基于品管圈的集束化护理干预在降低床旁透析机报警发生次数中的应用

Application of cluster nursing intervention based on quality control circle in reducing the alarming frequency of dialysis machine

目的调查床旁透析机报警的发生情况，分析报警原因，从而降低报警发生次数。方法2015年3月成立品管圈，按照品管圈活动的具体步骤，运用各种品管圈工具和手法，对床旁透析机报警事件进行有效管理，并对活动开展前后的有形与无形成果进行比较。结果品管圈活动使床旁透析机报警发生次数从实施前0．249次／h降低为实施后0．120次／h，对策实施前后压力报警和平衡报警报警次数差异有统计学意义（χ2值分别为4．898，7．339；P〈0．05）。结论集束化干预措施可以有效降低床旁透析机报警发生次数。品管圈的管理方法可以增加团队凝聚力以及提高团队成员借助科学的方法解决实际问题的能力。

Objective To investigate the occurrence of alarm of dialysis machine, and analyze the cause of alarm, so as to reduce the frequency of alarm. Methods The quality control circle （QCC） was established in March 2015 and then we managed alarm events of dialysis machine effectively according to the steps of Qcc with professional tools and methods. The intangible and tangible outcomes before and after activities were compared. Results The frequency of alarm reduced from 0.249 times per hour to 0.120 times per hour after QCC, the alarming frequency of pressure alarm and balance alarming before and after the implementation of intervention were significantly different （χ2= 4.898, 7.339 ; P 〈 0.05）. Conclusions The alarming frequency of dialysis machine can be effectively reduced by cluster intervention measures. The team cohesive force and the ability of team members with scientific methods to solve practical problems can be improved by Qcc management.