降低终末期肾病患者动静脉内瘘成熟不良率  

Reducing the Unsatisfactory Rate of Arteriovenous Fistula Maturation in Patients with End-Stage Renal Disease

作　　者：王涛[1] 赵淑青 刘考[2] WANG Tao;ZHAO Shuqing;LIU Kao(Qilu Hospital of Shandong University,Ji'nan,Shandong,250012,China)

机构地区：[1]山东大学齐鲁医院,山东济南250012 [2]山东大学齐鲁医院器官移植科,山东济南250012

出　　处：《中国卫生质量管理》2022年第12期88-92,共5页Chinese Health Quality Management

摘　　要：目的 降低终末期肾病患者动静脉内瘘成熟不良率。方法 成立品管圈圈组,通过现状调查、原因解析明确问题真因,从制定动静脉内瘘院前指导规范,建立多学科协作模式;实施“VAP”评估模式,制定围手术期标准化管理流程;构建“互联网+”智能宣教模式,优化院外延伸服务三方面进行改进。结果 终末期肾病患者动静脉内瘘成熟不良率由10.6%降低至3.3%。结论 开展品管圈活动降低了终末期肾病患者动静脉内瘘成熟不良率。Objective To reduce the unsatisfactory rate of arteriovenous fistula maturation in patients with end-stage renal disease. Methods The quality control circle group was established, and the real causes of the problems were identified through the cross-sectional investigation and cause analysis. Improvements were made from three aspects. The pre-hospital guidance norms of arteriovenous fistula were formulated, and the multidisciplinary cooperation mode was established. The "VAP" evaluation mode was implemented, and the standardized process of perioperative management was formulated. The "Internet +" intelligent education mode was constructed, and the extended services outside the hospital was optimized. Results The unsatisfactory rate of arteriovenous fistula in end-stage renal disease patients decreased from 10.6% to 3.3%. Conclusion Quality control circle activity can reduce the unsatisfactory rate of arteriovenous fistula in patients with end-stage renal disease.

关 键 词：品管圈 问题解决型品管圈 终末期肾病 动静脉内瘘 

分 类 号：R692[医药卫生—泌尿科学] R197.323[医药卫生—外科学]