品管圈在降低ICU患者气管插管非计划性拔管发生率中的应用_黄彩云.pdfVIP

护理质量 Nursing Quality 品管圈在降低ICU患者气管插管非计划性 拔管发生率中的应用 黄彩云 覃红梅 [ 摘 要] 目的：探讨品管圈对降低 ICU患者气管插管非计划性拔管发生率的作用。方法：成立品管圈活动小组，运用品质 管理手法管理 ICU气管插管患者。结果：实施品管圈活动后，气管插管患者非计划性拔管发生率从活动前的 6.97% 降低至活动 后的 2.36%，差异具有统计学意义（P0.01）。结论：正确运用品管圈可明显降低气管插管患者非计划拔管的发生率，并且能提 高圈员的综合能力。 [ 关键词 ] 品管圈；ICU； 气管插管； 非计划性拔管；发生率；降低 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2013.08.016 The effects of Quality Control Circle on decreasing the unplanned extubation incidence among ICU patients with endotracheal intubation / HUANG Cai-yun, QIN Hong-mei // ICU, The Sixth Affiliated Hospital, Guangxi Medical University, Yulin, 537000 China /// Chinese Nursing Management- 2013,13(8): 47-49 [Abstract] Objective: To explore the effects of Quality Control Circle (QCC) on decreasing the unplanned extubation incidence among ICU patients with endotracheal intubation. Methods: We set up a QCC group and followed the steps of quality management to take care of ICU patients with endotracheal intubation. Results: After delivering QCC activity, the incidence of unplanned extubation of ICU patients with endotracheal intubation was reduced significantly from 6.97% to 2.36% (P0.01). Conclusion: The correct application of QCC could significantly decrease the incidence of unplanned extubation and improve the competence of the circle members. [Key words] Quality Control Circle; ICU; endotracheal intubation; unplanned extubation; incidence; decrease ICU是高风险科室，加强安全管 Extubation，UEX) 是指未经医护人员 症，其发生率占所有气管插管并发症 理，保障患者安全和提高护理服务质 同意，患者将插管自行拔出或因其他原