PDCA循环在提高手术安全核查执行率中的应用.pdfVIP

护理学杂志 2015 年 7 月第 30 卷第 14 期 ? 45 ·论著· PDCA 循环在提高手术安全核查执行率中的应用 高兴莲，李婷婷，余文静，张义丹，胡娟娟 摘要:目的探讨 PDCA 循环在提高手术安全核查执行率中的应用效果。方法应用 PDCA 循环对 2014 年 1 月随机抽查的 39 例 患者的手术安全核查三方(手术医生、麻醉医生、巡回护士)执行现状进行分析;根据现状结果发放三方对手术安全核查认知度调 查表，调查显示 3 个主要问题:部分手术人员不知晓手术安全核查方法，对护士核查依赖性强，无人监督。针对主要问题制定改进 措施:实施院科两级培训，明确三方手术安全核查时段责任人，纳入医院三级质量控制标准。实施 PDCA 后，随机抽查 2014 年 2~3 月 42 例患者手术安全核查三方执行率进行评价。结果实施前后手术医生、麻醉医生和巡回护士手术安全核查执行率比较， 差异有统计学意义 (po. 05.P0. 0 1) 。结论应用 PDCA 循环可显著提高手术安全核查执行卒，并可使临床护理质量得到持续 改进。 关键词:手术室; PDCA; 手术安全; 三方核查; 执行率; 护理质量管理 中图分类号 :R472.3 文献标识码 :A 文章编号: 1001 - 4152(2015) 14 一 0045 - 03 001: 10. 3870/hlxzz. 2015. 14.045 Application of PDCA cycle in improving execution of surgical safety check Gao Xinglian. Li Tingting. Yu Wenjing. Zhang Yi dan. HuJuanjuan.Oρ erating Room. Union Hο5户 ital. Tongji Medi ω 1 College. Huazhong Universily ο fSι ience and Technol ο gy. Wuhan 430022. China Abstract: Objective To investigate the effect of PDCA cycle on improving execution of surgical safety check. Methods In January 2014. 39 surgical patients were randomly selected to reveal the status of surgical safety check performed by surgeons. anesthesiolo gists. and circulating nurses using PDCA cycle. then a questionnaire survey was conducted on these medical staffs to describe their awareness of surgical safety check. Three problems were identified after the survey: some of them did not know how to check; some of them believed check should be performed by nurses; and nobody undertook the supervisory duties. Measures were formu lated to solve these proble