本文選題：品管圈 + PDCA循環(huán)�。� 參考：《中華全科醫(yī)學(xué)》2017年02期

【摘要】：目的探討品管圈(quality control circle,QCC)與戴明環(huán)(PDCA循環(huán))聯(lián)合應(yīng)用的管理模式在護(hù)理質(zhì)量管理中的應(yīng)用效果。方法牡丹江醫(yī)學(xué)院第二附屬醫(yī)院于2013年7月選取8個(gè)試點(diǎn)科室開展QCC活動(dòng),以PDCA循環(huán)為基礎(chǔ)進(jìn)行臨床護(hù)理質(zhì)量管理,取得了良好成效后在全院推廣,至2015年6月全院45個(gè)護(hù)理單元全部開展QCC活動(dòng)。本研究隨機(jī)選取活動(dòng)前2013年1—6月住院治療的600例患者設(shè)為對(duì)照組,隨機(jī)選取活動(dòng)后2015年7—12月住院治療的600例患者設(shè)為觀察組,對(duì)2組患者護(hù)理質(zhì)量管理效果進(jìn)行比較。結(jié)果全院45個(gè)護(hù)理單元現(xiàn)已成立68個(gè)QCC小組,完成活動(dòng)目標(biāo)值設(shè)定的有65個(gè),達(dá)標(biāo)率為95.59%,制定標(biāo)準(zhǔn)化的工作流程和規(guī)章制度的有51個(gè),形成長(zhǎng)效的護(hù)理質(zhì)量管理機(jī)制;開展QCC活動(dòng)后全院在護(hù)理文書書寫、病房管理、健康教育知曉率、護(hù)士技術(shù)操作水平方面明顯高于活動(dòng)前;護(hù)理差錯(cuò)、事故發(fā)生率由活動(dòng)前2.33%降至0.83%;患者滿意度由活動(dòng)前95.33%增至97.83%,增幅達(dá)2.50%,實(shí)施前后比較,U=3.226,P0.05;實(shí)施QCC活動(dòng)前后對(duì)2組患者護(hù)理質(zhì)量管理效果進(jìn)行比較,差異均具有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論品管圈與戴明環(huán)在護(hù)理工作中的聯(lián)合應(yīng)用有利于增強(qiáng)護(hù)士的管理意識(shí),充分發(fā)揮護(hù)士工作的主動(dòng)性和創(chuàng)造性,提高護(hù)士的綜合素質(zhì),并逐步改善質(zhì)量管理機(jī)制,開創(chuàng)了護(hù)理質(zhì)量管理的新局面,值得在臨床護(hù)理工作中進(jìn)一步推廣使用。
[Abstract]:Objective to explore the effect of the combined application of quality control cycle control and Daiminghuan PDCA in nursing quality management. Methods in July 2013, the second affiliated Hospital of Mudanjiang Medical College selected eight pilot departments to carry out QCC activities, and carried out clinical nursing quality management based on PDCA circulation. By June 2015, all 45 nursing units in the hospital had carried out QCC activities. In this study, 600 patients who were hospitalized from January to June 2013 were randomly selected as control group and 600 patients who were hospitalized in July and December 2015 were randomly selected as observation group. The results of nursing quality management were compared between the two groups. Results Sixty-eight QCC groups had been set up in 45 nursing units of the whole hospital, 65 of them had completed the target setting of activities, the rate of reaching the standard was 95.59, and 51 of them had established standardized work flow and rules and regulations, thus forming a long-term nursing quality management mechanism. After carrying out QCC activities, the nursing documents writing, ward management, health education awareness rate and nurses' technical operation level were significantly higher in the whole hospital than before, nursing errors, nursing errors, The incidence of accidents decreased from 2.33% before the activity to 0.83%, the patient satisfaction increased from 95.33% to 97.83, the increase reached 2.50, and the comparison between the two groups before and after the implementation of QCC was carried out, the results of nursing quality management before and after QCC activities were compared, and the difference was statistically significant (P 0.05). Conclusion the combined application of quality control ring and Dai Minghuan in nursing work is beneficial to enhance nurses' management consciousness, give full play to the initiative and creativity of nurses' work, improve the comprehensive quality of nurses, and gradually improve the quality management mechanism. It opens up a new situation of nursing quality management and is worth popularizing in clinical nursing work.
【作者單位】： 牡丹江醫(yī)學(xué)院第二附屬醫(yī)院護(hù)理部;牡丹江醫(yī)學(xué)院第二附屬醫(yī)院消化內(nèi)科;牡丹江市第一人民醫(yī)院靜脈輸液配制中心;
【分類號(hào)】：R47

