品管圈醫(yī)療QC提高孕婦從穿刺到分娩后留置針de完好率科室:分娩中心匯報(bào)人:XXXProfessionalcustomallkindsofindustryppttemplate,thisworkbelongstoflyimpressiondesignoriginal,donotdownloadafterthenetworkcommunication.目錄CONTENTS成員介紹主題選定計(jì)劃擬定現(xiàn)況把握零一零二零三零四零一成員介紹WHATWHENWHOHOW主題日期負(fù)責(zé)人PDCA工具周數(shù)一周二周三周四周一周二周三周四周一周二周三周四周一周二周三周四周一周二周三周四周一周二周三周四周一周二周三周四周一周二周三周四周確定成員P主題選定

頭腦風(fēng)暴計(jì)劃擬定

頭腦風(fēng)暴、甘特圖現(xiàn)況把握

查檢表、柏拉圖目標(biāo)設(shè)定

條形圖解析

魚骨圖、柏拉圖對(duì)策擬定

頭腦風(fēng)暴、小組討論D實(shí)施與檢討

PDCAC效果確認(rèn)

柏拉圖、雷達(dá)圖A標(biāo)準(zhǔn)化

頭腦風(fēng)暴、小組討論檢討與改進(jìn)

小組討論三零%四零%二零%一零%時(shí)間:年一日至年三一日收集對(duì)象:分娩中心份采集數(shù)二二一份

日期項(xiàng)目第一周第二周第三周第四周合計(jì)穿刺后護(hù)理環(huán)節(jié)五八七五二五固定環(huán)節(jié)四三二六一五產(chǎn)婦特有因素二二一二七穿刺環(huán)節(jié)一二一一五分娩特有因素一一零一三其他零零一一二合計(jì)一三一六一二一六五七查檢表de制定現(xiàn)狀完好率:（二二一-五七）/二二一=七四%本次改善重點(diǎn)醫(yī)囑開出靜脈輸液進(jìn)行催產(chǎn)素引產(chǎn)判斷有無(wú)留置針發(fā)現(xiàn)輸液泵報(bào)警準(zhǔn)備用物開始穿刺查看輸液泵報(bào)警de提示內(nèi)容三M敷貼固定根據(jù)報(bào)警內(nèi)容調(diào)整發(fā)現(xiàn)問(wèn)題,靜脈重新固定,重新穿刺繼續(xù)催產(chǎn)素引產(chǎn)根據(jù)柏拉圖分布de結(jié)果顯示,“穿刺后護(hù)理環(huán)節(jié)、固定環(huán)節(jié)、產(chǎn)婦特有因素”這三個(gè)因素在所有de原因中占了八零%,故將此三項(xiàng)列為本期活動(dòng)de改善重點(diǎn).結(jié)論TherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalterationConstruction&DesignTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalteration.GoCloudTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalterationBrainstorm&IdeasTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalteration.ReviewTheResultsTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalteration.JuststartTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalteration.JuststartTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalteration.JuststartTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalteration.Juststart零一零二零四零三零二主題選定靜脈留置針在產(chǎn)婦分娩中有著很大de優(yōu)越性,運(yùn)用留置針:有利于保持靜脈通路,降低輸液滲透,針頭脫出,針頭堵塞發(fā)生率避免反復(fù)穿刺,減輕孕婦痛苦降低護(hù)士de工作量.提高工作效率參考文獻(xiàn)靜脈留置針在產(chǎn)婦分娩中de應(yīng)用體會(huì)朱曉紅一八G留置針在產(chǎn)婦分娩中de應(yīng)用體會(huì)王英靜脈留置針在分娩過(guò)程中de應(yīng)用選題背景但是孕婦在分娩過(guò)程中留置針容易滑脫,反折,三M敷貼固定容易卷邊導(dǎo)致:一、輸液不能以最快de速度進(jìn)入二、留置針浪費(fèi)三、孕婦重復(fù)de留置四、助產(chǎn)士重復(fù)工作量五、三M敷貼浪費(fèi)六、住院病人滿意度降低.所以,提高孕婦從穿刺到分娩后留置針de完好率迫在眉睫二零一四五零六零七零九零標(biāo)題一現(xiàn)況值:健康教育知曉率七四%標(biāo)題二改善重點(diǎn):來(lái)自改善前de柏拉圖八零%標(biāo)題三組能力:三零/三五×一零零%=八五.七%標(biāo)題四目標(biāo)值=現(xiàn)況值+改善值=現(xiàn)況值+(一-現(xiàn)況值）x改善重點(diǎn)x圈員能力=七四%+(一-七四%）x八零%x八五.七%=九二%對(duì)醫(yī)院而言提高患者滿意度,增加社會(huì)效應(yīng),提升醫(yī)院de整體品牌形象對(duì)患者而言促進(jìn)患者積極配合,確保治療和護(hù)理de順利實(shí)施,促進(jìn)患者早日康復(fù).Therearemanyvariationsofpassagesofloremipsumavailable,butthemajorityhavesufferedalterationinsomeform,byinjectedhumourrandomizedwordswhichdon'tlookevenslightlybelievable.IfyouaregoingtouseApassageofloremipsum,youneed

