组合式一级质控管理模式的建立及应用效果评价  

Establishment and effects evaluation of combined level-one quality control and management mode

作　　者：井永敏[1] 张秀果[1] 闫晓丽[1] 李秀婷[2] 董运芳[3] 邸禄芹[2] 李洁[4] 孟稳利[5] 李宝丽[6] 

机构地区：[1]河北医科大学第三医院护理部,石家庄050051 [2]河北医科大学第三医院骨科创伤急救中心,石家庄050051 [3]河北医科大学第三医院呼吸科,石家庄050051 [4]河北医科大学第三医院胸外科,石家庄050051 [5]河北医科大学第三医院ICU,石家庄050051 [6]河北医科大学第三医院脊柱科,石家庄050051

出　　处：《中华现代护理杂志》2016年第8期1155-1159,共5页Chinese Journal of Modern Nursing

摘　　要：目的：探讨组合式一级质控管理模式的可行性和效果。方法介绍组合式一级质控管理模式的内容,包括组合科室的确定、组合式质控组的产生及工作方法、组合式质控的频率、质量持续改进的途径,并调取2013年1—12月与2014年1—12月护理部质控资料,将该模式实施前后6项护理质量标准的达标率、住院患者的满意度和护理缺陷的发生率进行统计学分析。结果组合式一级质控模式实施后,护理文书、基础护理、安全治疗、护士长管理、病房管理的达标率,住院患者满意度、护理缺陷的发生率,与实施前相比差异有统计学意义（χ^2分别为4.182,8.177,6.157,5.148,5.135,7.875,7.754；P〈0.05）；健康教育质量达标率,实施前后差异无统计学意义（χ^2=4.182,P〉0.05）。结论组合式一级质控管理模式能提高护理质量标准的达标率和患者满意度,减少护理缺陷的发生,是临床工作中可行有效的新型一级质控管理模式。Objective To investigate feasibility and effectiveness of combined level-one quality control and management mode. Methods Contents of combined level-one quality control and management mode were introduced, including determining departments combination, establishment and work procedure of the combined quality control group, frequency of combined quality control, and approaches of continuous quality improvement. Quality control data of the Nursing Department from January 2013 to December 2014 were taken to statistically analyze compliance rate of 6 nursing quality standards, satisfaction of hospitalized patients, and incidence of nursing defects, before and after implement of combined quality control management mode. Results Compared with before, after implementation of combined level-one quality control and management mode, compliance rates of nursing documentation, basic nursing, treatment safety, head nurse management, and ward management, as well as satisfaction of hospitalized patients, and incidence of nursing defects were statistically significant （χ^2 =4. 182, 8. 177, 6. 157, 5. 148, 5. 135, 7. 875, 7. 754; P 〈0. 05）. Compliance rates of health education quality before and after the implementation were not statisticallysignificant （χ^2 = 4. 182, P 〉 0. 05 ）. Conclusions Implementation of combined level-one quality control and management mode can improve compliance rate of nursing quality standards and satisfaction of hospitalized patients, and decrease incidence of nursing defects, which is a new feasible and effective management mode in clinical work.

关 键 词：护理管理研究 组合式一级质控管理模式 护理质量 患者满意度 

分 类 号：R47[医药卫生—护理学]