急诊护理敏感指标在质量控制闭环管理中的应用  

Application of sensitive index of emergency nursing in closed loop management of quality control

作　　者：韩蕾[1] 林琳 朱文秀[1] 盖晓娜 Han Lei;Lin Lin;Zhu Wenxiu;Gai Xiaona(Department of Emergency Medicine,the Fourth Hospital of Harbin Medical University,Harbin 150001,China;Ward II,Minimally Invasive Neurosurgery,the Fourth Hospital of Harbin Medical University,Harbin 150001,China)

机构地区：[1]哈尔滨医科大学附属第四医院急诊内科,哈尔滨150001 [2]哈尔滨医科大学附属第四医院微创神经外科二病房,哈尔滨150001

出　　处：《中华现代护理杂志》2019年第29期3799-3802,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨在质量控制闭环管理系统中应用急诊护理敏感指标的效果,推动急诊护理质量管理向精细化、标准化、同质化方向发展.方法查阅近5年国内外的急诊护理敏感指标与质量控制评价指标相关文献,构建急诊护理质量敏感指标闭环管理方案,并通过培训和反馈控制进一步完善.比较干预前(2017年)与干预后(2018年)哈尔滨医科大学附属第四医院急诊护理质量敏感指标的差异.结果应用急诊护理敏感指标质量控制闭环管理方案后,急诊科专科培训优良率、护理人员手卫生依从性、预检分诊准确率、危重患者绿色通道平均停留时间合格率、患者身份识别准确率、患者满意度、健康教育覆盖率均升高,差异有统计学意义(P<0.01).结论急诊护理质量敏感指标闭环管理方案的应用,对急诊护理质量控制具有积极的导向作用,可以为急诊护理管理者提供客观准确的质量评价标准.Objective To explore the effect of applying sensitive indicators of emergency nursing in quality control closed loop management system,and to promote the development of emergency nursing quality management towards refinement,standardization and homogenization.Methods By reviewing the literatures of emergency nursing sensitive indicators and quality control evaluation indicators at home and abroad in recent five years,the closed-loop management scheme of emergency nursing quality sensitive indicators was constructed,and further improved through training and feedback control.The difference of sensitive indicators of emergency nursing quality before intervention(2017)and after intervention(2018)in the Fourth Hospital of Harbin Medical University were compared.Results After applying the closed-loop management scheme of quality control for sensitive indicators of emergency nursing,the excellent rate of emergency department specialist training,hand hygiene compliance of nurses,accuracy rate of pre-examination and triage,qualified rate of average residence time of critical patients in green channel,accuracy rate of patient identification,patient satisfaction and coverage rate of health education increased,and the difference was statistically significant(P<0.01).Conclusions The application of closed-loop management scheme for sensitive indicators of emergency nursing quality has a positive guiding effect on the quality control of emergency nursing,and can provide objective and accurate quality evaluation criteria for emergency nursing managers.

关 键 词：急诊室 医院 急诊护理敏感指标 闭环管理 质量控制 护理管理 

分 类 号：R47[医药卫生—护理学]