持续质量改进在内分泌代谢科胰岛素储存管理中的应用  

Application of continuous quality improvement in insulin storage management in department of endocrinology and metabolism

作　　者：叶子溦[1] 袁丽[1] 熊真真[1] 武仁华[1] 孙玉霞[1] 杨小玲[1] 肖洁[1] 刘碧秀[1] 苏兰[1] 

机构地区：[1]四川大学华西医院内分泌科,成都市610041

出　　处：《护理管理杂志》2014年第5期344-345,共2页Journal of Nursing Administration

摘　　要：目的探讨持续质量改进对提高内分泌代谢科胰岛素储存管理规范性的效果。方法组织成立胰岛素储存管理持续质量改进小组,发现引起胰岛素储存管理不当的原因有新进人员缺少培训、胰岛素储存的方法及管理制度不完善、胰岛素使用的监控力度不够、无专人管理制度等,通过规范胰岛素医嘱管理制度、完善基数胰岛素管理登记制度、建立长效管理机制等有效措施改进胰岛素储存管理,比较持续质量改进方法实施前后胰岛素储存管理的效果。结果实施持续质量改进后,基数胰岛素储存不当、胰岛素医嘱不规范、胰岛素标识不清的发生率均下降(P﹤0.01)。结论持续质量改进能有效提高病房护士的胰岛素储存管理能力,提高护士的责任心,使病房工作效率增加,值得在临床推广应用。Objective To explore the effects of continuous quality improvement on improving the insulin storage management normalization. Methods The measures included organizing the CQI group of insulin storage management, identifing the causes of inappropriate insulin storage management, such as new nurses lack of training, incomplete insuhn storage method and management system, insufficient monitoring of insulin usage and specific personnel management. As well as developing standard insulin medical order management system, improving basic insulin management system, developing long - term management system. The effects of insnlin＇s storage and management before and after CQI were compared. Results After the CQI management,the incidences of impropriate storage of insulin, non - standard insulin medical orders and unclear mark insulin were decreased significantly （ P 〈 0.01 ）. Conclusion The CQI can improve nurses＇ ability of insulin storage and management, enhance their responsibility, increase the ward efficiency, then is worthy of spread.

关 键 词：持续质量改进 胰岛素 储存管理 

分 类 号：R587[医药卫生—内分泌] R47[医药卫生—内科学]