品质管理活动在急危重症患者院内转运交接安全管理中的应用  

Effect of quality management activities on transferring security of critical patients

作　　者：樊小朋[1] 金学勤[1] 周凯云[1] 朱月兰[1] 杨志萍[1] 朱小英[1] 顾玉英[1] 

机构地区：[1]江苏大学附属昆山医院护理部,215300

出　　处：《中华现代护理杂志》2015年第2期216-219,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨品质管理活动对急危重患者院内转运安全的影响，确保患者转运安全。方法2013年3—10月成立品质管理活动小组，设计危重患者转运、交接查检表，全程跟踪院内急危重患者转运交接流程，针对转运、交接过程中进行评分并将存在的问题及安全隐患进行汇总分析总结，确定并落实7项改进措施。结果研究组转运前合格者78例（91．76％），转运中合格者77例（90．59％），交接合格者75例（88．23％），护理文件记录合格者84例（98．82％），总分合格者84例（98．82％），均优于对照组，差异有统计学意义（χ2值分别为4．85，5．80，6．12，4．49，4．84；P＜0．05）。结论品质管理活动实施活动后，均达到安全转运的目的，确保了患者的转运安全，提高了工作效率，减少了医疗纠纷，降低了转运风险，保障了患者的生命安全。Objective To explore the effect of quality management activities on transferring security of emergency patients, in order to make sure the safety of patients′transfer.Methods We founded the group carrying out the quality management activities from March to October 2013.Checking the scheme for emergency patients transferring, tracking of emergency patients transferring, summarized the problems during emergency patients transferring and implemented seven reforming measures, we improved 7 aspects.Results In the study group, 78 patients （91.76%） were qualified before transfer, and 77 patients （90.59%） were qualified during transfer;75 patients （ 88.23%） were qualified at the hand-over section and 84 patients （ 98.82%） were qualified in the nursing documents;84 patients in the study group （98.82%） were qualified in the total score. There were significant differences between the study group and the control group （χ2 =4.85,5.80,6.12,4.49, 4.84, respectively;P 〈0.05 ） .Conclusions After the quality management activities, the purpose of safe transferring was achieved, which make sure the patients′transferring security, improve the working efficiency, reduce the chance of medical misunderstanding, decrease the danger of transferring and assure patients life safety.

关 键 词：危重患者 安全管理 品质管理 转运 

分 类 号：R473[医药卫生—护理学]