[1]龚霞玲,李仙霞,吁丽平.PDCA循环联合细节护理在住院患者护理安全与质量持续改进中的作用[J].医学信息,2023,36(02):156-159.[doi:10.3969/j.issn.1006-1959.2023.02.034]
　GONG Xia-ling,LI Xian-xia,XU Li-ping.The Role of PDCA Cycle Combined with Detailed Nursing in the Continuous Improvement of Nursing Safety and Quality of Inpatients[J].Journal of Medical Information,2023,36(02):156-159.[doi:10.3969/j.issn.1006-1959.2023.02.034]
点击复制

PDCA循环联合细节护理在住院患者护理安全与质量持续改进中的作用()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年02期
页码:
156-159
栏目:
护理研究
出版日期:
2023-01-15

文章信息/Info

Title:
The Role of PDCA Cycle Combined with Detailed Nursing in the Continuous Improvement of Nursing Safety and Quality of Inpatients
文章编号:
1006-1959（2023）02-0156-04
作者:
龚霞玲; 李仙霞; 吁丽平
（抚州市临川区人民医院护理部，江西 抚州 344000）
Author(s):
GONG Xia-ling; LI Xian-xia; XU Li-ping
(Department of Nursing,Linchuan District People’s Hospital,Fuzhou 344000,Jiangxi,China)
关键词:
住院患者; 护理安全; 质量持续改进; PDCA循环; 细节护理
Keywords:
Inpatients; Nursing safety; Continuous quality improvement; PDCA cycle; Detailed nursing
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2023.02.034
文献标志码:
A
摘要:
目的 探究PDCA循环联合细节护理在住院患者护理安全与质量持续改进中的作用。方法 选取2021年1月-12月抚州市临川区人民医院接收的150例住院患者为观察组，在常规护理基础上应用PDCA循环联合细节护理，另以2020年1月-12月接收的150例住院患者为对照组，采用常规护理。比较两组护理不良事件（跌倒、坠床、压疮、管道滑脱等）、护理质量、护理人员综合素质及患者满意度。结果 观察组护理不良事件发生率小于对照组（P＜0.05）；观察组护理质量评分及护理人员综合素质评分均高于对照组（P＜0.05）；观察组患者满意度高于对照组（P＜0.05）。结论 PDCA循环联合细节护理可降低住院患者的不良事件发生风险，提高其护理质量，改善护理人员的综合素质，同时提高患者的临床满意度。
Abstract:
Objective To explore the role of PDCA cycle combined with detailed nursing in the continuous improvement of nursing safety and quality of inpatients.Methods From January to December 2021, 150 inpatients received by Fuzhou Linchuan District People’s Hospital were selected as the observation group, and PDCA cycle combined with detailed nursing was applied on the basis of routine nursing. In addition, 150 inpatients received from January 2020 to December 2020 were used as the control group, and routine nursing was used. The nursing adverse events (fall, falling bed, pressure sore, pipeline slippage, etc.), nursing quality, comprehensive quality of nursing staff and patient satisfaction were compared between the two groups.Results The incidence of nursing adverse events in the observation group was lower than that in the control group (P<0.05). The nursing quality score and the comprehensive quality score of nursing staff in the observation group were higher than those in the control group (P<0.05). The satisfaction of patients in the observation group was higher than that in the control group (P<0.05).Conclusion PDCA cycle combined with detailed nursing can reduce the risk of adverse events in hospitalized patients, improve the quality of nursing, improve the comprehensive quality of nursing staff, and improve the clinical satisfaction of patients.

参考文献/References:

