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神经外科品管圈成果报PPT课件

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神经外科 品管 果报 PPT 课件
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As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 品管圈 我们因你而精彩 神经外科品管圈成果汇报 2013年11月 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 科室简介 神经外科护理组是一支团结协作 积极向上 充满爱心的护理团队 目前固定床位26张 护理 人员14人 我们的优质护理服务理念 全力以赴 守护 生命中枢 心手相依 预防并发症于源头 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 品管圈就是由相同 相近或互补之工作场所的人们自动自 发组成数人一圈的质量改善小团体 又称QC小组 一般 5 8人左右 全体合作 集思广益 按照一定的活动程 序 活用品管圈手法 QC新旧七大手法 来讨论 发 现并解决工作现场 管理 文化等方面所发生的问题及课 题 从而改善品质 提升效率 降低作业成本 使一线重 地成为品质管制的核心 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 品管圈对个人的好处 品管圈会议中可以有机会在大众面前讲话 彼此结交更多的 朋友 有助于营造工作场所愉快的气氛能意识到本身工作 的重要性与职责 因而对自己的工作更感到自豪 改善了 个性 与养成专心处理问题的能力 这些品管圈的经验也 可以应用到家庭生活上 品管圈对机构的好处 提高工作士气 提高员工知识与技能 培养积极的工作态度 培养干部领导统御人才 提高机构形象 节省机构成本 提高顾客满意度 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 品管圈 5 8人 相同部门 工作现场 统计学 脑力激荡 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester QCC的组织架构 辅导员 圈长 圈员 圈员圈员圈员圈员 小组人数5 10人为宜 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester As an intern who has just entered kindergarten the following plans have been drawn up for the new semester As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 头脑风暴 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 圈的组成 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 彩虹圈的形成 候选选圈名 选选票 数 排名 结结果 彩虹圈 61 晨曦圈 42 携手圈 33 蓝蓝光圈 14 本次共征集4个候选圈名 经全体与会人员投票后 每人至少选一票 最多 可选三票 彩虹圈获得最高票 故确定彩虹圈为本次QCC圈名 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 圈员 基本 资料 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 圈名及意义 彩虹是阳光与雨最美好的结合 是 大自然对阳光总在风雨后的最完美 的诠释 是一种让人充满希望与生 机的幸福 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 圈徽及其意义 用我们温暖 热情 灵巧的双手为患者架起生命的彩虹 带给病人无微不至的关怀和心灵的沟通 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 阶段一 主题的选定 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 本圈圈员使用脑力激荡法 根据临床工作 经验和临床需要 采用5 3 1打分标准选定 主题 第一顺位为本次活动主题 彩虹圈主题选定 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 彩虹圈主题选定 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 本期活动的主题 提高气管插管口腔护理质量 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 主题选定理由 减轻痛苦 减少感染 发生率 提高了业务 水平 提高了实际 动手能力 提高病人 的满意度 对病人而言对护士而言对医院而言 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 阶段二 拟订活动计划 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 彩虹圈活动计划表 甘特图 在现况调查阶段 因 样本量少 为保证样 本的准确性 延长一 月 表中红色代表计划线 蓝色代表实施的进度 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 阶段三 现 状 把 握 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 现状把握 1 根据上次的特性要因图 或围绕选定的主题 通过圈 会 设计适合本圈现场需要的 易于数据收集 整理的 查检表 2 决定收集数据的周期 收集时间 收集方式 记录方 式及责任人 3 圈会结束后 各责任人员即应依照圈会所决定的方式 开始收集数据 4 数据一定要真实 不得经过人为修饰和造假 5 本阶段使用查检表 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 现状把握 查检表 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 改善前数据收集 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 气管插管口腔常见的问题 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 改善前柏拉图 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 阶段四 目标设定 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 彩虹圈圈能力评价表 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 改善重点 定义 现况把握中需要改善项目的累计百分比 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 目标设定 1 明确目标值并和主题一致 目标值尽量要量化 2 不要设定太多的目标值 最好是一个 最多不超过两 个 3 目标值应从实际出发 不能太高也不能太低 既有挑 战性 又有可行性 4 对目标进行可行性分析 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 目标设定 目标值 现况值 改善值 改善值 现况值 64 6 x 改善重点 80 x 圈能力60 31 目标值 33 6 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 目标设定 降幅48 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 阶段五 解 析 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 要因分析 方法 材料 漱口液选择不当 导管固定用物选择不当 开口器未准备 无气囊压力测定表 擦拭的棉球数量不足 未评估气囊压力 未检查导管置入的深度 未评估口腔黏膜 漱口液选择不当 导管固定位置未更换 口腔保护套处理不到位 未充分吸净口腔分泌物 口腔护理频率不够 擦洗方法不到位 病人 肌张力高 不能进食 吞咽 咀嚼功 能受限 口腔处于开放状态 病情危重 免疫力低 医护 病人多 年轻护士多 治疗量大 工作忙 责任心不强 技术不熟念 影响口腔护理质量的原因 口腔护理标准方法未掌握 导管护理相关知识缺乏 导管放置时间过长 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 圈选主要因素 影响口腔护理质量的原因 对鱼骨图分析 出的要因 根 据经验法则及 参考文献 再 次投票 归纳 出三大主要因 素 口腔护理操作的方法未掌握 专业知识缺乏 年轻护士多 缺少临床经验 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 阶段六 对策拟订 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 对策拟定 1 根据上次圈会把握重要原因和实际观察 分析 研究的结果 按分工的方式 将所得 之对策一一提出讨论 除了责任人的方案构想外 以集思广益的方式 吸收好的意见 2 根据上述的讨论获得对策方案后 让圈员分工整理成详细具体的方案 3 对所制定的具体对策方案进行分析 制定实施计划 并在圈会上讨论 交换意见 定 出具体的步骤 目标 日程和负责人 注明提案人 4 圈长要求圈员根据讨论结果 以合理化建议的形式提出具体的改善构想 5 圈长将对策实施计划及合理化建议报部门主管 经理批准后实施 6 如对策需涉及圈外人员 一般会邀请他们来参加此次圈会 共同商量对策方法和实施 进度 7 本阶段使用愚巧法 脑力激荡法 系统图法 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 对策群组 制定气管插管口腔护理 的评估方法 制定气管插管口腔护理 的操作流程 安排讲课 学习气管插管 的相关知识 加强专科理 论学习 三个对策群组 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 阶段七 对策实施与检讨 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 对策实施与检讨一 P As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 评估方法 评估患者的病情 生命体征 意识和合作程度 评估口腔黏膜有无出血点 溃疡 异味及口腔的PH值 评估操作环境 行肠内营养者 暂停肠内营养15 30分钟 必要时回抽胃液 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 对策实施与检讨二 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 对策实施与检讨三 P As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 阶段八 效果确认 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 改善前 后比较 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 效果确认 有形成果 目标达标率 117 4 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 效果确认 目标达标率 改善后 改善前 目标达标率 X 100 目标值 改善前 28 2 64 6 X 100 33 6 64 6 117 4 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 效果确认 无形成果 注 由7名圈员评分 每项采用 最高5 最低1打分 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 效果确认 无形成果 雷达图 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 效果确认 进步率 改善前 改善后 进步率 X 100 改善前 64 6 28 2 X 100 64 6 56 34 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 阶段九 标准化 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 标准化 1 为使对策效果能长期稳定的维持 标准化是品管圈改 善历程的重要步骤 2 把品管圈有效对策纳入公司或部门标准化体系中 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 阶段十 检讨与改进 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 检讨与改进检讨与改进 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester
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