%
The primary healing rate of aseptic operation incision is ≥97% ≥97%.
The infection rate of aseptic operation incision is ≤0.5% ≤0.5%.
The qualified rate of disinfection and sterilization of conventional instruments is 100% 100%.
The later disfigurement rate of disposable syringes and infusion sets was 100% 100%.
Hospital infection rate ≤8% ≤8%
The underreporting rate of nosocomial infection is ≤ 10% ≤ 10%.
One person, one needle, one tube, one use and one disinfection.
Implementation rate 100%
Hospital infection management qualified rate ≥95% ≥95%.
How to improve the nursing quality in operating room management will affect the medical quality and the patient's ... The operating room is an important department for surgical diagnosis, surgical treatment and rescue of patients. The quality of nursing work in operating room will affect the medical quality and the safety of patients. Therefore, the operating room must have strict nursing management knowledge, sound system and strict aseptic technology management, in order to complete various surgical work with high standards. Operating room; Quality management; Hospital perception control 1. Aseptic technology management is the focus of operating room quality management, and also the key to operating room infection management, which is related to surgical incision infection and postoperative healing of patients. It mainly includes several aspects, namely, operating room environment (operating room cleanliness, air and hand disinfection and bacterial culture monitoring, contaminated postoperative treatment), disinfection and sterilization of surgical items, and aseptic technical operation during operation. 1 quality control management of operating room working environment: it is required that sensory nurses must complete air training, hand training and article training every month and record the training results. After infectious surgery, the operating room should be disinfected in time to prevent air transmission. Contaminated instruments and articles should be thoroughly disinfected before use. For patients prone to cross infection, such as hepatitis B and syphilis infection, used surgical instruments should be soaked in disinfectant before treatment. The doors, windows, tables and bed stools of the operating room should be carefully wiped with disinfectant. The total number of bacteria cultured in the air of operating room shall not exceed 200cpu /m3. Regularly carry out sampling bacterial culture on various disinfection (sterilization) items, such as chemical disinfectants and autoclaved items. Nurses should carefully summarize the quality of disinfection, sterilization and cleanliness according to the data provided by monitoring, analyze the causes of problems in time, formulate improvement measures at the same time, and supervise the implementation of all personnel. Management of aseptic operation technology: every action of operating room staff, that is, a little negligence in every operation link from entering the operating room to disinfection to operating table, may lead to the failure of aseptic technology and cause surgical infection. Therefore, the serious operation of aseptic technology must be completed by all doctors and nurses. Management of disinfection and sterilization of surgical articles: the sterilized articles should be cleaned once a week, the expired instruments and dressings should be disinfected again, the disinfection and replacement dates of various articles should be set in time, and the implementers should be implemented. Second, the storage and maintenance of equipment. General equipment shall be kept by special personnel and maintained regularly. Registration books should be used for the positioning and personnel management of precision instruments, and signed by users. Consumable dressings should be taken care of by a special person and replenished in time. Third, preoperative preparation and intraoperative cooperation, we should arrange experienced comrades to cooperate with the instrument class to do a good job of preoperative preparation, establish various materials for surgical instrument preparation, and ensure that the surgical materials are complete, applicable and meet the requirements. Nurses in the operating room are required to know the condition, operation scheme and method before operation, and do a good job in psychological care of patients undergoing operation. We should be skilled, active and meticulous during the operation. Fourth, the prevention of errors and accidents There are many links in the operating room that are prone to errors and accidents, such as the preparation of surgical sites and instruments, intraoperative medication and blood transfusion, and specimen inspection. The negligence of any link may have serious consequences for patients, even life-threatening. To strengthen the sense of responsibility, strict post responsibility system, so that people in the post, who is responsible for the post, improve the rules and regulations. At the same time, it is necessary to organize professional knowledge learning, improve ideological understanding, achieve the purpose of prevention, and prevent mistakes and accidents. It is necessary to organize regular discussions and analyze the causes of errors. Take a warning. Fifth, we should cooperate with the head nurse to carry out total quality management for all the staff, and also pay attention to keeping in