摘要
应用品管圈活动改善ICU俯卧位通气患者压力性损伤发生情况。从俯卧位通气方案不合理、俯卧位通气减压不充分两大症结出发进行原因分析,针对流程、措施、评估等制定针对性改善对策并执行,包括构建俯卧位通气链式管理模式和实施集束化防控策略。项目改进使ICU俯卧位通气患者压力性损伤发生率由57.14%下降至22.50%,规范了俯卧位通气管理模式,更好地保障了患者安全。
The quality control circle(QCC)activity was used to improve the incidence of pressure ulcers in ICU patients ventilated in the prone position.Cause analysis was carried out from the two major sticking points of unreasonable prone ventilation scheme and insufficient decompression of prone ventilation.Targeted improvement countermeasures were formulated and implemented for procedures,measures and assessments,including the construction of prone ventilation chain-type management mode and the implementation of cluster prevention and control strategies.The improvement of the project actually reduced the incidence of pressure ulcers in ICU patients with prone ventilation from 57.14%to 22.50%,standardized the management mode of prone ventilation,and better guaranteed the safety of patients.
作者
蔡甜甜
庞雪莲
张丽丽
韩文静
王凯
苏东敏
陈玲
CAI Tiantian;PANG Xuelian;ZHANG Lili(Qilu Hospital of Shandong University(Qingdao), Qingdao, Shandong, 266035, China;不详)
出处
《中国卫生质量管理》
2021年第9期67-70,76,共5页
Chinese Health Quality Management
基金
山东大学齐鲁医院(青岛)护理创新基金(编号:QDKY2020HL04)。
关键词
品管圈
问题解决型品管圈
重症监护室
患者
俯卧位通气
压力性损伤
Quality Control Circle
Problem Solving Quality Control Circle
Intensive Care Unit
Patients
Prone Position Ventilation
Pressure Ulcers
