持续质量改进在普外科PICC置管中的应用效果  

Effects of Continuous Quality Improvement in PICC of General Surgery

作　　者：束寒玲[1] 王玉亭[1] 张小华[1] 李娟 汪维平[1] 李伟[1] 

机构地区：[1]解放军海军安庆医院普外科,安徽安庆246003

出　　处：《解放军护理杂志》2012年第5期54-56,61,共4页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨持续质量改进在PICC培训及安全管理中的效果。方法在PICC应用过程中,运用持续质量改进方法进行管理,包括加强PICC知识与维护技能的培训、制定PICC管理流程、规范PICC置管后日常护理行为等。结果实施持续质量改进后,科室护士PICC知识、技能考核的合格率均为100%,置管成功率为99.1%,静脉炎及导管堵塞的发生率分别为1.8%及0.9%,与改进前差异均有统计学意义(均P<0.01)。结论将持续质量改进应用于PICC培训及安全管理中,规范了PICC管理流程及护理人员的日常护理行为,降低了并发症的发生率,切实提高了护理质量。Objective To explore the implementation effect of continuous quality improvement in training and safety management of PICC. Methods Continuous quality improvement was adopted to improve man- agement process of PICC,including strengthening training of knowledge and maintenance of PICC skills, developing management process and regulating PICC formulated for the nurse daily PICC behaviors. Re- sults Using continuous quality improvement, the pass rate of PICC-related knowledge and skills assess- ment was 100% in the nurses. The success rate of PICC was 99.1 %. The incidences of phlebitis and cathe ter jams were 1.8% and 0.9%,respectively. There were significant differences on the above items before and after the improvement management（P〈0.01）. Conclusion Application of continuous quality improvement in training and safety management of PICC can standardize the management process of PICC and nurses＇ daily be- haviors,reduce the incidence of complications, and practically improve the quality of nursing.

关 键 词：持续质量改进 PICC 护理管理 

分 类 号：R197.323[医药卫生—卫生事业管理]