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目 录
第·章 持续改进之路概述及PDCA应用注意要点 ··································1
第·节 持续改进之路概述 ······································································1
第二节 PDCA应用注意要点 ····································································5
第二章 北京大学口腔医院案例 ································································7
第·节 北京大学口腔医院简介 ································································7
第二节 北京大学口腔医院PDCA制度 ······················································10
第三节 北京大学口腔医院PDCA案例 ······················································20
案例1 运用PDCA循环降低阶段性医疗纠纷发生率 ·······························20
案例2 运用PDCA循环持续提升我院抗菌药物使用管理值达标率 ·············28
案例3 运用PDCA循环降低正颌外科患者术后呕吐发生率 ······················37
案例4 运用PDCA循环缩短正颌外科患者术后留置胃管天数 ···················44
案例5 运用PDCA循环减少全口多颗瓷贴面粘接中的牙位混淆例数 ··········53
案例6 运用PDCA循环提高门诊护理人员四手配合开展率 ······················62
案例7 运用PDCA循环提高医务人员手卫生依从性 ·······························74
案例8 运用PDCA循环提高药品不良反应上报率 ··································80
案例9 运用PDCA循环降低住院患者药费负担 ·····································87
案例10 运用PDCA提高颅颌面内固定系统验收率 ································94
案例11 运用PDCA循环降低口腔综合治疗台手机动力不足故障发生率 ···105
第三章 宁夏医科大学总医院案例 ··························································113
第·节 宁夏医科大学总医院简介 ··························································113
第二节 宁夏医科大学总医院PDCA制度 ·················································115
第三节 宁夏医科大学总医院PDCA案例 ·················································117
案例1 运用PDCA循环规范医院危险化学品管理 ································117
案例2 运用PDCA管理工具降低急诊楼中央空调报修量 ·······················125
案例3 运用PDCA循环提高医院质量持续改进项目开展率 ····················132
案例4 运用PDCA方法确保医用耗材冷链存储的安全性 ·······················140
案例5 运用PDCA循环降低颅脑疾病致吞咽障碍患者误吸发生率 ···········147
案例6 运用PDCA循环持续改进医院临床被服洗涤配送服务质量 ···········153
案例7 运用PDCA循环规范胃肠外科肠外营养处方 ·····························162
7-1 改善胃肠外科TPN处方中二价阳离子浓度超标问题 ··········163
7-2 改善胃肠外科TPN处方中能量供给、热氮比普遍偏低问题 ·168
案例8 运用PDCA循环提高临床路径内涵质量 ···································172
案例9 运用PDCA提高诊断医师钼靶阅片识别乳腺癌的敏感性 ··············180
案例10 运用PDCA循环提高医院病房地面清洁质量 ···························185
第四章 北京电力医院案例 ····································································191
第·节 北京电力医院简介 ···································································191
第二节 北京电力医院PDCA制度 ··························································193
第三节 北京电力医院PDCA案例 ··························································194
案例1 运用FOCUS-PDCA改进检验危急值管理 ································194
案例2 应用PDCA规范病案首页的填写项目 ······································204
案例3 运用PDCA循环改进手术风险评估管理 ···································214
案例4 运用PDCA循环管理提高临床痰标本送检合格率 ·······················223
案例5 运用PDCA循环实现医院检查申请单无纸化 ·····························229
第五章 石家庄市妇产医院案例 ·····························································237
第·节 石家庄市妇产医院简介 ·····························································237
第二节 石家庄市妇产医院PDCA制度 ····················································239
第三节 石家庄市妇产医院PDCA案例 ····················································241
案例1 运用PDCA循环减少中央性前置胎盘手术患者难治性出血 ···········241
案例2 运用PDCA循环降低中转剖宫产率 ·········································250
案例3 运用PDCA循环提高门诊医师准时出诊率 ································258
案例4 运用PDCA循环加强药品效期管理 ·········································267
案例5 运用PDCA循环降低会阴侧切率 ············································274
案例6 运用PDCA循环降低接台手术延迟率 ······································282
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