tobesurethereembarrassinghiddeninthemiddleoftext.Alltheloremipsumgeneratorsontheinternettendtorepeat

predefinedchunksasoflorembutthemajorityhavesufferedalterationinsomeformnecessary.TitleGoesHereTherearemanyvariationsofpassagesofloremipsumavailable,butthemajoritysufferedalteration

someformKeywordTitleGoesHereTherearemanyvariationsofpassagesofloremipsumavailable,butthemajoritysufferedalteration

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someformKeywordTitleGoesHereTherearemanyvariationsofpassagesofloremipsumavailable,butthemajoritysufferedalteration

someformKeywordTitleGoesHereofpassagesoflorembuttheismajorityalterationoftheisworld.TitleGoesHereofpassagesoflorembuttheismajorityalterationoftheisworld.TitleGoesHereofpassagesoflorembuttheismajorityalterationoftheisworld.TitleGoesHereofpassagesoflorembuttheismajorityalterationoftheisworld.Therearemanyvariationspassagesloremipsumavailablemajorityhavesufferedalteration.Therearemanyvariationspassagesloremipsumavailablemajorityhavesufferedalteration.Therearemanyvariationspassagesloremipsumavailablemajorityhavesufferedalteration.三五%五零%一五%NumberOneTherearemanyvariationsofpassageloremipsumavailable零一NumberTwoTherearemanyvariationsofpassageloremipsumavailable零二NumberThreeTherearemanyvariationsofpassageloremipsumavailable零三零三計(jì)劃擬定改善前目標(biāo)值七四%九二%到八月將產(chǎn)房留置針完整率達(dá)到九二%項(xiàng)

目改善前改善后活動(dòng)成長(zhǎng)正/負(fù)向總分平均總分平均

責(zé)任與榮譽(yù)感

三一二.八四九四.五一.七

解決問(wèn)題能力三一二.八四四四一.二

積極性二九二.六四九四.五一.九

和諧度三零二.七四四四一.三

溝通技巧三四三.一四九四.五一.四

質(zhì)管工具應(yīng)用一五一.四四零三.六二.二

凝聚力三四三.一五二四.七一.六

在開展持續(xù)改進(jìn)提高孕婦從待產(chǎn)室到分娩后留置針de完好率,小組成員通過(guò)集中討論分析原因,及時(shí)更新發(fā)送設(shè)備設(shè)施,制定適合本科de采集發(fā)送流程等一系列對(duì)策,有效減少各種導(dǎo)致標(biāo)本采集發(fā)送環(huán)節(jié)失誤de節(jié)點(diǎn),同時(shí)提升了相關(guān)人員業(yè)務(wù)水平和解決應(yīng)急事件,溝通等能力.二零一二二零一三TitleGoesHereTitleGoesHereTitleGoesHereTitleGoesHereTitleGoesHereTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalteration.KeywordHereTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalteration.KeywordHereTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalterationKeywordHereTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalterationKeywordHere組長(zhǎng):XXTherearemanyvariationsofpassagesofLoremIpsum

availablebutthemajorityhavesufferedalteration.零一協(xié)調(diào)員/秘書:XXTherearemanyvariationsofpassagesofLoremIpsum

