PDCA循环模式对急诊静脉采血交叉感染的预防效果

Preventive effect of PDCA circulation mode on cross infection of venous blood collection in emergency medicine

目的探讨计划、执行、检查、处理(PDCA)循环模式对急诊静脉采血交叉感染的预防效果。方法选取解放军总医院第一医学中心2023年1-5月急诊行常规护理接诊的600例静脉采血患者作为对照组,2023年6月后急诊开启PDCA循环模式,选取2023年6-12月急诊行PDCA循环模式接诊的600例静脉采血患者作为研究组;比较两组患者穿刺成功率、穿刺后并发症情况;比较护理模式改变前后室内空气菌落数量;比较急诊科10名护士在医疗器械处理、手卫生合格情况和护理质量。结果研究组患者静脉采血穿刺并发症中疼痛发生率最高为33.33%低于对照组(P=0.001);2023年6-12月急诊科行PDCA循环后室内空气菌落为(6.72±1.67)CFU/cm^(2)低于2023年1-5月(P<0.001);急诊科10名护士医疗器械处理理论知识、实践操作能力和护理质量评价得分分别为(98.63±1.25)分、(97.39±1.04)分和(98.404.36)分均高于2023年1-5月(P<0.05);研究组患者静脉采血穿刺成功率为96.67%高于对照组患者(P=0.694),2023年6-12月急诊行PDCA循环后手卫生合格率为100.00%高于2023年1-5月(P=0.369)。结论PDCA循环模式对急诊静脉采血交叉感染的预防效果良好。

OBJECTIVE To explore the preventive effect of the Plan.Do,Check,Act(PDCA)cycle mode on cross infection in emergency venous blood collection.METHODS Totally 60O cases of venous blood collection patients who underwent routine nursing care in the emergency department from Jan.to May 2023 were selected as the control group,and after Jun.2023,the PDCA circulation mode was activated in the emergency department,and 600 cases of venous blood collection patients who underwent PDCA circulation mode in the emergency department from Jun.to Dec.2023 were selected as the study group.The success rate of puncture and postoperative complications between two groups of patients were compared and analyzed.The number of indoor air bacterial colonies before and after the change in nursing mode were compared.The medical device handling,hand hygiene compliance.and nursing quality of 10 nurses in the emergency department were compared.RESULTS The highest incidence of pain among venous puncture complications in the study group was 33.33%,which was lower than that in the control group(P=O.O01);the indoor air bacterial count after PDCA circulation in the emergency department from Jun.to Dec.2023 was(6.72±1.67)CFU/cm^(2),which was lower than that from Jan.to May 2023(P<0.001).The theoretical knowledge,practical operation ability,and nursing quality evaluation scores of 10 nurses in the emergency department were(98.63±1.25)points,(97.39±1.04)points,and(98.40±4.36)points,respectively,all higher than those from Jan.to May 2023(P<0.05);The success rate of venous blood collection and puncture in the study group was 96.67%,which was higher than that in the control group(P=0.694).The qualified rate of hand hygiene after emergency PDCA circulation from June to December 2023 was 100.00%,which was higher than that from January to May 2023(P=0.369).CONCLUSION The PDCA circulation mode had a good preventive effect on cross infection in emergency venous blood collection.