瓶颈管理法在急诊静脉输液护士可控环节中的应用效果  

Application and effects of Bottleneck Analysis applied in controllable links of intravenous infusion in emergency department

作　　者：李艳敏[1] 黎春常[1] 蓝惠兰[1] 黄瑞英[1] 余秋玲[1] 林瑞祯[1] 

机构地区：[1]广东省医学科学院广东省人民医院急诊科,广州市510080

出　　处：《护理管理杂志》2013年第1期55-57,共3页Journal of Nursing Administration

摘　　要：目的探讨瓶颈管理在急诊静脉输液护士可控环节的应用效果。方法成立静脉输液质量控制小组,分析急诊静脉输液的现状,确定存在的瓶颈问题并制订解决方案和措施。结果应用瓶颈管理后核对处方时间、瓶签制作时间、输液等候时间均缩短,加药出错率减少,每小时最大的工作流量、人均工作量增加,患者和护士满意度提高(P<0.01)。结论急诊静脉输液过程中应用瓶颈管理,能及时发现静脉输液的瓶颈问题,可提高护理工作效率,为患者提供优质、快速的输液服务。Objective To explore the application and effects of Bottleneck Analysis （BNA） applied in controllable links of emergency intravenous infusion. Methods The methods included establishing a intravenous infusion quality control team, analyzing the problems in emergency intravenous infusion, identif- ying the bottleneck problems and develope targeted measures. Results After the application of BNA, the prescriptions checking time, the label production time and the infusion time were significantly decreased. The rate of dosing error was reduced. The maximum work flow of an hour and the per capita amount infusion were increased. The satisfaction of patients and nurses were improved （ P 〈 0.01 ）. Conclusion The application of BNA can indentify the bottleneck problems in intravenous infusion, improve work efficiency of nursing and provide high - quality and rapid infusion services for patients.

关 键 词：瓶颈 急诊 静脉输液 护理管理 

分 类 号：C931.2[经济管理—管理学]