实施项目管理减少临床护理不良事件的实践
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摘要
目的:评价应用项目管理对减少临床护理不良事件的效果。方法:2015-2016年,采用项目管理方法改善本院排列前三位的护理不良事件(压力性损伤、跌倒和非计划性拔管),比较实施项目管理前后3年院内压力性损伤、跌倒、非计划性拔管高危患者评估率,评估的准确率及发生率。结果:实施项目管理以来,患者院内压力性损伤、非计划性拔管高危患者评估率、评估的准确率逐年升高,发生率逐年降低,除非计划性拔管发生率以及跌倒评估准确率外,其差异均具有统计学意义(P<0.001)。结论:运用项目管理方法可有效降低护理不良事件的发生率,减少医疗、护理成本,提高工作效率。
Objective: To explore the effect of applying project management on reducing clinical nursing adverse events.Methods: In 2015-2016, project management methods were applied to improve the top three nursing adverse events in the hospital(pressure injury, falls and unplanned extubation). The annual assessment rate, accuracy rate and incidence rate of high-risk patients with pressure injury, falls and unplanned extubation were compared after the implementation of project management. Results: Since the implementation of project management, the assessment rate and accuracy rate of high-risk patients with nosocomial pressure injury, and unplanned extubation were increasing year by year, and the incidence rate of pressure injury, falls were decreasing year by year, and the difference was statistically significant(P<0.001). Conclusion:The use of project management method can effectively reduce the incidence of nursing adverse events, reduce medical and nursing costs and improve work efficiency.
Objective: To explore the effect of applying project management on reducing clinical nursing adverse events.Methods: In 2015-2016, project management methods were applied to improve the top three nursing adverse events in the hospital(pressure injury, falls and unplanned extubation). The annual assessment rate, accuracy rate and incidence rate of high-risk patients with pressure injury, falls and unplanned extubation were compared after the implementation of project management. Results: Since the implementation of project management, the assessment rate and accuracy rate of high-risk patients with nosocomial pressure injury, and unplanned extubation were increasing year by year, and the incidence rate of pressure injury, falls were decreasing year by year, and the difference was statistically significant(P<0.001). Conclusion:The use of project management method can effectively reduce the incidence of nursing adverse events, reduce medical and nursing costs and improve work efficiency.
引文
[1]赖晓帆,林意,赖丽英,等.运用项目管理改善静脉留置针输液的护理效果.现代医院,2017,17(3):329-331.Lai XF,Lin Y,Lai LY,et al.Application of project management in improving the nursing efficacy of intravenous indwelling needle infusion.Modern Hospital,2017,17(3):329-331.
[2]颜巧元,曾娜.试论护理科研项目管理中引入准时知识管理的必要性.护理研究.2013,27(7):2049-2050.Yan QY,Zeng N.Discussion on the necessity of introducing punctual kowledge management in nursing scientific research project management.Nursing Research,2013,27(7):2049-2050.
[3]Project Management Institute.项目管理知识体系.许江林,译.5版.北京:北京电子工业出版社,2013.Project Management Institute.Project management knowledge system.Xu JL,trans.5th Edition.Bejing:Beijing Electronic Industry Press,2013.
[4]Kivil?J,Martinsuo M,Vuorinen L.Sustainable project management through project control in infrastructure projects.International Journal of Project Management,2017,35(6):1167-1183.
[5]Izmailov A,Korneva D,Kozhemiakin A.Project management using the buffers of time and resources.Procedia-Social and Behavioral Sciences,2016,235(11):189-197.
[6]侯丹,白晓忠,孙铭,等.项目管理在静脉输液技术准入中的应用.中国护理管理,2014,14(7):712-714.Hou D,Bai XZ,Sun M.et al.Application of project management in the access of intravenous infusion techniques.Chinese Nursing Management,2014,14(7):712-714.
[7]Bergstrom N,Braden BJ,Laguzza A,et al.The Braden Scale for predicting pressure sore risk.Advances in Skin&Wound Care,2012,25(2):205.
[8]黄惠根,刘智利,魏丽君,等.老年住院患者跌倒风险评估量表的构建及验证.护理学杂志,2014,29(19):30-34.Huang HG,Liu ZL,Wei LJ,et al.Development and validation of the elderly inpatient fall risk assessment tool.Journal of Nursing Science,2014,29(19):30-34.
[9]魏丽君,黄惠根,钟杏,等.自制住院病人跌倒评估量表与Morse量表的应用比较研究.护理研究,2017,31(14):1717-1721.Wei LJ,Huang HG,Zhong X.et al.Comparative study on the application of self-made inpatient fall assessment scale and Morse scale.Chinese Nursing Research,2017,31(14):1717-1721.