[1]徐秀军,张少见,袁华.PDCA循环质控管理措施在医院护理质量管理中的应用[J].海南医学,2021,32(16):2174-2176.[2]宋丽萍,马静,王亚军,等.标准化疗养护理服务管理模式对持续提升护理质量的实践与效果分析[J].护理管理杂志,2017,17(6):418-420.[3]王旭霞,田芳英.PDCA循环在提高医院感染管理质量中的作用[J].中国药物与临床,2020,20(23):4027-4029.[4]贾友波,宋宪锟.PDCA循环在病案首页质量持续改进中的应用[J].中国病案,2020,21(9):16-18.[5]林珮,姜辉,郑朱丹.PDCA循环管理模式联合细节护理提高手术室安全管理及护理质量的效果[J].中华现代护理杂志,2019(11):1429-1431.[6]Dang AH,Gjolaj LN,Peck AH.Using Rapid Cycle Improvement (Plan, Do, Study, Act) to Design a Scalable Appointment Scheduling System for Complex Oncology Clinical Trials at an Academic Cancer Center[J].Journal of Oncology Practice,2018,14(9):18.[7]杜敏,陈秋,龙训,等.PDCA循环理论在医院护理质量控制中的应用价值分析[J].中国地方病防治杂志,2018,33(4):471.[8]张婷,郝晶,王敏蓉,等.PDCA循环联合细节护理在手术室医院感染控制中的应用效果[J].检验医学与临床,2018,15(10):1502-1505.[9]Guidotti T.1144 Continuous quality improvement (cqi) as an alternative to standard setting: the deming cycle (pdca) approach to achieving risk reduction[J].BMJ Publishing Group Ltd,2018,75(2):A156-A158.[10]顾建丽,王娟,王耀曼.PDCA循环管理模式在医养结合护理质量持续改进中的应用[J].河北医学,2017,23(10):1747-1751.[11]臧季贤,季爱华.员工参与机制联合护理绩效的病区质量管理实践[J].蚌埠医学院学报,2017,42(10):1421-1422.[12]何春艳,刘红,向文娟,等.PDCA循环管理法在手术室护理安全与质量改进中的应用效果分析[J].实用临床医药杂志,2017,21(16):106-108,112.[13]欧阳庆,周娜,彭丽.护理专项质量持续改进小组在护理安全不良事件管理中的应用[J].护士进修杂志,2017,32(16):1476-1479.[14]孙丽明,安利杰,高景利.路径式质量管理在薄弱环节护理质量持续改进中的应用效果[J].中国煤炭工业医学杂志,2017,20(8):968-971.[15]罗娟,谭洁,李彬.PDCA循环管理模式在医养结合护理中对护理质量持续改进的效果分析[J].山西医药杂志,2018,47(23):2901-2903.[16]杨兰,施丽,王颖,等.PDCA循环结合细节护理提高门诊手术室安全管理质量的效果[J].中华现代护理杂志,2021,27(2):272-275.[17]庞贵凤,贺润莲,赵璐.护理质量重点监测指标在护理质量持续改进中的应用[J].护理研究,2017,31(11):1321-1324.[18]Cousson PY,Decerle N,Munoz-Sanchez ML,et al.The "Plan" phase of a Deming cycle: Measurement of quality and outcome of root canal treatments in a university hospital[J].European Journal of Dental Education,2019,23(1):e1-e11.[19]刘玲,李春梅,杨晓丽,等.PDCA循环在提高医院感染管理质量中的效果分析[J].中华医院感染学杂志,2017,27(3):685-687,698.[20]杨慧玲,杜粉静,侯静涛.追踪法联合PDCA循环管理在护理安全质量管理中的应用[J].医学临床研究,2021,38(12):1880-1882.[21]陈锦秀,林万龙.PDCA循环在药、护联合临床科室备用药品管理中的应用[J].护理管理杂志,2017,17(11):850-852.

相似文献/References:

