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作 者:严彦宏[1] 李雪梅[1] 李湘[1] 张博[1] Yan Yanhong Li Xuemei Li Xiang Zhang Bo(Department of Neurosurgery, the Third People's Hospital of Chengdu, Sichuan Province, Chengdu 610031, China)
机构地区:[1]四川省成都市第三人民医院神经外科,610031
出 处:《中国实用护理杂志》2017年第1期48-50,共3页Chinese Journal of Practical Nursing
摘 要:目的探讨在科室应用雷达图,分析不同质控方式对护理书写质量所产生的影响。方法对2014年8月至2015年1月所有病历分别按照"护理组"与"护士个人"方式进行病历质控分析。结果体温单在护理组质控与个人质控错误率分别为63.43%(137/216)、29.31%(68/232),差异有统计学意义(χ2=18.581,P〈0.01);雷达图显示错误率综合评价值是:护理组质控2.987 1〉个人质控2.985 6。结论个人质控在减少体温单错误率方面有显著优势;在体温单、医嘱单、医嘱执行单等方面的综合错误率更低,整体质控效果更好。ObjectiveTo explore the radar map in the department of, analysis of different quality control methods on the impact of nursing writing quality.MethodsAll medical records in August 2014 to January 2015 were analysed according to "nursing group" and "nurse individual" quality control approach.ResultsTemperature chart error rates were 63.43%(137/216) in the group quality control group and 29.31%(68/232) in the personal quality control group, which was statistical significance between the group quality and personal quality control (χ2= 18.581, P〈0.01). Grouping radar map displayed comprehensive evaluation error rate was: group quality 2.987 1 〉 personal 2.985 6.ConclusionsPersonal quality has significant advantages in reducing error rate about the indicator temperature, especially in temperature chart, the doctor′s advice, orders and overall quality control effect is better.
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