Application of Quality Control Circle in the Management of Hand Hygiene for Nurses in Hemodialysis Center_West China Medical Journal

Authors：

 CHENLin , LIAOZhou-yi , LIChao , YUWen-wen ,  DIAOYong-shu

Hemodialysis Center, Department of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

DIAOYong-shu, Email: dszhbf@163.com

Keywords：

Quality control circle; Hemodialysis; Hand hygiene

DOI：

10.7507/1002-0179.20150265

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the application and effect of quality control circle (QCC) in the management of hand hygiene for nurses in hemodialysis center. Methods QCC was applied in the management of hand hygiene in hemodialysis center from March 2013 to February 2014. Factors affecting the compliance and correctness of hand hygiene in hemodialysis nurses were analyzed, and counter measurements were established and applied. Moreover, effect of QCC management was also assessed. Results After the application of QCC, the compliance and correctness of hand hygiene in hemodialysis nurses increased significantly from 41.02% to 88.46% (P<0.05) and 46.88% to 91.30% (P<0.05), respectively. Moreover, maneuver application, team spirit, professional knowledge, communication and cooperation among nurses were also increased by QCC management. Conclusion The application of QCC can not only increase the compliance and correctness of hand hygiene in hemodialysis nurses but also improve team cohesiveness, which is worth recommendation and promotion.

Citation： CHENLin, LIAOZhou-yi, LIChao, YUWen-wen, DIAOYong-shu. Application of Quality Control Circle in the Management of Hand Hygiene for Nurses in Hemodialysis Center. West China Medical Journal, 2015, 30(5): 929-932. doi: 10.7507/1002-0179.20150265 Copy

1.	黃金姣, 梁金清, 李春蓮, 等. PDCA循環管理在門診醫務人員手衛生管理中的應用[J]. 護理管理雜志, 2013, 13(4):267-268.
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4.	鄢雨英, 林莉莉, 鄭佳音. 品管圈活動對提高護理病歷書寫完整性的效果觀察[J]. 護理與康復, 2010, 9(7):625-626.
5.	梁銘會, 劉庭芳, 董四平. 品管圈在醫療質量持續改進中的應用研究[J]. 中國醫院管理, 2012, 2(32):37-39.
6.	周智維, 王崢崢. 品管圈活動在提高手術室巡回護士手衛生依從性中的應用[J]. 護理與康復, 2013, 12(6):587-589.
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8.	王春英, 黃淑群, 房君, 等. 應用品管圈活動提高ICU醫務人員洗手正確率[J]. 中華醫院感染學雜志, 2013, 23(10):2408-2409.
9.	Trampuz A, Widmer AF. Hand hygiene:a frequently missed lifesaving opportunity during patient care[J]. Mayo Clin Proc, 2004, 79(1):109-116.
10.	Shimokura G, Weber DJ, Miller WC, et al. Factors associated with personal protection equipment use and hand hygiene among hemodialysis staff[J]. Am J Infect Control, 2006, 34(3):100-107.
11.	Scheithauer S, Eitner F, Mankartz J, et al. Improving hand hygiene compliance rates in the haemodialysis setting:more than just more hand rubs[J]. Nephrol Dial Transplant, 2012, 27(2):766-770.
12.	Arenas MD, Sánchez-Payá J, Barril G, et al. Multicentric survey of the practice of hand hygiene in haemodialysis units:factors affecting compliance[J]. Nephrol Dial Transplant, 2005, 20(12):1164-1171.
13.	Wang LR, Wang Y, Lou Y, et al. The role of quality control circles in sustained improvement of medical quality[J]. Springerplus, 2013, 2(1):141.
14.	唐洪欽, 趙麗, 譚小云, 等. 品管圈在骨科患者基礎護理服務中的實踐效果[J]. 解放軍護理雜志, 2013, 30(10):52-54.
15.	王臨潤, 汪洋, 張相宜, 等. 品管圈管理在醫療機構中的應用價值[J]. 醫藥導報, 2012, 31(6):823-826.
16.	Scheithauer S, Eitner F, H?fner H, et al. Long-term sustainability of hand hygiene improvements in the hemodialysis setting[J]. Infection, 2013, 41(3):675-680.
17.	Figueiredo AE, de Siqueira SL, Poli-de-Figueiredo CE, et al. Hand hygiene in peritoneal dialysis patients:a comparison of two techniques[J]. Perit Dial Int, 2013, 33(6):655-661.

