输液流程再造提高门急诊护理质量的效果观察

目的探讨便捷、高效、安全、合理的门急诊输液流程，以提高门急诊护理质量。方法方便性抽样选择第二军医大学长海医院急诊科2010年1月流程再造前门急诊输液患者500例和2011年4月流程再造后门急诊输液患者500例，以及门急诊输液室护理人员25名，对实施流程再造前后患者就诊至输液各环节的等侯时问、患者对输液过程满意度、护理人员各项操作所用时间及护理人员满意度进行对比分析。结果流程再造后所测得患者各环节等候时间及护理人员各项操作所用时间均低于流程再造前，患者及护理人员各项满意度均高于流程再造前，差异均有统计学意义（P〈0．05或P〈0．01）。结论再造后的输液流程更符合便捷、高效、安全、合理的标准，有效提高了门急诊输液室的护理质量，值得在临床中推广应用。

Effect of Transfusion Process Reengineering in Improving the Nursing Quality for Outpatient and Emergency Department

Objective To investigate a convenient, highly effective, safe and advisable transfusion process in clinic and emergency for better nursing quality of outpatient and emergency departments. Methods U sing convenience sampling method, 500 transfusion outpatients before the reengineering in January 2010, 500 after the reengineering in April 2011 and 25 nurses in the transfusion room of emergency department of Changhai Hospital of Second military Medical University were selected to undertake contrastive analysis on the waiting time from doctor＇s visiting to taking transfusion for the outpatients, the satisfaction degree of the patients to the convenience, safety and nursing service, time of completing the procedure, and the satisfaction degree of the nursing staffs to individual prevention, safety and time-and-labor-saving. Results The waiting time and the time for completing the procedure after the reengineering were both shorter than the time before it. The satis-faction degrees of patients and the nursing staffs after the engineering were also all higher than those before it. The differences were all statistically significant（P〈0.05）. Conclusion The reengineering transfusion process is more convenient, highly effective and safer. It can improve the nursing quality in the transfusion room, and deserves further clinical implication.