หนังสือ KM หนองพอก ปี 2555 (งาน KM ปีที่ 4) Page 1 50

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2. 4 3 R2R CQI HA 16 2555 CQI CQI 3 P (Purpose process performance) 2 3. 2 . CQI .. 6 KM 4 27-31 2555 3 4. 6 10. 18KM 164 5. 20 ... 24CQI 38 R2R 865 6. 4 4 6 7. (Knowledge Management :KM) 7 8. 4 8 9. (CUP) CQI R2R R&D 2552 2555 (Knowledge Management) 3 R2R R&D 2556 9 10. . 2551 ()2547 ()2542 ()2531 ()2519 ()2517 () () 1. 2. 3. 4. 5. 6. . . () . 7. 8. 9. 10. 1. .. 2548 (Environment and Development)2. ..2550 (Globalization Administration)3. .. 2551 (Holistically integrative research)10 11. . () ..() / 043-544738-43043-544744 2546 6 2550 2548-2549 2550 2551 2552 3 2552 2553 2554 2554 11 12. MasterofPublicHealth ( M.P.H ) ( HealthSystemDevelopment ) 21.. 2545 - ( ) 2..2541 - ( )4..2534 / 12 13. CQI - 2538 - 2546 - - ( ) - () - - - - - - - (PCT) - - - (ENV) - - 13 14. CQI 1. . ..2527 2. ..2536 3. . 2548 4. ..2553 1. (QRT) 2554 2. 2555 3. 25551. 1.1 ..2536 1.2 ..25392. 2.1 ..2548 2.2 ..2551 2.3 (.) ..255314 15. CQI - . 2528- . 2535- () 2548- - 2550- 2551- 2552- 2553- - - - - CUP BOARD- (QA) - - - 2545 - 15 16. 1 24 - 28 2552 2 21 - 25 2553 3 27 - 30 2554 16 17. 17 18. . 18 19. 18 2555 19 20. 20 21. 21 22. 22 23. 23 24. ... ER ER 24 25. 25 26. HA . Lab X-ray26 27. 24 - 25 2555 (HA) . 27 28. ... IT 28 29. PCUX-ray 29 30. ... . . 30 31. . . . 31 32. Context Based 32 33. Learning (CBL) 33 34. 34 35. ... .35 36. ... R 36 37. Refer 37 38. / 2554 / 41 / 29 - - - - - - 1. 2. 80 % 29 - 23 - 6 1. 2. 3. 4. 5 A Ask=, Assess=, Arrange= , Advise=, Assist= 5. 10-11 4 6. 7. 16 12 2554 - 38 39. CQI- - - 23 15 (65.21%) 5 6 6 (100%) 21 (91.20%) 2 (8.6%) 29 - 20 (68.96 % ) - 9 (31.03 %) - 25 (86.20%) - 4 (13.79 %) - 11 (37.93% ) - 18 (62.07%) - 4 (13.79%) - 1 2(10.34%)- - / 1. 2. 3. 39 40. - - OPD Card - Focus charting SBAR Tool - Focus charting, - Urgent Emergency Resuscitation 60 , - 2555 3 , - 20 1) 16-20 25 10-15 20 1 5 2) 18 90 EMT-I 2 10 3) - ER 17 85 75 70 60 ER SBAR tool 6540 41. CQI 1. - 2. R2R - 1. ER 3 (15%) 17 (85%) 2.1 (5%) 12 (60%)7 (35%) 3. 3 (15%) 14 (70%)3 (15%) 4. 4 (20%) 15 (75%)1 (5%) 5. SBAR tool 3 (15%) 13 (65%)4 (20%) 6. 3 (15%) 14 (70%)3 (15%)41 42. Recyclereuse reduce 1. 2. - 6 750 1. 2. 1 / 2 . 3. 4. ( ) 1. 2. 42 43. CQI 1 100 ... 3 Power , Passage , Passenger Passenger 100 1000 ..- .. 2555 30 1. Symphysis Pubis 2. 3. 4. 5. 1. 10-100 70 % 2. 100 30 % 3. 10 (1 ) 4. 400 (1 ) 1. - Symphysis pubis - 2. 1. 2. 43 44. : : 50-52 1. 2. 3. 100% 4. >80% 5. 1. 2. 3. 5. 4. 5. ODESB 100% 6. . 7. 8. () 2 1. 52=11 , 53=1 , 54=2 ,55=1 2. 3. 4. 255583.54% 5. 55 80% 84.40% 86.25% 1. 2. 3. 4. 44 45. CQI (Modified elastic band exercise to pulmonary rehabilitation in COPD patient) 1. 2. 1. 2. 3. 1. 2. 3. ..45 46. KUB , L-S SPINE , PELVIS GONAD SHIELD 1. 2. 20 3. 4. 5. 10 THYROID SHIELD46 47. CQI (PDSA) 15 2554- 2555 2 ( 1 3 ) Infusion pump 6 84.25 (6,066 7,200 ) 55.56 (139 250 ) 2 ( 05.00 08.30 .) 47 48. .3 86 () 50 () 4 . . 2554 . ( ) Hos-XP 90.58 255548 49. CQI 1 1 () 2553 IC 1. 1 1 2. 3. 4. 5. 6. 7. 1. 2. 3. 49 50. - Hos xp - HN BMI - - - - 9-10 - 1 2-3 - 50