双人核查清单在连续性肾脏替代治疗质量控制中的应用研究  

Application of double checklist in quality control before the start of treatment of continuous renal replacement therapy

作　　者：余海洋[1] 肖莎[1] 陈蕊[1] Yu Haiyang;Xiao Sha;Chen Rui(Department of Geriatric Critical Care Medicine, General Hospital of Guangzhou Military Command of PLA, Infection and Organ Support Lab in the Elderly in Guangzhou, Guangzhou 510010, China)

机构地区：[1]广州军区广州总医院老年重症医学科 广州市老年感染与脏器功能支持实验室,510010

出　　处：《中华现代护理杂志》2018年第9期1071-1075,共5页Chinese Journal of Modern Nursing

摘　　要：目的 探讨上机前使用自制的双人核查清单在连续性肾脏替代治疗（CRRT）质量控制中的应用效果.方法 采用便利抽样法,选取广州市某三甲医院老年重症医学科2016年1—5月实施的CRRT 200例次作为对照组;2016年6 —12月实施的CRRT 200例次作为观察组.对照组按照科室既往的流程规范实施CRRT质量控制,观察组在既往流程规范基础上,使用双人核查清单进行CRRT的质量控制.比较两组CRRT风险事件发生情况,两组上机需花费的时间、CRRT治疗时间,以及使用双人核查清单前后医护满意度情况.结果 观察组使用双人核查清单后CRRT上机前、上机过程中、上机后相关风险事件发生率均低于对照组,差异均有统计学意义（P〈0.01）.观察组上机所需时间（10.84±3.34）min、CRRT治疗时间（20.88±6.45）h,均优于对照组[（18.38±6.44）min、（18.48±7.51）h],差异均有统计学意义（P〈0.01）.观察组医生对护士CRRT技术操作的满意度及护士对使用双人核查清单进行CRRT质量控制的满意度均高于对照组,差异均有统计学意义（P〈0.01）.结论 上机前使用双人核查清单后,大大降低CRRT风险事件的发生率,减少了上机需花费的时间,延长了CRRT治疗时间,提高了医护满意度,从而保证了CRRT的质量控制.Objective To evaluate the application effect of self-made double checklist on quality control before the start of treatment of continuous renal replacement therapy （CRRT）. Methods Using the convenience sampling method, a number of 200 cases undergoing CRRT were chosen as control group in the Department of Geriatric Critical Care Medicine of a Class Ⅲ Grade A hospital in Guangzhou from January to May 2016. Another 200 cases undertaking CRRT from June to September 2016 were treated as observation group. CRRT quality control of the control group was implemented in accordance with the department principle, while the observation group had an extra double checklist before the start of treatment of CRRT. CRRT risk events, time duration before starting treatment of CRRT, CRRT treatment time, and satisfaction of both doctors and nurses before and after the checklist using of two groups were compared. Results The incidence of risk events before, during and after CRRT of the observation group were lower than those of the control group （P〈0.01）. Time duration before starting treatment of CRRT and CRRT treatment time of the observation group were superior than those of the control group [（10.84±3.34） vs. （18.38±6.44） min, （20.88±6.45） vs. （18.48±7.51） h;P〈 0.01]. Satisfaction of the observation group of doctors to nurses＇ CRRT technical operation and nurses to double checklist using for CRRT quality control were higher than those of the control group （P〈0.01）. Conclusions Application of double checklist on quality control before the start of treatment of CRRT could greatly reduce the incidence of CRRT risk events, shorten time duration before starting treatment of CRRT, extend the CRRT treatment time, improve the medical and nursing satisfaction and ensure quality control of CRRT as well.

关 键 词：质量控制 双人核查清单 连续性肾脏替代治疗 

分 类 号：R473.5[医药卫生—护理学]