质量管理方法对心肺复苏术培训效果的分析研究

Effect of quality management on the training effect of cardiopulmonary resuscitation

目的将质量管理方法引入儿科医生心肺复苏术的教学中，了解其对提高培训质量、实现教学目标的作用。方法质量管理小组应用柏拉图法对心肺复苏术的考核结果进行分析，明确质量问题的真要因，将标准化流程应用于心肺复苏术的教学和考核中，统计医生考核成绩的变化。结果柏拉图法分析显示，心外按压和人工通气是医生心肺复苏术质量不高的真要因，心外按压扣分占比36.8%，人工通气扣分占比15.7%。按照标准化流程开展培训和考核，医生心肺复苏术中心外按压的质量提高，扣分占比仅为3.5%。结论质量管理方法可应用在心肺复苏术的教学中，对提高教学质量有促进作用。

ObjectiveThe quality management method was introduced into the teaching of pediatric cardiopulmonary resuscitation（CPR）, and to improve the quality of training and realize teaching objectives.MethodsQuality management team analyzed the examination results of CPR by Plato method, and cleared the risk factors associated with quality problem.A standard operating procedure was used in teaching and assessment of the CPR, and doctors′ examination results of CPR would be analyzed by a statistical approach.ResultsPlatonic analysis showed that heart compressions and artificial ventilation were risk factors associated with quality problem in CPR.In the total frequency of deductions, the proportion of the heart compressions was 36.8% and artificial ventilation was 15.7%.According to the standard operating procedure, the quality of heart compressions in CPR was improved.In the total frequency of deductions, the proportion was only 3.5%.ConclusionThe quality management method can be applied in the teaching of cardiopulmonary resuscitation, which can improve the teaching quality.