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

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.