Application of Quality Control Circle in Improving the Correct Implementation Rate of Multiple Drug Resistant Organism Isolation Measures in ICU Medical Personnel

Dongliang Xu; Weitao Lv; Yixiang Liu; Ziqiang Yu; Yiting Feng; Jiaxing Tang

doi:doi:10.11648/j.ajns.20200906.12

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Application of Quality Control Circle in Improving the Correct Implementation Rate of Multiple Drug Resistant Organism Isolation Measures in ICU Medical Personnel

Dongliang Xu, Weitao Lv, Yixiang Liu, Ziqiang Yu, Yiting Feng, Jiaxing Tang

Published in American Journal of Nursing Science (Volume 9, Issue 6)

Received: 13 October 2020 Accepted: 22 October 2020 Published: 30 October 2020

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Abstract

Objective: Effective isolation management of multiple drug resistant organism (MDRO) patients is considered an important measure to prevent cross-infection. To reduce the spread of MDRO, there is a need to improve the correct implementation of isolation measures for intensive care unit (ICU) medical personnel. We will investigate the application of quality control circle (QCC) activities in improving the correct implementation rate of isolation measures for patients with MDRO in ICU medical personnel. Methods: A 10-member QCC activity group was established. All of the ICU medical personnel were taken as the research objects, including doctors, nurses, assistant nurses, rotation training personnel, external ICU consultants and cleaning personnel. The correct implementation of isolation measures for patients with MDRO infection were investigated and studied, which identified the problem areas and analyzed the main reasons. The quality improvement countermeasures were formulated and implemented in ICU medical personnel, while the results were compared with before and after the QCC activities. Results: After QCC activities, the correct implementation rate of isolation measures by ICU medical personnel for patients with MDRO infection increased from 57.7% to 82.4%. The incidence of MDRO infection in ICU patients decreased from 9.64% to 3.77%, with statistically significant differences (P < 0.05). Conclusion: The QCC activities improved the correct implementation rate of MDRO isolation measures by ICU medical personnel, standardizing the isolation management of MDRO patients, while the incidence of MDRO in ICU patients was also effectively reduced.

Published in	American Journal of Nursing Science (Volume 9, Issue 6)
DOI	10.11648/j.ajns.20200906.12
Page(s)	402-406
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Multiple Drug Resistant Organism, Quality Control Circle, Isolation Measures, Correct Implementation Rate

