Application of Quality Control Circle Activity in Improving Effectiveness of Drug Intervention in Lung Cancer Patients with Moderate to Severe Pain

Gu, Ming; Hua, Xiaoli; Li, Shijun; Luo, Juan; Liu, Jinmei; Zhang, Yu; Chen, Shi

doi:10.1007/s11596-021-2451-x

Cited by 3 publications

(6 citation statements)

References 13 publications

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“…[26][27][28] With the development of current medical management models, PDCA cycle model management is gradually applied to clinical management, which can not only reduce nursing risks and nursing error events, but also improve nursing quality. [29,30] During the implementation of the PDCA cycle model, first, evaluate the existing problems in nursing, develop reasonable intervention plans based on the evaluation results, target and address nursing problems through regular or irregular inspections, and then conduct PDCA management again to improve the risk management awareness of nursing personnel through a step-by-step model. [31][32][33] From the results of this study, it can be seen that after the implementation of PDCA cycle management, the infection rate in the patient's endoscope room significantly decreased, the air qualification rate in the endoscope room significantly increased, the patient's respiratory rate, heart rate, systolic blood pressure, and diastolic blood pressure indicators significantly decreased, the rate of nursing errors and complaints significantly decreased, and nursing satisfaction significantly improved.…”

Section: Discussionmentioning

confidence: 99%

Application effect of PDCA circulation on nursing quality management and risk control in digestive endoscopy room

Xu,

Shi,

Liu

2023

Medicine

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To explore the application effect of plan, do, check, action (PDCA) cycle on nursing quality management and risk control in digestive endoscope room. Ninety patients who received digestive endoscopy care before undergoing PDCA circulation mode risk control from January 2022 to April 2022 were selected as the Common group. From May 2022 to December 2022, 156 patients who underwent digestive endoscopy care after undergoing PDCA cycle mode risk control were selected as the PDCA group. Compare the infection status of patients in the endoscope room and the qualification of the air in the endoscope room before and after PDCA circulation management. Compare the respiratory rate, heart rate, systolic blood pressure, diastolic blood pressure, and nursing satisfaction of patients in the Common group and the PDCA group. Compare the qualified rate of endoscopic cavity disinfection before and after PDCA cycle management, the qualified rate of endoscopic external disinfection, and the management score. Four patients in the Common group developed infection, with an infection rate of 4.44%. One case of infection occurred in the PDCA group, with an infection rate of 0.64%. The qualified rate of the endoscope room air in the Common group was 92.22%, while the qualified rate of the endoscope room air in the PDCA group was 98.72%. Compared with the Common group, the infection rate of patients in the PDCA group significantly decreased, and the qualified rate of air in the endoscope room significantly increased. The respiratory rate, heart rate, systolic blood pressure, diastolic blood pressure, nursing errors, and nursing complaint rates of patients in the PDCA group were significantly lower than those in the Common group, and nursing satisfaction was significantly higher than those in the Common group. The qualified rate of endoscopic cavity disinfection and endoscopic external disinfection in the PDCA group were significantly higher than those in the Common group. Compared with before management, the scores of post management, nursing safety, disinfection and isolation, instruments, theoretical tests, and operational tests of nursing personnel after management increased significantly. The PDCA cycle is well applied in nursing quality management and risk control in the digestive endoscope room.

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Section: Discussionmentioning

confidence: 99%

Application effect of PDCA circulation on nursing quality management and risk control in digestive endoscopy room

Xu,

Shi,

Liu

2023

Medicine

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“…However, PIM use requires some special judgment criteria, and doctors easily ignore PIM use in the busy work of outpatient clinics. Considering that doctors will not only prescribe drugs for the treatment of lung cancer but also start other related drugs for complications caused by lung cancer, such as pain and depression (Park et al, 2016;Gu et al, 2021;He et al, 2022), it is also difficult to reduce the number of medications. At present, some studies have shown that the release of expert consensus or some policies can promote the rational application of drugs.…”

