[1]袁 玲,丁思悦,吴 杨,等.品管圈在降低48小时患者非计划重返ICU率中的应用效果[J].医学信息,2019,32(02):180-183.[doi:10.3969/j.issn.1006-1959.2019.02.056]
　YUAN Ling,DING Si-yue,WU Yang,et al.The Effect of Quality Control Circle on Reducing the Unplanned Return to ICU Rate in 48 Hours[J].Journal of Medical Information,2019,32(02):180-183.[doi:10.3969/j.issn.1006-1959.2019.02.056]
点击复制

品管圈在降低48小时患者非计划重返ICU率中的应用效果()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年02期
页码:
180-183
栏目:
护理研究
出版日期:
2019-01-15

文章信息/Info

Title:
The Effect of Quality Control Circle on Reducing the Unplanned Return to ICU Rate in 48 Hours
文章编号:
1006-1959（2019）02-0180-03
作者:
袁 玲; 丁思悦; 吴 杨; 杨 璐; 王秉文
1.辽宁省人民医院重症医学科，辽宁 沈阳 110000；2.空军军医大学第一附属医院医务处，陕西 西安 710032
Author(s):
YUAN Ling; DING Si-yue; WU Yang; YANG Lu; WANG Bing-wen
1.Department of Critical Care Medicine,Liaoning Provincial People's Hospital,Shenyang 110000,Liaoning,China;2.Medical Department,the First Affiliated Hospital of Air Force Military Medical University, Xi'an 710032,Shaanxi,China
关键词:
品管圈; 非计划重返ICU;  ICU周转
Keywords:
Quality control circle; Unplanned return to ICU; ICU turnover
分类号:
R472
DOI:
10.3969/j.issn.1006-1959.2019.02.056
文献标志码:
A
摘要:
目的 探讨品管圈活动在降低48 h患者非计划重返ICU率中的应用效果。方法 辽宁省人民医院ICU于2018年4月成立品管圈小组，运用PDCA循环方法，确立“降低48 h患者非计划重返ICU率”为活动主题，将2016年1月1日~12月31日收治的736例患者作为活动前组，将2017年10月1日~2018年4月30日收治的456例患者作为活动后组，进行现状把握、设定目标、原因分析及制定对策。结果 通过此次品管圈活动，使48 h患者非计划重返ICU率由改善前8.13%下降至2.87%，品管圈活动目标达标率
Abstract:
Objective To investigate the effect of quality control circle activity on the rate of unplanned return to ICU in patients with reduced 48 h. Methods The ICU of Liaoning Provincial People's Hospital established a quality control circle group in April 2018. The PDCA cycle method was used to establish the theme of "reducing the unplanned return of ICU for 48 h patients". The theme will be from January 1 to December 31, 2016. 736 patients admitted to the day as the pre-activity group, 456 patients admitted from October 1, 2017 to April 30, 2018 as the post-activity group, to grasp the status quo, set goals, analysis of true causes, and verification of true cause And develop countermeasures. Results Through this quality control circle activity, the rate of unplanned return to ICU for 48 h patients decreased from 8.13% to 2.87% before improvement, the target compliance rate for quality control circle activities was 106.26%, and the progress rate reached 64.70%. All capabilities have been significantly improved. Conclusion Quality control circle activities can help reduce the unplanned return to ICU rate in 48 h patients, and it is worthwhile to continue to apply in future work.

参考文献/References:

[1]毛芙蓉,严凤霖,蒲贵波.对重度COPD转至呼吸内科患者实施ICU转出过渡护理的效果观察[J].中国急救医学,2017, 37(z2):193-194.
[2]徐绍莲,解绍芹.ICU转出病人重返原因分析及护理对策[J].护理研究,2012,26(16):1500-1501.
[3]李桂芳,徐翠莲,李元贵,等.ICU患者72 h内非计划重返因素分析[J].重庆医学,2014,43(23):3102-3104.
[4]赵明钢,梁铭会,俞汝龙,等.CHQIS医疗质量评价指标体系设计与实践[J].中国医院,2009,13(4):2-4.
[5]刘庭芳,刘勇.中国医院品管圈操作手册[M].北京:人民卫生出版社,2012.
[6]李晶,连淑萍,陈俊凯,等.缩短腰椎间盘后路镜术后平均住院日[J].中国卫生质量管理,2018,25(5):92-96.
[7]石泽亚,杨丹,秦月,等.降低ICU患者约束缺陷发生率的品管圈实践[J].护理学报,2014(15):13-16.
[8]瞿佳,尹志良,赵勤,等.提高手术切皮前Time-out正确执行率[J].中国卫生质量管理,2018,25(5):89-91,110.
[9]张萍,何芸,舒开丽,等.ICU患者转出后72h内重返的原因分析及护理对策[J].中国急救复苏与灾害医学杂志,2014(1):91-93.