References

[1]	Siljander M, Sobh A, Baker K C, et al. Multi-Drug Resistant Organisms in the Setting of Periprosthetic Joint Infection – Diagnosis, Prevention and Treatment [J]. Journal of Arthroplasty, 2017, 33 (1): 185-194.
[2]	Labricciosa F M, Massimo S, Abbo L M, et al. Epidemiology and Risk Factors for Isolation of Multi-Drug-Resistant Organisms in Patients with Complicated Intra-Abdominal Infections.[J]. Surgical Infections, 2018, 19 (3): 264-272.
[3]	Ying X U, Bing H, Jie Y, et al. Clinical pharmaceutical care of the infection of multiple drug resistant bacteria in ICU [J]. Shanghai Medical & Pharmaceutical Journal, 2019, 40 (03): 49-51.
[4]	Von Cube M K, Timsit J F, Sommer H, et al. Relative risk and population-attributable fraction of ICU death caused by susceptible and resistant Pseudomonas aeruginosa ventilator-associated pneumonia: a competing risks approach to investigate the OUTCOMEREA database.[J]. Intensive Care Medicine, 2018, 44 (7): 1177-1179.
[5]	Yun Z, Ning-Ning X, Yi Z, et al. Value of application of process reengineering in management of multidrug-resistant organism infections [J]. Chinese Journal of Nosocomiology, 2016, 26 (01): 207-208+220.
[6]	Guichun W, Yehong K, Xiuqing L I. The effects of quality control circle management for nurses in increasing specification rate for nurses in application of Ecg monitor [J]. Heb Medical Journal, 2019, 41 (02): 318-320.
[7]	Yan-Fang W U. Effect of Quality Control Circle Management of PDCA Cycle on Treatment Compliance and Quality of Life in Postoperative Patients with Breast Cancer [J]. Clinical Research, 2019, 27 (06): 173-175.
[8]	The Royal College of Physicians Clinical Advisory Group on Healthcare Associated Infections. Guidelines for the prevention and control of multi-drug resistant organisms (MDRO) excluding MRSA in the healthcare setting [M]// Theory and practice of animal taxonomy /. Oxford & IBH Publishing Co. 2012.
[9]	Hee P S. Management of multi-drug resistant organisms in healthcare settings [J]. Journal of the Korean Medical Association, 2018, 61 (1): 26.
[10]	Belela-Anacleto A S C, Kusahara D M, Peterlini, Maria Angélica S, et al. Hand hygiene compliance and behavioural determinants in a paediatric intensive care unit: An observational study [J]. Australian Critical Care Official Journal of the Confederation of Australian Critical Care Nurses, 2018, 32 (1): 21-27.
[11]	Cui L, Ye-Dan W, Sai-Duan L, et al. Application effect of standard operation procedure for patients undergoing operation [J]. Hainan Medical Journal, 2018, 29 (10): 1476-1478.
[12]	Soon L S, Jeong P S, Joo C M, et al. Improved Hand Hygiene Compliance is Associated with the Change of Perception toward Hand Hygiene among Medical Personnel [J]. Infection & Chemotherapy, 2014, 46 (3): 165-171.
[13]	Min Z, Qiang S. Study on the Control Measures of MDRO Transmission in ICU Based on Markov Process [M]// Smart Service Systems, Operations Management, and Analytics. 2020.
[14]	Jinzhu W, Yunxia F, Hui S, et al. Monitoring and analysis of disinfection effect of medical institutions in Hedong District of Tianjin in 2014-2018 [J]. Journal of Medical Pest Control, 2020, 36 (02): 197-198.
[15]	Wilson A P R, Livermore D M, Otter J A, et al. Prevention and control of multi-drug-resistant Gram-negative bacteria: recommendations from a Joint Working Party [J]. Journal of Hospital Infection, 2016, 92: S1-S44.
[16]	Dan W, Dan Z, Hong C, et al. Multidrug-resistant organism healthcare-associated infection and economic burden in general intensive care unit patients [J]. Chinese Journal of Infection Control, 2019, 18 (07): 648-653.

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APA Style

Dongliang Xu, Weitao Lv, Yixiang Liu, Ziqiang Yu, Yiting Feng, et al. (2020). Application of Quality Control Circle in Improving the Correct Implementation Rate of Multiple Drug Resistant Organism Isolation Measures in ICU Medical Personnel. American Journal of Nursing Science, 9(6), 402-406. https://doi.org/10.11648/j.ajns.20200906.12

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ACS Style

Dongliang Xu; Weitao Lv; Yixiang Liu; Ziqiang Yu; Yiting Feng, et al. Application of Quality Control Circle in Improving the Correct Implementation Rate of Multiple Drug Resistant Organism Isolation Measures in ICU Medical Personnel. Am. J. Nurs. Sci. 2020, 9(6), 402-406. doi: 10.11648/j.ajns.20200906.12

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AMA Style

Dongliang Xu, Weitao Lv, Yixiang Liu, Ziqiang Yu, Yiting Feng, et al. Application of Quality Control Circle in Improving the Correct Implementation Rate of Multiple Drug Resistant Organism Isolation Measures in ICU Medical Personnel. Am J Nurs Sci. 2020;9(6):402-406. doi: 10.11648/j.ajns.20200906.12

