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Application of Project Improvement in Elevating the Qualified Rate of Retained 24-h Quantitative Urinary Protein Specimens Among Children

Received: 17 April 2023    Accepted: 8 May 2023    Published: 22 May 2023
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Abstract

Objective To explore the effect of project improvement in elevating the qualified rate of retained 24-h quantitative urinary protein specimens among children in our hospital’s Department of Pediatric Internal Medicine. Methods A project improvement team was set up. The 24-h quantitative urinary protein specimens of 61 pediatric patients collected from January to June 2021 were included in the control group. From the 5 aspects of “people, devices, materials, methods, and environment”, the causes underlying the unqualified 24-h quantitative urinary protein specimens were analyzed, and the major causes were discussed. Accordingly, feasible improvement measures were formulated and implemented by department staff. After that, the 24-h quantitative urinary protein specimens of 51 pediatric patients retained in our department from July to December 2021 were included in the observation group. Finally, a comparison was made between the qualified rates of retained specimens of the two groups. Results Following project improvement, the qualified rate of retained 24-h quantitative urinary protein specimens was obviously lifted from 78.7% to 94.1%. The difference was statistically significant (P < 0.05). Conclusion Nursing project improvement is able to effectively elevate the qualified rate of retained 24-h quantitative urinary protein specimens. With the wisdom of the project improvement team, science-based approaches were adopted to address the clinical nursing issue and enhance the nursing quality. In this way, continuous quality improvement can be achieved, which in turn can make children and their family members feel more satisfied.

Published in American Journal of Pediatrics (Volume 9, Issue 2)
DOI 10.11648/j.ajp.20230902.14
Page(s) 75-78
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), 2024. Published by Science Publishing Group

Keywords

Project Improvement, 24-h Quantitative Urinary Protein Specimens, Qualified Rate

References
[1] Li XJ, Cui QE. The significance of improving the qualified rate of 24 h urine protein quantitative test specimens in outpatients [J]. Clinical Laboratory Journal (Electronic Edition), 2018, 7 (3): 2.
[2] Chen XQ, Han JJ. The application effect of quality control circle activities in improving the accuracy of 24-hour urinary protein quantitative retention [J]. World Latest Medicine Information (Electronic Edition), 2021, 021 (019): 279-280.
[3] Fang X. Application of continuous quality improvement in the retention of 24-hour urinary protein quantitative specimens in children [J]. Anhui Medical and Pharmaceutical Journal, 2013, 17 (12): 2.
[4] Liu MH. Evidence-based nursing practice of 24 h proteinuria specimen collection [J]. IMHGN, 2020, 26 (7): 4.
[5] Xu XY, Huang L, Xie S. Application of Inventory Management to Improve the Accuracy of 24 Hours Urinary Protein Quantification [J]. Smart Healthcare, 2019 (1): 3.
[6] Kim JE, Han D, Jeong JS, et al. Multisample Mass Spectrometry-Based Approach for Discovering Injury Markers in Chronic Kidney Disease [J]. Mol Cell Proteomics. 2021; 20: 100037.
[7] van Duijl TT, Ruhaak LR, et al. Reference intervals of urinary kidney injury biomarkers for middle-aged men and women determined by quantitative protein mass spectrometry [J]. Ann Clin Biochem. 2022 Nov; 59 (6): 420-432.
[8] Gao XQ, Shen Y. Application of PDCA in improving the qualified rate of 24 h urine protein quantitative specimens in nephrology department [J]. Electronic Journal Of Practical Clinical Nursing Science, 2020, 5 (27): 2.
[9] Xue SQ, Xiang Q. Application of nursing project improvement in reducing the incidence of ventilator-associated pneumonia [J]. Int J Nurs, 2019, 38 (15): 4.
[10] Poi CH, Koh MYH, et al. Integrating Palliative Care Into a Neurosurgical Intensive Care Unit (NS-ICU): A Quality Improvement (QI) Project [J]. Am J Hosp Palliat Care. 2022 Jun; 39 (6): 667-677.
[11] Cho S, Lee JL, et al. Systematic Review of Quality Improvement Projects Related to Intershift Nursing Handover [J]. J Nurs Care Qual. 2022 Jan-Mar 01; 37 (1): E8-E14.
[12] Chang LY. Review and analysis of the review results of Taiwan nurses association nursing projects (2011~2013) [J]. Hu Li Za Zhi, 2015, 62 (2): 66-76.
[13] Wang Y, L LJ, Yin SY, et al. Application of nursing project improvement in prevention of inpatients'falls [J]. CHINESE NURSING RESEARCH, 2017, 31 (3): 332-335.
[14] Shan MH, Lu WX. Observation on the effect of nursing project on reducing the incidence of pressure ulcer in ICU patients with high risk of pressure ulcer [J]. Journal of Nursing, 2014, 21 (12): 6-7.
[15] Zhu SJ. Medical Management: Quality Management Booklet [M]. Beijing: People's Health Publishing House, 2003: 14.
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  • APA Style