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 葉金紅;劉蓮珠;劉旭麗;;品管圈活動(dòng)在骨外科手術(shù)患者中的應(yīng)用及效果分析[J];中國(guó)基層醫(yī)藥;2015年10期

2 沈曉琴;丁曉虎;;追蹤管理法和品管圈在護(hù)理質(zhì)量管理中的應(yīng)用探討[J];實(shí)用臨床醫(yī)藥雜志;2014年22期

3 許晨耘;符林秋;陳克妮;李斌;;以點(diǎn)帶面全面推行醫(yī)院護(hù)理品管圈活動(dòng)[J];護(hù)理學(xué)雜志;2013年13期

4 陶箐;馮銳;方茜;董婷;金新政;;我國(guó)綜合醫(yī)院等級(jí)評(píng)審方法研究[J];中國(guó)衛(wèi)生質(zhì)量管理;2013年03期

5 劉蓮鳳;;“品管圈”在護(hù)理管理中的應(yīng)用分析[J];中國(guó)醫(yī)藥指南;2013年13期

6 戴莉敏;貢浩凌;方英;謝菲;吳晨光;;PDCA循環(huán)結(jié)合全程健康教育對(duì)糖尿病合并非酒精脂肪肝患者隨訪的效果觀察[J];中華護(hù)理雜志;2012年10期

7 趙君;周潔貞;;“品管圈”活動(dòng)結(jié)合臨床護(hù)理路徑對(duì)腰椎間盤切除術(shù)后患者實(shí)施健康宣教的效果分析[J];中國(guó)醫(yī)療前沿;2012年15期

8 張志娟;;ICU患者深靜脈置管非計(jì)劃性拔管的原因分析及護(hù)理對(duì)策[J];中國(guó)實(shí)用護(hù)理雜志;2012年21期

9 祝志梅;牟寶華;陳林;;以品管圈為載體創(chuàng)建優(yōu)質(zhì)護(hù)理病房的實(shí)踐與體會(huì)[J];護(hù)理與康復(fù);2012年06期

10 王臨潤(rùn);汪洋;張相宜;饒躍峰;盧曉陽;張幸國(guó);;品管圈管理在醫(yī)療機(jī)構(gòu)中的應(yīng)用價(jià)值[J];醫(yī)藥導(dǎo)報(bào);2012年06期

【共引文獻(xiàn)】

相關(guān)期刊論文 前10條

1 隆衛(wèi)娟;趙正清;董梅花;;新型胰島素輪換注射腰帶在獨(dú)居老年糖尿病患者中的應(yīng)用[J];齊魯護(hù)理雜志;2017年13期

2 劉文榮;;供應(yīng)室腔鏡器械清洗消毒中PDCA循環(huán)的運(yùn)用效果[J];醫(yī)療裝備;2017年12期

3 龔寶玉;;PDCA循環(huán)結(jié)合階梯式健康教育護(hù)理對(duì)2型糖尿病患者自護(hù)能力及疾病知識(shí)水平的影響[J];山西醫(yī)藥雜志;2017年12期

4 張萍;葉貝珠;王s檛，

本文編號(hào)：1997970