PDCA循环法在血液净化中心应急预案演练中应用.docVIP

PDCA循环法在血液净化中心应急预案演练中应用 　　摘要：目的 通过PDCA循环法在血液净化中心突发事件应急预案演练中的应用，提高了血液净化护士的应急能力。方法 运用PDCA循环法，先拟定突发事件应急预案演练内容，如：医院感染暴发、透析中的低血压、透析器破膜、透析期间的突然停电、停水、火警、地震等。然后实施执行、检查、处理等循环管理方式，不断完善措施补充到新的应急预案流程中。通过一次次的PDCA循环，使存在的问题得以改进，直到护士能够熟练掌握该项应急流程为止。结果 演练开始前及演练结束后，立即对参与演练及观摩人员进行应急流程理论测试及应急相关的操作考核。结果显示，演练前后护士的应急流程理论及操作考核成绩比较差异均有统计学意义（P0.01）。结论 将PDCA循环法应用于血液净化中心的应急预案演练中，体现质量持续改进，提高了护士综合能力及应急反应能力.对突发事件应急流程的掌握及相关急救操作能力也明显提高。 　　关键词：PDCA循环；应急预案；突发事件；应急流程 　　Abstract：Objective To purify the application of emergency events in blood purification center by PDCA cycle， improve the ability of emergency nurses in blood purification. Methods Using PDCA method， first developed emergency preparedness training emergency， such as： the outbreak of nosocomial infection in hemodialysis， hypotension during dialysis， dialysis membrane rupture， sudden blackouts， water， fire， earthquake， etc.. Then the implementation of the ：do，check，act recyclingmanagement mode， continuous improvement measures to supplement to process emergency plan in the new. Through a PDCA loop， so that the problems can be improved， until the nurse can master the emergency procedure. Results The exercise before and after the drill， drill and observers immediately to participate in emergency process theory test and emergency related operation assessment. The results show， practice nurses before and after the emergency process theory and the assessment results showed no significant differences （P0.01）.Conclusion The exercise of emergency application of PDCA circulation method in blood purification center，reflects the quality of continuous improvement， improve the comprehensive ability and emergency response capacity. Also improved significantly on the emergency process control and related emergency operation ability. 　　Key words：PDCA； Emergency plan；Emergency；Emergency procedure 　　经过2003年SARS危机和2008年汶川地震等大规模突发事件考验，应急事件管理受到了党中央、国务院的高度重视。我国己基本建立一案三制的应急体系，其中，一案指的是制定以及修改应急的方案，三制则指的是应急事件管理机制、体制以及法制的建立完善过程。我国《突发事件应对法》中相关条款中应急事件的定义是突然发生的自然灾害