使用PDCA管理工具提高我院护理不良事件上报正确率
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摘要
目的分析使用PDCA管理工具对提高我院护理不良事件上报正确率的影响。方法回顾我院2016年1月至2016年6月护理不良事件上报数据,统计分析上报错误点,制定顶层设计、全方位培训、多层级监管的系统改进措施,比较实施PDCA管理前、后护理不良事件上报正确率。结果实施PDCA管理后的不良事件上报正确率为90.14%,明显高于实施PDCA管理前的82.37%,差异具有统计学意义(P<0.01)。结论管理者科学的使用PDCA等管理工具,并利用查检表、鱼骨图、柏拉图等工具,可以有效的提高护理不良事件上报正确率。
Objective To analysis the effect of using PDCA management tools to improve the the correct reporting rate of nursing adverse events in our hospital. Methods This paper reviewed the reporting data of nursing adverse events in our hospital from January 2016 to June 2016, made statistical analysis of reporting errors, formulated systematic improvement measures of top-level design, all-round training and multi-level supervision, and compared the reporting accuracy of nursing adverse events before and after implementation of PDCA management. Results The correct reporting rate of nursing adverse events after implementation of PDCA management was 90.14%, which was significantly higher than 82.37% before implementation of PDCA management, the difference was statistically significant(P <0.01). Conclusion The correct reporting rate of nursing adverse events can be effectively improved by using PDCA and other management tools scientifically, such as checklist, fishbone chart, Plato and other tools.
Objective To analysis the effect of using PDCA management tools to improve the the correct reporting rate of nursing adverse events in our hospital. Methods This paper reviewed the reporting data of nursing adverse events in our hospital from January 2016 to June 2016, made statistical analysis of reporting errors, formulated systematic improvement measures of top-level design, all-round training and multi-level supervision, and compared the reporting accuracy of nursing adverse events before and after implementation of PDCA management. Results The correct reporting rate of nursing adverse events after implementation of PDCA management was 90.14%, which was significantly higher than 82.37% before implementation of PDCA management, the difference was statistically significant(P <0.01). Conclusion The correct reporting rate of nursing adverse events can be effectively improved by using PDCA and other management tools scientifically, such as checklist, fishbone chart, Plato and other tools.
引文
[1]谢惠琼,王玉琼,王颖.护理不良事件管理的现状及其存在问题[J].解放军护理杂志,2015,32(5):61-73.
[2]王丹,张慧兰,罗羽.我国护理不良事件上报存在问题及管理策略[J].护理学杂志,2015,30(13):108-110.
[3]付路易,程棣群,张翠萍.新疆某肿瘤医院89例院内上报护理不良事件原因分析及防范对策[J].中国护理管理,2015,15(7):854-856.
[4]王颖,汪晖.临床护理不良事件集束化管理策略实践研究[J].护理研究,2015,29(10):3680-3682.
[5]蓝静,黎彩红.系统追踪法改善用药错误护理不良事件的效果[J].护士进修杂志,2016,31(16):1466-1468.
[6]黄平,李润平,李荣秀.护理不良事件案列网络分享平台的建立与应用[J].护士进修杂志,2016,31(5):424-426.
[7]骆金铠.护理不良事件上报信息的闭环管理[J].中国护理管理,2016,16(8):1029-1032.
[8]彭雪娟,李东林,崔妙玲.护理不良事件信息管理系统的开发与应用[J].护理研究,2015,29(9):3134-3135.
[9]MOLNAR L,BERHES M,PAPP L,et al.35th international symposium on intensive care and emergency medicine[J].Crit Care,2014,1(s1):5011-5012.
[10]RUTBERG H,BORGSTEDT-RISBERG M,GUSTAFSON P,et al.Adverse events in orthopedic care identified via the global trigger tool in sweden-implications on preventable prolonged hospitalizations[J].Patient Saf Surg,2016,10(1):23.
[11]黄琴,左学平,陈秀玲.PDCA循环在护理不良事件管理中的应用[J].中国医药科学,2011,1(14):156-157.
[12]傅桂芬,梁惠娟,莫云,等.免责直报系统结合PDCA循环模式对护理不良事件的影响[J].护士进修杂志,2015,30(1):10-12.
[2]王丹,张慧兰,罗羽.我国护理不良事件上报存在问题及管理策略[J].护理学杂志,2015,30(13):108-110.
[3]付路易,程棣群,张翠萍.新疆某肿瘤医院89例院内上报护理不良事件原因分析及防范对策[J].中国护理管理,2015,15(7):854-856.
[4]王颖,汪晖.临床护理不良事件集束化管理策略实践研究[J].护理研究,2015,29(10):3680-3682.
[5]蓝静,黎彩红.系统追踪法改善用药错误护理不良事件的效果[J].护士进修杂志,2016,31(16):1466-1468.
[6]黄平,李润平,李荣秀.护理不良事件案列网络分享平台的建立与应用[J].护士进修杂志,2016,31(5):424-426.
[7]骆金铠.护理不良事件上报信息的闭环管理[J].中国护理管理,2016,16(8):1029-1032.
[8]彭雪娟,李东林,崔妙玲.护理不良事件信息管理系统的开发与应用[J].护理研究,2015,29(9):3134-3135.
[9]MOLNAR L,BERHES M,PAPP L,et al.35th international symposium on intensive care and emergency medicine[J].Crit Care,2014,1(s1):5011-5012.
[10]RUTBERG H,BORGSTEDT-RISBERG M,GUSTAFSON P,et al.Adverse events in orthopedic care identified via the global trigger tool in sweden-implications on preventable prolonged hospitalizations[J].Patient Saf Surg,2016,10(1):23.
[11]黄琴,左学平,陈秀玲.PDCA循环在护理不良事件管理中的应用[J].中国医药科学,2011,1(14):156-157.
[12]傅桂芬,梁惠娟,莫云,等.免责直报系统结合PDCA循环模式对护理不良事件的影响[J].护士进修杂志,2015,30(1):10-12.