摘要
目的探讨持续质量改进在手术室患者出室前安全核查中的应用效果。方法成立CQI质量管理活动小组,主题围绕手术团队对患者出室前核查的现状进行讨论,整个活动遵循PDCA循环,运用持续质量改进方法 ,收集资料评估目前质量现状并进行原因分析、制定预期目标、采取相应质量改进方案、对实施质量改进措施前后患者出室前安全核查的缺陷情况进行统计学分析。结果实施后出室前核查的缺陷率从22%降低至5%,明显优于实施前(χ2=31.25,P<0.001)。结论持续质量改进在患者出室前安全核查的应用,显著降低了出室前安全核查缺陷率,提高了手术医师对安全核查的参与度,值得推广应用。
Objective To investigate the application effect of continuous quality improvement ~n safety verification before patients were sent out of operating room. Methods A CQI quality management group was set up to discuss the examination condition by the surgical team before patients were sent out of operating room. The whole study followed the PDCA cycle and the method of continuous quality improvement. The data of current quality condition were collected for reason analysis, target formulation, corresponding improvement project implementation, and statistical analysis of the changes of defects in safety verification. Results After the implementation, the defect rate of verification before leaving operating room decreased from 22% to 5%, which was obviously better than the index before the implementation (χ2=31.25, P〈0.O01). Conclusion The application of continuous quality improvement in the safety verification before patients were sent out of operating room can significantly reduce the defect rate of safety verification, and it can also improve surgery physicians' participation in the safety verification. This method is worth promotion and application.
出处
《中国现代药物应用》
2014年第23期218-220,共3页
Chinese Journal of Modern Drug Application
关键词
持续质量改进
手术室
安全核查
Continuous quality improvement
Operating room
Safety verification