品质管理圈活动在减少维持性透析患者急诊透析次数中的应用  

The Application of Quality Control Circles in Reducing the Emergency Application Times of Maintenance Hemodialysis

作　　者：李红[1] 何梅[1] 谭君[1] 肖妍芹 

机构地区：[1]绵阳市中心医院血液透析中心,四川绵阳621000

出　　处：《华西医学》2014年第10期1939-1942,共4页West China Medical Journal

摘　　要：目的探讨品质管理圈(品管圈)活动在减少维持性透析患者急诊透析次数中的应用效果。方法2012年12月起血液透析中心8名护理人员和1名医生自愿组成1个品管圈,通过评价选定"减少维持性透析患者急诊透析次数"为活动主题。通过问卷调查、访谈、比较研究等方法对维持性透析患者发生急诊透析情况进行分析,制定相关的对策并实施。比较改善前(2013年2月3日-5月3日)与改善后(2013年7月2日-10月2日)急诊透析情况。结果通过品管圈活动,维持性透析患者急诊透析次数由改善前的平均11.7例次/月减少至改善后的5.3例次/月,超出了预期目标。同时圈员在解决问题能力、责任心、沟通协调能力、自信心、积极性以及品管圈手法应用各方面都得到了不同程度的提高。结论品管圈活动不仅可以减少维持性透析患者急诊透析的次数,同时也可提高圈员间的团队凝聚力、和谐度及质量管理能力。Objective To investigate the efficacy of Quality Control Circles（QCC） in reducing the emergency application times of maintenance hemodialysis. Methods In December, 2012, the quality circle was formed by eight nurses and a physician, through brainstorming. The group finally selected ＂Reducing emergency maintenance dialysis times＂ as the theme. With the help of questionnaire, interview, and comparative study, we analyzed the emergency situation of maintenance hemodialysis patients, and regulate and implement related policies. Results By QCC practices, the times of hemodialysis declined from 11.7 to 5.3 cases per month, which exceeded our expectations largely. As to the circle members, their problem-solving skills, responsibility, communication skills, self-confi dence, motivation and QCC techniques were also improved. Conclusion QCC can not only reduce the times of maintenance dialysis, but also improve the team cohesion, harmony and quality management capabilities.

关 键 词：品质管理圈 维持性透析 急诊透析 

分 类 号：R473.5[医药卫生—护理学]