品管圈在提高中心静脉导管维护合格率中的实践

Practice of quality control circle on improving qualified rate of central venous catheter maintenance

目的提高ICU患者中心静脉导管(CVC)维护的合格率,减少CVC留置后不良事件的发生。方法通过品管圈(Quality Control Circle,QCC)的建立,确定以"提高ICU患者中心静脉导管维护合格率"为活动主题,把握现状,设定目标,分析原因、制定及实施对策,比较QCC活动前后ICU患者CVC维护的合格率和CVC留置后不良事件的发生率。结果 QCC活动后的实验组CVC维护合格率为91.00%,与QCC活动前的对照组维护合格率78.00%比较,χ2=6.45,P<0.05,差异具有统计学意义;CVC留置后不良事件:QCC活动后的实验组5例(5.00%),与QCC活动前的对照组19例(19.00%)相比,χ2=9.28,P<0.05,差异具有统计学意义。结论运用QCC活动能明显提高CVC维护的合格率、降低CVC留置后不良事件的发生率,值得临床推广应用。

Objective To improve the qualified rate of central-venous catheter （CVC） maintenance, and to reduce the occurrence of adverse events after CVC catheter in ICU patients. Methods Setting up a quality control circle （QCC） activity group and designing an activity theme： ＇to improving the qualified rate of CVC maintenance in ICU patients＇. It is responsible for grasping situation, setting goals, analyzing reasons, creating and implementing countermeasures. Mterwards, the qualified rate of CVC maintenance and the occurrence of adverse events in the activities before and after were compared. Results After activities, the CVC maintain qualified rate of experimental group is 91%, and its rate was 78% before activities. In statistics, X2 = 6.45, P 〈 0. 05, the difference was statistically significant. In the adverse reaction, the experimental group had 5 cases （5%） after QCC, while it had 19 cases （ 19% ） before. The contrast was stark, ~2 = 9.28 ; P 〈 0. 05, the difference was statistically significant. Conclusions The QCC activity can significantly improve the qualified rate of CVC maintenance, and reduce the occurrence of adverse events after CVC catheter. It is worthy of clinical application.