运用FOCUS-PDCA程序降低精神科住院患者走失发生率  

Using FOCUS-PDCA Program to Reduce the Incidence of Missing Patients in Psychiatric Department

作　　者：金丽 张利芬 罗娟[1] 康茜[1] 杜芳[1] 张彦[1] JIN Li;ZHANG Lifen;LUO Juan;KANG Qian;DU Fang;ZHANG Yan(Department of Clinical Psychology,People's Hospital of Wuhan University,Wuhan Hubei 430060,China)

机构地区：[1]武汉大学人民医院临床心理科,湖北武汉430060

出　　处：《中国继续医学教育》2018年第11期193-194,共2页China Continuing Medical Education

摘　　要：目的探讨应用FOCUS-PDCA程序对降低精神科住院患者走失发生率的干预作用。方法以2015年9月—2016年8月本科未应用FOCUS-PDCA程序管理模式时接诊的患者1 020例作为对照组,同时将本科2016年9月—2017年8月应用FOCUS-PDCA程序管理模式时接诊的患者1 072例作为实验组。综合分析两组走失不良事件的发生情况,并经统计、计算后对各组的走失发生率作出比较。结果实验组的走失发生率为0.28%,明显比对照组的1.47%低,组间差异具有统计学意义(P<0.01)。结论于精神科住院患者中积极运用FOCUS-PDCA程序,可有效降低患者走失不良事件发生的风险,确保患者人身安全,减少护理纠纷发生风险。Objective To explore the effect of applying the FOCUS-PDCA program to reduce the incidence of loss in psychiatric inpatients.Methods From September 2015 to August 2016,1 020 patients not receiving FOCUSPDCA program management were selected as control group.Meanwhile,1 072 patients receiving FOCUS-PDCA program management from September 2016 to August 2017 were selected as experimental group.The occurrence of two groups of adverse events was analyzed,and the incidence rate of each group was compared by statistics and calculation.Results The occurrence rate of the experimental group was 0.28%,which was significantly lower than that in the control group of 1.47%,and the difference was significant(P<0.01).Conclusion In psychiatric inpatients actively use FOCUS-PDCA program,which can effectively reduce the risk of adverse events to patients lost,ensure patient safety and reduce the risk of nursing disputes occurred,suggested that large-scale popularization and use in clinic.

关 键 词：FOCUS-PDCA程序 精神科 住院患者 走失 

分 类 号：R473[医药卫生—护理学]