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

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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.	唐洪钦, 赵丽, 谭小云, 等. 品管圈在骨科患者基础护理服务中的实践效果[J]. 解放军护理杂志, 2013, 30(10):52-54.
15.	王临润, 汪洋, 张相宜, 等. 品管圈管理在医疗机构中的应用价值[J]. 医药导报, 2012, 31(6):823-826.
16.	Scheithauer S, Eitner F, Häfner 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. 黄金姣, 梁金清, 李春莲, 等. PDCA循环管理在门诊医务人员手卫生管理中的应用[J]. 护理管理杂志, 2013, 13(4):267-268.
2. 苏黎, 刘素球, 雷钊慧. 临床护士手卫生现状及影响因素[J]. 当代护士, 2012(7):96-97.
3. 朱泓. 品管圈活动在提高门诊药房工作质量中的应用[J]. 药学服务与研究, 2008, 8(6):466.
4. 鄢雨英, 林莉莉, 郑佳音. 品管圈活动对提高护理病历书写完整性的效果观察[J]. 护理与康复, 2010, 9(7):625-626.
5. 梁铭会, 刘庭芳, 董四平. 品管圈在医疗质量持续改进中的应用研究[J]. 中国医院管理, 2012, 2(32):37-39.
6. 周智维, 王峥峥. 品管圈活动在提高手术室巡回护士手卫生依从性中的应用[J]. 护理与康复, 2013, 12(6):587-589.
7. 曹敏, 蒋莲萍, 徐小燕, 等. 品管圈在推进急诊科护理人员手卫生中的作用[J]. 中华医院感染学杂志, 2012, 22(18):4104-4105.
8. 王春英, 黄淑群, 房君, 等. 应用品管圈活动提高ICU医务人员洗手正确率[J]. 中华医院感染学杂志, 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. 唐洪钦, 赵丽, 谭小云, 等. 品管圈在骨科患者基础护理服务中的实践效果[J]. 解放军护理杂志, 2013, 30(10):52-54.
15. 王临润, 汪洋, 张相宜, 等. 品管圈管理在医疗机构中的应用价值[J]. 医药导报, 2012, 31(6):823-826.
16. Scheithauer S, Eitner F, Häfner 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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