护理分级质量改进的实践及成效.docVIP

中华护理杂志 2015,06(50)J16-719 D01:103761/jjssn.025406.016 护理分级质量改进的实践及成效 谢彩霞肖静蓉周敏蔡王婷蒋晓华石荷叶 四川省医学科学院?四川省人民医院护理部 导出/ 关注 分享 收藏打印 目的有效落实卫生行业新标准《护理分级》，进行持续质量改进。方法通过团 队的组建、护理分级质量现状调查、根木原因分析和验证、改进方案的制订和实 施、有效质量控制等干预措施进行护理分级质量改进，采用护理分级合格率、患 者满意度和医护人员看法來进行效果评价。结果改进后护理分级合格率高于改 进前，差异有统计学意义(x2=67?066,P〈0?001);患者满意度中“业务水 平”“健康教育”“满足需要的及时性”高于改进前，差异有统计学意义 (t二-2. 318, P二0.022 ;t二-4. 929, P〈0. 001; t二-3. 528, P=0. 001);访谈医护人员 均对质量改进活动给予肯定，表示改进后的护理级别更符合患者需求。结论优 化护理分级流程，采用看板管理进行质量控制，科学进行自理能力分级，是落 实《护理分级》标准、提高护理分级合格率和患者满意度的关键。 关键词 护理管理研究;质量改进; 谢彩霞:女，硕士，主管护师，护士长, :xiecaixial999@163? com 2014-09-26 Practice and effectiveness of quality improvement in patient classification XIE Cai-xia XIAO Jing-rong ZHOU Min CAI Wang-ting JIANG Xiao-hua SHI He-ye Abstract Objective To continuously improve the quality of patient classification and effectively implement the standards of patient classification system. Methods The quality of patient classification was improved through tearn bui Id ing, base! ine assessme nt, an al ysi s and verif ica tion of root causes, formulation and implcmcntation of improvcment measures and quality control. The outcomes were evaluated using the qualified rate of patient classification, patient satisfaction and appraisal from doctors and nurses. ResuIts The qualified rate of patient classification increased from 73. 47% to 93. 31% ( x 2=67. 066, P 0. 001) . Patient satisfaction with nurscs，professional level, health education emd service timclincss were improved (t=-2. 318, P=0. 022; t=-4. 929, P0. 001;t=-3. 52 P=0. 001)? Doctors and nurses reported that the improved patient classification system could better meet patients needs. Conelusion Optimizing the process of patient classification, the use of Kanban management for quality control and classification of self-care ability are key points to implement patient classification standard, improve the qualified rate of patient classification and increase patient satisfaction. Keyword Nursing Administrati on Resea