摘要
目的探索应用品管圈对降低ICU外周静脉输液药物渗出发生率的作用。方法选取本科2017年3—9月收治入院的患者为研究对象。按QCC理论步骤进行计划、实施、确认和处置(PDCA),分析导致外周静脉输液药物渗出的真因,针对性地拟定对策并实施,经PDCA循环后进行效果评价。结果实施QCC后,ICU外周静脉输液药物渗出发生率由活动前的13.64%降低至活动后的5.68%,差异有统计学意义(P <0.05)。圈员团队凝聚力、自信心、责任心、沟通协调、品管手法、积极性、幸福感和解决问题能力均较之前有所提高,尤其是团队凝聚力及解决问题能力。结论品管圈活动可有效改进静脉输液工作流程,明显降低ICU外周静脉输液药物渗出发生率,提高员工工作积极性,提高静脉治疗质量。
Objective To explore the effect of quality control circle on reducing the exudation rate of intravenous infusion drugs in ICU.Methods Patients admitted to hospital from March to September 2017 were selected as the subjects.According to the theory of quality control circle,We applied planning,implementation,verification and disposal,to analyze the real causes of the exudation of drugs in ICU peripheral veins,to probe and implement countermeasures and to evaluate the effects after PDCA cycle.Results The exudation rate of intravenous infusion drugs in ICU decreased from 13.64%before QCC activity to 5.68%after QCC activity(P<0.05).The team cohesion,self-confidence,sense of responsibility,communication and coordination,quality management practices,enthusiasm,well-being and problem-solving ability of the circle members were improved,especially team cohesion and problem-solving ability.Conclusion Quality control circle activities can effectively improve the work flow of intravenous infusion,significantly reduce the incidence of exudation of intravenous infusion drugs in ICU,improve employee motivation and the quality of intravenous treatment.
作者
赵龙
杨清文
ZHAO Long;YANG Qingwen(Department of Critical Care Medicine,Rizhao Hospital of Traditional Chinese Medicine,Rizhao Shandong 276800,China;First Department of Encephalopathy,Rizhao Hospital of Traditional Chinese Medicine,Rizhao Shandong 276800,China)
出处
《中国继续医学教育》
2019年第13期193-195,共3页
China Continuing Medical Education
关键词
品管圈
静脉输液
药物渗出
渗出发生率
风险评估
ICU患者
quality control circle
intravenous infusion
drug exudation
exudation rate
risk assessment
ICU patients
