Application of PDCA-Cycle on the Management of Critical Values Reporting

Abstract:

Objective: Through the PDCA (Plan-Do-Check-Act, also called quality loop) cycle in the management of Critical Value Reporting, and then the discussion on the values of their application in the medical field. Methods: Data were divided into two groups (January to March in 2012 as before the implementation of PDCA-cycle and August to October as after the implementation of PDCA-cycle). Statistical analysis was applied for these two groups. Results: After the application of PDCA-cycle, the executing rate of critical values reporting increased from 38.2% to 96.4 % (P=0.000). The percentage of reporting time, repeat critical values reporting, reporters name and staff number, receivers name and staff number rised from 96.4%, 83.6%, 83.6%, 69.1% to 100.0%, 98.8%, 98.8%, 99.8%, respectively (P=0.000). Meanwhile, critical values reporting rate of Laboratory and Radiology also increased from 47.9%, 30.6% to 96.5%, 96.3% (P=0.000). Conclusion: This study suggested that the PDCA-cycle is an important tool for quality management, and it can effectively improve the executions of critical values reporting.

• Periodical: Advanced Materials Research (Volumes 712-715)
• Pages: 3203-3206
• DOI: https://doi.org/10.4028/www.scientific.net/AMR.712-715.3203
• Online since: June 2013
• Authors: Hong Wang, Ying Chang, Wen Sheng Che
• Keywords: Critical Values Reporting, PDCA-Cycle, Quality Management

References

[1] G.D. Lundberg. Critical (panic) value notification: an established laboratory practice policy (parameter). JAMA 1990, 263(5): 709.

DOI: 10.1001/jama.1990.03440050103044

[2] C. Cottier. Quality management in palliative care. Ther Umsch 2012, 69(2): 120-125.

[3] P.A. Vogel, G. Vassilev, B. Kruse, Y. Cankaja. PDCA cyclus and morbidity and mortality conference as a basic tool for reduction of wound infection in colorectal surgery. Zentralbl Chir 2010, 135(4): 323-329.

DOI: 10.1055/s-0030-1247280

[4] Y. Zhang, F. Liu. The application of critical value reporting. Journal of Nurses Training 2011(05): 441.

[5] W.F. Sun, X.Y. Cai, J. Zhang, G.R. Wu. Nursing supervision of critical value reporting. Chinese Journal of Nursing 2010 (08): 743-744.

[6] P.J. Howanitz, S.J. Steindel, N.V. Heard. Laboratory critical values policies and procedures: a college of American Pathologists Q-Probes Study in 623 institutions. Arch Pathol Lab Med 2002, 126(6): 663-669.

DOI: 10.5858/2002-126-0663-lcvpap

[7] P.D. Schneider. FOCUS-PDCA ensures continuous quality improvement in the outpatient setting. Oncol Nurs Forum 1997, 24(6): 966.

[8] X.M. Li. The application of PDCA cycle in the standard use of preventive antibacterials in TypeⅠincision operation. Chinese Journal of Clinical Pharmacy 2012(02): 105-109.

[9] J.Z. Wang. Application of PDCA cycle theory in guiding the usage and administration of insulin pump in surgery. Journal of Nursing (China) 2007(09): 42-43.