PDCA循环管理在骨科患者护理安全中的应用

Application of PDCA circulation management in nursing safety of the orthopedic patients

目的探讨加强PDCA循环管理以提高骨科患者护理安全的作用。方法选择本院骨科2011年6月至2012年12月住院的老年患者120例，随机分为观察组与对照组各60例，观察组应用PDCA循环管理模式：计划一实施一检查一处理，分析骨科护理工作中易导致安全隐患的行为及骨科患者存在安全隐患的特点，并制定单病种的护理操作流程及相关管理制度。对照组采用传统管理模式：专注于个别事件，质量控制对过程结果的检验，事后检查有错误，侧重于对责任人的处罚，比较两组患者的满意度和护理安全的效果。结果两组护理缺陷、投诉情况、患者满意度及骨科专科护理期间发生安全风险情况比较，差异均有统计学意义（P〈0．05）。结论对骨科患者实施PDCA循环管理，能显著提高骨科患者安全管理成效，确保患者住院安全，同时，可起到减少护理缺陷、投诉和医疗纠纷，降低各种并发症的发生率，提高患者满意度。

Objective To explore the ways to strengthen the PDCA circulation management to improve the safety of the orthopedic specialist care. Methods We selected 120 cases of hospitalized elderly patients from June 2011 to December 2012 of the orthopedics department in our hospital, which were randomly divided into the observation group and the control group, 60 cases in each group, the observation group applied PDCA circulation management type： plan-do-check-action, in order to analyze the behaviors easily lead to security risks in the orthopedics nursing work and the characteristics of potential safety hazard in the orthopedic patients, as well as to formulate the nursing process and related management system of single disease. The control group adopted traditional management mode： focusing on individual events, test of quality control inspection on process results, errors after the check, focusing on the punishment of the responsible person, then we compared the satisfaction and nursing safety effect in patients of two groups. Results The situation comparison between the two groups in nursing defects, complaints, patient satisfaction, and security risk during the orthopedic specialist care, showed statistical significant differences （P 〈 0.05） . Conclusion Implementing PDCA circulation management in the orthopedic patients, can not only significantly improve the effectiveness of the safety management of orthopedic patients, ensure the safety of hospitalization, but also can decrease the risk of nursing defects, complaints and medical disputes, reduce the incidence of various complications, and improve patients＇ satisfaction.