运用PDCA循环管理规范病房管道标识

Application of PDCA cycle management in regulation of the label information of medical tubes and catheters

目的探讨PDCA循环管理在规范病房管道标识中的应用效果。方法 2017年6月—7月(PDCA循环实施前)对科室管道标识情况进行评估,遵循PDCA循环模式,对病房管道标识进行规范化管理。2017年11月—12月(PDCA循环实施后)再次对管道标识情况进行评估。结果 PDCA循环实施前和实施后分别调研管路264例和270例。病房管道标识的合格率由41.67%(110/264)提高到85.19%(230/270),差异有统计学意义(P <0.05)。标识缺失、书写不规范、字迹不清晰等质量问题的发生频次均下降(P <0.01)。结论 PDCA循环管理可以提高病房管道标识的合格率,降低各类质量问题发生频次,提高护理质量。

Objective To investigate the application value of plan-do-check-act(PDCA) cycle management in regulation of label information of medical tubes and catheters.Methods An evaluation on label information of medical tubes and catheters was conducted before the implementation of PDCA cycle(from June 2017 to July 2017).According to the PDCA cycle,potential reason influencing the label information of medical tubes and catheters were analyzed and corresponding measures were carried out.The label information was reassessed after the implementation of PDCA cycle(from November 2017 to December 2017).Results Totally 534 cases(n = 264 before PDCA cycle and n = 270 after PDCA cycle) and of medical tubes and catheters were evaluated.The qualified rate of label information increased from 41.67%(110/264) before implementation of PDCA cycle to 85.19%(230/270) after implementation of PDCA cycle(P < 0.05).The occurrence of disqualified labels such as lack of information,nonstandard writing,unreadable notes were significant decreased after implementation of PDCA cycle(P < 0.01).Conclusion The PDCA cycle is an effective tool to regulate the label information of medical tubes and catheters,reduce the occurrence of disqualified labels and improve the ward management.