新常态护理在手术室持续质量改进管理中的应用  

Application of New Normal Nursing in Continuous Quality Improvement Management of Operating Room

作　　者：周娜 林玉彩 王嘉宇 刘芳[1] 马晓智 李晶[1] ZHOU Na;LIN Yu-cai;WANG Jia-yu;LIU Fang;MA Xiao-zhi;LI Jing(Operating room,Fourth Affiliated Hospital of Harbin Medical University,Harbin 150000,China)

机构地区：[1]哈尔滨医科大学附属第四医院手术室,黑龙江省哈尔滨市150000

出　　处：《中国全科医学》2017年第B12期360-362,共3页Chinese General Practice

摘　　要：目的探讨新常态护理模式管理对手术室持续质量改进管理中的应用。方法选取2014年5月—2015年3月哈尔滨医科大学附属第四医院按照常规护理方式的进行护理手术室设备作为对照组,并随机选取同时间段在本院进行手术治疗的62例患者作为观察对象,选取2015年5月—2016年3月本院按照新常态护理方法护理的手术室设备作为试验组,并随机选取同时间段在本院进行手术治疗的62例患者作为观察对象,对两组设备的合格率、不良事件发生率、患者对器械的满意率进行比较。结果试验组输液泵、呼吸机、监护仪、关节镜和C形臂合格率为85.37%、84.00%、90.48%、82.28%、80.00%,对照组分别为46.34%、60.00%、69.05%、54.43%、56.00%,两组输液泵、监护仪、关节镜和C形臂合格率比较差异具有统计学意义(P<0.05)。试验组异物残留、管制药物外泄、器械丢失和贵重器械损害率分别为4.48%、3.23%、3.23%、1.61%,对照组分别为22.58%、12.90%、16.13%、4.84%,两组设备异物残留、管制药物外泄、器械丢失率比较差异具有统计学意义(P<0.05)。试验组患者满意、一般、不满意例数分别为53、7、2例,对照组为38、11、13例,两组患者手术满意率比较差异具有统计学意义(P<0.05)。结论新常态护理模式管理可以降低手术设备不良事件发生率和贵重器械损害率,提高患者手术满意程度,有利于改进手术质量。Objective To explore the influence of the new normal nursing management on the continuous quality improvement of operation room.Methods According to operation room equipment routine of Fourth Affiliated Hospital of Harbin Medical University,nursing equipments from May 2014 to March 2015 were regarded as control group.62 cases of surgical treatment of patients were randomly selected from the same period in the hospital as the observation object.Nursing devices according to the new normal nursing method from May 2015 to March 2016 in hospital operation room were treated as experimental group.62 cases of surgical treatment of patient randomly selected at the same period of time in hospital were treated as the observation object.Two sets of equipment qualification rate,the incidence of adverse events and patient satisfaction rate were compared.Results The pass rate of test group infusion pump,ventilator and monitor,arthroscopy and C-arm were 84.36%,82.37%,90.22%,82.09%,79.99%in experimental group,the control group were 47.37%,66.86%,67.38%,54.97%,55.32%.Pass rate of infusion pump,ventilator,monitor,arthroscopy and C-arm in two groups were statistically significant differen(tP<0.05).The control of drug residue,leakage,loss and damage to equipment valuable equipment rate were 5.47%,4.58%,3.22%,1.03%in experimental group,the control group were 27.47%,15.99%,19.27%,5.83%.Foreign body,drug control equipment,equipment leakage loss and valuable equipment damage rate in two groups were statistically significant different(P<0.05).The satisfied,general satisfied and unsatisfied in the experimental group were 53,7 and 2 cases respectively.The control group was 38,11,13 cases.Two groups had statistically significant difference in satisfaction rate(P<0.05).Conclusion New normal nursing management can reduce the incidence rate of adverse events and the value of equipment damage,and improve the satisfaction degree of patients with surgery,which is conducive to improving the quality of surgery.

关 键 词：新常态护理 手术室 持续质量改进 满意率 不良事件 

分 类 号：R472[医药卫生—护理学]