摘要
目的：探讨“5S”管理法在血液净化中心急救用物管理中的应用效果。方法选取12名护士作为观察对象，对其在实施“5S”管理前后抢救措施完成时间、平均每次急救寻找物品耗时、往返处置间次数、急救时护士职业安全防护行为评分、急救仪器设备完好状态、急救后物品归位摆放情况评分、急救物品管理质控得分、患者对护理工作的满意度进行观察和比较。结果在实施“5S”管理后，护理人员各项抢救措施的完成时间均较“5S”管理前缩短，急救仪器设备备用状态完好率和急救后物品归位摆放情况评分显著上升，平均每次急救寻找急救物品药品耗时、往返处置室的次数均显著下降、护士职业安全防护行为评分显著升高，急救物品管理质控得分和患者对护理工作满意度得分显著升高，差异均有统计学意义（P〈0.05）。结论运用“5S”管理法，降低了急救物品保存和管理难度，缩短了抢救措施执行时间，提高了抢救工作效率，提高了护理工作质量和患者满意度，提高了护理人员的素质，保障了护士职业安全防护落到实处，推动了护理工作质量持续改进。
Objective To explore the application effects of“5S” management methods for management of first-aid articles in Blood Purification Center. Methods A total of 12 nurses were selected as objects of observation. Six months before and after the implementation of “5S” management, we observed and compared the time to finish the first aid measures, the average time to look for articles during first aid, round-trip times from deposition room, the score of nurses′ behavior of the occupational safety and prevention in emergency, times of sound condition of emergency equipment, the score of first-aid articles returned to their original places after emergency, the score of management quality control of first-aid articles and the patients′ satisfaction with nursing. Results After the implementation of “5S” management, the completion time of the rescue measures was shorter than before. At the same time, the rate of sound condition of emergency equipment and the score of first-aid articles returned their original places after emergency improved significantly. The average time to look for articles during first aid and round-trip times from deposition room all decreased significantly. The score of nurses′behavior of the occupational safety and prevention in emergency increased significantly. The score of management quality control of first-aid articles and the patients′ satisfaction with nursing all improved significantly. Differences were all statistically significant （P P〈00. 05）. Conclusions The implementation of“5S” management reduces the difficulty in preservation and management of first-aid articles, shortens the execution time of rescue measures, improves the working efficiency of rescue, enhances the quality of nursing and patients′ satisfaction, improves the quality of nursing staff, ensures the nurse occupational safety and prevention and promotes the continuous improvement of nursing quality.
出处
《中华现代护理杂志》
2016年第5期708-712,共5页
Chinese Journal of Modern Nursing
基金
国家自然科学基金项目（81400725）
关键词
血液净化
护理管理
“5S”管理法
急救用物
Blood purification
Nursing administration
5S management methods
First aid articles
