护理质量网格化管理的系统构建

目的探讨为患者提供安全、优质、满意护理服务的护理质量管理方法。方法建立“双三级”结合的护理质量网格化管理模式，比较实施前后护士主动报告安全事件、落实护理会诊情况、不良事件发生情况及患者对护理服务的满意度。结果护理质量网格化管理建立与实施后住院患者、门急诊患者和出院患者对护理服务满意度评分分别为（98．22±1．12），（91．97±1．67），（97．16±2．41）分，均高于实施前的（91．59±1．67），（87．92±1．98），（87．89±1．81）分，差异均有统计学意义（t分别为3．57，2．69，4．72；P〈0．05）；护士落实安全事件报告、护理会诊、查对等核心制度较实施前有明显变化；给药错误、跌倒和压疮等护理不良事件发生相对减少。结论护理质量网格化管理的建立能保障护理核心工作制度的落实，增强护士的风险意识，提高护理服务质量和患者满意度。

Construction of the grid management system of nursing quality

Objective To explore the methods of nursing quality management in order to provide safety, high quality and satisfactory nursing for patients. Methods To establish one grid management model of nursing quality combined with ＂double three-level＂. Then, the report of security events, the implemention of nursing consultation, the incidence of adverse events, and patients＇ satisfaction were observed and compared before and after the management model. Results After implementing the grid management model of nursing quality, satisfaction average scores of hospitalized patients, emergency department patients, discharged patients were （98.22± 1.12）, （91.97 ± 1.67）, （97.16±2.41 ）respectively,and before it was implemented the average scores respectively were（91. 59 ± 1.67）, （87. 92 ± 1.98）, （87. 89 ± 1. 81）,and the differences were statistically significant （ t = 3.57,2. 69,4. 72, respectively ; P 〈 0.05 ）. There was a significant change in the report of security events, implemention of nursing consultation and checking. The incidence of administration errors, falling down and pressure sores were significantly reduced. Conclusions Construction of the grid management system of nursing quality can ensure the implemention of nursing core institution, improve risk awareness of nurses, improve the nursing quality and increase patients＇ satisfaction.