摘要
目的:探讨PDCA循环对持续改进危急值管理水平的作用。方法:随机选取实施PDCA循环管理前和实施PDCA循环管理后,通过提问、查阅信息系统和危急值登记本的方法,了解护理人员对危急值的范围、危急值报告率、危急值报告及时性、知晓率和登记情况,并通过分析工具分析危急值范围知晓率低、漏报率高、登记合格率低、报告时间滞后的主要原因。结果:通过运用PDCA循环法进行危急值管理水平的持续改进,从2016年上半年至2016年下半年,护理人员危急值的报告率由85.3%上升到95.6%,报告及时率由82.2%上升到95.7%,登记合格率由87.7%上升到99.3%,知晓率由90.2%上升到98.8%,差异均有统计学意义。结论:通过运用PDCA循环法,护理人员对于危急值知晓率、危急值报告率、危急值登记合格率、危急值报告及时性等都得到了大幅提高,但是仍有部分指标未达到目标管理值,有待通过下一个PDCA循环持续改进。
Objective: To explore the effect of PDCA cycle on continuous improvement of critical value management. Methods:Randomly selected from the PDCA cycle management before and after the implementation of PDCA cycle management, by asking questions, refer to the information system and the critical value assistance method, knowledge workers on the range of critical value,the critical value and critical value report, report timeliness, awareness and registration, and through the analysis tools to analyze critical awareness low value range, high non-response rates, low qualification rate of registration, report the main cause of time lag. Results:By using PDCA circulation method of critical value and the continuous improvement of management level, from the first half of 2016 to 2016 in the second half of the staff of critical value reporting rate from 85.3% to 95.6%, the report timely rate from 82.2% to 95.7%,the registration rate from 87.7% to 99.3% and witting rate from 90.2% to 98.8%, difference have statistical significance. Conclusion:By the method of PDCA cycle, the staff awareness for critical values, critical value reporting rate and qualified rate of critical value of registration, the critical value report time timeliness and so on have been greatly increased, but there are still some indicators do not meet the target management value, to be by a PDCA cycle of continuous improvement.
作者
祁玲
姜红
QI Ling;JIANG Hong(The Third People's Hospital of Qinghai Province, Xi'ning 810000, Qinghai Province, P.R.C.)
出处
《中国数字医学》
2019年第2期96-98,共3页
China Digital Medicine
关键词
危急值
管理水平
PDCA循环
持续改进
critical value
management level
PDCA cycle
continuous improvement
