The quality continuous improvement record, the authenticity and accuracy of the record and the true and accurate record of quality information can provide reliable basis for the effective operation of the organization's quality management system and the realization of continuous improvement. The following continuous quality improvement record form is for reference only.
Record of continuous quality improvement 1 1. Record of continuous quality improvement Frequently asked questions and countermeasures
Records are documents that record the process status and results, and are an important part of quality management system documents. The so-called process state is mainly aimed at the formation process of product quality and the operation process of the system, while the process result refers to the operation effect of the system and the degree to which the product meets the quality requirements. According to the above characteristics of records, records play an important role in the organization's quality management system.
1 Frequently Asked Questions of Quality Continuous Improvement Record Form
Common problems in quality records
1. Blindness: the setting, design purpose and function of records are unclear, not for management and improvement, but for inspection.
2. Chaos: the setting and design of records are arbitrary, lacking systematic consideration, the filling, storage and collection of records are chaotic, and the responsibilities are unclear.
3. Decentralization: the preservation management is decentralized and there is no uniform regulation.
4. Looseness: records are not strictly filled in, transmitted and kept, and the daily inspection is neglected in management, does not meet the requirements, does not check, and is seriously lost or altered.
5, empty: whether to fill in, there are many spaces, lack of seriousness and legitimacy.
6. Wrong: typo, unclear language expression, wrong filling.
2. The significance of design and compilation of quality continuous improvement record form
1. Adequacy and necessity: records, as basic and basic documents, should reflect the process and results of product quality formation as comprehensively as possible, as well as the running state and results of the quality management system. Therefore, the organization should not only evaluate the adequacy of records as a whole and strive to make the original records complete, but also evaluate and select the necessity of each record one by one. It should be noted that the more records, the better. The correct way is to select only those necessary raw data as records.
2. Authenticity and accuracy: True and accurate quality information records can provide reliable basis for the effective operation and continuous improvement of the organization's quality management system. Therefore, while determining the format and content of records, we should consider the convenience for users to fill in and ensure that the required quality information can be accurately obtained under the existing conditions. Fill in the records should be realistic and serious.
3. Standardization and standardization: try to adopt international, domestic or industry standards and refer to the successful experience of advanced organizations to make records more standardized and standardized. In the process of establishing quality management system, existing records should be cleared, redundant records should be discarded, inappropriate records should be modified, valuable and supplementary records should continue to be used, and appropriate table or chart formats should be adopted, with uniform numbering as required, so as to make records of various activities more systematic and coordinated and realize standardized management of records. The recording format of the same activity should be fixed and cannot be changed at will, resulting in confusion. Even if you need to modify it, you should set a unified time to start using the new form.
3, fill in the requirements and matters needing attention
1. pen requirements: you can use a pen, ballpoint pen or signature pen for recording, not a red pen. These pens can guarantee that the recording will never fade. When using a pen, we must consider the durability and reliability of its handwriting.
2. Originality: the record should be left at the scene and recorded truthfully, which is originality. The first thing is first hand. Primacy means that the operation of the day is recorded on the same day, and the activities of the week are recorded on a weekly basis. Be true in time, without adding any water, so that the records are true and reliable. Records keep their original properties and cannot be copied and copied again, let alone modified and decorated after the process.
3. Clear and accurate: records are planned and set as documents to clarify the results obtained by the quality management system or provide evidence of the activities completed by the system, that is, evidence. First, it must be true. To be true, it is necessary to correctly and clearly remember the process and operational facts in place, and the language should be standardized. I can not only see clearly, but also let others see clearly.
4. Handling of clerical errors: Don't scribble on clerical errors, even blacken them or cover them with correction fluid. The correct way to deal with clerical errors is to draw a horizontal line with the original pen and ink on the words or data of clerical errors, and then fill in the correct words and values between the upper and lower lines of clerical errors.
5. Fill in blank fields: Some records have nothing to fill in all fields when they are running. How to deal with it? The blank column is to be filled in. The filling method is to draw a horizontal line in the middle of the blank, indicating that the recorder has noticed this column, but there is nothing to fill in, so a horizontal line is used instead. If there are a few lines in the vertical direction that have nothing to fill in, you can also use diagonal lines instead.