    Sha Wang, Shaoxin Lin, Caiqing Wu, Xufen Huang. (2023). Application of Project Improvement in Elevating the Qualified Rate of Retained 24-h Quantitative Urinary Protein Specimens Among Children. American Journal of Pediatrics, 9(2), 75-78. https://doi.org/10.11648/j.ajp.20230902.14

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    ACS Style

    Sha Wang; Shaoxin Lin; Caiqing Wu; Xufen Huang. Application of Project Improvement in Elevating the Qualified Rate of Retained 24-h Quantitative Urinary Protein Specimens Among Children. Am. J. Pediatr. 2023, 9(2), 75-78. doi: 10.11648/j.ajp.20230902.14

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    AMA Style

    Sha Wang, Shaoxin Lin, Caiqing Wu, Xufen Huang. Application of Project Improvement in Elevating the Qualified Rate of Retained 24-h Quantitative Urinary Protein Specimens Among Children. Am J Pediatr. 2023;9(2):75-78. doi: 10.11648/j.ajp.20230902.14

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  • @article{10.11648/j.ajp.20230902.14,
      author = {Sha Wang and Shaoxin Lin and Caiqing Wu and Xufen Huang},
      title = {Application of Project Improvement in Elevating the Qualified Rate of Retained 24-h Quantitative Urinary Protein Specimens Among Children},
      journal = {American Journal of Pediatrics},
      volume = {9},
      number = {2},
      pages = {75-78},
      doi = {10.11648/j.ajp.20230902.14},
      url = {https://doi.org/10.11648/j.ajp.20230902.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20230902.14},
      abstract = {Objective To explore the effect of project improvement in elevating the qualified rate of retained 24-h quantitative urinary protein specimens among children in our hospital’s Department of Pediatric Internal Medicine. Methods A project improvement team was set up. The 24-h quantitative urinary protein specimens of 61 pediatric patients collected from January to June 2021 were included in the control group. From the 5 aspects of “people, devices, materials, methods, and environment”, the causes underlying the unqualified 24-h quantitative urinary protein specimens were analyzed, and the major causes were discussed. Accordingly, feasible improvement measures were formulated and implemented by department staff. After that, the 24-h quantitative urinary protein specimens of 51 pediatric patients retained in our department from July to December 2021 were included in the observation group. Finally, a comparison was made between the qualified rates of retained specimens of the two groups. Results Following project improvement, the qualified rate of retained 24-h quantitative urinary protein specimens was obviously lifted from 78.7% to 94.1%. The difference was statistically significant (P < 0.05). Conclusion Nursing project improvement is able to effectively elevate the qualified rate of retained 24-h quantitative urinary protein specimens. With the wisdom of the project improvement team, science-based approaches were adopted to address the clinical nursing issue and enhance the nursing quality. In this way, continuous quality improvement can be achieved, which in turn can make children and their family members feel more satisfied.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Application of Project Improvement in Elevating the Qualified Rate of Retained 24-h Quantitative Urinary Protein Specimens Among Children
    AU  - Sha Wang
    AU  - Shaoxin Lin
    AU  - Caiqing Wu
    AU  - Xufen Huang
    Y1  - 2023/05/22
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ajp.20230902.14
    DO  - 10.11648/j.ajp.20230902.14
    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
    SP  - 75
    EP  - 78
    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20230902.14
    AB  - Objective To explore the effect of project improvement in elevating the qualified rate of retained 24-h quantitative urinary protein specimens among children in our hospital’s Department of Pediatric Internal Medicine. Methods A project improvement team was set up. The 24-h quantitative urinary protein specimens of 61 pediatric patients collected from January to June 2021 were included in the control group. From the 5 aspects of “people, devices, materials, methods, and environment”, the causes underlying the unqualified 24-h quantitative urinary protein specimens were analyzed, and the major causes were discussed. Accordingly, feasible improvement measures were formulated and implemented by department staff. After that, the 24-h quantitative urinary protein specimens of 51 pediatric patients retained in our department from July to December 2021 were included in the observation group. Finally, a comparison was made between the qualified rates of retained specimens of the two groups. Results Following project improvement, the qualified rate of retained 24-h quantitative urinary protein specimens was obviously lifted from 78.7% to 94.1%. The difference was statistically significant (P < 0.05). Conclusion Nursing project improvement is able to effectively elevate the qualified rate of retained 24-h quantitative urinary protein specimens. With the wisdom of the project improvement team, science-based approaches were adopted to address the clinical nursing issue and enhance the nursing quality. In this way, continuous quality improvement can be achieved, which in turn can make children and their family members feel more satisfied.
    VL  - 9
    IS  - 2
    ER  - 

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Author Information
  • Department of Paediatrics, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Paediatrics, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Paediatrics, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Paediatrics, The First Affiliated Hospital of Jinan University, Guangzhou, China

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