[1]张榕榕,陈亚梅.2012~2016年南京某三甲医院住院患者死因分析[J].医学信息,2018,31(03):126.[doi:10.3969/j.issn.1006-1959.2018.03.043]
　ZHANG Rong-rong,CHEN Ya-mei.Analysis of the Causes of Death of Hospitalized Patients in a Third Class A Hospital in Nanjing from 2012 to 2016[J].Journal of Medical Information,2018,31(02):126.[doi:10.3969/j.issn.1006-1959.2018.03.043]
[2]王昀飞.PDCA循环管理法在手术室护理安全与质量改进中的应用效果[J].医学信息,2022,35(09):190.[doi:10.3969/j.issn.1006-1959.2022.09.050]
　WANG Yun-fei.Application Effect of PDCA Cycle Management Method in Nursing Safety and Quality Improvement in Operating Room[J].Journal of Medical Information,2022,35(02):190.[doi:10.3969/j.issn.1006-1959.2022.09.050]
[3]朱桂香,刘华之,李莉莉,等.品管圈活动对提高泌尿外科住院患者自备口服药的 执行效果观察[J].医学信息,2018,31(13):176.[doi:10.3969/j.issn.1006-1959.2018.13.055]
　ZHU Gui-xiang,LIU Hua-zhi,LI Li-li,et al.Effect of Quality Control Circle Activities on Improving the Self-provided Oral Medicine of Inpatients in Urinary Surgery[J].Journal of Medical Information,2018,31(02):176.[doi:10.3969/j.issn.1006-1959.2018.13.055]
[4]徐海红,李灵艳,邢 燕.老年多病共存住院患者护理特点分析[J].医学信息,2018,31(14):176.[doi:10.3969/j.issn.1006-1959.2018.14.056]
　XU Hai-hong,LI Ling-yan,XING Yan.Analysis of Nursing Characteristics of Elderly Patients with Multiple Diseases Coexisting Inpatients[J].Journal of Medical Information,2018,31(02):176.[doi:10.3969/j.issn.1006-1959.2018.14.056]
[5]袁 园,熊江容,冉哨东,等.枝江市精神卫生中心首次住院精神障碍患者病种构成分析[J].医学信息,2018,31(20):115.[doi:10.3969/j.issn.1006-1959.2018.20.034]
　YUAN Yuan,XIONG Jiang-rong,RAN Shao-dong,et al.Analysis of the Composition of the First-episode Inpatients with Mental Disorders in Zhijiang Mental Health Center[J].Journal of Medical Information,2018,31(02):115.[doi:10.3969/j.issn.1006-1959.2018.20.034]
[6]陈 芳,张诚霖.心内科住院患者离院外出的原因分析及护理对策[J].医学信息,2019,32(15):123.[doi:10.3969/j.issn.1006-1959.2019.15.040]
　CHEN Fang,ZHANG Cheng-lin.Cause Analysis of Leaving Hospital and Nursing Strategy in Cardiology Department Inpatients[J].Journal of Medical Information,2019,32(02):123.[doi:10.3969/j.issn.1006-1959.2019.15.040]
[7]郭宏欣.8S护理管理模式对心血管内科患者住院舒适度及睡眠质量的影响[J].医学信息,2020,33(15):177.[doi:10.3969/j.issn.1006-1959.2020.15.057]
　GUO Hong-xin.The Effect of 8S Nursing Management Model on Hospitalization Comfort and Sleep Quality of Cardiovascular Medical Patients[J].Journal of Medical Information,2020,33(02):177.[doi:10.3969/j.issn.1006-1959.2020.15.057]
[8]楚亚林,胡鹏程,刘国琴,等.基于EQ-5D量表VAS评分和健康效用值的住院患者生命质量评价[J].医学信息,2020,33(15):53.[doi:10.3969/j.issn.1006-1959.2020.15.018]
　CHU Ya-lin,HU Peng-cheng,LIU guo-qin,et al.Quality of Life Evaluation of Inpatients Based on VAS Score and Health Utility Value of EQ-5D Scale[J].Journal of Medical Information,2020,33(02):53.[doi:10.3969/j.issn.1006-1959.2020.15.018]
[9]郭 毅,刘 梅,曾佩琴,等.新冠肺炎疫情对医院住院患者就诊情况的影响[J].医学信息,2020,33(22):131.[doi:10.3969/j.issn.1006-1959.2020.22.037]
　GUO Yi,LIU Mei,ZENG Pei-qin,et al.The Impact of COVID-19 Epidemic on the Situation of Hospital Inpatients[J].Journal of Medical Information,2020,33(02):131.[doi:10.3969/j.issn.1006-1959.2020.22.037]
[10]李 华.2010年~2019年广西某医院住院患者死亡病例分析[J].医学信息,2021,34(13):149.[doi:10.3969/j.issn.1006-1959.2021.13.041]
　LI Hua.Analysis of Death Cases of Inpatients in a Hospital in Guangxi from 2010 to 2019[J].Journal of Medical Information,2021,34(02):149.[doi:10.3969/j.issn.1006-1959.2021.13.041]

更新日期/Last Update: 1900-01-01