品管圈缩短抢救室护理记录书写时间的效果观察

Effects observation of quality control circle on shortening the time of nursing records writing in Resuscitation Room

目的：探讨护理品管圈在缩短急诊抢救室护理记录书写时间中的作用。方法北京医院急诊科于2013年3月15日成立“SOS”品管圈,通过现状调查,目前科室书写护理记录的时间平均为35.7 min/（班次·患者）,进行原因分析,并设立目标为19.05 min/（班次·患者）,制定对策并实施,对实施效果进行检查及巩固。结果有形成果：抢救室护理记录书写时间缩短到18.97 min/（班次·患者）,与活动前比较,差异有统计学意义（t=4.62,P〈0.05）。无形成果：科室人员的责任心、自信心、积极性、解决问题的能力、团队凝聚力、沟通协调、幸福感和品管手法8个方面得到显著提高。结论开展品管圈活动不仅缩短了急诊抢救室护理记录书写时间,同时还提高了圈员的团队精神和质量管理能力。

Objective To explore the effects of quality control circle （ QCC） on shortening the time of nursing records writing in Resuscitation Room nursing. Methods The quality control circle was established on 15th March 2013 in Beijing Hospital Emergency Room to analyze the reason of the current nursing records for 35.7 min/（shift·patient） by investigation of current status, set up the goal as 19. 05 min/（shift·patient）, made out and implement the strategy, and checked out and consolidated the effects of strategy. Results Tangible results：the writing time of nursing record cut to 18. 97 min/（shift·patient） with statistical significance compared with before QCC activities （t=4. 62,P〈0. 05）. Non-tangible results： the responsibilities of emergency staffs, confidence, enthusiasm, ability of resolve problems, team cohesive force, communication and cooperation, sense of happiness, ability of quality control circle activities increased apparently. Conclusions The implementation of QCC activities not only shorten the writing time of nursing records in Resuscitation Room, but also improve the QCC members′team spirit and ability of quality management.