摘要
目的探讨基于美国医疗机构评审联合委员会国际部（JCI）标准下国际患者安全目标在健康管理中心护理管理中的应用及效果。方法根据健康管理中心工作实际情况，2012年2月至2023年1月将JC2标准6大患者安全目标应用于建康管理中心护理管理，统计比较实施前后2年各相关护理安全监测目标值及客户满意度。结果该科室2013年2月通过了JC2实地认证。实施JCI标准1年后，健康体检客户身份识别符合率由85．62％上升至98．92％（x2=297．264，P〈0．01），危急值处理正确率由89．00％上升至96．00％（X2=84．757，P〈0．01），体检重大异常指标处置准确率由90．67％提升至96．50％（X2=69．184，P〈0．01），高危药品贮存符合率由90．17％提升至96．50％（x2=77．357，P〈0．01），手卫生依从性由75．25％提升至88．63％（X2=145．047，P〈0．01），不良事件主动呈报知晓率由84．00％提升至96．67％（X2=220．486，P〈0．01），体检客户满意度由平均93．94分提升至98．66分（t=-7．903，P〈0．01），以上指标均有统计学意义。结论JCI标准患者安全目标在健康管理中心的有效落实有助于实现科学化、规范化、有序化、细节化护理管理，优化护理工作流程，规范操作行为，降低护理风险，提高护理质量，从而提高患者满意度与信任感。
Objective To explore the application and effect of international patient safety goals in nursing management at health management center under the standard of American Joint Commission on Accreditation of Healthcare Organizations. Methods From January 2012 to January 2013, six patients＂ safety goals of the Joint Commission International （JCI） standard were executed to the nursing management at the health management center. Compare the relevant nursing safety monitoring indicators and customer satisfaction one year before and after the execution of JCI standard. Results Our department was certified by JCI in February 2013. After 1 year of implementation of JCI standard, the coincidence rate of identification of customers for health examination increased from 85.62% to 98.92% （x2 = 297.264, P 〈 0.05） and the accuracy rate of management of critical values increased from 89.00% to 96.00% （x2 = 84.757, P 〈 0.05）. The accuracy rate of disposal of significant abnormalities of check-up increased from 90.67% to 96.50% （x2 = 69.184, P 〈 0.05）. The coincidence rate of high-risk drugs storage increased from 90.17% to 96.50% （x2 = 77.357, P 〈 0.05）. The hand hygiene compliance rate increased from 75.25% to 88.63% （x2 = 145.047, P 〈 0.05）. The awareness rate of adverse events report was raised from 84.00% to 96.67% （X2 = 220.486, P 〈 0.05）. The satisfaction rate of customers at the health management center increased from an average of 93.94 points to 98.66 points （t = -7.903, P 〈 0.05）. Above comparisons are all statistically significant. Conclusions The effective implementation of JCI standard patient safety goals helps to achieve scientific, standardized, orderly and detailed nursing management, optimize nursing work processes, standardize operations, reduce nursing risk and improve nursing quality, which makes a contribution to improve patients＇ satisfaction and gain patients＇ trust.
作者
孙婷
沈国丽
Sun Ting Shen Guoli.(International Health Center, the Second Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou 310009, China)
出处
《中国实用护理杂志》
2017年第26期2056-2059,共4页
Chinese Journal of Practical Nursing
关键词
JCI
患者安全目标
健康管理
护理管理
应用
Joint commission international
Patient safety goals
Health management
Nursing management
Application
