应用PDCA循环提高儿童24小时尿标本留取合格率的实践

The effect of applying PDCA cycle on improving qualified rates of children 24 hours urine specimens collection

目的:探讨应用PDCA循环提高儿童24小时尿标本留取合格率的效果。方法:成立PDCA循环改进小组,对70例住院患儿24小时尿标本留取不合格的原因进行分析,通过改变护士宣教方法和方式,改进24小时尿标本采集送检方法和流程,通过建立跟踪协助制度并对家长进行培训等进行质量改进。结果 :患儿24小时尿标本留取合格率从77.9%提高到96.9%,差异有统计学意义(P<0.01)。结论:遵循PDCA循环方法进行原因分析,制定有针对性的解决方案并进行追踪,能提高儿童24小时尿标本留取合格率,实现质量的持续改进。

Objective：To explore the effect of PDCA cycle on improving qualified rates of children 24 hours urine specimens＇ collection. Methods：We established a PDCA cycle improvement team and analyzed the causes of 70 unqualiifed cases of hospitalized children 24 hours＇ urine samples. We improved the process by revising nurses＇ education methods, modifying collecting and submitting urine sample methods, establishing follow-up and coordination system, and strengthening parents＇ training. Results：The qualiifed rate of children 24 hours urine specimens collection had improved from 77.9%to 96.9%（P〈0.01）. Conclusion：The application of PDCA cycle could improve qualiifed rate of children 24 hours urine specimens collection and realize the continuous quality improvement.