摘要
目的探讨流程管理与对患者进行分层在优化急诊儿科护理服务的有效性。方法运用流程管理的理论和方法,调查分析急诊儿科护理服务中存在的问题并进行流程改进,结合在急诊儿科已建立门急诊静脉药物输液中心的基础上重新制定出更加规范、科学的工作流程,同时引导护理人员根据患者病情轻重缓急进行分层次管理并不断改进;统计新的管理方式执行前后护理不良事件发生率、病人满意度、护士工作效率、护士满意度。结果新的管理方式执行后:(1)护理不良事件发生率明显降低;(2)病人满意度明显增加、投诉发生率明显降低;(3)护士工作效率明显提高;(4)护士满意度明显提高;差异均有统计学意义。结论运用流程管理的科学理论和方法对患者进行分层可以优化急诊儿科护理服务。
Objective To explore the validity of process management and patient stratification in optimizing pediatric emergency nursing service. Methods The theory and method of process management were used to investigate and analyze the existing problems in pediatric emergency nursing service so as to improve the process. We reformulated a more normative and scientific working process based on the existing infusion center for intravenous medications in pediatric emergency nursing service; meanwhile, the nurses were guided to stratify the patients in terms of the status of the disease and to improve the management continuously. Before and after executing the new management method, the incidence rate of nursing mistakes, the satisfaction rate of the patients, the working efficiency of the nurses, and the satisfaction rate of the nurses were statistically analyzed. Re- suits After executing the new management method, the incidence rate of nursing mistakes and the incidence rate of patients＇ complaints were both decreased significantly, but the satisfaction rate of the patients, the working efficiency of the nurses, and the satisfaction rate of the nurses were all increased significantly; and the difference was statistically significant. Conclusions Pediatric emergency nursing service could be optimized through applying the scientific theory and method of process management to stratify the patients.
出处
《实用预防医学》
CAS
2012年第5期781-783,共3页
Practical Preventive Medicine
关键词
流程管理
患者分层
护理服务
Process management
Patient stratification
Nursing service
