质量控制小组管理模式在手术室护理管理中的应用

Application of quality control group in nursing quality management in the operating theater

目的探讨质量控制小组管理模式在手术室护理管理中的应用效果。方法 2016年1月—4月手术室实施常规护理管理,选取510例手术资料,手术室在岗护士66例,设为对照组。2016年5月起手术室实施质量控制小组管理模式,选取2016年8月—11月520例手术资料,手术室在岗护士人员无变动,设为观察组。观察2组护理质量评分结果、护理缺陷及差错事件的发生情况。结果观察组高危药品外渗、手术室压疮、手术延迟、器械数目不符护理缺陷及差错事件发生率均低于对照组(P<0.05)。观察组护士手术室护士专科技能、患者健康教育知晓、分级护理落实、护士对患者身份识别、护理文书书写质量、规范化服务6项评分均高于对照组,差异有统计学意义(P<0.05)。结论实施质量控制小组管理模式有助于提升手术室护士护理质量,保证护理安全。

Objective To investigate the effect of quality control group in nursing quality management in the operating theater.Methods The quality control group was established to improve the nursing quality in the operating theater since May,2016.Totally 510 cases of surgery carried out between January,2016 and April,2016 were selected as the control group,another 520 cases of surgery carried out between August,2016 and November,2016 were selected as the observation group.The evaluation outcomes on nursing quality of theater nurses and incidence of nursing adverse events were observed and compared between two groups.Results The incidence of high-risk drug extravasation,pressure ulcer,delay in operation,discrepancy in the count of surgical equipments were lower in the observation group than those of the control group(P<0.05).Theater nurses achieved higher scores in evaluation of specialist skills,health education,level-to-level nursing,identity recognition of patients,nursing records writing and standardized service after implementation of quality control group management(P<0.05).Conclusion The quality control group can reduce the risk of nursing-associated adverse events and improve the nursing quality in the operating theater.