个案追踪法在分级护理质量评价中的应用研究  

Application Study of Case Tracking Method in Grading Nursing Quality Evaluation

作　　者：陈春兰[1] 廖桂芳[1] 徐明芳[1] 陈锐[1] 石慧[1] CHEN Chunlan;LIAO Guifang;XU Mingfang(First People’s Hospital of Jiujiang City,Jiujiang 332000,China)

机构地区：[1]江西省九江市第一人民医院,江西九江332000

出　　处：《中国医学创新》2017年第32期108-111,共4页Medical Innovation of China

基　　金：江西省卫生计生委科技计划项目(20177096)

摘　　要：目的:研究个案追踪法在分级护理质量评价中的应用效果。方法:以危重症患者为契入点,选取2013年1-12月应用传统检查方法的对照组与2016年1-12月应用个案追踪法的试验组,每组患者各360例,检查本院活水院25个临床护理单元分级护理质量,对住院患者分级护理质量的相关指标进行检查及数据统计,其中重点对三短九洁执行率、安全标识执行率、风险评估及预防执行率、护理措施执行率、护士病情知晓率、护理记录合格率、患者满意度等各项质控指标及各项护理合格情况进行追踪检查。结果:两组分级护理各项质控指标及护理合格情况比较,差异均有统计学意义(P<0.05)。结论:个案追踪法有利于提高护理管理者在检查过程中及时发现护理工作中存在问题,同时对问题进行追踪,促进了分级护理质量持续改进,提升了护理管理水平,保证患者安全。Objective:To study the application effect of case tracking method in graded nursing quality evaluation.Method:With critical patients as entry point,the control group with traditional examination method in January to December 2013 and test group with case tracking method from January to December 2016 were selected,360 cases in each group,they were used to assess the quality of nursing care in 25 clinical nursing units in our hospital,to examine the relevant indicators of graded nursing quality of hospitalized patients and data statistics.The execution rate of three short and nine clean,security identifier execution rate,risk assessment and preventive execution rate,implementation rate of nursing measures,nurses awareness rate of illness,qualified rate of nursing records,patient satisfaction of each quality control index and nursing qualification were tracked inspection.Result:The quality control indexes of grading nursing and nursing qualification of two groups were compared,the differences were statistically significant(P<0.05).Conclusion:Case tracking method is helpful to improve the nursing managers in inspection process in time to find problems in nursing work,and to track the problems at the same time,to promote the continuous improvement of the quality of grading care,to improve the level of nursing management and ensure the safety of patients.

关 键 词：个案追踪 质量评价 分级护理 

分 类 号：R47[医药卫生—护理学]