6. Signature requirements: The record will contain various types of signatures, including post-operation signature, approval, examination and approval, etc. These signatures are the embodiment of this principle, authority and relationship, and are an indispensable part of the recording operation. Any signature should be signed in full name, at the same time, it should be as clear and easy to read as possible, and anonymity or anonymity is not allowed.
4, quality continuous improvement record management and control
1. ID: It should have a unique ID. In order to facilitate archiving and retrieval, records should have a classification number and a serial number. The contents of identification shall include: the number, version number, table number and page number of the quality management document to which the record form belongs. Record forms that are not identified or do not meet the identification requirements are invalid.
2. Storage and custody: Records shall be filed, stored and kept according to the requirements of the archives room. Records shall be kept by special person or special competent department, and necessary keeping system shall be established. The storage method should be convenient for retrieval and access, the storage environment should be suitable and reliable, dry and ventilated, and necessary shelves and boxes should be moisture-proof, fire-proof and moth-proof to prevent damage, deterioration and loss. For the storage period of pipelines and roads, if there is no external requirement, the organization can make corresponding provisions according to the characteristics of different products and legal requirements. If the contract requires records, the retention period will be determined according to the customer's requirements. In general, the retention period of records is 2 years, the main records should be kept for 3 years, and important records should be kept for a long time.
3. Retrieval: A quality activity often involves many recorded directories and tables. In order to avoid missing items, these records should be catalogued. Cataloging has the function of guidance and path, which can facilitate the access and utilization of records and make the records of this quality activity be understood as a whole. For a project, contract or process after product realization, we can consider establishing a general catalogue and arranging it according to the progress of product realization. For records with many records and complicated quality activities, you can also set up itemized cataloging. Before filing, it can be filed only after it has passed the acceptance of the competent department. If the filing materials are incomplete, the department responsible for filing and acceptance has the right to reject them. Records contain a lot of useful system operation evidence and original information. To play its role, it must be used to facilitate the search of relevant departments and employees. It is a good practice to bring the access of records into computer management. The compilation of electronic index can improve the efficiency of retrieval and access.
4. Disposal: the records that have exceeded the specified retention period shall be treated in a unified way, and the important records containing confidential contents shall be preserved and destroyed. Records must truthfully record the formation process and final state of product quality, truthfully reflect the running state and results of quality management system processes, processes and activities, confirm the degree to which products meet the requirements of technical standards, contracts, regulations and customers' expectations, and reflect whether the organization's quality management system is effectively operated, and whether the operation of products, processes and the whole system meets the expected requirements.
Second, the quality record report to fill in matters needing attention
Quality records are used to record the process status and results, which are the objective basis for enterprise quality assurance, provide the basis for taking corrective and preventive measures, and are conducive to product identification and traceability.
Attention should be paid to the following items when filling in quality records:
1. The report must be complete and as detailed as possible, and all the contents listed must be clearly filled in. If you can't fill in the contents, you should slash/cross out, especially the signature column, and write your full name.
2. Records shall be accurate and clear, and shall not be scribbled, and shall not be scribbled on the records at will, and so shall the back of the records. Special attention should be paid to check the clarity of the final filling, and the unclear ones should be refilled.
3. Records shall not be changed at will. When it is necessary to modify, the correct way is to cross out the wrong place with a horizontal line first, then write the correct content next to it, and at the same time sign and write the date next to it. It is worth noting that:
1. If the number is wrong, the whole number should be crossed out, not just the wrong number.
Pay attention to writing the full name when signing. You can't just write one word, and you can't write director, manager, gentleman, lady, etc.
When filling in the date, you should write the month and day of the whole year. For example, the drafting date of the document is 20xx, which can be written as xx/2, xx or 2xxx/x/x, 2xxx, x, x, etc.
4, are not allowed to use correction fluid, also can't use correction paper, etc. , are not allowed to fill in pencil, generally not allowed to fill in red handwriting, especially signature.
Quality continuous improvement record table 2 Requirements for filling in medical quality continuous improvement record table
Medical quality management
Coding 4-4
Requirements for filling in the record form of continuous improvement of medical quality
1. the radiology department set up a medical quality management team headed by the director of the department, equipped with full-time quality control personnel.
