PDCA循环结合细节护理提高门诊手术室安全管理质量的效果

目的探讨计划-实施-检查-处理(plan-do-check-action,PDCA)循环与细节护理结合提高门诊手术室安全管理质量的效果。方法采用抽签法,选取2018年2月—2019年1月在上海交通大学医学院附属瑞金医院门诊手术室进行手术治疗的120例患者为对照组,选取2019年2月—2020年1月的124例患者为试验组。对照组采用常规的手术室护理模式,试验组采用PDCA循环结合细节护理的手术室安全管理模式。比较两组手术室护理质量评分、不良事件发生率、护理差错发生率。结果试验组手术室护理质量各方面评分及总分均高于对照组,差异均有统计学意义(P<0.01)。试验组不良事件总发生率为0.81%(1/124),低于对照组的5.83%(7/120),差异有统计学意义(χ^(2)=4.860,P<0.05)。试验组的护理差错总发生率为3.23%(4/124),低于对照组的10.00%(12/120),差异有统计学意义(χ^(2)=4.567,P<0.05)。结论PDCA循环结合细节护理可有效提高门诊手术室的安全管理,减少护理不良事件的发生。

Effects of plan-do-check-action cycle combined with detail nursing on improving safety management in outpatient Operating Room

Objective To explore the effect of plan-do-check-action(PDCA)cycle combined with detail nursing on improving safety management in outpatient Operating Room.Methods Using the lottery method,a total of 120 patients who underwent surgery in outpatient Operating Room of Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from February 2018 to January 2019 were selected as the control group,and 124 patients from February 2019 to January 2020 were selected as the experimental group.The control group adopted the conventional Operating Room nursing mode,while the experimental group adopted Operating Room safety management mode combining PDCA cycle with detail nursing.Nursing quality score,incidence of adverse events and incidence of nursing errors were compared between the two groups.Results The scores and total scores of all aspects of Operating Room nursing quality in the experimental group were higher than those of the control group,and the differences were statistically significant(P<0.01).The total incidence of adverse events in the experimental group was 0.81%(1/124),which was lower than 5.83%(7/120)in the control group,and the difference was statistically significant(χ²=4.860,P<0.05).The total incidence of nursing errors in the experimental group was 3.23%(4/124),which was lower than 10.00%(12/120)in the control group,and the difference was statistically significant(χ²=4.567,P<0.05).Conclusions PDCA cycle combined with detailed nursing can effectively improve the safety management of outpatient Operating Room and reduce adverse nursing events.