品管圈活动降低出入量统计错误发生率的效果观察

Application effect of QCC on reducing the error rate of intake and output documentation

目的探讨品管圈活动降低护士24h出入量统计错误发生率的效果。方法成立院级护理品管圈小组，将“降低护士24h出入量统计错误发生率”设为主题，通过查找问题、制定改进措施、组织实施并标准化等品管方法达到降低错误发生率的目的。调查活动前后的出入量统计错误发生率、护士相关知识的掌握情况和患者满意度。结果实施品管圈活动后，出入量统计错误发生率由32．5％降至9．64％，差异有统计学意义（x2=43．979，P〈0．05）；护士相关知识的考核合格率由62．5％提高至93．75％，差异有统计学意义（x2=9．143，P〈0．05）；患方对出入量统计的满意度干预后得分（8．80±0．7）分，高于干预前的（6．22±0．815）分，差异有统计学意义（t=16．977，P〈0．05）。结论品管圈活动可以提高护士相关知识的能力水平，降低出入量统计的错误发生率。

Objective To investigate the effect of quality control circle （Qcc） in reducing the error rate of intake and output （I/O） documentation in 24 h.Methods We formed QCC team and set the theme as ＂Reducing the error rate of intake and output documentation＂. Qcc principles were used, such as analyzing current situation, setting objectives, making and implementing improvement measures and standardization, to reach the aim of reducing error rate. The error rate and the nurses＇ capacity of I/O documentation were recorded before and after implementation of QCC. Meanwhile, we surveyed the satisfaction of patients. Results After QCC application, the error rate in I/0 documentation declined from 32.5% to 9.64% （ X2 = 43.979,P〈0.05） ; nurses＇ scores in knowledge and skill were higher （X2= 9.143,P〈0.05） ; patients were satisfied with the improvements from 62.5% to 93.75% （t= 16.977,P〈0.05）.Conclusions The application of QCC can improve the related ability of nurses, and reduce the error rate of I/O documentation.