腹膜透析置管持续方案优化35例手术临床体会  

Continuous optimization of peritoneal dialysis catheter inserted and clinical surgery experience of 35 cases

作　　者：谢圣芳[1,2] 姚源璋[1,2] 方立明[1,2] 胡泳[1,2] 韦玲[1,2] 王硕朋[1,2] 张敏[1,2] 盖丰丰[1,2] 

机构地区：[1]江苏省中医药研究院 [2]江苏省中西医结合医院肾内科,江苏南京210028

出　　处：《中国现代医生》2015年第18期90-92,共3页China Modern Doctor

摘　　要：目的观察运用持续质量改进方法对腹腔置管方法进行优化在新开展腹透技术医院中应用的效果。方法引入PDCA四步法[设计(plan)-实施(do)-检验(cheek)-应用(act)]基础上进行腹腔置管技术方案的持续优化。结果 35例新开展的患者总掉队率为16.67%,TOT为13.4个月。结论运用CQI进行持续优化的方案对新开展及刚起步腹膜透析医院是一个较为理想的方法,能够减少并发症及掉队率,值得推广运用。Objective To observe effect of continuous quality improvement approach in hospital that newly started peritoneal dialysis（PD） catheter inserted. Methods A PDCA four-step（plan,do,check and act）method was designed to improve the scheme of PD catheter inserted. Results Incidence of drop out rate（DOR）was 16.67% and TOT were 13.4 months in 35 cases of patients enrolled. Conclusion CQI（continuous quality improvement） is an ideal method to PD catheter inserted in hospital that newly started PD, which could reduce complications and DOR,and is worth extending application.

关 键 词：腹膜透析 持续质量改进 方案优化 

分 类 号：R473.5[医药卫生—护理学]