风险评估结合PDCA循环管理在神经外科危重症患者安全管理中的应用
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摘要
目的分析风险评估结合PDCA循环管理在神经外科昏迷患者安全管理中的有效性、安全性及时效性。方法选取我院2017年5月至2018年3月收治的120例患者为研究对象,随机将其等分为研究组和对照组,对照组实施常规护理,研究组实施风险评估结合PDCA循环管理,比较两组患者非计划拔管、压疮、坠床、跌倒发生率。结果研究组患者非计划拔管、压疮、坠床、跌倒的总发生率为6. 00%,对照组为18. 33%,两组比较,研究组明显低于对照组,差异有统计学意义(P <0. 05)。结论对于神经外科患者,在应用压疮、导管脱出、跌倒、坠床相关风险评估表基础上实施PDCA循环护理管理,可有效避免护理不安全等事件发生,保证患者就医安全。
Objective To analyze the effectiveness,safety,and timeliness of risk assessment combined with PDCA cycle management in the safety management of neurosurgical coma patients. Methods A total of 120 patients who were admitted to our hospital from May 2017 to March 2018 were selected as the study subjects. They were divided into study group and control group with the same number of patients randomly. The control group was treated with routine nursing,while the study group was implemented by risk assessment combined with PDCA cycle management. The incidence of unplanned extubation,pressure sore,falling off the bed,and fall was compared between the two groups. Results The total incidence of unplanned extubation,pressure sore,falling off the bed,and fall in the study group was 6. 00%,and the incidence of the control group was 18. 33%. By comparing,the incidence of the study group was significantly lower than that in the control group,and the difference was statistically significant( P < 0. 05). Conclusion For patients from the neurosurgery department,the implementation of PDCA cycle nursing management based on the risk assessment form of pressure sore,catheter prolapse,fall,and falling off the bed can avoid the occurrence of unsafe nursing effectively,and ensure the safety of patients during the treatment.
Objective To analyze the effectiveness,safety,and timeliness of risk assessment combined with PDCA cycle management in the safety management of neurosurgical coma patients. Methods A total of 120 patients who were admitted to our hospital from May 2017 to March 2018 were selected as the study subjects. They were divided into study group and control group with the same number of patients randomly. The control group was treated with routine nursing,while the study group was implemented by risk assessment combined with PDCA cycle management. The incidence of unplanned extubation,pressure sore,falling off the bed,and fall was compared between the two groups. Results The total incidence of unplanned extubation,pressure sore,falling off the bed,and fall in the study group was 6. 00%,and the incidence of the control group was 18. 33%. By comparing,the incidence of the study group was significantly lower than that in the control group,and the difference was statistically significant( P < 0. 05). Conclusion For patients from the neurosurgery department,the implementation of PDCA cycle nursing management based on the risk assessment form of pressure sore,catheter prolapse,fall,and falling off the bed can avoid the occurrence of unsafe nursing effectively,and ensure the safety of patients during the treatment.
引文
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[8]轩妍,向伟,王仁媛,等.新生儿静脉留置针患儿PDCA循环在安全管理中的应用效果分析[J].中国地方病防治杂志,2016,31(5):558-560.
[2]樊宏丹,谢红梅,罗慧霞.表格式护理安全风险管理在普外科的应用研究[J].中国地方病防治杂志,2014,29(s2):297-297.
[3]谭静,谢婵英.高分子凝胶体位垫在手术患者压疮预防中的应用[J].护理实践与研究,2018,15(19):128-129.
[4]张弛,焦明丽,吴群红,等.公立医院病人安全文化影响因素量表开发及筛选研究[J].中国医院管理,2016,36(9):35-37.
[5]王文英.心血管疾病患者行拔牙术围手术期的风险评估及管理[J].中华口腔医学杂志,2016,51(7):396-400.
[6]谭莉,谭昆,熊薇,等.风险评估在医院感染管理中的应用研究[J].中华医院感染学杂志,2017,27(18):4235-4237.
[7]刘炜,周彬,蔡敏芳.基于PDCA循环的非计划再次手术管理方法设计与实现[J].中国医院管理,2016,36(8):34-36.
[8]轩妍,向伟,王仁媛,等.新生儿静脉留置针患儿PDCA循环在安全管理中的应用效果分析[J].中国地方病防治杂志,2016,31(5):558-560.