运用PDCA循环提高PCA术后镇痛患者满意率.pdfVIP

208 麻醉安全与质控（Perioperative Safety and Quality Assurance ) 5018, 5 (4 ) •质量管理与提升• 运用P D C A 循环提高P C A 术后镇痛患者满意率 郑元元，詹玮玮，王芳，高昌健，王翔宇 （三峡大学第三临床医学院葛洲坝集团中心医院麻醉科，湖北宜昌443002) [ 摘要] 目 的 运用PDCA 循环质量管理工具，提高患者自控镇痛（PC A ) 满意率。方 法 运用 PDCA 循环管理工具，对全院术 后 PC A 镇痛现状和原因进行调查分析，根据分析结果制定相应对策并实施，对实施效果进行检查及总结，制定新的标准和流 程，并进行常规监测。结 果 一个 PDCA 循环后，PC A 术后镇痛患者满意率在项目期和之后的持续改进中均达到预设目标值: ! 9 5 % (项目期内满意率由6 1 .6 6% 上升到9 5 % 以上），达到预期效果。结 论 运用PDCA 循环管理工具可以明显提高患者PCA 术后镇痛满意率。 [ 关键词] PDCA循环；PC A 术后镇痛；满意率 D O I: 10. 3969/j.issn. 2096 -2 6 8 1 .20 18 .04.007 PDCA circulation was used to improve the satisfaction rate of PCA postoperati^e analgesia ZHENG Yuanyuan， ZHAN Weiwei， WANG Fang， GAO Changjian， WANG Xiangyu Department of Anesthesiology， Gezhouba Group Central Hospital， Yichang 443002， China Corresponding author: ZHANW eiwei ，E-mail: 504461407@qq. com [ A bstract ] Objective This study evaluates the effects of implementation of PDCA four-step quality management on improving the satis­ faction rate of PCA postoperative analgesia. M e tlio d We applied PDCA four-step quality management strateg by first analyzing the cur­ rent status of PCA postoperative analgesia. We formulated some policies and measures according to the analysis. Then we summarized the effect of these newmeasures and policies. Finally we established some new standards ，processes ， continuous improvement period. Our study showed implementation of PDCA four-step quality management increased the satisfaction rate from 6 1 .66% to over 95% . Conclusion PDCA four-step quality management can significantly improve the satisfaction rate of PCA post­ operative analgesia. [ Key w ord s] PDCA ；PCA postoperative analgesia ；satisfaction rate 随着人们对舒适化医疗需求增加，越来越多的 满意度低下[2](本研究前期调查PCA 术后镇痛的满 患者要求给予术后镇痛。《三级医院评审标准实施细