Application of Quality Control Circle Activities in Improving the Integrity of Equipment Preparation for Posterior Cervical Surgery
Authors: Jiang Yan , Wang Chaoran , Li Juan , Mi Guangli , Wang Yanan , Tian Shuling 
Published: October 2022

Objective: To explore the clinical effects of quality control circle (QCC) activities on the preparation of instruments, team cooperation and clinical satisfaction of posterior cervical surgery. Methods: The clinical randomization table was used to select 100 patients who underwent posterior single open-door laminoplasty in the Department of orthopedics of our hospital from January 2020 to January 2021 as the study subjects. In the experimental group, quality control circle activities were used to prepare the surgical instruments before operation, including 32 males and 18 females, with an average age of 58.3 ± 10.5 years; The control group did not use quality control circle activities to prepare the surgical instruments before operation, including 27 males and 22 females, with an average age of 60.5 ± 9.8 years. First, the "quality control circle" activity group was established to carry out quality control circle activity steps such as theme selection, plan formulation, status analysis, goal establishment, problem rectification, specific implementation, effect evaluation and effect evaluation. The database was established by software, and the t-test and chi square test were used for statistical analysis to compare the pre-operative instrument preparation rate of the two groups of patients undergoing cervical posterior single open-door laminoplasty. Finally, the improvement of team consciousness, nursing knowledge, nursing quality, consciousness response and other qualities of all circle members in the experimental group before and after the use of quality control circle activities were analyzed, and the clinical satisfaction of patients and their families, anesthesiologists and chief surgeons with the operation and the integrity rate of equipment preparation were compared between the two groups. Results: The overall integrity rate of the instruments in the experimental group was 90%, and the overall integrity rate of the instruments in the control group was 74%. The integrity rate of the instruments in the experimental group was significantly higher than that in the control group (P < 0.01). After the implementation of quality control circle activities, the team consciousness, nursing knowledge, nursing quality and consciousness reaction of the circle members in the experimental group were significantly improved compared with those before the implementation of quality control circle activities, and the difference between the two groups was statistically significant (P < 0.01). The overall satisfaction of patients and their families, anesthesiologists, and chief surgeons in the experimental group was 92%, 88%, and 90%, and that of the control group was 76%, 68%, and 74%, respectively. The overall satisfaction of the experimental group was significantly higher than that of the control group (P < 0.05); The integrity rate of surgical instruments preparation in the experimental group was 90%, and that in the control group was 74%. The experimental group was significantly higher than the control group (P < 0.01). Conclusion: The application of quality control circle activities can improve the integrity of instrument preparation for posterior cervical surgery, improve the satisfaction of patients, family members and medical staff, and improve the quality of surgical care.