摘要
目的提高血液透析监测有效率,降低血液透析不良事件发生率。方法开展问题解决型品管圈活动,针对血液透析过程中护士监测有效率低的问题,通过现况查检、原因解析、拟定对策,从建立二级监督体系,开发智能化小程序,建立“3+4E”风险评估模式,基于奥马哈理论构建干预性健康管理模式进行改进。结果血液透析监测有效率从81.5%提升至95.2%。结论开展品管圈活动可提高血液透析监测有效率,从而保障患者安全。
Objective To improve the efficiency of hemodialysis monitoring and reduce the incidence of adverse events in hemodialysis.Methods The problem-solving quality control circle activities were carried out.Aiming at the problems of low efficiency of nurse monitoring during hemodialysis,through the current situation inspection,cause analysis and formulation of countermeasures,the establishment of a two-level supervision system,the development of intelligent small program,the establishment of a"3+4E"risk assessment mode,and the construction of an interventional health management mode based on Omaha theory were improved.Results The effective rate of hemodialysis monitoring increased from 81.5%to 95.2%.Conclusion Carrying out quality control circle activities can improve the efficiency of hemodialysis monitoring,so as to ensure the safety of patients.
作者
李芳
夏莎
杜丽娜
杨锦涛
卫攀
王思佳
王培
冯晶
LI Fang;XIA Sha;DU Lina(The 986th Hospital of Air Force Medical University,Xi'an,Shaanxi,710054,China)
出处
《中国卫生质量管理》
2024年第11期74-80,共7页
Chinese Health Quality Management
关键词
品管圈
问题解决型品管圈
血液透析
监测
患者安全
Quality Control Circle
Problem-Solving Quality Control Circle
Hemodialysis
Monitoring
Patient Safety