分析手术室护理质量综合评价指标在手术室持续质量改进中的应用效果

Analysis of the application effect of comprehensive evaluation index of operating room nursing quality in continuous quality improvement of operating room

目的探究手术室护理质量综合评价指标在手术室持续质量改进中的应用效果。方法200例手术患者,随机分为对照组和观察组,各100例。对照组患者给予传统质量控制管理法进行手术室护理管理工作,观察组患者采用手术室护理质量综合评价指标实行持续质量改进护理管理。比较两组护理效果、不良事件发生率及护理满意度。结果观察组患者的总有效率97%明显高于对照组的80%,差异有统计学意义(P<0.05)。观察组患者异物遗留、压疮、错误手术、漏签医嘱、术后器械数目不对护士锐器损伤、手术器械不齐发生率均低于对照组,差异均有统计学意义(P<0.05);两组手术费错收、患者意外受伤、高危药物外渗、贵重仪器损坏、漏查抢救物品、病理标本漏送发生率比较差异均无统计学意义(P>0.05)。观察组护理满意度明显高于对照组,差异有统计学意义(P<0.05)。结论手术室持续质量改进中应用手术室护理质量综合评价指标,有利于提升手术的成功率,减少不良事件发生,旨在提升生活质量,提高患者护理满意度,促进医患和谐发展,医学价值更高。

Objective To evaluate the application effect of comprehensive evaluation index of operating room nursing quality in continuous quality improvement of operating room. Methods A total of 200 surgical patients were randomly divided into control group and observation group, with 100 cases in each group. The control group received traditional quality control management method for the nursing management in the operating room, and the observation group received comprehensive evaluation index of the nursing quality in the operating room to continuously improve the nursing management. Comparison were made on nursing effect, incidence of adverse events and nursing satisfaction between the two groups. Results The observation group had obviously higher total effective rate as 97% than 80% in the control group, and the difference was statistically significant(P<0.05). The observation group had lower incidence of foreign body remnants, pressure ulcers, wrong operation,missed doctor’s orders, incorrect number of instrument after operation, sharp instrument injury of nurses and uneven surgical instruments than the control group, and their difference was statistically significant(P<0.05). Both groups had no statistically significant difference in incidence of mischarges for surgery, accidental injuries, highrisk drug exosmosis, damage to valuable instruments, missing rescue items, and leakage of pathological specimens(P>0.05). The observation group had obviously higher nursing satisfaction than the control group, and the difference was statistically significant(P<0.05). Conclusion The application of comprehensive evaluation index of operating room nursing quality in continuous quality improvement of operating room is conducive to improving the success rate of operation and reducing the occurrence of adverse events, so as to improve the quality of life,improve patients’ nursing satisfaction, promote the harmonious development of doctors and patients, and achieve higher medical value.