[10]杨靖,宋颖,姚颖.老年住院患者跌倒的预防护理.天津护理,2013,21(2):128-129.Yang J,Song Y,Yao Y.Prevention and treatment of falls in elderly hospitalized patients.Tianjin Journal of Nursing,2013,21(2):128-129.
[11]李莺.住院老年患者跌倒预防.中华护理杂志,2013,48(6):574-576.Li Y.Fall prevention in hospitalized elderly patients.Chinese Journal of Nursing,2013,48(6):574-576.
[12]崔妙玲,应燕萍,彭雪娟,等.96例住院患者跌倒的根本原因分析及对策.中国护理管理,2013,13(2):43-45.Cui ML,Ying YP,Peng XJ,et al.Analysis of the root causes of 96 hospitalized patients falling and countermeasures.Chinese Nursing Management,2013,13(2):43-45.
[13]曹家燕,陈昌连.121例导管滑脱不良事件原因分析及防范对策.护理学报,2016,23(4):47-49.Cao JY,Chen CL.Analysis of the causes of121 cases of catheter slippage and preventive measures.Journal of Nursing,2016,23(4):47-49.
[14]张秀平,张莉,苏敏谊,等.运用项目管理防范非计划拔管的效果评价.护理学报,2016,23(17):30-33.Zhang XP,Zhang L,Su MY,et al.Evaluation of the effect of using project management to prevent unplanned extubation.Journal of Nursing,2016,23(17):30-33.
[15]尹悦.集束化策略在降低肿瘤患者PICC导管脱管率中的应用.中国护理管理,2013,13(8):40-41.Yin Y.Application of clustering strategy in reducing PICC catheter tubing rate in tumor patients.Chinese Nursing Management,2013,13(8):40-41.
[16]Demirkesen S,Ozorhon B.Impact of integration management on construction project management performance.International Journal of Project Management,2017,35(8):1639-1654.
[17]Garwood DA,Poole AH.Project management as information management in interdisciplinary research:"Lots of different pieces working together".International Journal of Information Management,2018,41(8):14-22.
[18]张兰芳,陈佩娟,谢国柱.项目管理在提高宫颈癌放疗住院患者规律阴道冲洗率中的应用.护理学报,2018,25(4):23-26.Zhang LF,Chen PJ,Xie GZ.Application of project management in improving the regular vaginal washing rate of hospitalized patients with cervical cancer radiotherapy.Journal of Nursing,2018,25(4):23-26.
[19]黄连娇,陈志清,秦志慧.项目管理小组在降低高风险药物致患者跌倒中的应用.护理实践与研究,2016,13(18):128-130.Huang LJ,Chen ZQ,Qin ZH.Application of the project management team in reducing patients falling caused by high-risk drugs.Nursing Practice and Research,2016,13(18):128-130.
[20]邱志琛,董秀英.项目管理在医院病房压疮护理服务中的应用.全科护理,2016,14(14):1487-1488.Qiu ZC,Dong XY.Application of project management in pressure ulcer care service in hospital ward.General Nursing,2016,14(14):1487-1488.
[21]张艳红,叶雪雯,孙妙艳.项目管理在压疮护理质量指标改善中的应用.中国临床护理,2015,7(6):526-527.Zhang YH,Ye XW,Sun MY.Application of project management in improving quality index of pressure ulcer nursing.Chinese Journal of Clinical Nursing,2015,7(6):526-527.
[2]颜巧元,曾娜.试论护理科研项目管理中引入准时知识管理的必要性.护理研究.2013,27(7):2049-2050.Yan QY,Zeng N.Discussion on the necessity of introducing punctual kowledge management in nursing scientific research project management.Nursing Research,2013,27(7):2049-2050.
[3]Project Management Institute.项目管理知识体系.许江林,译.5版.北京:北京电子工业出版社,2013.Project Management Institute.Project management knowledge system.Xu JL,trans.5th Edition.Bejing:Beijing Electronic Industry Press,2013.
[4]Kivil?J,Martinsuo M,Vuorinen L.Sustainable project management through project control in infrastructure projects.International Journal of Project Management,2017,35(6):1167-1183.
[5]Izmailov A,Korneva D,Kozhemiakin A.Project management using the buffers of time and resources.Procedia-Social and Behavioral Sciences,2016,235(11):189-197.
