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The technique of Health Quality Control

Learn about the techniques and tools used in Health Quality Control (HQC), including the PDCA cycle, Fishbone diagram, and HQC check sheet. Discover how to identify and solve problems to improve healthcare quality.

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The technique of Health Quality Control

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  1. The technique of Health Quality Control HQC qdkonfrSm Keywords: PDCA cycle, Fishbone diagram HQC (Health Quality Control) check sheet Takahiro Nakano

  2. Time ausmif;wGif;b0 ausmif;wGif;b0 vwfwavmtajctaeESifh rdrd&nf&G,fxm;onfh tajctaewdkU{/f uGmjcm;csufrsm; pdwfydkif;^&kyfydkif;tajctae pdwfydkif;^&kyfydkif;tajctae ajz&Sif;oifhonfh jyóemrsm; tajccHusaomaexdkifpm;aomufrI"avh tajccHusaomaexdkifpm;aomufrI"avh HQC enf;t& zHGUjzdK;wdk;wufrItajctaersm; 1. HQC onf jyóemajz&Sif;a&;enf;vrf; jyóem ＝&nfrSef;csuftjzpfxm;onfhtajctae ― vuf&Sdtajctae

  3. 2. jyóemtm; azG&Smjcif; OD;pGm aeUpOfaexdkifrIb0wGif jyóemjzpfedKifonfhtcsufrsm; &Sdr&Sdudk pOf;pm;&ygrnf/aeUpOf aexdkifrIb0tm; jyefvnfoHk;oyfí rnfuJhodkUaom jyóemrsm; &SdedKifonfudk awG;awmMunfhyg/ q&mupOf;pm;onfESifh ausmif;om;upOf;pm;onfwdkUwGif uGm[csufrsm; &dSwwfonftwGuf q&mESifhausmif;om; twlwuGaqG;aEG;wdkifyifí tjrifcsif;zvS,fedKifrnfqdkvQifvnf; jzpfygonf/

  4. yHkpH-2 jyóemrsm; tjyeftvSefqufEG,fywfoufaeyHk

  5. Let’s try to decide your problem. 1. Please write your school’s problem in your card. 【Example】 Card 1 Card 2 Children are absent from schools many times toilet is so dirty We pick up the problem that there was the most

  6. 3. jyóem{/f Zpfjrpftm; udkifwG,fjcif; ckeuqdkcJhonf yHk 2 tm;jzifh ajz&Sif;oifhaom jyóem{/f t&if;tjrpfudk udkifwG,fedKifrnf r[kwfyg/ HQC wGif tqdkygtcsuftwGuf Fishbone Diagram [laomvufeufwpfck&Sdonf/ Fishbone Diagram of HQC onf enf;vrf;rsm;pGmxJwGif ydkrdkta&;ygonfhtjyif jyóem{/f Zpfjrpftm; uRrf;usifpGm udkifwG,fedKifonfh ud&d,mvnf;jzpfonf/ Fishbone Diagram tm; ydkifedkifpGm a&;qGJedKifjcif;&Sdr&Sdonf HQC atmifjrifa&;{/f t"duaomhcsufjzpfonf/ yHk-3-wGifazmfjyxm; ouJhodkU Diagram tm; ig;t&dk;rsm;uJhodkU a&;qGJxm;jcif;aMumifh Fishbone Diagram [k ac:qdkjcif; jzpfonf/ Fishbone Diagram tm; atmufygtwdkif;a&;qJG&onf/

  7. 図４．学校を休むことが多い（P20）

  8. Let’s try to pick up the cause of the problem using a card. 2. Please write the cause of the problem in your card. 【Example】 Card 1 Card 2 We don’t clean the toilet everyday The place of the toilet is not good etc. We make the Fishbone diagram about the problem using the card which you write now.

  9. Fishbone Diagram

  10. 4. HQC Checksheet jyKvkyfjcif; Fishbone Diagram &jyDqdkvQif aeufwpfqifhrSm aeUpOfaexdkifrIb0wGif trSefwu,f toHk;jyKrnfh HQC Checksheet udkjyKvkyf&ayrnf/þrSwfwrf;{/fppfaq;csuftaMumif;t&mrsm;rSm Fishbone Diagram udk a&;onfhtcg trSwftom;jyKxm;onfh tcsufrsm;tm; txl;ta&;xm; aqmif&Guf&rnfjzpfonf/taMumif;rSm wpfckwnf;qdkvQifvnf; &ygonf/aemufrS xyfqifhquf vdkufvmrnfh tcsufrsm;onfom ta&;MuD;ygonf/ jyóem{/f t&if;tjrpfwpfcktaejzifh ta&; MuD;onfh t&m? uav;i,fESifh ynma&;0efxrf;rsm;tMum; tjzpfrsm;onfh tcsuftvufrsm;tm; OD;pm;ay;í aeUpOf rSwfcsufppfwrf;rsm;udk vkyfaqmifrnfqdkvQif jzpfygonf/xdktxJrS MuD;rm;aom jyóemudk ajz&Sif;edKifjyDqdkvQif jyóem{/f wpf0ufrSm ajz&Sif;jyD;jzpfaeygrnf/ wpfzef pkpnf;& vG,fultqifajyonfh ppfaq;a&;tcsuftvufrsm;tm; xnfhoGif;&efvnf; ta&;MuD;ygonf/ wdk;wufrI &v'frsm;tm; aqmvsifpGm od&Sdem;vnfedKifrIay: rlwnfí a&SUquf&rnfh udpö&yfrsm; twGuf udk,fydkif,HkMunfrIudk &&SdapedKifaomaMumifh jzpfygonf/

  11. yHk-7 (ausmif;ysuf&ufrsm;onf)[laom udpötwGuf HQC Check Sheet 図7．学校を休むことが多い（P23）

  12. usef;rma&;jyóemrsm;tm; pkHkprf;ppfaq;jcif; 3-4 ywf usef;rma&;jyóemtm; em;vnfoabmaygufjcif; 3-4 ywf usef;rma&;jyóemtm;tajctae wdk;wufaumif;rGefapjcif; 3-4 ywf Long Time Ago Short Time Ago Present yHk-8 Feedback {/fxda&mufrIESifh HQC tqifh HQC check sheet

  13. 6. PDCA HQC udk toHk;jyKaom zGHUjzdK;a&; vkyfaqmifrI tqifhqifhwGif atmufazmfjyyg Plan(P) Do(D), Check(C) , Action(A) wdkUudk puf0ef;yHktwdkif; vkyfaqmifoGm;&rnfjzpfonf/ ( 1 ) Plan(P): pDrHvkyfaqmif&rnfh jyóemrsm;twGuf pDpOfaqmif&Gufjcif; ( 2 ) Do(D): zGHUjzdK;a&;vkyfief;rsm;tm; vufawGUtaumiftxnfazmfjcif; ( 3 ) Check(C): ppfcsufrSwfwrf;rsm;ay:rlwnfí jyóemrsm;tm; pHkprf;ppfaq;jcif;/ em;vnfoabmaygufjcif;?wdk;wufajymif;vJapjcif;rsm;ESifh tjcm;a0zefoHk;oyfrIrsm;/ ( 4 )Action(A): jyóemrsm;tm; jyefvnfoHk;oyfjcif;?topfzGJUpnf;jzpfwnfvmonfrsm;udk tajctwif aqG;aEG;nSdEdIif;jcif;/

  14. PDCA cycle PLAN DO Doing HealthQuality Control. Decide a problem ACTION CHECK Preparing and using“HQC Sheet”.Reviewing HQC. Improvement for continuance of HQC

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