QC小组在降低小儿甘露醇输注后并发症发生率中的应用

Application of QC group activities in reducing the incidence of complications after mannitol infusion in children

目的:探讨QC活动在降低输注甘露醇后并发症发生率的效果与体会。方法:将2016年11月-2017年1月输注甘露醇的404例患儿设为改善前组,2017年8月-2017年10月输注甘露醇的348例患儿设为改善后组。QC小组选定主题为"降低输注甘露醇后并发症发生率",通过对改善前组输注甘露醇后并发症的发生情况进行分析,确定目标,找出要因并进行确认、制定对策实施并验证,比较活动前后两组患儿输注甘露醇后并发症的发生情况。结果:活动后,输注甘露醇并发症的发生率为37.9%,低于活动前的68.1%,差异具有统计学意义(P<0.01)。结论:QC小组活动在降低甘露醇输注后并发症的发生率中取得了较好的效果,提高了护士发现、解决问题、运用管理及统计工具的能力,同时提升了科室的凝聚力,促进了护理质量的持续改进。

Objective:To explore the effect and experience of QC activities in reducing the incidence of complications after mannitol infusion. Methods:404 cases of mannitol infusion from November 2016 to January 2017 were set as the pre-improvement group, and 348 cases from August 2017 to October 2017 were set as the post-improvement group. QC team selected the theme of "reduce the incidence of complications after infusion of mannitol, through to improve group before the happening of complications after infusion of mannitol were analyzed, and the target, find out by confirm, formulate strategy implementation and verification, and compared before and after two groups of children with activities of the happening of complications after infusion of mannitol. Results: after the activity, the incidence of mannitol complications was 37.9%, lower than 68.1% before the activity, and the difference was statistically significant(P<0.01). Conclusion: QC group activities have achieved good results in reducing the incidence of complications after mannitol infusion, improving the ability of nurses to find out, solve problems, use management and statistical tools, improve the cohesion of the department, and promote the continuous improvement of nursing quality.