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@article{10.11648/j.ajns.20200906.12,
  author = {Dongliang Xu and Weitao Lv and Yixiang Liu and Ziqiang Yu and Yiting Feng and Jiaxing Tang},
  title = {Application of Quality Control Circle in Improving the Correct Implementation Rate of Multiple Drug Resistant Organism Isolation Measures in ICU Medical Personnel},
  journal = {American Journal of Nursing Science},
  volume = {9},
  number = {6},
  pages = {402-406},
  doi = {10.11648/j.ajns.20200906.12},
  url = {https://doi.org/10.11648/j.ajns.20200906.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20200906.12},
  abstract = {Objective: Effective isolation management of multiple drug resistant organism (MDRO) patients is considered an important measure to prevent cross-infection. To reduce the spread of MDRO, there is a need to improve the correct implementation of isolation measures for intensive care unit (ICU) medical personnel. We will investigate the application of quality control circle (QCC) activities in improving the correct implementation rate of isolation measures for patients with MDRO in ICU medical personnel. Methods: A 10-member QCC activity group was established. All of the ICU medical personnel were taken as the research objects, including doctors, nurses, assistant nurses, rotation training personnel, external ICU consultants and cleaning personnel. The correct implementation of isolation measures for patients with MDRO infection were investigated and studied, which identified the problem areas and analyzed the main reasons. The quality improvement countermeasures were formulated and implemented in ICU medical personnel, while the results were compared with before and after the QCC activities. Results: After QCC activities, the correct implementation rate of isolation measures by ICU medical personnel for patients with MDRO infection increased from 57.7% to 82.4%. The incidence of MDRO infection in ICU patients decreased from 9.64% to 3.77%, with statistically significant differences (P < 0.05). Conclusion: The QCC activities improved the correct implementation rate of MDRO isolation measures by ICU medical personnel, standardizing the isolation management of MDRO patients, while the incidence of MDRO in ICU patients was also effectively reduced.},
 year = {2020}
}

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TY  - JOUR
T1  - Application of Quality Control Circle in Improving the Correct Implementation Rate of Multiple Drug Resistant Organism Isolation Measures in ICU Medical Personnel
AU  - Dongliang Xu
AU  - Weitao Lv
AU  - Yixiang Liu
AU  - Ziqiang Yu
AU  - Yiting Feng
AU  - Jiaxing Tang
Y1  - 2020/10/30
PY  - 2020
N1  - https://doi.org/10.11648/j.ajns.20200906.12
DO  - 10.11648/j.ajns.20200906.12
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 402
EP  - 406
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20200906.12
AB  - Objective: Effective isolation management of multiple drug resistant organism (MDRO) patients is considered an important measure to prevent cross-infection. To reduce the spread of MDRO, there is a need to improve the correct implementation of isolation measures for intensive care unit (ICU) medical personnel. We will investigate the application of quality control circle (QCC) activities in improving the correct implementation rate of isolation measures for patients with MDRO in ICU medical personnel. Methods: A 10-member QCC activity group was established. All of the ICU medical personnel were taken as the research objects, including doctors, nurses, assistant nurses, rotation training personnel, external ICU consultants and cleaning personnel. The correct implementation of isolation measures for patients with MDRO infection were investigated and studied, which identified the problem areas and analyzed the main reasons. The quality improvement countermeasures were formulated and implemented in ICU medical personnel, while the results were compared with before and after the QCC activities. Results: After QCC activities, the correct implementation rate of isolation measures by ICU medical personnel for patients with MDRO infection increased from 57.7% to 82.4%. The incidence of MDRO infection in ICU patients decreased from 9.64% to 3.77%, with statistically significant differences (P < 0.05). Conclusion: The QCC activities improved the correct implementation rate of MDRO isolation measures by ICU medical personnel, standardizing the isolation management of MDRO patients, while the incidence of MDRO in ICU patients was also effectively reduced.
VL  - 9
IS  - 6
ER  -

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Author Information

Dongliang Xu

Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China
Weitao Lv

Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China
Yixiang Liu

Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China
Ziqiang Yu

Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China
Yiting Feng

Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China
Jiaxing Tang

Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China

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APA Style

Dongliang Xu, Weitao Lv, Yixiang Liu, Ziqiang Yu, Yiting Feng, et al. (2020). Application of Quality Control Circle in Improving the Correct Implementation Rate of Multiple Drug Resistant Organism Isolation Measures in ICU Medical Personnel. American Journal of Nursing Science, 9(6), 402-406. https://doi.org/10.11648/j.ajns.20200906.12

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ACS Style

Dongliang Xu; Weitao Lv; Yixiang Liu; Ziqiang Yu; Yiting Feng, et al. Application of Quality Control Circle in Improving the Correct Implementation Rate of Multiple Drug Resistant Organism Isolation Measures in ICU Medical Personnel. Am. J. Nurs. Sci. 2020, 9(6), 402-406. doi: 10.11648/j.ajns.20200906.12

