基于PDSA循环提高护士执行患者身份识别操作的规范率

Improving the standard rate of nurses performing patient identification operations based on PDSA cycle

目的评估PDSA循环管理在规范护理人员给药时患者身份识别操作中的应用与效果。方法应用PDSA循环管理的方法对深圳市某三甲医院的护理人员给药时身份识别操作进行管理,分别于实施前和实施半年后2个时间点的120名护理人员和120名住院患者进行观察调查,比较实施前后给药身份识别正确率和护理人员操作规范性情况。结果运用PDSA循环管理后患者身份识别的错误率为0.10‰,低于运用PDSA循环管理前的0.54‰,差异有统计学意义(P<0.05);实施PDSA循环管理后,患者佩戴手腕带率从87.5%提高到96.0%,护理人员给药前看手腕带率从51%提高到87.7%,差异有统计学意义(P<0.05);护理人员身份识别操作的采用两种方法识别身份从92.4%提高到97%,采用两种信息识别身份从78.2%提高到99.2%,差异有统计学意义(P<0.05)。结论PDSA循环管理能提高护士对患者身份辨识操作的规范性,从而降低给药时患者身份识别错误的发生率,有利于保障患者安全,值得在广大基层医院推广。

Objective To evaluate the application and effect of PDSA cycle management in standardizing nurses’ performance on patient identification operations during the drug administration. Methods The PDSA cycle management method was used to manage the identification operation of nursing staff during the drug administration in a top three hospital in Shenzhen. 120 nursing staff and 120 inpatients were observed before and after implementation for a half year. The correct rate of identification during the drug administration and operating normality of nursing staff before and after implementation were compared. Results The error rate of patient identification after PDSA cycle management was 0.10 ‰, which was lower than 0.54‰ before PDSA cycle management. The difference was statistically significant(P < 0.05). After PDSA cycle management, the wearing rate of wrist band of patients increased from 87.5% to 96.0%. The rate of looking at wrist bands of nursing staff before medication increased from 51% to 87.7%. The difference was statistically significant(P < 0.05). The use of two methods in identification operation system of nursing staff increased from 92.4% to 97%. The use of two kinds of information to identify increased from 78.2% to 99.2%. The difference was statistically significant(P < 0.05). Conclusion PDSA cycle management can improve the standardization of nurses’ performance on identification operation of patients so as to reduce the incidence of errors in patient identification during drug administration. It is conducive to the safety of patients, which is worth promoting in the majority of primary hospitals.