品管圈活动提高人工气道气囊管理正确率的临床实践.docxVIP

品管圈活动提高人工气道气囊管理正确率的临床实践 武淑萍 温江丽 解放军总医院南楼呼吸内科 北京100852 【摘要】目的专项护理质控组通过品管圈活动提高人工气道气囊管理正 确率?方法成立专项护理质控小组，运用品质管理圈(QCC)方法开展对人工气道 气囊管理的实践活动，遵循PDCA程序，研究1 1 5名护士对9 8例人工气道患者 进行气囊护理操作2 3 0 0项(次)，分析QCC管理前后气囊护理缺陷问题发生率、 改进后目标达成率、进步率及无形成果等指标，评价临床工作效果?结果 QCC管 理后缺陷问题发牛率明显减少，目标达成率10 8 . 3 %，进步率5 9 . 8 %，无形 成果分值明显提升，护理人员理论考试成绩显著提高，差异有统计学意义(PV 0. 0 5,P 0. 0 1).结论 通过QCC活动对人工气道气囊进行科学管理，可减 少气囊管理中不规范及缺陷问题的发牛，提高人工气道气囊管理的正确率，具有临 床推广价值.【关键词】 品质管理圈；人工气道；护理 ThepracticeofQCCma nageme ntcon tributi ngtotheimproveme ntofthenursingqualityofa rtificialairwaygasbag WuShupi ng,We nJiangli (Departme ntofRe G spiratory,south —Building,generalhospitalofChinesePLA,Beijing 1 0 0 8 5 3 ,China) [Abstract] ObjectiveToexploretheapplicati on effectofqualitycontrolcircle(QCC)intheimprovement ofthespecialtechnicalteamrsquo;snursingqualityinartificialairwaygasbag? Methods Aspecialtech nicalteamof 1 1 5 nursesspecializedinartificialairwaygasbagweresetup? TheQCCwasfoundedby 8 n urses ? Fol Glowin gthePDCAcycleprogramsofQCC,weinvestigated 2 3 0 0 timesnursingoperationsaboutthisteam. Thereasonsofinsufficientoperationofartificial airwaygasbagwereanalyzed? Theseriesimprovementstrategiesweremadeanddone. ComparedtotheabsenceQCCoperations,theeffectofQCCma nagementi ncludedtheincre aseoftherateoftargetcompletion,theprogressrateandthevalueofintangiblebenefits? T hedatawerestatisticallyanalyzed? ResultsTherateoftargetcompletionaboutartificialair waygasbagwasliftedto 10 8 . 3 %andtheprogressratewas 5 9 . 8 % aftercarryi ngouttheQCCma nagement,whiletheincide ncerateofdefectsa ndproblemsw asobviouslydecreased? Meanwhile,thenursesrsquo;examinationresultsoftheoretic alkno wledgea ndthevalueofi ntan giblebe nefitsofQCCwassig nifica ntlyimproved(P 0 ? 0 5,P 0 ? 0 1 )? ConclusionTheapplicationofQCCcaneffectivelyimprovenotonlynursesrsquo;abi litytodiscoverandsolveproblemsbutalsothenursingqualityofartificialairwaygasbag? Th ismethodindeedhassignificantclinicaldevelopmentvalue.【Keywords] QualityControlCircle(QCC); ArtificialAirway; Nu