7S现场管理法在降低临床护理安全隐患发生率中的应用

目的探讨7S现场管理法在降低临床护理安全隐患发生率中的应用效果。方法收集2012年6—12月本院智能化护理管理系统上报的护理安全隐患事件，共69例，根据反馈分析法，列出发生安全隐患的高危因素。2013年1月引进7s理论，构建标准化管理模式，运用品管圈方法进行持续质量改进，收集2013年1—6月上报的护理安全隐患。比较实施7S现场管理法前后护士应急能力和护理安全相关质量指标的变化情况。结果实施7S现场管理前护理安全隐患发生率为0．64％，实施后为0．34％，差异有统计学意义（X。=10．78，P〈0．05）；实施后护士应急考核、环境安全与病房管理、技术操作、护理病历书写合格率及患者满意度分别为97．6％，96．4％，98．6％，98．1％，96．3％，均高于实施前的89．5％，90．1％，91．3％，93．4％，92．7％，差异有统计学意义（x2值分别为28．69，32．11，36．36，38．84，37．07；P〈0．01）。结论将7S现场管理法引入到护理安全隐患管理中，能达到简化流程、缩短服务半径的目的，对提高护士应急能力，改善护理质量，降低护理安全隐患发生率有重要意义。

Effect of 7S on-site management to reduce the incidence of hidden dangers of clinical nursing

Objective To discuss the effect of 7S on-site management to reduce the incidence of bidden dangers of clinical nursing. Methods Sixty nine cases of bidden nursing dangers reported on our hospital intellectualization nursing management system from June to December 2012 were collected. High risk factors of hidden dangers were listed according to the feedback analysis. 7S theory was introduced since January 2013 to establish standardized management mode, Qcc method was adopted for continuous quality improvement, and hidden nursing dangers from January to June 2013 were collected. Changes of nurses＇ emergency ability and nursing safety related quality indicators were compared before and after the implementation of 7S on-site management. Results The incidence of hidden nursing dangers was 0.64% before 7S on-site management, and 0.34% after, with statistically significant difference （x2 = 10.78,P 〈 0. 05 ）. The pass percentage of emergency assessment, environmental safety and ward management, technical operation, nursing medical record writing quality and patient satisfaction was respectively 97.6%, 96.4%, 98.6%, 98. 1%, 96. 3% after 7S on-site management, all higher than 89. 5%, 90. 1%, 91. 3%, 93. 4%, 92. 7% before, and the differences were statistically significant （ X2 = 28.69, 32.11, 36.36, 38.84, 37.07, respectively ; P 〈 0. 01 ）. Conclusions The introduction of 7S on-site management into nursing safety can simplify its process, shorten service radius, improve nurses＇ emergency ability and nursing quality, and reduce the incidence of hidden dangers.