联合多部门开展品管圈提高危急值台账登记合格率的实证研究  

Joint multiple departments in implementing Quality Control Circle to improve the qualified rate of critical value account registration

作　　者：肖瑾瑛[1] 陈小英[2] 余乐[3] 兰建华[4] 刘秀娟[5] 童群[5] 

机构地区：[1]井冈山大学附属医院护理部,江西吉安343000 [2]井冈山大学附属医院心血管内科,江西吉安343000 [3]井冈山大学附属医院医务科,江西吉安343000 [4]井冈山大学附属医院检验科,江西吉安343000 [5]井冈山大学附属医院影像科,江西吉安343000

出　　处：《中国现代医生》2014年第30期104-107,共4页China Modern Doctor

摘　　要：目的探索联合多部门开展品管圈活动在提高危急值台帐登记合格率中的作用。方法组建品管圈,确立"提高危急值台账登记合格率"为活动主题,采取循环管理(PDCA)方法,制定活动计划、现状调查、要因分析、实施对策、效果评价等措施,比较品管圈活动前后危急值台帐登记合格率,医护人员危机值报告制度及流程知晓率。结果实施品管圈活动后,临床科室危急值台账登记合格率由26.93%上升至86.63%,医技科室危急值台账登记合格率由68.34%上升至93.73%,医技科室漏报率由7.20%下降至2.47%,医护人员对危急值管理制度和报告流程知晓率情况由35.44%提高到89.02%,差异均有统计学意义(P<0.05)。结论联合多部门开展品管圈活动能优化工作流程,落实工作制度,提高危急值台账登记合格率,保障患者的安全,提高医疗质量,值得在临床上推广。Objective To explore the multiple departments to carry out QCC in increasing the qualified rate of the critical value of account registration. Methods Setting up QCC, by establishing the theme of improving the qualification rate of critical value ledger registration, taking recycle management（PDCA）,taking action program, conducting survey,factor analysis, and taking relative measures and evaluation. In order to compare the qualified rate of critical value account registration and to sharpen the awareness rate of reporting systems and processes around QCC. Results After the implementation of QCC, the qualified rate of critical value account registration of clinical departments increased from26.93% to 86.63%, and that of the medical departments increased from 68.34% to 93.73%. Meanwhile, the false negative rate of Medical departments decreased from 7.20% to 2.47%, and the awareness rate of reporting systems and processes around QCC increased from 35.44% to 89.02%.The differences were statistically significant（P〈0.05）. Conclusion Joint multiple departments＇ implementation on QCC can optimize work flow, enhance the work system, improve the qualified rate of critical value account registration, ensure the safety of patients, and increase the quality of medical treatment. Hence, it is worth promoting in clinical practice.

关 键 词：多部门 品管圈 危机值 登记 合格率 

分 类 号：R47[医药卫生—护理学]