Objective:To explore the application effect of high quality nursing resources sinking in primary hospitals nursing quality management under the model of overall trusteeship.Methods:In January 2017, through the establishment of a nursing custody assistance team, high-quality nursing resources were integrated to sink to the primary hospitals (Ningbo Daxie Development Zone Hospital) , improving the nursing management system and nursing quality control three-level system, strengthening nursing quality supervision, performance assessment and diversified training of nursing talents. The quality of care, nurse bedside comprehensive ability, nurse job satisfaction, professional identity, and patient satisfaction before and after trusteeship for 2 years were observed and compared.Results:After 2 years of trusteeship, the scores of nursing quality in all dimensions and total score were significantly higher than those before the trusteeship, and the differences were statistically significant ( P<0.05) . After 2 years of trusteeship, nurse bedside comprehensive ability and job satisfaction of the nurses were significantly higher than those before the trusteeship (χ 2=16.97, 40.08; P<0.01) . After 2 years of trusteeship, the scores of professional identity in all dimensions and total score were higher than those before the trusteeship, and the differences were statistically significant ( P<0.01) . After 2 years of trusteeship, the patient satisfaction was higher than that before the trusteeship, and the difference was statistically significant (χ 2=30.40, P<0.01) . Conclusions:Under the overall trusteeship mode, high-quality nursing resources are sunk into primary hospitals, and scientific nursing management and talent training innovation mode are implemented, which effectively improve the nursing quality of the trusteeship hospital, improve the job satisfaction of nurses and patients' satisfaction, and promote the sustainable development of the trusteeship hospital.

OBJECTIVE: To discuss the impact of Zero Inventory of Chinese decoction pieces in our hospital. METHODS: Zero Inventory of Chinese decoction pieces was analyzed from aspects of hospital resource utilization, pharmacy management, and quality assurance of decoction pieces. RESULTS: Zero Inventory can help save precious hospital resources, streamline pharmacy management and ensure quality of decoction pieces supply. CONCLUSION: Zero Inventory of Chinese decoction pieces has positive impact on hospital pharmacy management; therefore it deserves to be popularized.