摘要
目的采用六西格玛管理法改进某院呼吸科电子护理记录单,以提高护理记录单书写质量。方法某三甲医院呼吸科于2021年10月1日实施六西格玛法管理电子护理记录单,随机抽取某院呼吸科2021年1月1日-2021年9月30日患者护理记录单150份作为实施前组,随机抽取2021年11月1日-2022年7月31日患者护理记录单150份作为实施后组。采用SPSS 21.0比较2组护理记录单书写质量及缺陷发生率,比较实施前后护理人员专科知识掌握和护理记录书写能力。结果实施后组护士专科知识掌握(95.06±8.41)分、护理记录书写能力考核成绩(96.13±8.56)分均高于实施前(89.69±8.76)分、(88.07±8.69)分,差异有统计学意义。六西格玛管理法实施后护理记录出现医护记录不一致、护理记录与病情不符、护理措施无效果评价、未体现专科特点、未使用医学术语和护理记录不完整等缺陷例数均明显少于实施前,差异有统计学意义。护理记录书写质量评分实施前组(92.12±3.98)分高于实施后组(85.02±4.82)分,差异具有统计学意义。结论六西格玛管理法可提高呼吸科电子护理记录单书写质量,减少护理记录缺陷发生率,提高护理人员专业知识,值得进一步推广应用。
Objectives This study aims to use the Six Sigma management method to improve the electronic nursing record sheet of the respiratory department of a hospital and the writing quality of the nursing record sheet.Methods The respiratory department of a tertiary hospital implemented the Six Sigma method to manage electronic nursing records on October 1,2021.150 patient care records from the respiratory department of a hospital from January 1,2021 to September 30,2021 were randomly selected as the pre-implementation group,and 150 patient care records from November 1,2021 to July 31,2022 were randomly selected as the post-implementation group.The writing quality and defect incidence rate of the nursing records between the two groups and the nursing staff's professional knowledge and nursing record writing ability before and after implementation were compared respectively by SPSS 21.0.Results The nurses’professional knowledge mastery(95.06±8.41)points and nursing record writing ability assessment scores(96.13±8.56)points in the post-implementation group were higher than those before the implementation(89.69±8.76)points,(88.07±8.69)points,and the differences were statistically significant.After the implementation of the Six Sigma Management Method,the number of nursing records with defects such as inconsistent medical records,inconsistent nursing records and conditions,ineffective evaluation of nursing measures,failure to reflect specialty characteristics,failure to use medical terminology,and incomplete nursing records was significantly less than before the implementation.The difference was statistically significant.The nursing record writing quality score of the pre-implementation group(92.12±3.98)points was higher than that of the post-implementation group(85.02±4.82)points,and the difference was statistically significant.Conclusions The Six Sigma management method can improve the writing quality of electronic nursing records in the respiratory department,reduce the incidence of nursing record defects,and impro
作者
田雪
夏婕
李秀军
李江岳
Tian Xue;Xia Jie;Li Xiujun;Li Jiangyue(Beijing Chaoyang Hospital Affiliated to Capital Medical University,Beijing 100020,China;不详)
出处
《中国病案》
2024年第3期10-12,共3页
Chinese Medical Record
关键词
呼吸科
电子护理记录单
六西格玛
改进措施
效果
Respiratory department
Electronic nursing record sheet
Six Sigma
Improvement measures
Effect
