摘要
目的探讨追踪方法学联合品管圈在护理质量评价和持续改进中的应用效果。方法选取肝胆外科为研究对象,应用追踪方法学进行护理质量评价,统计发生率高且重要的问题应用品管圈持续改进。结果与2013年同期相比,2014年第一、第二季度的危重患者护理、健康教育考核得分与第一季度的护理文件书写、护理安全得分下降,差异有统计学意义(P<0.05);经过品管圈的质量持续改进后,2014年的6项护理质量考核得分逐渐提高,第四季度危重患者护理得分高于2013年,差异有统计学意义(P<0.05);护理不良事件由11次下降至6次,患者满意度由93%提高到98.5%。结论追踪方法学与品管圈的联合应用,有利于护理过程质量的评价和控制,促进护理质量的持续改进。
Objective To investigate the effect of Tracking Methodology（ TM） combined with Quality Control Circle on nursing quality evaluation and continuous improvement. Methods The patients were selected from the of hepatobiliary surgery department as the study object to evaluate the nursing quality by using the TM. The high incidence and important problems were counted and continuously improved by using the QCC. The differences in nursing quality score,nursing adverse events,and patient satisfaction before and after the intervention were compared. Results After the application of TM to the quality assessment,compared to the same period in 2013,scores of critical patients nursing and health education significantly decreased in the first and second quarter,and scores of nursing documents writing and nursing safety significantly decreased in the first quarter in 2014. After continuous improvement of quality using QCC,scores of six nursing quality assessments in 2014 gradually increased and the score of nursing in the critical care patients in the fourth quarter was significantly higher than that in 2013. The number of nursing adverse events decreased from 11 to 6 times and patient satisfaction increased from 93% to 98. 5%. Conclusion The combined application of TM and QCC is conducive to the evaluation and control of nursing process quality and could promote the continuous improvement of nursing quality.
出处
《宁夏医学杂志》
CAS
2016年第2期144-146,共3页
Ningxia Medical Journal
基金
宁夏自然科学基金资助项目(NZ13189)
关键词
追踪方法学
品管圈
质量评价
质量改进
Tracking Methodology
Quality Control Circle
Quality assessment
Quality improvement
