PDCA循环模式在降低抢救室患者滞留率中的应用

Application of PDCA Circulation Model in Reducing Retention Rate of Rescue Room Patients

目的探讨PDCA在降低抢救室患者72 h滞留率中的应用效果。方法在2017年1月~12月,每月对入住急诊室患者的临床数据进行收集,统计抢救室患者滞留时间,分析原因,对医护人员进行培训,优化住院流程,降低抢救室患者72 h滞留率。结果通过质量改进,2017年5月~12月抢救室患者72 h滞留率从6.19%下降至2%以下。结论通过PDCA循环管理模式,可有效发现急诊室患者滞留原因,并找出解决方法,有效降低患者72 h滞留率,优化急诊工作流程。

Objective To investigate the effect of PDCA in reducing the retention rate within 72 h in patients with emergency room.Methods From January to December 2017,the clinical data of patients who were admitted to emergency room were collected every month.The retention time of patients in emergency room was analyzed,the reasons were analyzed,the nurses were trained,the hospitalization flow was optimized,in order to reduce the retention rate within 72 h of rescue room.Results By the quality improvement,the 72 h retention rate of the patients in the rescue room decreased from 6.19%to less than 2%from May to December 2017.Conclusion By the PDCA circulation management mode,we can find out the reason of the patients staying in the emergency room effectively,find out the solution,reduce the retention rate within 72 hours effectively,optimize the work flow of the emergency department.