A Quality Control Circle Process to Reduce Blood Culture Contamination Rates

Meta-analysis of effects of quality control circle activities in nursing care of patients with liver cancer undergoing interventional operation

BACKGROUND

Based on the domestic and foreign research on the application of quality control circle (QCC) in interventional therapy of liver cancerapy, we conducted a meta-analysis on its effects to provide nursing workers with evidence on its applications in nursing work.

AIM

To systematically evaluate the effects of QCC in the nursing care of patients with liver cancer undergoing interventional operation by using evidence-based medicine.

METHODS

China HowNet, VIP, Wanfang, PubMed, the Cochrane Library, and EMBASE were searched to retrieve the relevant literature on QCC activity intervention for patients with liver cancer undergoing interventional surgery from June 2010 to June 2020. According to the inclusion and exclusion criteria, the literature was selected, the data were extracted, and the literature quality was evaluated. Revman 5.3 software was used for meta-analysis.

RESULTS

A total of 60 articles were retrieved in this study, and eight were finally included after screening. The results of meta-analysis showed that QCC activity intervention could significantly improve patient satisfaction (odds ratio [OR] = 6.57, 95% confidence interval [CI]: (4.04-10.68, P < 0.00001) and awareness of health knowledge among patients (OR = 5.73, 95%CI: 3.74-9.83, P < 0.00001), and decrease postoperative anorexia (OR = 0.37, 95%CI: 0.21-0.68, P = 0.001), fever (OR = 0.42, 95%CI: 0.26-0.67, P = 0.0003), abdominal pain (OR = 0.36, 95%CI: 0.21-0.62, P = 0.0003), and nausea and vomiting (OR = 0.37, 95%CI: 0.221-0.61, P < 0.0001).

CONCLUSION

For patients with liver cancer after interventional surgery, QCC activity intervention could improve patientg satisfaction and awareness of health knowledge and reduce the surgical complications.

Impact of a quality control circle on the incidence of catheter-associated urinary tract infection: An interrupted time series analysis

BACKGROUND

To report a quality control circle (QCC) activity on the theme of reducing the incidence of catheter-associated urinary tract infection (CAUTI), and used an interrupted time series analysis to evaluate the impact of the QCC.

METHODS

In a general tertiary hospital in Shenzhen, China, we carried out a QCC activity with the theme of reducing CAUTI from April 2017 to December 2017. Before the QCC, we carried out the routine measures; during the QCC, we implemented usual measures and the countermeasures of QCC, and after the QCC, we performed the routine measures and adhered to the core measures of QCC. The interrupted time series analysis method was used to analyze the changes in the CAUTI incidence during the 3 stages.

RESULTS

Before, during, and after the QCC activities, the catheter use ratios and mean indwelling time both had a downward trend; meanwhile, the compliance rate of CAUTI prevention measures showed an upward trend. After the interventions, the CAUTI incidence decreased by 1.317‰ immediately, then gradually decreased by 0.510‰ per month. After the completion of QCC, the CAUTI incidence increased by 0.266‰ immediately and increased by 0.070‰ over time, but the difference was not statistically significant.

CONCLUSIONS

The CAUTI incidence is reduced through QCC, providing a useful reference for the prevention of CAUTI and the development of medical quality improvement activities.