闭环式管理优化护理教学安全在民营医院中的探讨  

On the optimal management of the closed.loop management in safe practice of nursing teaching in private hospitals

作　　者：曾小华[1] 徐宝华[1] 叶茎宇[1] 蒋逸雯 曾丽萍[1] 李丹菊[1] 

机构地区：[1]中山大学附属东华医院科教部,东莞523000

出　　处：《中华医学教育探索杂志》2015年第6期630-635,共6页Chinese Journal of Medical Education Research

摘　　要：目的研究闭环式管理优化护理教学安全在民营医院中的应用。方法通过分析护理教学不良事件的原因和存在问题，应用闭环式管理护理教学安全。包括建立闭环式管理小组、确定实施周期和范围等。选取2013年1月至2014年3月在我院27个病区的教师100人和学生220人为研究对象。以科室为单位把教师分为实验组和对照组各50人，实验组科室严格执行闭环式管理护理教学安全，对照组科室采用常规管理。同时。实验组科室对220名学生进行闭环式管理前后的比较。通过护理教学安全隐患和问卷调查评价两组护理教学安全情况。数据采用SAS9．2软件进行统计分析，行非参数秩和检验、Fisher精确检验和r检验。结果实验组教师人数（46人）对操作关键点讲解高于对照组（15人），差异有统计学意义（P=0．000）。闭环式管理前后发生护理教学安全隐患次数分别是38和8，差异有统计学意义（P=0．000）。另外，管理前后学生落实查对制度、住院患者安全指标、技术操作规范、院内感染的比较差异有统计学意义（P〈0．01）。结论闭环式管理全程贯彻、有效跟踪、预防到位，能够优化护理教学安全管理。Objective To study the optimal management of the closed-loop management in safe practice of nursing teaching in private hospitals. Method Through analyzing the causes and problems during the teaching of nursing adverse events, the closed-loop management in safe practice of nursing teaching was investigated, including the closed-loop management team, implementation cycle and range, etc. Totally 100 teachers and 220 students were chosen in 27 clinical teaching departments of our hospital during January 2013 and March 2014. The teachers were divided into experimental group （n=50） and the control group （n=50）. The closed-loop management model was applied in experimental group while routing management was applied in control group. At the same time, 220 students＇ behavior in experimental group was compared before and after the closed-loop management. Through the evaluation of nursing teaching＇ safe hidden trouble and questionnaire survey, the nursing teaching of both groups were safe. SAS 9.2 was applied to do statistical analysis and nonarametric Wilcoxon Fisher exact test and x2 test were used. Results The number of teachers＇ operating key points in experimental group was significantly higher than the control group, with statistically significant differences （46 vs. 15） （P=0.000）. The safety hazard times of nursing teaching were 38 and 8 respectively before and after the closed loop management, and the difference was statistically significant （P=-0.000）. In addition, the comparison before the students＇ implementing the check system, hospital safety index patients and regulation for technical operations and hospital infection was significant after the closed- loop management （P〈0.01 for all）. Conclusion The full implementation of the closed-loop management, effective tracking and prevention in place, can optimize the safety management of nursing teaching.

关 键 词：闭环式管理 民营医院 教学安全管理 教师 学生 

分 类 号：R47[医药卫生—护理学]