Minimization of the perianal infection rate of hematological malignancies with agranulocytosis by quality control circle activity and patient–hospital–student win–win concept

Autor: Dan Zhang, Ping Xiang, Liting Huang, Qianli Jiang, Ruiting Wang, Tingfang Liu, Chun Zou, Xu Zehua, Wenyuan Li, Xiaoli Li, Chen Qiufan, Jerry Kitbok Majaw, Weimei Ma, Zhihao Zheng, Yanyan Chai, Hansen Wu, Chenjing Zhao, Jing Sun, Hu Pingling
Rok vydání: 2018
Předmět:
patient–hospital–student win–win
Medicine (General)
medicine.medical_specialty
Students
Medical
Patients
Bone marrow transplantation
bone marrow transplantation
010502 geochemistry & geophysics
agranulocytosis
01 natural sciences
Biochemistry
03 medical and health sciences
R5-920
0302 clinical medicine
Internal medicine
medicine
Humans
hematological malignancies
Medical expenses
Immunodeficiency
0105 earth and related environmental sciences
Patient Care Team
Anus Diseases
Perianal skin
business.industry
perianal infection
Biochemistry (medical)
Quality control
Management Quality Circles
Bacterial Infections
Cell Biology
General Medicine
Models
Theoretical
Pre-Clinical Research Reports
medicine.disease
Hospitals
Infection rate
Water temperature
Hematologic Neoplasms
030220 oncology & carcinogenesis
quality control circle
business
Hospital stay
PDCA
Zdroj: Journal of International Medical Research, Vol 46 (2018)
The Journal of International Medical Research
ISSN: 1473-2300
0300-0605
Popis: Objective The agranulocytosis-associated perianal infection (PI) rate ranges from 60% to 100% among patients with hematopoietic malignancies. In this study, we assessed the efficacy of a quality control circle (QCC) to minimize the PI rate. Methods Among 274 patients with severe immunodeficiency (agranulocytosis of ≥2 weeks) in our bone marrow transplantation center, the PI rate was 17.20%. A QCC was established following the 10 steps of the plan-do-check-act (PDCA) model; this was scientifically supported by culturing the bacterial colony from patients’ perianal skin to determine the sanitization effect and interval time. Because a warm aqueous solution of potassium permanganate is recommended for sanitization, the bacterial colony culture was also used to determine the proper drug concentration, water temperature, and soaking time. All procedures were standardized. Patients, hospital staff, and medical students were enrolled into the QCC team based on the patient–hospital–student (PHS) win–win concept. Results After establishment of the PDCA model, the PI rate among 253 patients decreased from 17.20% to 5.93% and remained at 5.25% during the following year. The medical expenses and length of hospital stay consequently decreased. Conclusion The QCC and PHS win–win concept can reduce the PI rate and promote medical quality.
Databáze: OpenAIRE
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