Esophageal carcinoma surgery belongs to high risk subjects. Esophageal carcinoma radical resection and reconstruction is popular in the surgical field and one of the most challenging operations. How to understand, evaluate and treat risks, take corresponding measures, so as to reduce and avoid risks, has been the focus of clinical attention and research. we base on clinical work practices, review the relevant literatures, try to review the risk factors of Esophageal cancer surgery, evaluation methods, risk classification, and its preventive countermeasures for preliminary thinking and discussions, to provide a useful reference to development of a scientific, rational and practical Esophageal cancer surgery risk scoring system.
ObjectiveTo explore the plan-do-check-action (PDCA) circulation method in reducing errors in general inspection items of health examination and to improve the quality of examination.
MethodsUsing PDCA circulation method, the reasons of errors in general items of health examination for 39 individuals examinied between August and December 2010 were analyzed. Rectification was carried out according to the reasons, and the differences in the incidence rate of errors in general items of health examination before (from August to December, 2010) and after the rectification was (from Auguest to December, 2011) was compared.
ResultsAfter the rectification, the incidence of errors in general items of health examination (0.08%) was significantly lower than that before the rectification (0.45%) (P<0.05).
ConclusionPDCA circulation method can effectively reduce the incidence of errors in general items of health examination thus may ensure the medical quality.
