质控小组管理模式在手术室护理管理中的应用效果评价

目的：探讨质控小组管理模式在手术室护理管理中的应用效果。方法首先设立6个质控小组，通过构建科护士长-护士长-质控员-专科组长四级质控体系，进行系统、有效、全方位、全过程的护理质量控制。比较质控前后护理差错率、护理纠纷率、医生护理满意度、患者满意度、季度检查各质控小组评分情况。结果（1）质控后护理差错及护理纠纷率分别为1.67%、2.50%，均显著低于质控前（6.67%、9.17%），差异均有统计学意义（P〈0.05），且质控后医生及患者的护理满意度评分（96.28±15.38）分、（95.25±14.09）分]均显著高于质控前（82.79±12.11）分、（79.96±11.08）分]，差异均有统计学意义（P〈0.05）；（2）质控后各小组总体质量评分均显著高于质控前，差异均具有统计学意义（P〈0.05或P〈0.01）。结论质控小组管理模式在手术室护理管理中应用效果显著，可有效降低护理差错率及护理纠纷率，有效提高医生及患者护理满意度，值得在临床上推广应用。

Application evaluation of quality control team management mode in the operating room nursing management

Objective To investigate the application effect of quality control team management mode in the operating room nursing management. Methods First, set up six quality control groups, by building department nurse-nurse-qual-ity control staff-specialist leader four quality control system, systematically and effectively in all directions, nursing quality control of the whole process. Care error rate, the rate of nursing disputes, doctors nursing satisfaction, patient satisfaction, quarterly check the quality control group rated were compared before and after quality control. Results （1）The quality control of nursing and nursing disputes error rates were 1.67% and 2.50%, were significantly lower than before the QC （6.67% and 9.17%）, the differences were statistically significant （P〈0.05） and the quality control of doc-tors and patient care satisfaction scores were （96.28±15.38） points and （95.25±14.09） points, were significantly higher than before the QC （82.79±12.11） points and （79.96±11.08） points], the differences were statistically significant （P〈0.05）; （2）The quality control of the overall quality score of each group were significantly higher than before the quality control, the differences were statistically significant （P〈0.05 or P〈0.01）. Conclusion QC team management model appli-cation results in an operating room nursing management is significant, can effectively reduce the error rate and nursing care disputes rates, improve patient care and physician satisfaction, worthy to be popularized in clinical practice.