PDCA管理模式在精神科急诊护理管理中的应用  

Application of PDCA management mode in psychiatric emergency nursing management

作　　者：丁玲[1] DING Ling(Shenzhen Kangning Hospital,Shenzhen 518000,China)

机构地区：[1]深圳市康宁医院,广东深圳518000

出　　处：《中国医药科学》2019年第1期169-172,共4页China Medicine And Pharmacy

摘　　要：目的探讨PDCA管理模式在精神科急诊护理管理中的应用效果。方法选择2016年1月～2017年12月急诊的精神障碍患者,随机分为研究组和对照组。对照组采用精神患者常规护理,研究组实施PDCA循环管理模式,找出事件危险度及可干预性措施条目,确定干预措施及实施方法。统计全部不良事件发生率,进行风险等级评估。结果实施PDCA管理后研究组患者不良事件共3件,发生率为0.02%,明显低于对照组(11件,0.09%),严重不良事件无,两组比较差异具有统计学意义(P <0.05);经护士预检分诊,研究组中风险患者占比低于对照组(P <0.05),高风险患者占比高于对照组(P <0.05);急诊科护士对风险等级的评估能力与干预能力提高,评分准确性由96.99%提高至98.99%,评分时间缩短为(9.89±2.04)min,前后比较差异有统计学意义(P <0.05);2017年列入提前干预措施人数4406例,约占总就诊人数的35.48%。结论精神科急诊护理管理工作中应用PDCA循环管理,有利于提高护理人员的专业评估素养,可以有效的防范风险及降低不良事件的发生率。Objective To explore the application effect of PDCA management mode in psychiatric emergency nursing management.Methods Patients with mental disorders who were admitted to the emergency department from January 2016 to December 2017 were selected and they were randomly divided into the study group and control group according to the order of admission.Patients in control group were given the routine nursing psychiatric patients while patients in the study group were given PDCA cycle management mode.Event risk and items of intervention measures were identified to ensure interventions and methods of implementation.The incidence of all adverse events was counted and the risk level was assessed.Results After PDCA management,there were 3 adverse events in the study group with the incidence rate of 0.02%,which was significantly lower than that in the control group(11,0.08%).And there were no serious adverse events.The difference between the two groups was statistically significant(P<0.05).After pre-examination and triage by nurses,the proportion of risk patients in the study group was lower than that in the control group(P<0.05),and the proportion of high-risk patients was higher than that in the control group(P<0.05).The ability of emergency nurses to assess the risk level and intervention was improved.The accuracy of scoring was increased from 96.99%to 98.99%,and the scoring time was shortened to(9.89±2.04)min.The difference was statistically significant before and after the intervention(P<0.05).In 2017,4406 cases were included in the early intervention,which accounted for 35.48%of the total number of visits.Conclusion The application of PDCA cycle management in psychiatric emergency nursing management is conducive to improving the professional evaluation of nursing staff,which can effectively prevent risks and reduce the incidences of adverse events.

关 键 词：PDCA循环管理 精神科急诊 护理管理 不良事件 

分 类 号：R473.74[医药卫生—护理学]