精益质量管理在术中获得性压伤防治中的应用  

Application of lean quality management in the prevention and treatment of intraoperative acquired pressure injuries

作　　者：杜晓亮 范雪蕾 冯仁 厉春林[1] 陈红[2] DU Xiao-ling;FAN Xue-lei;FENG Ren;LI Chun-lin;CHEN Hong(Department of Neurosurgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Operating Room,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院神经外科,武汉430030 [2]华中科技大学同济医学院附属同济医院手术室,武汉430030

出　　处：《中国临床神经外科杂志》2024年第11期675-678,685,共5页Chinese Journal of Clinical Neurosurgery

摘　　要：目的 探讨精益质量管理在术中获得性压伤防治中的应用效果。方法 选取2020年1~12月手术治疗的2 720例神经外科病人为观察组,选取2019年1~12月手术治疗的3 902例神经外科病人为对照组。观察组通过组建精益项目团队,构建基于精益质量管理预防术中压伤管理模式,优化工作流程,选取关键指标进行重点监测,对术中压伤预防护理质量进行持续改进。对照组采取常规护理措施预防术中获得性压伤。结果 观察组术中获得性压伤发生率(0.96%)显著低于对照组(2.13%;P<0.001)。观察组术中压伤管理关键质量指标落实率显著提升。结论 精益质量管理方案能够有效降低术中获得性压力性损伤的发生率,提升围术期术中压伤预防管理效能。Objective To investigate the application efficacy of lean quality management in the prevention and control of intraoperative acquired pressure injuries.Methods A total of 2720 cases undergoing neurosurgical treatment from January to December 2020 were designated as the observation group.Meanwhile,3902 cases undergoing surgical treatment from January to December 2019 were selected as the control group.In the observation group,a lean project team was formed,a management model for preventing intraoperative pressure injuries based on lean quality management was constructed,the workflow was optimized,key indicators were selected for focused monitoring,and continuous improvement was made to the quality of prevention and care for intraoperative pressure injuries.The control group adopted conventional nursing measures for preventing intraoperative acquired pressure injuries.Results The incidence of intraoperative acquired pressure injuries in the observation group(0.96%)was significantly lower than that(2.13%)in the control group(P<0.001).The implementation rate of key quality indicators for intraoperative pressure injury management in the observation group was significantly enhanced.Conclusion The lean quality management scheme can effectively reduce the incidence of intraoperative acquired pressure injuries and improve the efficiency of prevention and management of intraoperative pressure injuries during the perioperative period.

关 键 词：术中获得性压伤 精益质量管理 预防 

分 类 号：R651.11[医药卫生—外科学] R473.6[医药卫生—临床医学]