摘要
目的探讨PDCA循环管理模式联合细节护理对手术室安全管理及护理质量提高的应用效果。方法采用便利抽样法选取2016年2月—2017年1月在温州市人民医院手术治疗的手术患者275例作为对照组,2017年2月—2018年1月的手术患者282例作为观察组。对照组采取常规手术室护理模式,观察组接受采取PDCA循环管理联合细节护理。比较两组护理风险事件发生情况和手术室护理质量评分。结果观察组护理风险事件发生率0.71%,对照组2.64%,差异具有统计学意义(χ2=5.659,P=0.017)。观察组仪器设备管理、器械准备、巡回护士配合技能、消毒隔离、护理质量安全总分分别为(27.47±1.28)、(18.37±1.10)、(27.17±1.85)、(18.79±1.75)、(91.84±3.39)分,均高于对照组的(24.17±1.37)、(16.14±1.96)、(25.34±1.73)、(16.21±1.16)、(82.68±3.20)分,差异具有统计学意义(t值分别为29.383、16.611、12.051、20.455、32.777;P<0.01)。结论在手术室护理管理工作中运用PDCA循环管理结合细节护理,可有效提高护理人员工作质量以及手术室护理质量,减少护理差错事故的发生。
ObjectiveTo explore the effects of plan-do-check-action(PDCA)cycle management model combined with detail nursing on improving safety management and nursing quality in the operating room.MethodsBy convenience sampling,we selected 275 surgery patients in Wenzhou People's Hospital from February 2016 to January 2017 in control group,and 282 surgery patients from February 2017 to January 2018 in observation group.Control group received routine nursing model of operating room,while observation group carried out PDCA cycle management model combined with detail nursing.We compared the incidence of nursing risk events and nursing quality of operating room between two groups.ResultsThe incidences of nursing risk events of observation group and control group were 0.71%and 2.64%respectively with a statistical difference(χ2=5.659,P=0.017).The total scores of equipment management,equipment preparation,cooperation skill of circulating nurse,disinfection and isolation as well as nursing quality safety in observation group were(27.47±1.28),(18.37±1.10),(27.17±1.85),(18.79±1.75)and(91.84±3.39)respectively higher than those[(24.17±1.37),(16.14±1.96),(25.34±1.73),(16.21±1.16)and(82.68±3.20)]in control group with statistical differences(t=29.383,16.611,12.051,20.455,32.777;P<0.01).ConclusionsThe application of PDCA cycle management model combined with detail nursing in nursing management of operating room can effectively improve working quality of nurses and nursing quality of operating room,and reduce the incidence of nursing errors and accidents.
作者
林珮
姜辉
郑朱丹
Lin Pei;Jiang Hui;Zheng Zhudan(Operating Room,Wenzhou People's Hospital of Zhejiang Province,Wenzhou 325000,China)
出处
《中华现代护理杂志》
2019年第11期1429-1431,共3页
Chinese Journal of Modern Nursing
关键词
手术室
PDCA
细节护理
安全管理
护理质量
Operating rooms
Plan-do-check-action
Detail nursing
Safety management
Nursing quality
