基于1M3S的PDCA循环管理模式在血液科输血护理质量改进中的应用

Application of 1M3S-based PDCA circulation management system in nursing quality improvement of blood transfusion in the hematology department

目的:分析基于1M3S结构化模式的PDCA质量管理模式在输血护理中的应用效果。方法:采用历史对照的方法,将2016年5月至2017年4月接受输血治疗的414例患者设为对照组,2017年5月至2018年4月接受输血治疗的396例患者设为观察组,对照组接受传统的输血流程及质量管理模式,观察组接受基于1M3S模式的PDCA循环管理模式。结果:观察组患者的标本不合格率、输血不良反应发生率、血液返库率均低于对照组,患者满意度高于对照组,差异均具有统计学意义(P<0.05)。结论:实施基于1M3S的PDCA结构化质量管理模式有助于提高输血护理质量。

Objective:To analyze the effects of 1M3S-based PDCA quality control model in blood transfusion nursing practice.Methods:Historical control study was performed,totally 414 patients with blood transfusion from May 2016 to April 2017 were enrolled into the control group,and 396 patients with blood transfusion from May 2017 to April 2018 were included in the observation group.The control group adopted traditional blood transfusion process and quality control mode,while the observation group adopted 1M3S-based PDCA circulation management mode.Results:The unqualified rate of samples,the incidence rate of adverse blood transfusion reaction and the return rate of blood products to blood bank in the observation group were all significantly lower than those in the control group(P<0.05),and the satisfaction degree of patients in the observation group was higher compared with the control group(P<0.05).Conclusion:The 1M3S-based PDCA quality control management mode is benefit to improve the nursing quality in blood transfusion.