护理质量缺陷定额管理的研究

Research on quota management for nursing quality defects

目的探讨以质量缺陷定额管理为指导的护理质量管理方案的实施效果。方法健全护理质量控制组织内部管理体系,确定缺陷定额值5%,设置全面合理的护理质量考核内容,以专项查检表的形式进行质量督导,并将结果应用于绩效分配,做到护理质量全程监控。结果护理质量缺陷考核完成率146%;患者高危风险评估与处理合格率、分级护理落实率、安全输血流程落实率、特殊药物使用与管理合格率、护理不良事件上报及住院患者满意率显著提升,查对流程规范落实率、重点环节交接正确率显著下降(P<0.05,P<0.01)。结论全面实施护理质量缺陷定额管理,有利于提升临床护理管理质量,明确改善重点,提高患者满意度,促进护理质量管理的科学化与规范化。

Objective To explore the effect of using quota management for nursing quality defects.Methods An internal quality control group was established and a management system was developed to determine the quality defects quota of 5%.Then a package of comprehensive and reasonable nursing quality control contents was set up,and the quality control group conducted quality inspection and supervision by using a special inspection form.The quality checking results were used as a reference for performance-based pay plan,and whole process quality control was achieved.Results The completion rate of quality defects quota evaluation was146%.Such quality indicators,as high risk patient assessment and handling,graded nursing care,safe blood transfusion,usage and management of special drugs,adverse event reporting,and patient satisfaction improved significantly,while implementation rate of patient checking process,and rate of correct handover key links,dropped significantly（P〈0.05,P〈0.01）.ConclusionImplementation of quota management for nursing quality defects guaranteed the quality of clinical nursing service,made clear the important aspects,enhanced patient satisfaction,and made nursing quality control scientized and standardized.