品管圈在降低注射用β-七叶皂苷钠引起的静脉炎发生率的实践效果与探讨

Practice effects and discussion of QCC in reducing the incidence of phlebitis due to β-aescin sodium injection

目的探讨品管圈对降低注射用β-七叶皂苷钠引起的外周静脉炎发生率的影响。方法成立包括护士、药师在内的品管圈,运用PDCA循环理论,对2014年上半年发生静脉炎的住院患者进行高危因素分析,针对高危因素制定对策,并对2014年下半年的住院患者采取有效的护理措施,建立个体静脉护理质量追踪记录,并进行持续质量改进。结果药师联合护士组成的品管圈小组,通过对患者进行静脉管理,注射用β-七叶皂苷钠引起的静脉炎发生率由18.66%降低至6.30%。结论品管圈活动能有效降低静脉炎发生率,有效指导临床工作,值得推广开展。

Objective To investigate the effects of QCC in reducing the incidence of phlebitis due to β-aescin sodium injection. Methods QCC（quality control circle） including nurses and pharmacists, was established and PDCA cycle theory was applied into the high risk factors analysis of hospitalized patients with phlebitis in the first half of 2014. Countermeasures against high risk factors were developed, and effective nursing measures were applied in hospitalized patients with phlebitis in the first half of 2014 so as to establish a track record of individual vein nursing quality, and continuous quality improvement was taken. Results The incidence of phlebitis due to β-aescin sodium injection decreased from 18.66% to 6.30% by intravenous administration in QCC including pharmacists and nurses. Conclusion QCC can effectively reduce the incidence of phlebitis, guide the clinical work, it is worthy of promotion.