1. 黃金姣, 梁金清, 李春蓮, 等. PDCA循環管理在門診醫務人員手衛生管理中的應用[J]. 護理管理雜志, 2013, 13(4):267-268.
2. 蘇黎, 劉素球, 雷釗慧. 臨床護士手衛生現狀及影響因素[J]. 當代護士, 2012(7):96-97.
3. 朱泓. 品管圈活動在提高門診藥房工作質量中的應用[J]. 藥學服務與研究, 2008, 8(6):466.
4. 鄢雨英, 林莉莉, 鄭佳音. 品管圈活動對提高護理病歷書寫完整性的效果觀察[J]. 護理與康復, 2010, 9(7):625-626.
5. 梁銘會, 劉庭芳, 董四平. 品管圈在醫療質量持續改進中的應用研究[J]. 中國醫院管理, 2012, 2(32):37-39.
6. 周智維, 王崢崢. 品管圈活動在提高手術室巡回護士手衛生依從性中的應用[J]. 護理與康復, 2013, 12(6):587-589.
7. 曹敏, 蔣蓮萍, 徐小燕, 等. 品管圈在推進急診科護理人員手衛生中的作用[J]. 中華醫院感染學雜志, 2012, 22(18):4104-4105.
8. 王春英, 黃淑群, 房君, 等. 應用品管圈活動提高ICU醫務人員洗手正確率[J]. 中華醫院感染學雜志, 2013, 23(10):2408-2409.
9. Trampuz A, Widmer AF. Hand hygiene:a frequently missed lifesaving opportunity during patient care[J]. Mayo Clin Proc, 2004, 79(1):109-116.
10. Shimokura G, Weber DJ, Miller WC, et al. Factors associated with personal protection equipment use and hand hygiene among hemodialysis staff[J]. Am J Infect Control, 2006, 34(3):100-107.
11. Scheithauer S, Eitner F, Mankartz J, et al. Improving hand hygiene compliance rates in the haemodialysis setting:more than just more hand rubs[J]. Nephrol Dial Transplant, 2012, 27(2):766-770.
12. Arenas MD, Sánchez-Payá J, Barril G, et al. Multicentric survey of the practice of hand hygiene in haemodialysis units:factors affecting compliance[J]. Nephrol Dial Transplant, 2005, 20(12):1164-1171.
13. Wang LR, Wang Y, Lou Y, et al. The role of quality control circles in sustained improvement of medical quality[J]. Springerplus, 2013, 2(1):141.
14. 唐洪欽, 趙麗, 譚小云, 等. 品管圈在骨科患者基礎護理服務中的實踐效果[J]. 解放軍護理雜志, 2013, 30(10):52-54.
15. 王臨潤, 汪洋, 張相宜, 等. 品管圈管理在醫療機構中的應用價值[J]. 醫藥導報, 2012, 31(6):823-826.
16. Scheithauer S, Eitner F, H?fner H, et al. Long-term sustainability of hand hygiene improvements in the hemodialysis setting[J]. Infection, 2013, 41(3):675-680.
17. Figueiredo AE, de Siqueira SL, Poli-de-Figueiredo CE, et al. Hand hygiene in peritoneal dialysis patients:a comparison of two techniques[J]. Perit Dial Int, 2013, 33(6):655-661.

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West China Medical Journal

Application of Quality Control Circle in the Management of Hand Hygiene for Nurses in Hemodialysis Center

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