策划-实施-检查-措施循环法在静脉治疗输液附加装置质量管理中的应用  

Application of plan-do-check-action cycle in quality management of intravenous infusion devices

作　　者：王辉[1] 金小红[1] 

机构地区：[1]首都医科大学附属北京天坛医院外科,100050

出　　处：《中华临床营养杂志》2017年第4期246-249,共4页Chinese Journal of Clinical Nutrition

基　　金：首都医科大学附属北京天坛医院院级青年科研基金项目（2015-YQN-28）

摘　　要：目的本研究将策划-实施-检查-措施（PDCA）循环管理模式引入静脉治疗输液装置的质量管理中，调查输液装置的应用现状，查找缺陷，制订计划，进行整改和优化，强化输液装置的质量控制。方法本研究采用自身对照与横断面调查相结合的研究设计，以接受静脉输液治疗的患者为研究对象，调查引入PDCA循环管理模式前后输液装置的应用情况并进行比较，评价PDCA循环法在静脉治疗附加装置质量管理中的应用效果。结果共调查本院38个科室接受静脉输液治疗的患者1 152例（P阶段）和1 140例（C阶段），实施PDCA循环前输液装置连接合格率为93.2%，实施后输液装置连接合格率为97.4%，共提高了4.2%（χ2＝13.030，P〈0.001）；实施PDCA循环后的留置针（98.6%比95.7%，χ2＝8.894，P＝0.003）和中心静脉导管（87.5%比38.9%，χ2＝12.963，P〈0.001）输液装置连接合格率比实施前显著提高。结论PDCA循环有效提高了静脉治疗输液装置的管理质量，是一次成功且有效的尝试。ObjectiveTo investigate the role of the plan-do-check-action（PDCA） cycle in the quality management of intravenous infusion devices.MethodsBased on the self-controlled design and cross-sectional study, the application of intravenous infusion devices before and after the implementation of PDCA cycle was investigated and compared, and the role of PDCA cycle in intravenous infusion device was evaluated.ResultsThe patients treated with intravenous infusion of 38 departments were investigated （1 152 cases in stage P and 1 140 cases in stage C）. After the application of PDCA cycle, the accuracy rate of intravenous infusion device use increased from 93.2% to 97.4% （χ2=13.030, P〈0.001）. The accuracy rate of needle indwelling （98.6% vs. 95.7%, χ2=8.894, P=0.003） and central venous catheter use （87.5% vs. 38.9%, χ2=12.963, P〈0.001） significantly increased after the application of PDCA cycle.ConclusionThe PDCA cycle can remarkably improve the management quality of intravenous infusion devices.

关 键 词：PDCA循环 输液装置 质量管理 

分 类 号：R472[医药卫生—护理学]