品管圈活动降低脑卒中患者药物诱发跌倒事件效果分析

Effect of Quality Control Circle Activities on the Incidence of Drug-induced Falls in Stroke Patients

目的探讨品管圈活动对脑卒中患者药物诱发跌倒事件的影响。方法在神经内科成立品管圈,落实品管圈活动的开展,统计活动开展前3个月因药物诱导脑卒中患者跌倒的发生率,并运用品管圈管理工具分析其发生的原因,制订可行性对策并予以实施。对策实施后,比较品管圈活动开展前后因药物诱导脑卒中患者跌倒的发生率。结果开展品管圈活动后,神经内科脑卒中患者药物诱发跌倒事件发生率由原来的5.56%(12/216)下降到1.44%(3/209),极大地提高了患者用药的安全性,保证了医疗和护理的质量安全,在一定程度上缓和了医患关系。结论开展品管圈活动不仅能明显降低脑卒中患者药物诱发跌倒事件的发生率,提高医疗质量与安全管理,还能增进医药护患的沟通,加深圈员掌握质量管理工具的程度,提高其发现问题和解决问题的能力。

Objective To investigate the effect of quality control circle（ QQC） activities on the incidence of drug-induced falls in stroke patients.Methods The QCC was set up in the Department of Neurology,the QCC activities were carried out,and the incidence of drug-induced falls in stroke patients in the first 3 months of the activities was statistically analyzed.The QQC management tools were used to analyze the causes,and then formulate feasible countermeasures and implement them.After the implementation of the countermeasures,the incidence rates of drug-induced falls in stroke patients were compared before and after the QQC activities.Results After the implementation of QCC activities,the average incidence rate of the drug-induced falls in stroke patients in the Department of Neurology decreased from 5.56%（ 12/216） to 1.44%（ 3/209）.It greatly improved the safety of patients＇ medication and ensured the quality and safety of medical care and nursing,and alleviated the doctor-patient relationship to some extent.Conclusion Carrying out the QCC activities not only can significantly reduce the incidence rate of drug-induced falls in stroke patients,improve medical quality and safety management,but also can improve the communication between medical workers and patients,deepen the degree of quality management tools of the circle members,and improve their ability to find and solve problems.