实施品管圈活动降低输液患者头皮钢针使用率效果评价.docVIP

实施品管圈活动降低输液患者头皮钢针使用率效果评价 　　【摘要】目的探讨品管圈活动对降低输液患者头皮钢针使用率的作用。方法通过实施品管圈活动，找出导致输液患者头皮钢针使用率高的主要因素，制定相应对策，分阶段实施与改进，比较、分析品管圈方法实施前后输液患者头皮钢针的使用率。结果输液患者头皮钢针使用率从品管圈活动前的42.1%（同期输液人数1614人，使用输液钢针680例）下降至活动后的12.1%（同期输液人数1820人，使用输液钢针220例），差异有统计学意义（χ2= 3992320，P=0.0000）；品管圈活动后患者对静脉输液满意度较活动前明显提高（u=5.6731，P=0.0000）。结论品管圈活动能有效降低输液患者头皮钢针的使用率，值得临床推广应用。 　　【关键词】品管圈；头皮钢针；使用率 　　中图分类号：R47文献标识码：ADOI：10.3969/j.issn2015.03.006 　　Effect evaluation of application of QCC in reducing 　　usage rate of scalp needle in infusion 　　LI Chengxiang，LUO Linxue▲，LU Liuxue，LIANG Ying 　　（Affiliated Hospital of Youjiang Medical University for Nationalities，Baise 533000，Guangxi，China） 　　【Abstract】ObjectiveTo investigate function of QCC on reducing usage rate of scalp needle in infusion.MethodsQCC was carried out to find main causes of high usage rate of scalp needle in transfusion.Corresponding countermeasures were formulated，and then phased implementation and improvement were performed.Then，usage rate of scalp needle in transfusion before and after the implementation of QCC was compared and analyzed.Results Before the implementation of QCC，the usage rate of scalp needle in infusion was 42.1% （1614 cases received infusion at the same time，and 680 cases of them chose scalp needle in the infusion），while the usage rate was down to 12.1% （1820 cases received infusion at the same time，and 220 cases of them chose scalp needle in the infusion） after the implementation of QCC，so difference was statistically significant（χ2= 399.2320，P=0.0000）.Besides，patient satisfaction for intravenous infusion significantly improved after the implementation of QCC （u=5.6731，P=0.0000）.ConclusionImplementation of QCC can effectively reduce the usage rate of scalp needle in transfusion，so it is worthy of application and promotion in clinic. 　　【Key words】QCC；scalp needle；usage rate 　　使用头皮钢针穿刺静脉输液增加了患者反复穿刺的痛苦，同时易增加化学性静脉炎及职业暴露发生率等不良后果。2014年卫生部静脉输液行业标准中强调头皮钢针宜用于短期或单次给药，而腐蚀性药物不应使用头皮钢针，临床应严格按照卫生部要求选用，但调查结果显示我院2013年头皮钢针输液平均使用率为