Section: Discussionmentioning

confidence: 99%

Impact of the expert consensus on polypharmacy and potentially inappropriate medication use in elderly lung cancer outpatients with multimorbidity: An interrupted time series analysis, 2016–2021

et al. 2022

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Objectives: Elderly lung cancer patients often have chronic diseases other than lung cancer. Therefore, this kind of population is often accompanied by polypharmacy. This situation and the resulting potentially inappropriate medication (PIM) use are an increasing global concern. In this context, the Chinese Association of Geriatric Research issued an expert consensus on the safety management of polypharmacy. However, the long- and short-term effects of the expert consensus on polypharmacy and PIM use are not clear.Methods: The study was conducted in Chengdu, a city in southwestern China, consisting of prescriptions for elderly lung cancer outpatients with multimorbidity (cancer with other diseases) from January 2016 to December 2021. The 2019 Beers criteria were used to evaluate PIM use, and interrupted time series analysis was used to evaluate the longitudinal effectiveness of expert consensus by measuring the prevalence of polypharmacy and PIM use. We used R software version 4.2.0 for data analysis.Results: A total of 7,238 elderly lung cancer outpatient prescriptions were included in the study. After the publication of the expert consensus, the level (β = -10.273, P < 0.001) of the prevalence of polypharmacy decreased, but the trend (β = 0.158, p = 0.855) of polypharmacy increased. The prevalence of PIM use decreased abruptly (β = -22.828, p < 0.001) after the intervention, but the long-term trend was still upward (β = 0.907, p = 0.916).Conclusion: The long-term effects of the publication of the expert consensus on the prevalence of polypharmacy and PIM use in hospitals in Chengdu were not optimal. Future research on interventions rationing polypharmacy and PIM use is needed.

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“…In this process, four dimensions were concerned: leaders’ concern, importance, urgency, and circle capability. The weight of the above four dimensions were 36, 29, 16, and 19%, respectively based on the scores rated by QCC members using the L-type matrix ( 16 ). According to the different extent, three grades for each dimension were classified with a score of 5, 3, and 1 corresponding to each grade.…”

Section: Methodsmentioning

confidence: 99%

“…The QCC head and members assessed the various measures, and also evaluated and supplemented each strategy according to a 5-point system and the principle of “5W1H” (Who, What, When, Where, Why, and How), respectively ( 16 ). According to the root causes, the positive strategies were optimized as follows.…”

Section: Methodsmentioning

confidence: 99%

“…The top three themes of QCC activities in medical care are reducing the incidence of accidental falls, pressure ulcers, and decreasing pharmacy dispensing errors ( 15 ). Recently, some studies focused on the effects of QCC activities on cancer patients, including the improvement of drug intervention effectiveness ( 16 ) and immune function ( 17 ), and cancer pain control ( 18 , 19 ). However, few studies explored the role of QCC activities in the improvement of nutritional status in cancer patients ( 17 ), and no study has yet explored the effect of QCC activities on EFP accuracy in cancer patients.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A quality control circle process to improve enteral nutrition feeding support in discharged patients with colorectal cancer

Lin

et al. 2023

Front. Nutr.

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Correct usage and maintenance of the enteral nutrition feeding pump system is always a challenge in nutrition support for patients with colorectal cancer (CRC). However, there are few studies on the sustained accuracy improvement of the enteral nutrition feeding system in discharged CRC patients. Here, we established a seven-month quality control circle (QCC) activity with the theme of improving the performance of home enteral feeding pumps (EFP) and examined the effect of QCC activity on the nutritional state and quality of life in discharged CRC patients. We enrolled 100 discharged CRC patients treated with home enteral nutrition from Zhejiang Cancer Hospital between March 2020 and December 2021. The patients were randomly split into two research groups: one participated in the QCC activity (n = 50) and the other did not (n = 50). QCC analysis indicated that the top 3 causes of EFP inaccurate usage are the simple and boring contents of training, various types of pumps, no examination rules, and lack of management. Furthermore, both intra- and inter-group comparisons showed that QCC significantly improved the patients’ pass rate of nutrition pump operation from 52 to 70% after 1-month of activity, which gradually improved and got the highest (90%) after 3 months (p < 0.05). Interestingly, the established QCC activity significantly increased the patient-generated subjective global assessment (PG-SGA) and Barthel index (BI) scores, body fat mass (BFM) and superior longitudinal muscle (SLM) by intra- and inter-group comparisons. In this study, we clarified the main causes of inaccurate EFP usage and established a QCC process to improve the pass rate of EFP usage. It finally leads to the improvement of nutritional state and quality of life in CRC patients.

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Application of Quality Control Circle Activity in Improving Effectiveness of Drug Intervention in Lung Cancer Patients with Moderate to Severe Pain

Cited by 3 publications

References 13 publications

Application effect of PDCA circulation on nursing quality management and risk control in digestive endoscopy room

Application effect of PDCA circulation on nursing quality management and risk control in digestive endoscopy room

Impact of the expert consensus on polypharmacy and potentially inappropriate medication use in elderly lung cancer outpatients with multimorbidity: An interrupted time series analysis, 2016–2021

A quality control circle process to improve enteral nutrition feeding support in discharged patients with colorectal cancer

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