Abstract: Based on the practice of teaching quality management of adult medical education in Qinhuangdao Health School for many years, a scientific, reasonable, practical and efficient monitoring system for teaching quality of adult medical education nursing specialty has been constructed, that is to say, under the big data environment, with the help of the network teaching of adult nursing specialty in our school at present, the system should be scientific, reasonable, practical and efficient. Systematically, we explored the three perspectives of "three elements" - society, school and individual, "four levels" - construction, management, supervision and feedback, and strengthened the quality assurance and monitoring of adult nursing teaching, so as to improve the teaching quality of adult medical education in an all-round way.

Key words: Adult education, Teaching quality, Monitoring system