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AMA Style

Dongliang Xu, Weitao Lv, Yixiang Liu, Ziqiang Yu, Yiting Feng, et al. Application of Quality Control Circle in Improving the Correct Implementation Rate of Multiple Drug Resistant Organism Isolation Measures in ICU Medical Personnel. Am J Nurs Sci. 2020;9(6):402-406. doi: 10.11648/j.ajns.20200906.12

Copy | Download

@article{10.11648/j.ajns.20200906.12,
  author = {Dongliang Xu and Weitao Lv and Yixiang Liu and Ziqiang Yu and Yiting Feng and Jiaxing Tang},
  title = {Application of Quality Control Circle in Improving the Correct Implementation Rate of Multiple Drug Resistant Organism Isolation Measures in ICU Medical Personnel},
  journal = {American Journal of Nursing Science},
  volume = {9},
  number = {6},
  pages = {402-406},
  doi = {10.11648/j.ajns.20200906.12},
  url = {https://doi.org/10.11648/j.ajns.20200906.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20200906.12},
  abstract = {Objective: Effective isolation management of multiple drug resistant organism (MDRO) patients is considered an important measure to prevent cross-infection. To reduce the spread of MDRO, there is a need to improve the correct implementation of isolation measures for intensive care unit (ICU) medical personnel. We will investigate the application of quality control circle (QCC) activities in improving the correct implementation rate of isolation measures for patients with MDRO in ICU medical personnel. Methods: A 10-member QCC activity group was established. All of the ICU medical personnel were taken as the research objects, including doctors, nurses, assistant nurses, rotation training personnel, external ICU consultants and cleaning personnel. The correct implementation of isolation measures for patients with MDRO infection were investigated and studied, which identified the problem areas and analyzed the main reasons. The quality improvement countermeasures were formulated and implemented in ICU medical personnel, while the results were compared with before and after the QCC activities. Results: After QCC activities, the correct implementation rate of isolation measures by ICU medical personnel for patients with MDRO infection increased from 57.7% to 82.4%. The incidence of MDRO infection in ICU patients decreased from 9.64% to 3.77%, with statistically significant differences (P < 0.05). Conclusion: The QCC activities improved the correct implementation rate of MDRO isolation measures by ICU medical personnel, standardizing the isolation management of MDRO patients, while the incidence of MDRO in ICU patients was also effectively reduced.},
 year = {2020}
}

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TY  - JOUR
T1  - Application of Quality Control Circle in Improving the Correct Implementation Rate of Multiple Drug Resistant Organism Isolation Measures in ICU Medical Personnel
AU  - Dongliang Xu
AU  - Weitao Lv
AU  - Yixiang Liu
AU  - Ziqiang Yu
AU  - Yiting Feng
AU  - Jiaxing Tang
Y1  - 2020/10/30
PY  - 2020
N1  - https://doi.org/10.11648/j.ajns.20200906.12
DO  - 10.11648/j.ajns.20200906.12
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 402
EP  - 406
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20200906.12
AB  - Objective: Effective isolation management of multiple drug resistant organism (MDRO) patients is considered an important measure to prevent cross-infection. To reduce the spread of MDRO, there is a need to improve the correct implementation of isolation measures for intensive care unit (ICU) medical personnel. We will investigate the application of quality control circle (QCC) activities in improving the correct implementation rate of isolation measures for patients with MDRO in ICU medical personnel. Methods: A 10-member QCC activity group was established. All of the ICU medical personnel were taken as the research objects, including doctors, nurses, assistant nurses, rotation training personnel, external ICU consultants and cleaning personnel. The correct implementation of isolation measures for patients with MDRO infection were investigated and studied, which identified the problem areas and analyzed the main reasons. The quality improvement countermeasures were formulated and implemented in ICU medical personnel, while the results were compared with before and after the QCC activities. Results: After QCC activities, the correct implementation rate of isolation measures by ICU medical personnel for patients with MDRO infection increased from 57.7% to 82.4%. The incidence of MDRO infection in ICU patients decreased from 9.64% to 3.77%, with statistically significant differences (P < 0.05). Conclusion: The QCC activities improved the correct implementation rate of MDRO isolation measures by ICU medical personnel, standardizing the isolation management of MDRO patients, while the incidence of MDRO in ICU patients was also effectively reduced.
VL  - 9
IS  - 6
ER  -

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