根源性分析结合质量环管理法循环对预防护理安全隐患的作用
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摘要
目的:探讨应用根源性分析(RCA)结合质量环管理法(PDCA)预防护理安全隐患的效果。方法:2012年实行PDCA循环管理法,2013年在PDCA基础上实行RCA,提出改进措施或修改流程,建立完善的预防及处理评估流程。结果:横向观察,2013年与2012年相比护理安全隐患上报例数增加,护理差错发生例数减少,且同一差错发生率降低;纵向观察,2013年较2012年护理差错有下降趋势。结论:RCA与PDCA管理法相结合,在持续护理质量改进的循环中分析确定根本原因,能够有效解决质量问题并且预防同类不良事件的发生,取得治标更治本的管理效应。
Objective: To explore the effects of root cause analysis(RCA) combined with Plan-do-check-action(PDCA) cycle in preventing the potential nursing safety hazards. Methods: With the PDCA cyclic management law executed in 2012, the RCA was performed in 2013 and the improvement measures or modification processes were put forward to establish a sound prevention system and processes of managing evaluations. Results: By transverse observation, compared with 2012, the number of the potential nursing safety hazards reported in 2013 increased, so that the number of nursing errors decreased and the incidence of the same error reduced; through longitudinal observation, the number of nursing errors in 2013 showed the tendency of declining in comparison of that in2012. Conclusion: Since the qualities of continued nursing are improved in a cycle to analyze and define the radical reasons, the combination of RCA and PDCA management can effectively improve the nursing quality and prevent the occurrence of similar adverse events to obtain the management effects of not only temporarily treating but also treating root causes.
Objective: To explore the effects of root cause analysis(RCA) combined with Plan-do-check-action(PDCA) cycle in preventing the potential nursing safety hazards. Methods: With the PDCA cyclic management law executed in 2012, the RCA was performed in 2013 and the improvement measures or modification processes were put forward to establish a sound prevention system and processes of managing evaluations. Results: By transverse observation, compared with 2012, the number of the potential nursing safety hazards reported in 2013 increased, so that the number of nursing errors decreased and the incidence of the same error reduced; through longitudinal observation, the number of nursing errors in 2013 showed the tendency of declining in comparison of that in2012. Conclusion: Since the qualities of continued nursing are improved in a cycle to analyze and define the radical reasons, the combination of RCA and PDCA management can effectively improve the nursing quality and prevent the occurrence of similar adverse events to obtain the management effects of not only temporarily treating but also treating root causes.
引文
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[2]邢文英.QC小组基础教材[M].北京:中国社会出版社,2000:36-117.
[3]张文丽.PDCA循环在护理管理中的应用[D].长春:吉林大学公共卫生学院,2008.
[4]邓志萍,肖玉芳.护理安全隐患因素分析及管理对策[J].现代临床护理,2008,7(6):55-56.
[5]汪敏益.住院患者常见护理安全隐患及预防对策[J].护理实践与研究,2009,6(14):79-80.
[6]顾瑾.PDCA管理模式在优质护理服务中的应用[J].全科护理,2012,10(10):2489-2490.
[7]俞美定.护理安全隐患的相关因素分析和管理对策[J].解放军护理杂志,2004,21(12):70-71.