缩短患者CRRT等待上机时间

运用品管手法及科学统计工具，针对患者CRRT等待上机时间长的问题进行改进。经分析，导致患者CRRT等待上机时间长的真因有配液流程复杂，物品仪器管理不细致，护士接收医嘱耗时长，人员培训及管理不到位等。对此制定有效对策并实施，包括使用成品置换液，落实物品仪器精细化管理，加强CRRT信息化管理，构建医护联动管理机制并进行多元化培训等。项目改进使患者CRRT平均等待上机时间从135.67 min缩短至54.47 min，并形成了规范化流程，有助于医疗质量持续改进。

Shortening the CRRT Waiting Time for Patients

Quality control techniques and scientific statistical tools were used to improve the problem of long CRRT waiting time of patients. After analysis, the reasons for the long waiting time for CRRT in patients were complex liquid dispensing process, careless equipment management, time-consuming for nurses to receive medical advice, and inadequate personnel training and management, etc. Effective countermeasures were formulated and implemented accordingly, including using finished product replacement fluid, implementing the fine management of goods and instruments, strengthening CRRT information management, constructing the linkage management mechanism of medical care and carrying out diversified training, etc. The improvement of the project shortened the average CRRT waiting time from 135.67 to 54.47minutes, formed a standardized process, and contributed to the continuous improvement of medical quality.