品管圈在颅脑外伤院前急救质量管理中的运用效果分析

The application effect of quality control circles applied in pre-hospital first aid for craniocerebral trauma

目的探讨品管圈在颅脑外伤院前急救质量管理中的运用效果。方法选取2013年1-12月至本院急救的40例颅脑外伤患者（观察组）、2014年1～12月至本院急救的40例颅脑外伤患者（对照组）以及本院9名急救医护人员为研究对象。对照组：采用常规急救方式进行院前急救。观察组：采用品管圈进行院前急救。结果干预前患者死亡率、残疾率、植物生存率、痊愈率为17．50％、32．50％、10．00％、40．00％，干预后分别为2．50％、22．50％、0．00％、75．00％，干预后患者结局明显优于干预前（P〈O．05）。干预前呼救至接受专业治疗的时间为（23．46±10．54）min，医院反应时间为（18．25±8．13）min，而干预后分别为（14．06±10．00）、（5．82±3．14）min，干预后呼救至接受专业治疗的时间、医院反应时间明显优于干预前（P〈O．05）。结论品管圈能有效提升颅脑外伤院前急救质量，减少死亡率和致残率，缩短呼救至接受专业治疗的时间及医院反应时间，有助于提升预后。

Objective To explore the application effect of quality control circle applied in the quality management of pre-hospital first aid for craniocerebral trauma. Methods A total of 40 patients with craniocerebral who received trauma emergency treatment in our hospital from January 2013 to December 2013 were selected as the observation group and another 40 patients with craniocerebral who received trauma emergency treatment in our hospital from January 2014 to December 2014 were selected as the control group. All the patients of the two groups and 9 emergency medical personnel were selected as the research objects. The control group received the conventional pre-hospital first aid treatment, while the patients of the observation group received quality control circle for the pre-hospital first aid. Results The mortality rate, disability rate, plant survival rate and cure rate of the patients before intervention were 17.50%, 32.50%, 10.00% and 40. 00% respectively. After the intervention, the mortality rate, disability rate, plant survival rate and cure rate of the patients were 2.50% , 22. 50% , 0.00% and 75.00% respectively. After the intervention, the out-come of the patients was significantly better than that before intervention （ P〈0. 05 ） . Before intervention, time from call for help to receive professional treatment was （23.46 ±10.54） minutes, the reaction time of the hospital was （ 18.25±8.13） minute. While after the intervention, they were （14. 06±10. 00） minute and （5.82±3.14） minute respectively. The time from call for help to receive professional treatment and the reaction time of the hospital after intervention were obviously shorter than that before intervention （ P〈0.05 ） . Conclusion The quality control circle can effectively improve the quality of pre-hospital emergency for craniocerebral trauma, reduce mortality and morbidity, shorten the time from call for help to receive professional treatment and hospital reaction time, and help to improve the prognosis.