追踪方法学对患者床边交接班的应用效果

Application of tracking methodology in bedside-shift

目的探讨追踪方法学对提高患者床边交接班完整率的作用。方法比较2017年7月18日—8月18日和2017年11月6日—12月6日,通过活动开始后1个月和活动结束前1个月,晨间交接班时对护士交接班过程进行个案和系统追踪,对发现问题从制度、流程、规范、培训、落实、检查、反馈、整改等方面进行质量持续改进,比较患者床边交接班在实施前后的完整率。结果追踪方法学实施后,本院住院患者床边交接班完整率为96%,高于实施前60%(P<0.05)。结论追踪方法学提高了患者床边交接班完整率,杜绝了护理差错事故的发生,提高了护理质量。

Objective To explore the role of tracking methodology in improving the integrity rate of bedside-shift. Methods Tracking and system tracking of nurses＇ morning shift were carried out from July 18 to August 18,2017 before one month of implementation and from November 6 to December 6,2017 after one month of implementation. The problems were continuously improved in the aspects of system,process,specification,training,implementation,inspection,feedback and rectification,and integrity rate of bedside-shift before and after the implementation were compared. Results After tracer methodology,the integrity rate of bedside-shift in our hospital was significantly higher than implementation before（ 96% vs. 60%,P〈0. 05）. Conclusion The tracking methodology can improve integrity rate of patient＇ s bedside-shift and prevent the occurrence of nursing errors and enhance nursing quality.