神经外科标准化质控管理的应用及效果

Application and effect of standardized management model of quality control in neurosurgery

目的探讨病区一级质控实施标准化管理的具体做法与实施效果，寻求严谨的护理质控方法，提高护理质量，确保护理安全。方法组建病区一级质控小组，制定规范的质量检查方法及检查频率，建立合理的监管机制，以层级管理的模式进行周查、月查，并进行总结、反馈、追踪，对质量检查实行环节控制。结果通过对比发现，三级质控结果与一级质控结果呈反比关系，标准化管理模式下护士缺陷及时修改率提高至59．60％，与2009年统计结果33．65％比较，差异具有统计学意义（x2=5．35，P〈0．05）。处罚后完成率降至Oi55％，与2009年统计结果11．22％比较，差异具有统计学意义（x2=53．49，P〈0．05）。结论一级质控标准化管理模式是一种无缝隙管理模式，有利于提高护理人员的管理能力，促进护理工作质量持续改进，确保护理安全。

Objective To discuss the methods and effect of structuring standardized management model and to search the strict quality control method of first class nursing quality in order to provide reference bases for improving the quality of nursing and ensuring nursing security. Methods We formatted a first class nursing control group and formulated standardized quality control methods. Then a reasonable supervisory mechanism was established and we used the hierarchical management mode to inspect the nursing quality per week and per month. In the end, through summary feedback and tracking ways, the quality of nursing was well controlled. Results By comparison, there were significant differences between first class nursing quality and third class nursing quality, nurses defect under standardized management mode improved to 59. 60% , and it was significantly different compared to the result in 2009 （ 33.65% ） （ X2 - 5.35, P 〈 0. 05 ）. The punishment rate decreased to 0.55% ,it was obviously lower than the results surveyed in 2009 （ 11.22% ） （ X2 = 53.49, P 〈 0. 05）. Conclusions First class nursing standardized quality control methods is a seamless management that can help to continuously improve the quality of nursing and ensure the nursing safety.