品管圈与戴明环在护理质量管理中的应用

发布时间：2018-06-09 00:37

本文选题：品管圈 + PDCA循环　；参考：《中华全科医学》2017年02期

【摘要】：目的探讨品管圈(quality control circle,QCC)与戴明环(PDCA循环)联合应用的管理模式在护理质量管理中的应用效果。方法牡丹江医学院第二附属医院于2013年7月选取8个试点科室开展QCC活动,以PDCA循环为基础进行临床护理质量管理,取得了良好成效后在全院推广,至2015年6月全院45个护理单元全部开展QCC活动。本研究随机选取活动前2013年1—6月住院治疗的600例患者设为对照组,随机选取活动后2015年7—12月住院治疗的600例患者设为观察组,对2组患者护理质量管理效果进行比较。结果全院45个护理单元现已成立68个QCC小组,完成活动目标值设定的有65个,达标率为95.59%,制定标准化的工作流程和规章制度的有51个,形成长效的护理质量管理机制;开展QCC活动后全院在护理文书书写、病房管理、健康教育知晓率、护士技术操作水平方面明显高于活动前;护理差错、事故发生率由活动前2.33%降至0.83%;患者满意度由活动前95.33%增至97.83%,增幅达2.50%,实施前后比较,U=3.226,P0.05;实施QCC活动前后对2组患者护理质量管理效果进行比较,差异均具有统计学意义(P0.05)。结论品管圈与戴明环在护理工作中的联合应用有利于增强护士的管理意识,充分发挥护士工作的主动性和创造性,提高护士的综合素质,并逐步改善质量管理机制,开创了护理质量管理的新局面,值得在临床护理工作中进一步推广使用。
[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.
【作者单位】：牡丹江医学院第二附属医院护理部;牡丹江医学院第二附属医院消化内科;牡丹江市第一人民医院静脉输液配制中心;
【分类号】：R47

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