[6]侯丹,白晓忠,孙铭,等.项目管理在静脉输液技术准入中的应用.中国护理管理,2014,14(7):712-714.Hou D,Bai XZ,Sun M.et al.Application of project management in the access of intravenous infusion techniques.Chinese Nursing Management,2014,14(7):712-714.
[7]Bergstrom N,Braden BJ,Laguzza A,et al.The Braden Scale for predicting pressure sore risk.Advances in Skin&Wound Care,2012,25(2):205.
[8]黄惠根,刘智利,魏丽君,等.老年住院患者跌倒风险评估量表的构建及验证.护理学杂志,2014,29(19):30-34.Huang HG,Liu ZL,Wei LJ,et al.Development and validation of the elderly inpatient fall risk assessment tool.Journal of Nursing Science,2014,29(19):30-34.
[9]魏丽君,黄惠根,钟杏,等.自制住院病人跌倒评估量表与Morse量表的应用比较研究.护理研究,2017,31(14):1717-1721.Wei LJ,Huang HG,Zhong X.et al.Comparative study on the application of self-made inpatient fall assessment scale and Morse scale.Chinese Nursing Research,2017,31(14):1717-1721.
[10]杨靖,宋颖,姚颖.老年住院患者跌倒的预防护理.天津护理,2013,21(2):128-129.Yang J,Song Y,Yao Y.Prevention and treatment of falls in elderly hospitalized patients.Tianjin Journal of Nursing,2013,21(2):128-129.
[11]李莺.住院老年患者跌倒预防.中华护理杂志,2013,48(6):574-576.Li Y.Fall prevention in hospitalized elderly patients.Chinese Journal of Nursing,2013,48(6):574-576.
[12]崔妙玲,应燕萍,彭雪娟,等.96例住院患者跌倒的根本原因分析及对策.中国护理管理,2013,13(2):43-45.Cui ML,Ying YP,Peng XJ,et al.Analysis of the root causes of 96 hospitalized patients falling and countermeasures.Chinese Nursing Management,2013,13(2):43-45.
[13]曹家燕,陈昌连.121例导管滑脱不良事件原因分析及防范对策.护理学报,2016,23(4):47-49.Cao JY,Chen CL.Analysis of the causes of121 cases of catheter slippage and preventive measures.Journal of Nursing,2016,23(4):47-49.
[14]张秀平,张莉,苏敏谊,等.运用项目管理防范非计划拔管的效果评价.护理学报,2016,23(17):30-33.Zhang XP,Zhang L,Su MY,et al.Evaluation of the effect of using project management to prevent unplanned extubation.Journal of Nursing,2016,23(17):30-33.
[15]尹悦.集束化策略在降低肿瘤患者PICC导管脱管率中的应用.中国护理管理,2013,13(8):40-41.Yin Y.Application of clustering strategy in reducing PICC catheter tubing rate in tumor patients.Chinese Nursing Management,2013,13(8):40-41.
[16]Demirkesen S,Ozorhon B.Impact of integration management on construction project management performance.International Journal of Project Management,2017,35(8):1639-1654.
[17]Garwood DA,Poole AH.Project management as information management in interdisciplinary research:"Lots of different pieces working together".International Journal of Information Management,2018,41(8):14-22.
[18]张兰芳,陈佩娟,谢国柱.项目管理在提高宫颈癌放疗住院患者规律阴道冲洗率中的应用.护理学报,2018,25(4):23-26.Zhang LF,Chen PJ,Xie GZ.Application of project management in improving the regular vaginal washing rate of hospitalized patients with cervical cancer radiotherapy.Journal of Nursing,2018,25(4):23-26.
[19]黄连娇,陈志清,秦志慧.项目管理小组在降低高风险药物致患者跌倒中的应用.护理实践与研究,2016,13(18):128-130.Huang LJ,Chen ZQ,Qin ZH.Application of the project management team in reducing patients falling caused by high-risk drugs.Nursing Practice and Research,2016,13(18):128-130.
[20]邱志琛,董秀英.项目管理在医院病房压疮护理服务中的应用.全科护理,2016,14(14):1487-1488.Qiu ZC,Dong XY.Application of project management in pressure ulcer care service in hospital ward.General Nursing,2016,14(14):1487-1488.
[21]张艳红,叶雪雯,孙妙艳.项目管理在压疮护理质量指标改善中的应用.中国临床护理,2015,7(6):526-527.Zhang YH,Ye XW,Sun MY.Application of project management in improving quality index of pressure ulcer nursing.Chinese Journal of Clinical Nursing,2015,7(6):526-527.
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