availablebutthemajorityhavesufferedalteration.零二成員:XXXXX零三查檢項(xiàng)目

數(shù)量

所占比例（%）累計(jì)百分比（%）穿刺后護(hù)理環(huán)節(jié)二五四三.九四三.九固定環(huán)節(jié)一五二六.三七零.二產(chǎn)婦特有因素七一二.三八二.五穿刺環(huán)節(jié)五八.七九一.二分娩特有因素三五.三九六.五其他二三.五一零零%零四現(xiàn)況把握FirstStepTherearemanyinvariationspassageofloremipsumavailablebutthemajorityhaveinslightlySecondStepTherearemanyinvariationspassageofloremipsumavailablebutthemajorityhaveinslightlyThirdStepTherearemanyinvariationspassageofloremipsumavailablebutthemajorityhaveinslightlyFourthStepTherearemanyinvariationspassageofloremipsumavailablebutthemajorityhaveinslightly為什么抗腫瘤藥物操作會(huì)不規(guī)范化療廢棄物專用垃圾桶少無(wú)專用化療操作箱專用容器缺乏標(biāo)識(shí)不清無(wú)靜脈給藥流程規(guī)程不夠細(xì)化與靜配室接藥流程缺乏化療藥物外滲應(yīng)急預(yù)案未更新抗腫瘤藥物暴露應(yīng)急預(yù)案不夠責(zé)任心不強(qiáng)防護(hù)意識(shí)不強(qiáng)防護(hù)意識(shí)不強(qiáng)化療知識(shí)防護(hù)信息更新慢防護(hù)知識(shí)缺乏與外院缺少學(xué)習(xí)交流人員配置不合理人力不足未按操作規(guī)程無(wú)充足de放置空間化療廢棄物無(wú)專門放置點(diǎn)空間狹小無(wú)專用放置容器護(hù)士設(shè)備環(huán)境操作流程DescriptionTherearemanyvariationsofThepassagesofloremipsumavailablebutthemajorityhavesufferedofalterationinsomeform.二零%DescriptionTherearemanyvariationsofThepassagesofloremipsumavailablebutthemajorityhavesufferedofalterationinsomeform.三零%DescriptionTherearemanyvariationsofThepassagesofloremipsumavailablebutthemajorityhavesufferedofalterationinsomeform.五零%TherearemanyvariationsofpassagesofLoremoftheIpsumavailable,butthemajorityhavesufferedalterationinsomeform.TherearemanyvariationsofpassagesofLoremoftheIpsumavailable,butthemajorityhavesufferedalterationinsomeform.TherearemanyvariationsofpassagesofLoremoftheIpsumavailable,butthemajorityhavesufferedalterationinsomeform.Therearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalteration.KeywordHereTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalteration.KeywordHereTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalterationKeywordHereTherearemanyvariationspassagesofloremipsumavailablemajorityhavesufferedalterationKeywordHere時(shí)間:一日至三零日收集對(duì)象:分娩中心份采集數(shù)二六二份改進(jìn)后查檢表de制定醫(yī)療培訓(xùn)低血糖休克護(hù)理查房醫(yī)療培訓(xùn)低血糖休克護(hù)理查房醫(yī)療培訓(xùn)教育低血糖休克護(hù)理查房匯報(bào)人:匯報(bào)時(shí)間:二零XX零一:低血糖休克de概念零三:低血糖de原因零六:低血糖de預(yù)防零五:低血糖休克de搶救零二:低血糖de臨床表現(xiàn)零四:低血糖de危害目錄零一零一低血糖休克概念低血糖休克概念低血糖休克de概念低血糖休克常常由于低血糖癥引發(fā)低血糖癥de人會(huì)覺得虛弱、嗜睡、發(fā)抖、混亂、饑餓及頭暈.皮膚蒼白、頭痛、激動(dòng)、震顫、流汗、心跳加速、發(fā)冷、抽筋感、突然間de情緒改變及行為改變,例如無(wú)事哭泣、笨拙或痙攣性de活動(dòng)、無(wú)法集中注意、嘴部周圍麻刺感等都是低血糖de癥狀.在嚴(yán)重de情況下,病人可能喪失意識(shí),甚至昏迷de情形.長(zhǎng)期de糖尿病患,由于某些對(duì)低血糖反應(yīng)de機(jī)能受到破壞,所以可能無(wú)任何警覺性癥狀,發(fā)生低血糖時(shí)并不察覺,當(dāng)血糖低到某一程度,便馬上昏迷,是極之危險(xiǎn)de一種表現(xiàn).低血糖休克概念低血糖休克概念低血糖休克概念低血糖休克de概念診斷條件靜脈（全血）毛細(xì)血管靜脈（血漿）糖尿病空腹≥六.一≥六.一≥七.零服糖后二小時(shí)≥一零.零≥一一.一≥一一.一糖耐量受損空腹<六.一<六.一<七.零服糖后二小時(shí)六.七～一零.零七.八～一一.一七.八～一一.一空腹血糖受損空腹五.六～六.一五.六～六.一六.一～七.零服糖后二小時(shí)<六.七<七.八<七.八血糖濃度單位:mmol/L零二零二低血糖臨床表現(xiàn)低血糖臨床表現(xiàn)低血糖臨床表現(xiàn)輕度僅有饑餓感,可伴有一過(guò)性出汗,心悸,可自行緩解中度心悸,出汗,饑餓明顯,有時(shí)發(fā)生手抖,頭昏,需補(bǔ)充含糖食物方可糾正.重度是在中度低血糖癥狀de基礎(chǔ)上出現(xiàn)中樞神經(jīng)供能不足de表現(xiàn),如嗜睡,意識(shí)（認(rèn)人,認(rèn)方向）障礙,胡言亂語(yǔ),甚至昏迷,死亡.低血糖臨床表現(xiàn)低于一·零mmol/患者出現(xiàn)昏迷~二·八mmol/患者出現(xiàn)進(jìn)行性認(rèn)知能力下降~三·零mmol/開始出現(xiàn)低血糖癥狀~三·八mmol/血糖水平,胰高血糖素,腎上腺素開始釋放~四·六mmol/胰島素分泌受抑制低血糖臨床表現(xiàn)低血糖不典型癥狀舌根發(fā)麻言語(yǔ)不清反應(yīng)遲鈍煩躁不安不愛理人零三零三低血糖de原因低血糖de原因低血糖de原因葡萄糖生成不足(一)內(nèi)分泌疾病:垂體前葉功能減退癥;腎上腺皮質(zhì)功能減退癥;甲減等.(二)肝糖原累積病.(三)嚴(yán)重肝病及肝淤血.(四)晚期腎病.葡萄糖生成不足(五)半乳糖血癥(因半乳糖一磷酸尿嘧啶核苷轉(zhuǎn)化酶缺陷,使半乳糖不能轉(zhuǎn)化為葡萄糖).(六)其他:長(zhǎng)期酗酒(抑制糖原異生);膿毒血癥;饑餓;惡液質(zhì);劇烈運(yùn)動(dòng)等葡萄糖利用過(guò)度(一)高胰島素血癥:胰島素瘤;肥胖型糖尿病人de新生兒(母親有高胰島素血癥);藥物(如過(guò)量應(yīng)用胰島素、葡萄糖利用過(guò)度磺脲類降糖藥、水楊酸鹽、心得安、雙異丙芐胺、單胺氧化酶抑制劑),胰島素自身免疫性低血糖.(二)腫瘤:如巨大間質(zhì)瘤、原發(fā)性肝癌、胃腸道腫瘤及淋巴肉瘤等低血糖de原因零二餐后（反應(yīng)性）低血糖一.功能性低血糖(情緒不穩(wěn)定和神經(jīng)質(zhì),中年女性多見).二.滋養(yǎng)性胰島素功能亢進(jìn):如胃切除手術(shù)de一傾倒綜合癥;幽門成形術(shù)及胃空腸吻合術(shù)后.三.兒童特發(fā)性自發(fā)性低血糖.四.輕型早期糖尿病(胰島素峰值延遲).低血糖de原因降血糖藥誘導(dǎo)性低血糖癥(一)胰島素用量過(guò)大或相對(duì)過(guò)大或不穩(wěn)定性糖尿病;(二)磺脲類降血糖藥,尤其是格列苯脲(優(yōu)降糖