精益管理模式对提高综合外科病房护理安全质量的效果研究  

Research on the effect of lean management model on improving nursing safety quality in comprehensive surgical ward

作　　者：王传君 WANG Chuanjun(Department of Comprehensive Surgery,Maternal and Child Health Hospital of Linyi City,Shandong,Linyi 276002,China)

机构地区：[1]山东省临沂市妇幼保健院综合外科,山东临沂276002

出　　处：《中国医药科学》2025年第5期180-184,共5页China Medicine And Pharmacy

基　　金：山东省卫生健康委员会山东省医养健康产业重点调研课题(64)。

摘　　要：目的探讨精益管理模式对提高综合外科病房护理安全质量的应用效果。方法选取2023年4月至2024年5月的80例临沂市妇幼保健院综合外科病房住院患者及科室护理人员为研究对象,将精益管理模式应用于综合外科病房护理安全管理,对比分析2023年4—10月(实施前)、2023年11月至2024年5月(实施后)护理安全质量指标及患者满意度。结果精益管理模式在综合外科病房护理安全管理实施后医嘱查对准确率显著高于实施前,差异有统计学意义(P<0.05)。交接班时间与实施前相比有效缩短,差异有统计学意义(P<0.05)。除储备过量外的药品管理缺陷事件发生率低于实施前,差异均有统计学意义(P<0.05)。此外,护理人员护理安全相关知识考核成绩、护理质量评价结果及患者满意度明显高于实施前,差异有统计学意义(P<0.05)。结论精益管理模式在综合外科护理安全质量管理的实施有助于优化护理工作流程,提升护理工作效率,预防护理安全不良事件的发生,提高护理安全质量及患者满意度。Objective To investigate the application effect of lean management model on improving nursing safety quality in comprehensive surgical ward.Methods A total of 80 inpatients and department nurses from the comprehensive surgical ward of Maternal and Child Health Hospital of Linyi City from April 2023 to May 2024 were selected as the research objects,and lean management model was applied to nursing safety management in comprehensive surgical ward.The nursing safety quality indices and patient satisfaction from April to October 2023(before implementation)and from November 2023 to May 2024(after implementation)were compared and analyzed.Results After the implementation of lean management model in nursing safety management in comprehensive surgical ward,the accuracy of checking doctor’s prescription was obviously higher than that before implementation,with statistically significant difference(P<0.05).The handover time was effectively shortened compared with that before implementation,with statistically significant difference(P<0.05).The incidence of drug management defects,except for excess reserves,was lower than that before implementation,with statistically significant difference(P<0.05).In addition,the assessment scores of nursing safety-related knowledge and nursing quality evaluation of nursing staff were obviously higher than those before implementation,with statistically significant differences(P<0.05).Conclusion The implementation of lean management model in comprehensive surgical nursing safety quality management is conducive to optimizing nursing workflow,improving nursing efficiency,preventing nursing safety adverse events,and upgrading nursing safety quality and patients’satisfaction.

关 键 词：精益管理 综合外科病房 护理安全质量 护理管理 

分 类 号：R473[医药卫生—护理学]