应用品管圈缩短患者出院时间的实践  

The application of Quality Control Circle in reducing patients' discharging time

作　　者：闫清华[1] 王春娥[2] 王伟[1] 徐莎[1] 刘爱玲[2] 

机构地区：[1]聊城市第二人民医院心内一科,山东省252600 [2]聊城市第二人民医院护理部,山东省252600

出　　处：《中国护理管理》2016年第9期1260-1264,共5页Chinese Nursing Management

基　　金：山东省聊城市科学技术攻关计划项目(20150149)

摘　　要：目的 :调查品管圈活动在缩短患者出院时间中的应用效果。方法 :自2014年3月始以"缩短患者出院时间"为主题,开展品管圈活动,按照品管程序进行现场调研,运用科学的统计方法和品管工具进行问题分析与真因验证,制定整改对策并落实。结果 :实施品管圈活动后,患者出院时间由改善前的(204.38±14.44)min缩短至改善后的(99.66±23.48)min,前后比较差异均有统计学意义(P<0.01);活动后圈员们一般自我效能感、无形成果评分均较活动前提高,差异有统计学意义(P<0.01)。结论:品管圈活动的实施缩短了出院患者出院时间,优化了出院患者工作流程,提高了护理人员解决问题的能力,提高了护理质量。Objective： To explore the effect of using Quality Control Circle （QCC） management tool in reducing patients＇ discharging time. Methods： With the principle of PDCA circulation, we set up a QCC group and established the activity themed as ＂reducing patients＇ discharge time＂. Then we invested the current situations and analyzed the reasons.Finally, we set several goals and took some countermeasures. Results： After implementing the QCC activity, patients＇ discharging time decreased from 204.38±14.44 min to 99.66±23.48 min （P〈0.01）, and the General Self-efficacy and Intangible results score of nurses were increased （P〈0.01）. Those differences were statistically significant. Conclusion：Implementing the QCC activity can reduce patients＇ discharging time and optimize the discharging workflow. It can also increase nurses＇ capacity of quality management and improve the quality of nursing.

关 键 词：出院时间 出院流程 患者出院 品管圈 

分 类 号：R47[医药卫生—护理学]