{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:02:57Z","timestamp":1777726977148,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2018,4,10]],"date-time":"2018-04-10T00:00:00Z","timestamp":1523318400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The agranulocytosis-associated perianal infection (PI) rate ranges from 60% to 100% among patients with hematopoietic malignancies. In this study, we assessed the efficacy of a quality control circle (QCC) to minimize the PI rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Among 274 patients with severe immunodeficiency (agranulocytosis of \u22652 weeks) in our bone marrow transplantation center, the PI rate was 17.20%. A QCC was established following the 10 steps of the plan-do-check-act (PDCA) model; this was scientifically supported by culturing the bacterial colony from patients\u2019 perianal skin to determine the sanitization effect and interval time. Because a warm aqueous solution of potassium permanganate is recommended for sanitization, the bacterial colony culture was also used to determine the proper drug concentration, water temperature, and soaking time. All procedures were standardized. Patients, hospital staff, and medical students were enrolled into the QCC team based on the patient\u2013hospital\u2013student (PHS) win\u2013win concept.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After establishment of the PDCA model, the PI rate among 253 patients decreased from 17.20% to 5.93% and remained at 5.25% during the following year. The medical expenses and length of hospital stay consequently decreased.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The QCC and PHS win\u2013win concept can reduce the PI rate and promote medical quality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0300060517726863","type":"journal-article","created":{"date-parts":[[2018,4,10]],"date-time":"2018-04-10T06:05:13Z","timestamp":1523340313000},"page":"2338-2345","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Minimization of the perianal infection rate of hematological malignancies with agranulocytosis by quality control circle activity and patient\u2013hospital\u2013student win\u2013win concept"],"prefix":"10.1177","volume":"46","author":[{"given":"Qianli","family":"Jiang","sequence":"first","affiliation":[{"name":"Southern Medical University Nanfang Hospital, Guangzhou, Guangdong, China"},{"name":"Institution for Hospital Management of Tsinghua University, Beijing, China, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Institution for Hospital Management of Tsinghua University, Beijing, China, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jerry","family":"Majaw","sequence":"additional","affiliation":[{"name":"First Medical College, Southern Medical University, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chenjing","family":"Zhao","sequence":"additional","affiliation":[{"name":"First Medical College, Southern Medical University, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanyan","family":"Chai","sequence":"additional","affiliation":[{"name":"Southern Medical University Nanfang Hospital, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zehua","family":"Xu","sequence":"additional","affiliation":[{"name":"First Medical College, Southern Medical University, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruiting","family":"Wang","sequence":"additional","affiliation":[{"name":"Southern Medical University Nanfang Hospital, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoli","family":"Li","sequence":"additional","affiliation":[{"name":"First Medical College, Southern Medical University, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chun","family":"Zou","sequence":"additional","affiliation":[{"name":"First Medical College, Southern Medical University, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liting","family":"Huang","sequence":"additional","affiliation":[{"name":"First Medical College, Southern Medical University, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hansen","family":"Wu","sequence":"additional","affiliation":[{"name":"Southern Medical University Nanfang Hospital, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pingling","family":"Hu","sequence":"additional","affiliation":[{"name":"Southern Medical University Nanfang Hospital, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ping","family":"Xiang","sequence":"additional","affiliation":[{"name":"Southern Medical University Nanfang Hospital, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiufan","family":"Chen","sequence":"additional","affiliation":[{"name":"First Medical College, Southern Medical University, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weimei","family":"Ma","sequence":"additional","affiliation":[{"name":"First Medical College, Southern Medical University, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhihao","family":"Zheng","sequence":"additional","affiliation":[{"name":"First Medical College, Southern Medical University, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Sun","sequence":"additional","affiliation":[{"name":"Southern Medical University Nanfang Hospital, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tingfang","family":"Liu","sequence":"additional","affiliation":[{"name":"Institution for Hospital Management of Tsinghua University, Beijing, China, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenyuan","family":"Li","sequence":"additional","affiliation":[{"name":"Southern Medical University Nanfang Hospital, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,4,10]]},"reference":[{"key":"bibr1-0300060517726863","doi-asserted-by":"publisher","DOI":"10.1007\/s00277-003-0771-5"},{"key":"bibr2-0300060517726863","doi-asserted-by":"publisher","DOI":"10.4084\/mjhid.2016.019"},{"key":"bibr3-0300060517726863","first-page":"32","volume":"18","author":"Bai YL","year":"2012","journal-title":"Journal of Nursing"},{"key":"bibr4-0300060517726863","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0060624"},{"key":"bibr5-0300060517726863","unstructured":"Huixuan Zheng. The effect of '3S' in promotion of franchising. Chain and franchise. Management engineer. 2008,  7: 34\u201335"},{"key":"bibr6-0300060517726863","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcol.2014.06.002"},{"key":"bibr7-0300060517726863","first-page":"24","volume":"2","author":"Tingfang Liu.","year":"2015","journal-title":"Journal of Chinese research hospitals"},{"key":"bibr8-0300060517726863","first-page":"36","author":"Tingfang Liu","year":"2012","journal-title":"Beijing: People's Medical Publishing House"},{"key":"bibr9-0300060517726863","first-page":"37","volume":"32","author":"Minghui Liang.","year":"2012","journal-title":"Chinese hospital management"},{"key":"bibr10-0300060517726863","first-page":"76","author":"Chengyuan Liu.","year":"2008","journal-title":"Business administration"},{"key":"bibr11-0300060517726863","unstructured":"Zongjiu Zhang. Chinese hospital review practice [M]. People's Medical Publishing House, 2013."},{"key":"bibr12-0300060517726863","first-page":"7","volume":"19","author":"Junyang Gao","year":"2015","journal-title":"Chinese hospital"},{"key":"bibr13-0300060517726863","unstructured":"Lifen Lan. Effect of potassium permanganate bath on prevention of perianal infection in leukemia patients.\n                      New Medical Information Digest (Continuous Electronic Journal)\n                      2015: 88\u201389."}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060517726863","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0300060517726863","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060517726863","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:48:17Z","timestamp":1777459697000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0300060517726863"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,10]]},"references-count":13,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,6]]}},"alternative-id":["10.1177\/0300060517726863"],"URL":"https:\/\/doi.org\/10.1177\/0300060517726863","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,10]]}}}