相似文献/References:

[1]尹 钊,姚夏莉,杜书章,等.品管圈活动应用于医院高危药品管理的文献分析[J].医学信息,2018,31(11):35.[doi:10.3969/j.issn.1006-1959.2018.11.011]
　YIN Zhao,YAO Xia-li,DU Shu-zhang,et al.Application of Quality Control Circle Activities in the Literature of High-alert Medication Administration in Hospitals[J].Journal of Medical Information,2018,31(02):35.[doi:10.3969/j.issn.1006-1959.2018.11.011]
[2]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]
[3]曹 莉,刘华之.品管圈活动对降低医务人员职业暴露发生的效果研究[J].医学信息,2018,31(15):164.[doi:10.3969/j.issn.1006-1959.2018.15.054]
　CAO Li,LIU Hua-zhi.Study on the Effect of Quality Control Circle Activities on Reducing Occupational Exposure of Medical Staff[J].Journal of Medical Information,2018,31(02):164.[doi:10.3969/j.issn.1006-1959.2018.15.054]
[4]谢慧英.品管圈对降低病房呼叫器使用率成效分析[J].医学信息,2018,31(19):179.[doi:10.3969/j.issn.1006-1959.2018.19.057]
　XIE Hui-ying.Analysis of the Effectiveness of Quality Control Circle on Reducing the Use Rate of Ward Callers[J].Journal of Medical Information,2018,31(02):179.[doi:10.3969/j.issn.1006-1959.2018.19.057]
[5]郭 玥,卢玉为,陈 燕.品管圈在脑卒中偏瘫患者良肢位摆放的效果研究[J].医学信息,2018,31(24):148.[doi:10.3969/j.issn.1006-1959.2018.24.044]
　GUO YUE,LU Yu-wei,CHEN Yan.Effect of Quality Control Circle on Normal Limb Position in Stroke Patients with Hemiplegia[J].Journal of Medical Information,2018,31(02):148.[doi:10.3969/j.issn.1006-1959.2018.24.044]
[6]李松波,童 赟,陈裕美,等.品管圈活动在提高慢性肾功能不全患者个体化饮食执行率中的应用[J].医学信息,2019,32(06):187.[doi:10.3969/j.issn.1006-1959.2019.06.062]
　LI Song-bo,TONG Yun,CHEN Yu-mei,et al.Application of Quality Control Circle Activities in Improving the Individualized Diet Implementation Rate of Patients with Chronic Renal Insufficiency[J].Journal of Medical Information,2019,32(02):187.[doi:10.3969/j.issn.1006-1959.2019.06.062]
[7]耿 华.品管圈活动降低护士对深静脉血栓风险评估的差异率分析[J].医学信息,2019,32(07):177.[doi:10.3969/j.issn.1006-1959.2019.07.057]
　GENG Hua.Analysis of the Difference Rate of Nurses' Risk Assessment of Deep Vein Thrombosis by Quality Control Circle Activity[J].Journal of Medical Information,2019,32(02):177.[doi:10.3969/j.issn.1006-1959.2019.07.057]
[8]陈 忻,赵 琴.品管圈在门诊西药房提高调配准确率的应用效果[J].医学信息,2019,32(08):25.[doi:10.3969/j.issn.1006-1959.2019.08.008]
　CHEN Xin,ZHAO Qin.Application Effect of Quality Control Circle in Improving the Accuracy of Deployment in Outpatient Western Pharmacy[J].Journal of Medical Information,2019,32(02):25.[doi:10.3969/j.issn.1006-1959.2019.08.008]
[9]凌 静.品管圈提高门诊药房药学服务满意度的效果[J].医学信息,2020,33(02):22.[doi:10.3969/j.issn.1006-1959.2020.02.007]
　LING Jing.Effect of Quality Control Circle to Improve Satisfaction of Pharmacy Services in Outpatient Pharmacy[J].Journal of Medical Information,2020,33(02):22.[doi:10.3969/j.issn.1006-1959.2020.02.007]
[10]黄 霞,李 琴,夏 立,等.品管圈活动在提高血液透析患者动静脉内瘘绳梯穿刺落实率中的应用[J].医学信息,2020,33(05):180.[doi:10.3969/j.issn.1006-1959.2020.05.062]
　HUANG Xia,LI Qin,XIA Li,et al.Application of Quality Control Circle in Improving the Puncture Rate of Arteriovenous Fistula Ladder in Hemodialysis Patients[J].Journal of Medical Information,2020,33(02):180.[doi:10.3969/j.issn.1006-1959.2020.05.062]

更新日期/Last Update: 2019-02-15