touch with the operation department, solicit the opinions of the clinical operation department on a regular basis, and constantly improve and coordinate the operation cooperation. If there are contradictions between departments at work, we should exchange views and support each other based on the interests of the work and patients to ensure the coordination of work. Nurses in the operating room should be modest and sincere, don't blame each other, and ask Qi Xin to work together. Sixth, strengthen business study, master comprehensive knowledge and skills, and organize nursing staff to update their operation skills in a planned way to meet the needs of surgery. The head nurse can make an annual business study plan according to the personal situation of nursing staff, and send people to give lectures every month, with the professional theory of operating room as the main content. It is required to emphasize both professionalism and related theoretical disciplines, combine clinical practice and demonstrate operation, combine theory with practical operation, and strive to apply what they have learned to better cooperate with the development of new surgery. Please teach us how to use new equipment and instruments, so that we can master the operation steps and methods, and use the instruments and instruments skillfully during the operation, and complete the operation smoothly and orderly. 1 Zhang,, Zhang Xiaowan. Monitoring method of nursing quality in operating room, Chinese journal of nursing, 2002; 37(8):6 14~6 152, Liu. Nursing in operating room. Beijing: People's Military Medical Publishing House. 2003,68.
Seeking for nursing quality management system.
How to improve the quality management of ward nursing by head nurses is the eternal theme of nursing work and the core of nursing management. Nursing quality is an important part of medical quality, and it is also one of the important signs to measure the quality of medical service. The quality of nursing depends not only on the quality and technical quality of nursing staff, but also on the level of nursing management, especially the methods of nursing quality management. Scientific, effective, rigorous and perfect management methods are the basis of ensuring nursing quality. As the most basic clinical manager, the ward head nurse plays an important role in the nursing management of the department. How to improve the quality of nursing in departments, I have the following understandings. First, improve professional quality. Pay attention to the self-cultivation of nursing staff and improve their theoretical level and professional and technical ability. First, according to the needs of specialty development, excellent nurses are selected for further study, and nurses are reasonably arranged to study in ICU and ECG room according to the situation of departments, so as to improve nurses' ability to deal with critical and emergency patients. Second, strengthen on-the-job training, and constantly master new theoretical knowledge and technology through monthly nursing rounds and business study; Implement the responsibility of nurses to participate in the rounds of doctors in this group; Strengthen the study of nurses' three basics, specialist theoretical knowledge, core system, emergency plan and technical operation training, strictly implement the examination system, and link each examination result with nurses' monthly assessment and bonus; Strengthen nurses' study of necessary nursing knowledge before medical technology examination and improve their health education ability; The nursing team leader organizes a medical record discussion once a week to improve his comprehensive analysis ability. Third, encourage self-study, encourage and support nurses to take self-study exams for nursing undergraduates, and improve their academic level and quality. Second, enhance legal awareness and strengthen sense of responsibility. A high sense of responsibility is an important content to improve the quality of nursing, and nurses should have a serious and responsible attitude towards patients. Strengthen the legal awareness education and training for nurses and practice nurses, and improve the legal awareness of nursing staff. Nursing mistakes and accidents are largely caused by weak legal awareness and weak sense of responsibility. Nurses mostly complete nursing work alone without the supervision of leaders. Therefore, having a high sense of responsibility and a good spirit of caution is the guarantee to avoid mistakes and accidents. For individual nurses with weak legal awareness and weak sense of responsibility, education should be strengthened in particular. Third, improve the rules and regulations and implement the core system. Formulate and improve various rules and regulations, the responsibilities of all kinds of personnel in each class, and various work standards, so that all nurses in each class have rules to follow and systems to check. Ward grading nursing system, check system, handover system and nursing medical record writing standard system should be carefully organized and strictly implemented. Really, all the rules and regulations should be observed by everyone. In strict accordance with the monthly assessment standards of nurses and the compliance of each department system, the performance of each nurse is assessed. Performance is linked to bonuses, and outstanding nurses and advanced workers are selected according