品管圈活动在提高肠镜前肠道准备合格率中的应用

Application of Quality Control Circle Activities in Bowel Preparation Pass Rate Improvement Before Colonoscopy

目的探讨品管圈活动对提高结肠镜诊疗前肠道准备合格率的作用。方法成立品管圈活动小组,确立活动主题,通过现状调查并运用柏拉图进行分析,找出影响肠道清洁度的主要原因有:服药后活动,饮食准备,便秘史和饮水量等方面。设立目标、制定整改措施,然后对品管圈活动前后的肠道合格率进行比较。结果实施品管圈活动后,肠道准备合格率从活动前的83.3%提高至活动后的94.5%,差异具有统计学意义(P<0.01)。结论开展品管圈活动提高了结肠镜诊疗前肠道准备合格率,促进护理质量持续改进。

Objective To investigate the effect of Quality Control Circle activities in bowel preparation pass rate improvement before colonoscopy. Methods The Quality Control Circle team was set up and the topic of activity was established. By current situation survey and Pareto chart analysis,the main reasons affecting intestinal cleanliness were found out to be activities after taking medicine,diet preparation,history of constipation and water intake. Then the goals were set and corrective measures were developed. Afterwards the bowel preparation pass rate before and after quality control circle were compared. Results After implementing Quality Control Circle,the bowel preparation pass rate improved from 83. 3% before activity to 94. 5% after activity. And the difference was of statistical significance（ P〈0. 01）. Conclusion Quality Control Circle activities can increase the bowel preparation pass rate before colonoscopy and promote the sustained improvement of nursing quality.