PDCA在成人急诊输液安全管理中的应用

Application of PDCA in Safety Management of Adult Infusion in Emergency Department

目的分析PDCA循环管理在成人急诊输液安全管理中的应用效果。方法将我院2016年(行常规管理)收治的1570例成人急诊输液病例纳入对照组,另将2017年(实施PDCA循环管理)收治的1736例成人急诊输液病例纳入观察组。比较实施PDCA循环管理前后护理服务质量、不良事件发生率及患者对护理的满意度。结果实施PDCA循环管理后,护理服务质量均有改善,患者对护理的满意度更佳;观察组不良事件、护理差错、医患纠纷发生率均显著低于对照组,差异均有统计学意义(p<0.05)。结论 PDCA循环管理可提升护理服务质量和护理满意度,保障患者输液安全。

Objective To analyze the effect of PDCA cycle management in adult patient infusion safety management in emergency department. Method A total of 1570 adult patients receiving infusion in emergency department in our hospital in 2016 were included as the control group(routine management) were included in the control group. And 1736 adult patients receiving infusion in emergency department in our hospital in 2017 were included as the observation group(Plan-Do-Check-Act, PDCA cycle management). The nursing care quality, incidence of adverse events, and patients’ satisfaction with nursing care of two groups were compared. Results After the implementation of PDCA cycle management, the nursing care quality improved, and patients’ satisfaction with nursing was better(p<0.05). The incidence of adverse events, nursing errors, and doctor-patient disputes in the observation group were significantly lower than those in the control group, and the differences were statistically significant(p<0.05). Conclusion PDCA cycle management can improve nursing care quality and patients’ satisfaction with nursing care, and ensure the safety of infusion.