PDCA循环模式在消化内镜护理风险控制中的应用  

Application of PDCA cycle method in digestive endoscopy nursing risk control

作　　者：周丽华[1] 蒋蓉[1] 邓琼[1] 张仁翼[1] 

机构地区：[1]四川省医学科学院.四川省人民医院消化内镜中心,四川成都610072

出　　处：《实用医院临床杂志》2013年第6期42-44,共3页Practical Journal of Clinical Medicine

摘　　要：目的探讨PDCA模式在胃肠镜检查中护理风险控制的应用效果,最大限度避免胃肠镜检查护理风险的发生。方法针对胃肠镜检查中潜在的护理风险,运用PDCA循环法对存在的问题进行分析与质量控制,制订有效的预防措施与效果评价,并持续改进。结果实施PDCA模式控制护理风险后,消化内镜环节质量管理中除急救药品外的岗位管理、护理安全、消毒隔离及仪器器械等评分、患者满意度均较实施前上升,护理投诉和护理差错较实施前减少,差异有统计学意义(P<0.05)。结论实施PDCA循环模式能有效控制消化内镜检查中的护理风险,保证护理质量和患者的医疗安全,是降低胃肠镜检查中护理风险的有效管理途径。Objective To investigate the application effect of PDCA cycle method in stomach endoscopy nursing risk control in order to maximum avoid the occurrence of nursing risk. Methods First at all, we analyzed the existing problems and performed the quality control by using PDCA cycle method in view of potential nursing risks in gastrointestinal endoscopy. Then, we established the ef-fective preventive measures and effect evaluation system, and continuously improved. Results Assessment scores on the quality con-trols such as post management, nursing safety, disinfection isolation, and instrument equipment management as well as patient satisfac-tion were all continuously increased after application of PDCA cycle method in nursing risk control for 1 years（ both P 〈0.05 ）. Conclu-sion Implement of PDCA cycle method can effectively control digestive endoscopy nursing risk, and ensure the quality of care as well as medical safety of patients. Therefore, it should be an effective management approach for reducing digestive endoscopy nursing risk.

关 键 词：PDCA模式 消化内镜 护理风险 

分 类 号：R248.1[医药卫生—中医临床基础]