品质管理圈在降低住院患者留置针不良事件中的应用  

Quality Control Circle Application in Reducing Patients' Adverse Events Caused by Needle Indwelling

作　　者：冯灵[1] 周曾蓉[1] 汪锐[1] 陈静[1] 杨蓉[1] 

机构地区：[1]四川大学华西医院神经内科,成都610041

出　　处：《华西医学》2014年第12期2329-2332,共4页West China Medical Journal

摘　　要：目的通过品质管理圈(品管圈)活动,降低住院患者留置针不良事件,保障静脉输液的安全性和有效性。方法 2012年9月-2013年4月以品管圈理论为指导,成立品管圈,选定以降低住院患者留置针不良事件为主题,拟定计划,把握现状,运用计划-实施-检查-处理(PDCA)循环方法,设定目标,拟定对策并实施,并对效果进行检查与改进。结果留置针相关不良事件发生率由品管圈活动前的44.8%降低到活动后的9.8%,差异有统计学意义(χ2=148.16,P<0.05)。结论品管圈活动可以降低住院患者留置针不良事件发生率,提高护士工作的积极性、责任感、解决问题能力及成就感,促进团队的凝聚力。Objective To reduce patients＇ adverse events caused by needle indwelling through quality control circle （QCC） activities, in order to ensure the effectiveness and safety of intravenous fluids. Methods Guided by the QCC theory, we set up QCC, selected the topic related to reduction of patients＇ adverse events caused by needle indwelling, and worked out the plans from September 2012 to April 2013. Then, we adopted Plan-Do-Check-Act （PDCA） cycle method to set up goals, formulate measures, and inspect and improve the results. Results The incidence of needle-related adverse events reduced from 44.8% to 9.8% by implementation of quality circle activities. There was a significant statistical difference between the two groups （x2=148.16, P 〈 0.05）. Conclusion QCC activity can not only reduce the adverse events incidence of needle indwelling, but also improve the nurses＇ working enthusiasm and responsibility, problem-solving skills and accomplishment, and promote team cohesion.

关 键 词：品质管理圈 留置针 不良事件 

分 类 号：R472[医药卫生—护理学]