医联体背景下运用PDCA提高ICU患者床头抬高率的研究

The Study Which Used PDCA Circulation Method Increase the Qualification Rate of the Head of the Bed in ICU Patients under the Background of Medical Association

目的探讨在医联体背景下,医联体专家运用PDCA循环法在医联体共建单位(基层医院)提高ICU患者床头合格率。方法选取2017年10月~12月在高港人民医院ICU有床头抬高适应症的患者,剔除有床头抬高禁忌症的患者,运用PDCA循环法对ICU患者床头抬高情况进行干预和持续质量改进。结果经过3个月的持续质量改进,ICU患者床头抬高的合格率从0%上升至77.06%,有了显著的提高(P<0.001),有统计学意义。结论在医联体背景下,应用PDCA循环法可提高基层医院ICU患者床头抬高的合格率,更好地帮助基层医院提高护理质量。

Objective Explore the effect of using PDCA circulation method to improve the qualification rate of the head of the bed in ICU patients under the background of medical association. Methods Select dates in October 2017 - December in ICU patients of Gaogang people＇s hospital with higher indications of the head of a bed, Exclu- sion of the contraindications.Elevation of the bed of ICU patients by applying the method of PDCA cycle to intervene and continuous quality improvement.Results After 3 months of continuous quality improvement, the percentage of the head of the ICU patients increased from 0% to 77.06% with significant improvement （P〈0.001）. Conclusion The application of PDCA circulation method can improve qualification rate of the head of the bed of ICU patients in primary hospitals and improve the nursing quality improvement.