Objective To explore the application of the"multi-level-digitalization-project-based"collaborative quality control model in hospital medical quality control and improvement.Methods The t-tests and chi-square tests were used to compare the situation before and after implementation of the"multi-level-digitalization-project-based"collaborative quality control model.Results After the implementation of the"multi-level-digitalization-project-based"collaborative quality control model,the medical quality and safety indicators such as a reduction of 3.68 DDDs in the intensity of antibacterial drug use and a decrease of 0.21 percentage points in the incidence of surgical patient complications,the work efficiency indicators of medical staff such as an increase of 8.55 percentage points in the completion rate of work tasks,the medical efficiency indicators such as a decrease of 1 1.42 min in waiting time for medical treatment,the satisfaction indicators of medical staff such as an increase of 0.84 points in job satisfaction,and the patient satisfaction indicators such as an increase of 0.48 points in satisfaction with medical experience,the differences in various indicators were all statistically significant(P＜0.001).Conclusion The"multi-level-digitalization-project-based"collaborative quality control model has achieved remarkable results in improving hospital quality and safety,reducing the incidence of adverse events,and enhancing the satisfaction of patients and medical staff.This quality control model is simple to construct and highly replicable,and can be promoted and piloted in public medical institutions at or above the second level nationwide.

Objective To explore the application of the"multi-level-digitalization-project-based"collaborative quality control model in hospital medical quality control and improvement.Methods The t-tests and chi-square tests were used to compare the situation before and after implementation of the"multi-level-digitalization-project-based"collaborative quality control model.Results After the implementation of the"multi-level-digitalization-project-based"collaborative quality control model,the medical quality and safety indicators such as a reduction of 3.68 DDDs in the intensity of antibacterial drug use and a decrease of 0.21 percentage points in the incidence of surgical patient complications,the work efficiency indicators of medical staff such as an increase of 8.55 percentage points in the completion rate of work tasks,the medical efficiency indicators such as a decrease of 1 1.42 min in waiting time for medical treatment,the satisfaction indicators of medical staff such as an increase of 0.84 points in job satisfaction,and the patient satisfaction indicators such as an increase of 0.48 points in satisfaction with medical experience,the differences in various indicators were all statistically significant(P＜0.001).Conclusion The"multi-level-digitalization-project-based"collaborative quality control model has achieved remarkable results in improving hospital quality and safety,reducing the incidence of adverse events,and enhancing the satisfaction of patients and medical staff.This quality control model is simple to construct and highly replicable,and can be promoted and piloted in public medical institutions at or above the second level nationwide.

Objective To investigate the application of serum NT-PROBNP and cTn level detection in senior acute coronary syndrome(ACS) patients during PCI perioperative.Methods 67 ACS patients who need PCI treatment in the Second People’s Hospital of Liaocheng from April 2013 to April 2014 were selected and their perioperative serum NT-PROBNP and cTn levels were detected.At the same time,30 healthy senior people were chosed as control and their serum NT-PROBNP and cTn levels were also detected.Perioperative serum NT-PROBNP and cTn levels between ACS patients and heathy people were compared,the relationship between serum NT-PROBNP,cTn level and cardiac function of ACS patients were analyzed,and the ROC curve was used to analyze the predictive value of serum NT-PROBNP and cTn joint detection on cardiac function in ACS patients. Results Serum cTnT,cTnI and NT-PROBNP levels of ACS patients were higher than that of healthy senior people (P<0.05 ).Serum cTnT,cTnI and NT-PROBNP levels of ACS patients in postoperative 4h,12h and 24h were higher than that of preoperative,and serum cTnT,cTnI and NT-PROBNP levels in postoperative 72 were lowered,and the differences were statistically significant(P<0.05 ).Pearson correlation analysis results showed that serum cTnT, cTnI and NT-PROBNP levels and heart function of senior ACS patients were negatively correlated (rcTnT=-0.706,rcTnI =-0.841,rNT-PROBNP =-0.822, P<0.05).Area under the ROC curve was 0.678 to 0.945,which belongs to 0.6 -0.9,serum NT-PROBNP and cTn joint detection could well predict the heart function of senior ACS patients.Conclusion Serum cTnT,cTnI and NT-PROBNP levels and heart function of senior ACS patients are negatively correlated.Serum NT-PROBNP and cTn joint detection can be used as predictor of cardiac function of senior ACS patients treated with PCI.