摘要
目的探讨持续质量改进(CQI)在小儿静脉留置针穿刺护理管理中的应用及其实施效果。方法以"提高留置针穿刺成功率"立项(F),成立CQI小组(O),明确现行流程和规范(C),进行根因分析(U),选择可改善流程(S),再通过计划(Plan)、执行(DO)、检查(Check)、处理(Action)反复的循环而不断的提高留置针穿刺的成功率。结果 CQI应用于小儿静脉留置针穿刺护理管理1年以来,留置针穿刺失败率由2011年29.97%降低到2012年的10.00%,护理满意度由(90.50±3.25)%提高到(98.00±0.55)%,上述指标比较,差异均具有统计学意义(χ2失败率=6.71,P<0.01;t满意度=4.05,P<0.05)。结论持续质量改进应用于小儿静脉留置针穿刺护理管理中,通过根因分析发现了影响穿刺成功率的因素,明确了现行的流程和规范,规范或优化了操作流程,进而显著提高了静脉留置针穿刺成功率,获得了较高的护理满意度,在一定程度上降低了无效的耗材支出,取得了良好的预期效果。
Objective To explore continuous quality improvement（CQI）＇s application and implementation effect in nursing management of indwelling needle puncture in children.Methods The following measurements was carried out：setting up＂improve success rate of indwelling needle puncture＂as the project（F）,organizing CQI group（O）,clarifying the current knowledge of the process（C）,understanding the causes of process variation（U）,and selecting the process improvement（S）.Success rate of indwelling needle puncture gradually by Plan,DO,Check and Action could be improved.Results One year later of CQI applied in nursing management of indwelling needle puncture in children,puncture failure rate was decreased from29.97%in year 2011 to 10.00%in year 2012,and nursing satisfaction was improved from（90.50±3.25）%to（98.00±0.55）%.There were statistical difference between two groups（χf2ailure rate=6.71,P0.01;tsatisfaction=4.05,P0.05）.Conclusion Since CQI was applied in nursing management of indwelling needle puncture in children,it is to be found factors influencing puncture success rate through root cause analysis,clarifying the current knowledge of the process,optimizing operation procedure.So it is found obviously improving success rate of indwelling needle puncture,obtaining higher nursing satisfaction,and reducing invalid consumption expenditure.Good desired effect was achieved.
出处
《济宁医学院学报》
2013年第3期211-214,共4页
Journal of Jining Medical University
关键词
CQI
小儿
静脉穿刺
留置针
护理管理
Continuous quality improvement（CQI）
Children
Indwelling needle puncture
Nursing management
