应用FOCUS-PDCA提高护士给药过程PDA扫码率的应用效果
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摘要
[目的]探讨应用FOCUS-PDCA提高护士给药过程个人数字助理(PDA)扫码率的效果。[方法]以2016年上半年我院口服药和静脉输液医嘱PDA扫码情况为实施前资料,以2017年上半年同期的数据作为实施FOCUS-PDCA后的情况与之前进行比较。遵循FOCUS-PDCA持续质量改进程序的9个步骤,分析护士在给药过程中使用PDA时存在的问题,制定系列改进措施,并持续跟进。[结果]口服药医嘱和静脉输液医嘱的PDA扫码率实施前分别为68.6%、71.1%,实施后分别为81.3%、79.3%,实施前后差异有统计学意义(P<0.001)。[结论]应用FOCUS-PDCA可提高护士给药过程PDA扫码率,有助于保障病人用药安全。
引文
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[6]吴明珍,华贵香,叶丽园.护士运行条形码给药系统依从性的相关因素与管理[J].中华现代护理杂志,2014,20(12):1448-1450.WU M Z,HUA G X,YE L Y.Factors related to compliance of using a bar-code medication administration system[J].Chin J Mod Nurs,2014,20(12):1448-1450.
[7]曾艳,吉莉,孔旭,等.品管圈在降低输液过程PDA漏扫率中的应用[J].全科护理,2015,13(27):2668-2670.ZENG Y,JI L,KONG X,et al.Application of quality control circle in reducing PDA leak sweep rate during infusion[J].Chin Gen Pract Nurs,2015,13(27):2668-2670.
[8]徐长龙,郭晓敏,张连杰,等.FOCUS-PDCA程序在护理管理中的应用现状[J].护理研究,2017,31(1):15-17.XU C L,GUO X M,ZHANG L J,et al.Application status quo of FOCUS-PDCA program in nursing management[J].Chin Nurs Res,2017,31(1):15-17.
[9]戴伟,刘双礼,谭振刚,等.运用FOCUS-PDCA提高信息化多功能移动护理推车使用率[J].中国卫生质量管理,2017,24(5):11-13.DAI W,LIU S L,TAN Z G,et al.Application of FOCUS-PDCA to Improve the usage rate of informationalized multi-function mobile nursing cart[J].Chin Health Qual Manage,2017,24(5):11-13.
[10]言克莉,魏宁,王艳.应用FOCUS-PDCA提高癌痛患者阿片类药物按时服用率的实践[J].护理学报,2016,23(17):34-36.YAN K L,WEI N,WANG Y.Application of FOCUS-PDCA in improving opioid drug administration on time within cancer patients[J].J Nurs,2016,23(17):34-36.
[2]李素红,任爱玲,薛晓英,等.PDA与移动护士工作站在临床护理工作的应用与发展[J].护理学杂志,2009,24(1):87-90.LI S H,REN A Y,XUE X Y,et al.Application and development of PDA and mobile nursing station in clinical nursing practice[J].J Nurs Sci,2009,24(1):87-90.
[3]EDMONDS J,ZAGAMI M.QI team shares ownership and gets results[J].J Healthc Qual,1992,14(5):24-28.
[4]刘芙蓉,林平,于奚,等.基于SHEL事故分析法的临床护士用药错误危险因素研究进展[J].中华现代护理杂志,2017,23(23):3057-3060.LIU F R,LIN P,YU X,et al.Progress in studies on risk factors of clinical nurses′meditation error based on SHEL accident analysis[J].Chin J Mod Nurs,2017,23(23):3057-3060.
[5]屠蕾,高歌,张渊.PDA条形码扫描核对技术在护士安全用药中的应用[J].护理学杂志,2013,28(22):63-65.TU L,GAO G,ZHANG Y.The effectiveness of personal digital assistant and bar-code technology on safety of medication administration[J].J Nurs Sci,2013,28(22):63-65.
[6]吴明珍,华贵香,叶丽园.护士运行条形码给药系统依从性的相关因素与管理[J].中华现代护理杂志,2014,20(12):1448-1450.WU M Z,HUA G X,YE L Y.Factors related to compliance of using a bar-code medication administration system[J].Chin J Mod Nurs,2014,20(12):1448-1450.
[7]曾艳,吉莉,孔旭,等.品管圈在降低输液过程PDA漏扫率中的应用[J].全科护理,2015,13(27):2668-2670.ZENG Y,JI L,KONG X,et al.Application of quality control circle in reducing PDA leak sweep rate during infusion[J].Chin Gen Pract Nurs,2015,13(27):2668-2670.
[8]徐长龙,郭晓敏,张连杰,等.FOCUS-PDCA程序在护理管理中的应用现状[J].护理研究,2017,31(1):15-17.XU C L,GUO X M,ZHANG L J,et al.Application status quo of FOCUS-PDCA program in nursing management[J].Chin Nurs Res,2017,31(1):15-17.
[9]戴伟,刘双礼,谭振刚,等.运用FOCUS-PDCA提高信息化多功能移动护理推车使用率[J].中国卫生质量管理,2017,24(5):11-13.DAI W,LIU S L,TAN Z G,et al.Application of FOCUS-PDCA to Improve the usage rate of informationalized multi-function mobile nursing cart[J].Chin Health Qual Manage,2017,24(5):11-13.
[10]言克莉,魏宁,王艳.应用FOCUS-PDCA提高癌痛患者阿片类药物按时服用率的实践[J].护理学报,2016,23(17):34-36.YAN K L,WEI N,WANG Y.Application of FOCUS-PDCA in improving opioid drug administration on time within cancer patients[J].J Nurs,2016,23(17):34-36.