Nursing quality management program

1, nursing quality management objectives

Strengthen the patient-centered, quality-centered service concept, adhere to the people-oriented, nursing first, highlighting the quality of nursing services, to create Shandong nursing mouth brand, and strive to achieve the nurse-patient relationship of zero-distance, zero error nursing quality, nursing technology, zero defects in nursing services, nursing service, zero complaints about the requirements of the target.

2, nursing quality management standards

in the second level of general hospital accreditation standards on the basis of upward fluctuations. Weekly link inspection, monthly comprehensive inspection, so that the quality of care continues to improve, spiraling upward, the results of the inspection and economic benefits linked to higher than the passing rate without deducting points, every 1% below the passing rate deducted 1 point. Now the development of the standard list is as follows:

Items of secondary hospital standards Our hospital to develop standards

First aid items intact rate 100% 100%

Emergency critical rescue ≥82% ≥82%

Ward critical patient rescue success rate ≥84% ≥84%

To carry out the overall care of the number of wards 100% 100% 100%

< p>Basic care pass rate

(Passing standard is 85 points) 100% 100%

Special care, first level of care pass rate ≥85% ≥95%

Critical patient care pass rate 100% 100%

Health technicians "three basics" test

Qualification rate 100% 100%

Nursing technical operation qualification rate

(Qualification rate is 85 points) 100% 100%

Annual number of bedsores 0 0 0

Medical equipment, instruments intact rate ≥80% ≥90%

Nursing instruments qualification rate ≥90% ≥90%

Ward management Qualified rate ≥90% ≥90%

Patient discharge satisfaction ≥95% ≥95%

Satisfaction with nursing services ≥95% ≥95%

Aseptic surgical incision healing rate of grade A ≥97% ≥97%

Aseptic surgical incision infection rate ≤0.5% ≤0.5%

Preventive sterilization of routine instruments qualified rate of 100% 100%

Disposable syringes, infusion (blood) devices after use disfigurement rate 100% 100% 100%

Hospital infection rate ≤ 8% ≤ 8%

Hospital infection underreporting rate ≤ 10% ≤ 10%

One person, one needle, one tube, one use, one sterilizer

Execution rate 100% 100%

Hospital infection management rate ≥ 95% ≥ 95%

Hospital infection management qualified rate 95% ≥95%