摘要
目的探讨晨会点评对持续护理质量改进的效果。方法 2012年3月~2013年3月实施不定期晨会点评,无点评流程和具体时间规定;2013年4月~2014年4月,实施每日点评,按制定的晨会点评流程,规范点评内容,由护士长或护理组长主持,责任护士汇报所有分管患者情况和需关注事项后,组长点评,护士长补充点评,将点评内容记录在《持续质量改进登记本》上,时间控制在10~15min。比较实施晨会点评前后的护理不良事件发生率、患者对护理服务的满意度、糖尿病专科护理质量。结果实施晨会点评后,护理不良事件发生率下降,患者对护理的服务满意度提高,糖尿病专科护理质量提高,比较差异有统计学意义（P〈0.05）。结论晨会点评促进了持续护理质量的改进,防范了风险的发生,强化了护士的质控意识,值得推广应用。
Objective To explore the application effect of morning session review in continue development of nursing care. Methods Non- scheduled morning session review was taken action from March 2012 to March 2013 ,without flow path and time slicing. Daily morning session review was given during March 2013 to March 2014 with regulation of the process and special content. The morning session review was presi- ded by the head nurse or the headman of nursing. After the nurse in charge reported all her patients＇ information and nursing problem, the headman of nursing commented on the report, and the head nurse remarked On the report. All the content of morning session review should be wrote down on the polling list continuing care improvement, and the review time should be in 15 minutes. Compare the incidence of nursing ad- verse events, patient satisfaction and the specialist nursing quality of diabetes before and after taking morning session review into action. Re- sults After the morning session review, the incidence of nursing adverse events was lower, while the patient satisfaction and the specialist nursing quality of diabetes were better（P 〈 0.05 ）. Conclusion Morning session review improves the continue development of nursing quali- ty, prevents the nursing risks, and strengthen the consciousness of quality control.
关键词
晨会点评
持续护理质量改进
质控
morning session review
continue development of nursing care
quality control
