提升基层医院PICC置管到位率的临床实践  

Clinical practice of improving PICC catheterization rate in primary hospitals

作　　者：王艳梅 任晓爽 王雅欣 康晓凤 WANG Yanmei;REN Xiaoshuang;WANG Yaxin;KANG Xiaofeng(Oncology and Hematology Department,Beijing Huairou Hospital,101400,China)

机构地区：[1]北京怀柔医院肿瘤血液科,101400 [2]北京协和医学院护理学院

出　　处：《中国护理管理》2018年第10期1406-1409,共4页Chinese Nursing Management

基　　金：2013年北京高等学校教育教学改革项目(2013-ms051)

摘　　要：目的 :分析基层医院推广PICC技术过程中置管到位率低的原因,持续改进PICC护理团队置管到位率策略。方法 :现况调查188例PICC置管病例,应用鱼骨图进行PICC置管未到位要因分析,从建立PICC护理团队协同合作机制、建立标准化血管评估工具、根据风险获益原则筛选病例三个方面寻求解决措施。结果 :通过持续改进措施,PICC置管到位率由93.1%提高至97.5%。结论 :运用团队协同合作等措施可进一步提高PICC置管到位率,有利于PICC技术在基层医院的推广。Objective： To explore the continuous improving strategies of PICC catheterization rate in primary hospitals. Methods： Total 188 cases with PICC catheterization were investigated. Fishbone diagram was used to analyze the main related factors of accurate PICC catheterization rate, and the coping cluster strategies included establishing the cooperation mechanism of PICC nursing team, developing standardized vascular assessment tools, and selecting cases according to the risk-benefit principle. Results： The PICC catheterization rate increased from 93.1% to 97.5% after the continuous improving strategies. Conclusions： The cluster measures can improve the placement rate of PICC, and it benefits the further popularization of PICC technology in primary hospitals.

关 键 词：经外周静脉置入中心静脉导管 置管到位率 鱼骨图 

分 类 号：R47[医药卫生—护理学]