基于FOCUS-PDCA理论的风险管理改善手术室麻醉护理质量的作用观察

目的探讨基于FOCUS-PDCA理论的风险管理改善手术室麻醉护理质量的效果。方法选取2018年1月至2019年1月在玉环市第二人民医院接受手术治疗的患者54例作为对照组,选取2019年1月至2020年1月在该院接受手术治疗的53例患者作为观察组。对照组采取传统护理模式进行护理,观察组在对照组护理方案基础上应用FOCUS-PDCA程序进行护理。比较两组方案的手术室护理质量评分、护理差错发生例数、术中不良反应发生情况和患者及其家属护理满意度。结果观察组的护理安全、环境管理、护理质量监控、消毒隔离、护理文件管理等手术室护理质量评分均明显高于对照组,差异有统计学意义(P<0.05)。观察组的护理差错发生率、术中不良反应发生率分别为0、1.89%,与对照组比较差异有统计学意义(P<0.05)。观察组的护理满意度为84.91%,明显高于对照组(33.33%),差异有统计学意义(P<0.05)。结论FOCUS-PDCA理论程序的应用可以提高护理人员在患者风险管理中的依从性和各个环节护理质量合格率,术中不良反应发生率更低。

Objective To explore the effect of the risk management based on FOCUS-PDCA theory on improving the quality of anesthesia care in the operating room.Methods 54 patients who underwent surgery in Yuhuan Second People's Hospital from January 2018 to January 2019 were selected as the control group,and 53 patients who underwent surgery in the hospital from January 2019 to January 2020 were selected as the observation group.The control group adopted the traditional nursing mode for nursing,and the observation group applied FOCUS-PDCA program for nursing on the basis of the nursing scheme of the control group.The operating room nursing quality score,the number of nursing errors,the incidence of intraoperative adverse reactions and the nursing satisfaction of patients and their families were compared between the two groups.Results The nursing safety,environmental management,nursing quality monitoring,disinfection and isolation,and nursing document management were significantly higher than those of the control group,and the difference was statistically significant(P<0.05).The incidence of nursing errors and intraoperative adverse reactions in the observation group were 0 and 1.89%respectively,with significant difference compared with the control group(P<0.05).The nursing satisfaction of the observation group was 84.91%,which was significantly higher than that of the control group(33.33%),with statistical significance(P<0.05).Conclusion The application of FOCUS-PDCA theory and program can improve the compliance of nurses in patient risk management and the qualified rate of nursing quality in all links,and the incidence of intraoperative adverse reactions is lower.