2, the medical quality continuous improvement record shall be the responsibility of the director, quality engineer is responsible for filling in.
3. Radiology department should make continuous improvement plan and medical quality control index every year.
4, radiology according to the hospital's medical quality control key content to develop monthly medical quality control key content.
5, daily radiology medical quality continuous improvement record requirements at least once a month, and make records, formulate corrective measures according to the existing problems, and evaluate the effect of corrective measures, signed by the director of the audit.
6. At the end of each month, carefully summarize the quality control of radiology department, fill in the Monthly Medical Quality Control Summary, and submit it to the medical department for review after being signed by the department director.
7. At the end of each year, summarize the medical quality control of radiology department this year. Head of Medical Quality Management Team in Radiology Department: xxx
Quality continuous improvement record table 3 nursing quality management and continuous improvement mode table
Department room: _ _ year: _ _ 20xx _ _ _
Filling requirements of nursing quality management and continuous improvement record book
1, the department set up a nursing quality control team headed by the head nurse.
2. The essential control record book shall be filled in by the head nurse of each department.
3. Every year, the department formulates the annual nursing quality control plan, implementation plan and nursing plan.
Quality control indicators.
5, the department according to the hospital's nursing quality control key content of each department monthly nursing plan.
The key content of management quality control.
6, daily department quality control record book requirements at least 4 times a month, and make records.
Record, formulate relevant rectification measures according to the existing problems, and evaluate the effect of the rectification measures, which shall be signed by the head nurse after reading.
7. At the end of each month, earnestly summarize the quality control situation of this department and fill in the monthly nursing records.
Quality control summary, signed by the head nurse, and submitted to the nursing department for review.
8. At the end of each year, summarize the nursing quality control of this department this year.
Nursing quality control and continuous improvement system
First, the nursing department will combine daily supervision with monthly inspection, and insist on 1-2 times a week.
In-depth ward supervision of the implementation of nursing work in each ward, especially the implementation of nursing work for critically ill patients, timely correct all kinds of hidden dangers found, deal with them on the spot, and put forward effective and feasible preventive measures. Conduct single key quality inspection every week, organize a comprehensive quality inspection once a month, register existing problems, put forward rectification measures, rectify within a time limit, and supervise the implementation of rectification at any time.
Second, the quality controller of each department is responsible for the daily work of nursing according to the nursing quality standards.
Self-check the project, correct the problems found in time, and contact the head nurse to analyze the reasons and put forward suggestions for improvement.
Three, the head nurse in all subjects according to the requirements of the head nurse's handbook, daily.
Focus on inspection, purposeful follow-up inspection, close doctor's orders, inspection, handover, special inspection and diagnosis, nursing records and health education, register the problems found, and immediately feedback the parties for rectification.
Fourth, the nursing department reports and comments on the quality control results of the month at the head nurse meeting every month.
Point out the problems found in the inspection for reference, and formulate practical improvement measures for the * * * problems.
Five, the nursing department at the beginning of each month will analyze the results of daily inspection and monthly inspection.
After the general meeting, it will be submitted to the hospital information department for rewards and punishments.
Members of nursing quality management team in departments and division of responsibilities
List of members of nursing quality control team:
xxx,xxx,xxx
Specific division of responsibilities:
Responsibilities:
A, according to the "secondary hospital evaluation standard" combined with the actual situation of the department, formulate the corresponding operational internal quality control plan.
Second, organize departmental personnel to study professional theories and operating procedures on a regular basis. Strengthen quality awareness and safety awareness.
Third, strictly implement the nursing operation procedures.
Four, according to the nursing quality standards and evaluation methods, each member according to the quality control scope of undergraduate course room nursing quality evaluation 1-2 times a week, and make records. Even if the rectification is carried out, the responsible person should be informed of the existing problems. At the same time, report to the head nurse and evaluate the improvement.
Five, summarize the reasons of nursing problems found in quality control inspection once a month and whether the corrective measures are effective. Evaluate the improvement.
Six, monthly report to the nursing department undergraduate nursing quality, quality control results.
Division of labor of quality control team members:
Nursing management: xxx, xx
Management of relief goods: xxx
Oxygen management: xx
"Three basics" training: xxx
Signature of head nurse: xxx
20xx year xx month xx