应用品管圈降低重度腹泻病患儿静脉留置针穿刺失败率的分析

Analysis of QCC in reducing the failure rate of intravenous indwelling catheter in children with severe diarrhea

目的分析降低重度腹泻病患儿穿刺失败率的对策及方法。方法中国医科大学附属盛京医院小儿消化病房组建品管圈小组,针对2014-02-01/05-01和2014-07-01/10-01收治的重度腹泻病患儿进行临床调查,收集相关资料,结合考察患儿及家属、护理人员、周围环境等因素,制定相关整改措施,实施品管圈活动,总结降低重度腹泻病患儿穿刺失败率的原因。结果通过品管圈活动,重度腹泻病患儿的穿刺失败率由30%降至10%。结论通过品管圈活动,降低重度腹泻病患儿的静脉留置针穿刺失败率,提高了护士的沟通协作能力和团队凝聚力。

Objective To analyze the strategies and methods to reduce the failure rate of the children with severe diarrhea.Methods Collecting the relevant data,combined with the factors such as children and family members,nursing staff and environment.We designed some related measures to perform QCC and summarized the reasons of indwelling failure.Results The puncture failure rate of the children with severe diarrhea was reduced from 30%to 10%.Conclusion The failure rate of venous indwelling needle puncture in children with severe diarrhea is decreased,and the ability of communication and team cohesion is improved.