项目管理在推进静脉治疗新规范中的应用效果  

Application effects of project management in boosting the new standard of intravenous therapy

作　　者：秦月兰[1] 周金艳[1] 刘艳辉[1] 邹颢宇[2] 屈梅香[3] 

机构地区：[1]湖南省人民医院暨湖南师范大学第一附属医院护理部,长沙410005 [2]湖南省人民医院暨湖南师范大学第一附属医院心胸外科,长沙410005 [3]湖南省人民医院暨湖南师范大学第一附属医院门诊,长沙410005

出　　处：《中华现代护理杂志》2016年第9期1308-1311,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨项目管理在推进执行静脉治疗护理技术操作规范中的应用效果.方法 成立项目管理团队,进行全院查房,列出亟待改进的十大关键点,将项目管理理念运用于静脉治疗后,再次进行全院查房,将结果 与实施前进行比较分析、总结.结果 项目管理实施后护士核心内容知晓率、查对方法 正确率、治疗工具选择符合率、消毒操作达标率、手卫生依从率、静脉治疗观察落实率、输液（血）器及附加装置更换合格率、中心静脉置管维护正确率、留置针使用合格率均提高,静脉治疗不良事件发生率降低,与实施前比较,差异均有统计学意义（P〈0.05）.结论 将项目管理理念运用于静脉治疗护理技术操作规范中,能提高全院静脉治疗的质量和安全性,其应用在医院、护理领域具有生命力.Objective To investigate application effects of project management in boosting the operation standard of intravenous therapy nursing technique. Methods The team of project management was established. After the ward rounding in the whole hospital, ten key points were listed for improvement. The idea of project management was applied in intravenous therapy, and then the second ward rounding in the whole hospital was carried out. Finally, the results of the second ward rounding were analyzed, summarized and compared to the results before the appliance of project management. Results After the appliance of project management, for the nurses, they all increased compared with before the implementation of project management in the awareness rate of core contents, the accuracy of check methods, the coincidence rate of selecting therapy equipment, the rate of reaching the standard of disinfection, the compliance rate of the sanitation of hands, the implement rate of the observation of intravenous therapy, the qualified rate of changing blood transfusion apparatus and additional device, the accuracy of maintaining the central vena catheterization and the qualified rate of the usage of remaining needles, except the incidence rate of adverse events of intravenous therapy （ decreased compared to the rate before the appliance of project management） （P 〈0. 05）. Conclusions The appliance of project management philosophy in the operation standard of intravenous therapy nursing technique improves the quality and safety of intravenous therapy in the whole hospital. Its appliance has vitality in the fields of hospitals and nursing.

关 键 词：护理管理研究 静脉治疗 项目管理 不良事件 

分 类 号：R472[医药卫生—护理学]