品管圈对降低儿科静脉输液渗出的影响

Effection of QCC in Reducing the Pediatric Intravenous Infusion

目的观察品管圈(quality control circle,QCC)管理方法对降低儿科静脉输液渗出发生率的影响。方法开展名为"同心圈"的QCC活动,采用检查表统计数据,通过柏拉图分析改善重点。基于圈能力评价实施目标设定,应用鱼骨图行要因分析,完成对策拟定。实施结果确认,完成标准制定,比较改善前后的统计数据。结果改善前儿科静脉输液渗出发生率为14.6%,改善后为4.7%,实际改善幅度为67.8%,目标达成率为96.59%,差异有统计学意义(P<0.05)。结论 QCC管理方法可降低儿科静脉输液渗出发生率,提高了儿科护理的精细化、科学化和人性化。

Objective The writers implemented the management method of QCC（ quality control circle） to reduce the pediatric intravenous infusion rate. Methods They carried out quality control activity called concentric circle,and used checklist to count data,in order to analyze the improvement focus by platonic analysis. They evaluated the target set based on the ability of QCC,and realized the causing analysis by fish bone map,and completed the development of countermeasures. Finally,They confirmed the results,and completed the standard development. Results Comparing the statistical data,before the improvement, the rate of pediatric intravenous infusion was 14. 6%, and after the improvement,the rate was 4. 7%. So,the actual improvement rate is 67. 8%,and the goal reached rate was 96. 59%. There was statistical significance（ P 0. 05）. Conclusion The management method of QCC can reduce the pediatric intravenous infusion rate,improve the refinement,and is scientific and humanization of nursing management.