to scores. Fourth, give play to the supervision and inspection role of the quality control team. According to the characteristics and abilities of each nurse, a department nursing quality control group was set up to assist the head nurse to supervise and inspect the medical record management, ward management, basic nursing, first-class nursing, teaching management and first-aid articles management. , so that everyone is responsible, everything is managed, and the tasks and responsibilities of nursing work are implemented to every post and everyone. Hold a regular meeting to analyze the results of nursing quality inspection once a month, summarize and analyze the nursing inspection this month, put forward rectification measures, formulate corresponding unified regulations for existing problems, and embody the concept of process control and continuous improvement. Five, scientific and rational use of human resources. In the case of insufficient nursing staff, the head nurse should flexibly arrange shifts, combine the old and the new in nursing post arrangement, cooperate with each other, and properly consider the reasonable distribution of personnel quality and technical level. Promote the coordination of nursing staff, give full play to complementarity and improve the quality of nursing groups. Sixth, monitoring key links. The head nurse takes the links that are prone to nursing errors and nursing disputes as the key links of nursing risk management to implement management. For example, the management of "key nurses": for nurses with poor basic skills, poor comprehensive quality and poor service awareness, it is necessary to strengthen teaching, supervision and guidance; Management of "critical moment": if there are many patients, a large amount of treatment and nursing care and/or few nursing staff, it is necessary to strengthen organizational management and staffing, report to the nursing department for support when necessary, and strengthen the inspection of first-aid articles to ensure completeness. On holidays, it is necessary to strengthen post inspections. Pay attention to details, eliminate hidden dangers, reduce nursing errors and accidents and avoid medical disputes. Seven, strengthen the concept of nurse service. With the development of medical model and social economy, patients' expectations for nursing are getting higher and higher. How to improve patient satisfaction is also an important standard to measure nursing quality. Strengthen nurses' active service consciousness and establish the service concept of "making patients smile at us". Actively communicate with patients, help patients solve some practical difficulties, and make patients in the best state of receiving treatment and nursing during hospitalization. When dealing with the doctor-patient relationship, we should follow the principle of "I am at fault" and give the "right" to the patient. Anyone who is unfavorable to the image of hospitals and departments is both reasonable and unfavorable, and should not talk to patients. When the patient is dissatisfied or controversial, ask the nurse not to argue with the patient face to face, and the director and head nurse will come forward to help solve the problem. The improvement of patients' satisfaction reflects the improvement of nursing service quality, which not only won good social benefits for the hospital, but also achieved good economic benefits. Eight, to create an environment in Yan Kuan. To improve the quality of nursing, we must take the word "strictness" as the first priority and get rid of the word "fear". Criticism should also focus on art. Many nurses have different personalities, different levels of thinking and understanding, and different attitudes towards accepting head nurses' criticism. Therefore, the head nurse should adopt different criticism methods according to the nature of the problem and the personality of the nurse. But in life, I try my best to solve problems for nurses, understand their needs, treat them like loving mothers and sisters, and let them feel warm in the work of the department. Talk to 1-2 nurses every month to understand their ideological trends and life difficulties and seek improvement measures for nursing work. Organize departmental activities after work to relieve work pressure and harmonize colleagues. Enhance the sense of collective honor and cultivate good team spirit. Unity, cooperation, mutual support and trust are important guarantees to improve nursing quality. The complexity and diversity of nursing work exist objectively, and nursing management should be based on strict quality control. Only by paying attention to the quality of each factor can we plan the overall situation; Attach importance to link quality, final quality and quality feedback control, so as to improve nursing work and quality.
How to carry out nursing quality management and continuous quality improvement There are two key points in quality management: prevention and improvement.
Prevention is the action before the problem occurs; Improvement is the action after the problem occurs.
The key role of PDCA is prevention. For example, if a mold company wants to design a new set of molds, all the problems and difficulties in the design process will be listed before the designed mold design, and improvement measures will be formulated for these expected problems. Once something goes wrong, these things will come into play.