电子胎心监护警报管理质量改进实践  

Alarm management for electronic fetal monitoring:a quality improvement initiative

作　　者：钱湘子 唐琴[1,2] 秦春香[3] 周秀 Qian Xiangzi;Tang Qin;Qin Chunxiang;Zhou Xiu(Obstetrics Department,The Third Xiangya Hospital of Central South University,Changsha 410013,China)

机构地区：[1]中南大学湘雅三医院产科,湖南长沙410013 [2]中南大学湘雅三医院护理部,湖南长沙410013 [3]中南大学湘雅三医院健康管理中心,湖南长沙410013

出　　处：《护理学杂志》2024年第11期77-80,共4页Journal of Nursing Science

摘　　要：目的提高产科孕妇电子胎心监护警报管理水平,减少无效护理。方法采取便利抽样法选取476例住院行胎心监护的孕妇,按时间段分为质量改进前组247例和质量改进后组229例;针对常规管理存在的问题,实施包括完善胎心监护管理制度、设置标准化胎心监护警报应答流程、开展胎心监护警报分层培训等改进措施;比较改进前后两组管理效果。结果改进后电子胎心监护有效警报率、高优警报率显著提高(均P<0.05);护士警报疲劳得分显著降低、低年资护士患者安全胜任力显著提高(均P<0.05)。结论电子胎心监护警报管理质量改进实践达到了预期目标,使护患双方获益。Objective To enhance the level of alarm management for electronic fetal monitoring(EFM)in pregnant women in the obstetrics department and to reduce ineffective nursing care.Methods A convenience sample of 476 pregnant women who hospitalized for fetal heart rate monitoring were divided into two groups chronologically:247 cases before quality improvement(QI)and 229 after QI.The QI interventions included improving the EFM management regulations,establishing a standardized response process for EFM alarm,and providing hierarchical training on EFM alarms.The management effect was compared before and after the QI intervention.Results There were significant increases in the effective alarm rate and high-priority alarm rate of EFM after the QI intervention(both P<0.05).In addition,the alarm fatigue score of nurses significantly decreased,and patient safety competence of nurses with low seniority significantly improved(both P<0.05).Conclusion QI practice in managing EFM alarms has achieved the expected goals,benefiting both nurses and patients.

关 键 词：孕妇 电子胎心监护 临床警报 警报疲劳 警报管理 质量改进 妇产科护理 

分 类 号：R473.71[医药卫生—护理学] C931.2[医药卫生—临床医学]