PDCA循环模式对神经外科急诊抢救记录规范化的影响

徐瑞琦; 杨硕; 山丹; 黄爽

doi:10.16766/j.cnki.issn.1674-4152.000043

PDCA循环模式对神经外科急诊抢救记录规范化的影响

doi: 10.16766/j.cnki.issn.1674-4152.000043

哈尔滨医科大学附属第一医院神经外科四病房, 黑龙江哈尔滨 150000

基金项目:

国家临床重点专科建设项目(2012-649)

详细信息

通讯作者:
杨硕,E-mail:13351111901@163.com

中图分类号: R473.6;R605.97
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- 被引次数: 0
出版历程
- 收稿日期: 2017-01-12

Effect of PDCA circulation model on the standardization of emergency treatment in department of neurosurgery

No. 4 Ward, Department of Neurosurgery, the First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150000, China

摘要

摘要: 目的探讨PDCA循环模式对神经外科急诊抢救记录规范化的影响,探寻提高护理质量的方法。方法将2015年1-6月在哈尔滨医科大学附属第一医院神经外科接受治疗的273例急诊抢救患者作为对照组,将2015年7-12月接受治疗的243例急诊抢救患者作为试验组,对照组为接受常规急诊抢救护理的患者,试验组为在基础急诊抢救护理的基础上接受PDCA护理的患者,将2组在护理计划与执行计划记录内容不相符、医护记录时间或内容不一致、小结事件报告错误、体温单与护理记录单记录出量不吻合、入量记录不吻合的例数进行比较,同时对2组患者的抢救成功率和满意率进行比较。结果试验组护理计划与执行计划记录内容不相符、医护记录时间或内容不一致、小结事件报告错误、体温单与护理记录单记录出量不吻合、入量记录不吻合、手术患者信息、手术部位标识、手术患者、手术部位以及手术标识错误率分别为8.1%、10.6%、6.6%、5.5%、13.9%、7.3%、2.9%、3.7%,对照组分别为11.9%、14.0%、9.9%、8.2%、18.9%、17.3%、10.7%、9.9%,2组比较差异均具有统计学意义(均P<0.05),2组患者手术过程中异物遗留例数比较差异不具有统计学意义(P>0.05)。试验组患者抢救成功率和患者满意率分别为72.0%(175例)和95.9%(233例),对照组分别为55.7%(152例)和82.1%(224例),2组比较差异均具有统计学意义(P<0.05)。结论 PDCA循环模式可以使神经外科急诊抢救记录更加规范化,护理质量规范化。
- PDCA /
- 急诊抢救 /
- 记录 /
- 规范化
Abstract: Objective To explore the effect of PDCA circulation model on the standardization of emergency treatment in department of neurosurgery and seek the way to improve the nursing. Methods Altogether 273 emergency cases treated in the department of neurosurgery in our hospital from January, 2015 to June, 2015 were selected as control group, with emergency 243 cases from July, 2015 to December, 2015 in the department of neurosurgery in our hospital as the experimental group, and the control group received routine emergency care. The experimental group received PDCA on the basis of the emergency rescue and nursing care. We compared the nursing plan and implementation plan, the content mismatching the medical record time inconsistency, or summary of event reporting errors, temperature and care records in a few cases, the amount of volume which did not match record and did not match the comparison at the same time, the rescue of the two groups of patients with the comparison between success rate and satisfaction rate. Results Two groups of patients with nursing defects of comparison, The test group, planning and implementation plan, record the content does not match the medical record time inconsistency, or summary of event reporting errors, temperature and amount of care records do not coincide, the amount of record does not match, surgical patient information, surgical site identification, surgery patients, surgical site and surgical identification error rate 8.1%, 10.6%, 6.6%, 5.5%, 13.9%, 7.3%, 2.9%, 0%, 3.7% patients, patients in the control group were 11.9%, 14.0%, 9.9%, 8.2%, 18.9%, 17.3%, 10.7%, 9.9%, with significant differences (P<0.05). The comparison of the retained foreign body between the two groups were not significant (P>0.05). The rate of successful rescue and patients satisfaction were 72% (175 cases) and95.9% (233 cases) respectively in the experimental group, and 55.7% (152 cases) and 82.1% (224 cases) in the control group, with statistical significance (P<0.05). Conclusion The PDCA cycle model can make the emergency rescue record more standardized, and improve the quality of nursing.
- PDCA /
- Emergency rescue /
- Record /
- Standardization