FOCUS-PDCA程序在慢性伤口风险管理中的应用

发布时间：2018-06-10 14:49

  本文选题：慢性伤口 + FOCUS-PDCA程序　； 参考：《护理学报》2016年22期

【摘要】：目的探讨应用FOCUS-PDCA程序控制慢性伤口护理风险事件的效果。方法运用FOCUS-PDCA程序(发现、组织、澄清、理解、选择、计划、实施、检查和执行9个步骤)分析慢性伤口护理过程的各个环节,明确慢性伤口处理过程中的风险问题,成立持续质量改进小组,规范慢性伤口处理中各项操作流程及风险预案,统一标准。结果实施FOCUS-PDCA程序前护理缺陷率7.5%,实施后无发生护理缺陷;实施前后患者满意率分别为90%和99%,差异均有统计学意义(P0.05)。总结有效的成果给予标准化,将制定的慢性伤口护理流程纳入造口伤口门诊工作规范,将未解决或新出现的问题进一步持续改进。结论 FOCUSPDCA程序遵循持续改进的理念,运用科学的方法解决质量问题,将调查问题与解决问题有效结合。我院规范了慢性伤口处理中各项操作流程及风险预案,统一标准,有章可循,在保障患者安全的基础上,也提升了伤口护理水平。
[Abstract]:Objective to investigate the effect of FOCUS-PDCA program on controlling risk events of chronic wound nursing. Methods the FOCUS-PDCA program (discovery, organization, clarification, understanding, selection, planning, implementation, inspection and execution of 9 steps) was used to analyze all aspects of the nursing process of chronic wound and to identify the risk problems in the process of chronic wound management. Set up continuous quality improvement team, standardize the operation process and risk plan in chronic wound management, unify the standard. Results the rate of nursing defect before FOCUS-PDCA program was 7.5, and there was no nursing defect after implementation, the satisfaction rate of patients before and after implementation was 90% and 99% respectively, the difference was statistically significant (P 0.05). The effective results were summarized and standardized, the established nursing process of chronic wound was brought into the outpatient work standard of open wound, and the unsolved or emerging problems were further improved. Conclusion FOCUSPDCA program follows the concept of continuous improvement and uses scientific methods to solve quality problems. Our hospital has standardized the operation flow and the risk plan in the chronic wound management, unifies the standard, has the rule to follow, in the safeguard patient's safety foundation, also has promoted the wound nursing level.
【作者单位】： 福建医科大学附属第二医院东海院区外三科;福建医科大学附属第二医院护理部;福建医科大学附属第二医院普外B区;
【基金】：福建泉州市科技计划项目(2013Z109)
【分类号】：R473.6
，

本文编号：2003593