手术室护理质量的监控体系与管理方法

Monitoring system and management method of operation room nursing quality

目的为了使手术室护理质量有所提高,在TQM(全面质量管理)为理论指导下,构建起高效、规范、合理的护理质量的监控体系与管理方法。方法 2015年8月~2017年8月,在本院就诊的90例手术患者作为研究对象,随机将其分为实验组和对照组。对试验组进行质量监控和管理,对照组不进行质量监控和管理外,对所有手术患者都进行正常的护理配合。最终对手术室医务人员的服务沟通态度,工作积极能力,护理文书管理,环境管理,护理安全等五项指标满意度进行统计。结果通过手术前后两组对五项指标的比较其结果是手术后均优于手术前,且差异有统计学意义(P<0.05)。通过对比实验组的结果均高于对照组,两组比较差异有统计学意义(P<0.05)。结论通过建立与完善手术室护理监控与管理,督促每一名医护人员有更高的积极性,有助于推动护理服务质量的改善,使各种不良事件的发生率大大降低,效果显著,值得推广使用。

Objective In order to improve the nursing quality of operating room,under the guidance of the TQM theory(total quality management),the monitoring system and management method of high efficiency,standard and reasonable nursing quality are constructed.Methods From August 2015 to August 2017,90 surgical patients in our hospital were selected as study object and randomly divided into two groups:the experimental group and the control group.The experimental group was given the quality control and management,the control group did not carry out quality control and management,and all patients with normal surgical care and cooperation.Finally,the satisfaction of the five indexes of the operation room medical staff,such as the service communication attitude,the positive ability of the work,the management of nursing documents,the environmental management,and the safety of nursing,was statistically analyzed.Results The five indexes were compared between the two groups before and after operation.The results showed that all the indexes after operation were better than those before operation,and the difference was statistically significant(P<0.05).The results of the comparison group were all higher than those of the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion Through the establishment and improvement of operation room nursing monitoring and management,it is helpful to promote the improvement of the quality of nursing services,greatly reduce the incidence of all kinds of adverse events,and the effect is remarkable,and it is worth popularizing.