PDCA循环在降低麻醉复苏期间非计划二次插管率中的应用  

Application of PDCA cycle in reducing PACU unintended secondary intubation rate

作　　者：朴明燚 赵利[1] 俞小玲[1] 严敏[1] 郑周鹏[1] 

机构地区：[1]浙江大学医学院附属第二医院麻醉科,浙江杭州310009

出　　处：《麻醉安全与质控》2017年第3期133-135,共3页Perioperative Safety and Quality Assurance

摘　　要：目的通过PDCA循环管理模式,降低麻醉复苏期间非计划二次插管率,提高麻醉安全质量。方法选取浙江大学医学院附属第二医院麻醉恢复室2014-01/2015-12期间收治的73 664例气管插管全身麻醉患者,使用PDCA循环管理,对发生非计划二次插管的17例患者进行原因分析,制定干预计划,实时检查、总结,制定标准化流程,指导临床拔管。结果与2014年相比,2015年的非计划二次插管率由0.04%降至0.01%,麻醉安全质量有所提高。结论 PDCA循环管理模式可有效降低麻醉复苏期间非计划二次插管率。Objective Using the plan-do-check-action（PDCA） cycle theory to reduce the rate of unintended secondary intubation dur- ing resuscitation and improve the quality and safety of anesthesia. Methods A total of 73664 patients undergoing tracheal intubation in second affiliate hospital of Zhejiang university post-anesthesia care unit （PACU） from Jan. 2014 to Dec. 2015 were seleted. We analyzed 17 patients who underwent unintended secondary intubation and provided the prompt examination and summary to formulate a standardized protocol to guide clinical extubation. Results Compared with 2014, the rate of unintended secondary intubation was reduced from 0.04% to 0.01% and the quality and safety of anesthesia improved in 2015. Conclusion PDCA cycle theory can effectively reduce the rate of unintended secondary intubation during resuscitation.

关 键 词：PDCA 非计划二次插管 麻醉质量控制 

分 类 号：R614[医药卫生—麻醉学]