质控小组对重症监护科护理服务质量的影响

Effects of quality control team on nursing care quality of ICU department

目的 探讨质控小组与重症监护病房的护理质量的关系.方法 科内成立质量控制小组,对当班护理人员的护理工作进行检查、监督、指导,对比质量控制小组成立前后的护理工作指标.结果 成立质控小组后,重症监护病房护理质量得到提高,基础护理得分从（92.4±1.5）分提高到（96.1±1.1）,专科护理得分从（91.2±1.3）分提高到（95.3±2.2）,护理文书书写得分从（92.1±1.6）分提高到（97.3±1.5）.患者安全措施有明显提高,护理不良事件的发生率下降至2.8％,差异有统计学意义（P＜0.05）.结论 质控小组能有效提高ICU护理质量,减少护理不良事件的发生.

Objective To explore the relationship between quality control team and quality of nursing care in ICU.Methods We established a quality control team to check up,supervise and guide the work of nursing staffs on duty.The nursing care working indexes before and after the set-up of quality control team were compared.Results After establishing the quality control team,the quality of nursing care was improved.According to the evaluation criteria of continuous quality improvement of the Guangdong province,the score of the primary care increased from originally （92.4 ± 1.5） to （96.1 ± 1.1）,and that of the specialty care was from （91.2 ± 1.3） to （95.3 ± 2.2）,while nursing documentation quality was from （92.1 ± 1.6） to （97.3 ± 1.5）.Safety measures of the patients were critically enhanced,the adverse events in nursing care were statistically significantly reduced by 2.8％.Conclusion The quality control team could improve the quality of nursing care in ICU and effectively reduce the incidence rate of adverse events.