网格化管理联合标准作业程序在导管安全管理中的应用

Effect of grid-based management combined with standard operating procedure in catheter safety management

目的探讨网格化管理联合标准作业程序在导管固定及质量管理中的应用效果。方法成立导管固定质控管理小组,制定导管固定标准作业程序,并将全院五大科室38个护理单元设置为网格单元实施培训及网格化管理。结果2017~2020年全院非计划性拔管率逐年下降;全院五大科室2018~2020年导管质控检查得分显著高于2017年(均P<0.05);因固定不牢致非计划拔管的构成比逐年下降(P<0.01)。结论网格化管理联合导管固定标准作业程序的应用,实现了全院各网格单元导管同质化、规范化的固定及质控管理,降低了非计划性拔管的发生,提高了临床导管管理质量。

Objective To explore the effect of grid-based management combined with standard operating procedure(SOP)in management of catheter fixation and quality control.Methods A catheter fixation quality control team was established and formulated stan-dard operating procedures(SOP)for catheter fixation.Each of the 38 units from 5 departments was seen as a grid whose nursing staffers were given training,and each grid was subjected to grid-based management.Results The rate of unplanned extubation saw a decline from 2017 through 2020.Scores of catheter fixation quality inspection in 2018 through 2020 were significantly higher than in 2017(P<0.05 for all).The proportion of unplanned extubation due to failed securement was significantly reduced after implementation of grid-based management combined with SOP(P<0.01).Conclusion The implementation of grid-based management combined with SOP for catheter fixation realized homogenous and standardized fixation and quality control of catheters in all grid units across the whole hospital,reduce the rate of unplanned extubation,and improved the quality of catheter management.