PDCA结合思维导图在护理不良事件管理中的应用
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摘要
目的探讨PDCA结合思维导图在护理不良事件管理中的应用效果。方法选取我院2016年12月入职的护理人员为研究对象,采用PDCA结合思维导图对其进行为期1年的培训及质控干预,在培训前后分别通过问卷调查护理人员的不良事件上报认知、报告意愿及报告习惯。统计比较2016年12月—2017年12月我院不良事件发生率及上报率。结果干预后护理人员对不良事件上报认知水平及上报意愿均高于干预前(P <0.05),上报习惯改善(P <0.05),且护理不良事件上报率提升(P <0.05)。结论 PDCA结合思维导图在护理不良事件管理中有助于提高护理人员认知水平及上报意愿,改善上报习惯,降低不良事件发生率并提高上报率。
Objective To explore the application effect of PDCA combined with mind map in nursing adverse events management. Methods The nursing staff who were enrolled in our hospital in December 2016 were selected as the research subjects. The PDCA combined with the mind map was used for one-year training and quality control intervention. The questionnaires were used to investigate the adverse events of the nursing staff before and after the training. Report willingness and reporting habits. Statistically compare the incidence and reporting rate of adverse events in our hospital from December 2016 to December 2017. Results After intervention, the level of cognition and willingness to report adverse events of nurses were significantly higher than those before intervention(P < 0.05), reporting habits were significantly improved(P < 0.05), and the reporting rate of nursing adverse events was significantly increased(P < 0.05). Conclusion PDCA combined with mind mapping can help nurses to improve their cognitive level and willingness to report adverse events, improve their reporting habits, reduce the incidence of adverse events and improve the reporting rate.
Objective To explore the application effect of PDCA combined with mind map in nursing adverse events management. Methods The nursing staff who were enrolled in our hospital in December 2016 were selected as the research subjects. The PDCA combined with the mind map was used for one-year training and quality control intervention. The questionnaires were used to investigate the adverse events of the nursing staff before and after the training. Report willingness and reporting habits. Statistically compare the incidence and reporting rate of adverse events in our hospital from December 2016 to December 2017. Results After intervention, the level of cognition and willingness to report adverse events of nurses were significantly higher than those before intervention(P < 0.05), reporting habits were significantly improved(P < 0.05), and the reporting rate of nursing adverse events was significantly increased(P < 0.05). Conclusion PDCA combined with mind mapping can help nurses to improve their cognitive level and willingness to report adverse events, improve their reporting habits, reduce the incidence of adverse events and improve the reporting rate.
引文
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[13]梁雪茵,魏理,罗红英.应用PDCA循环实现我院高危药品安全管理可行性分析[J].中国医药导报,2014,11(13):141-143.
[2]黄云,熊明慧. 62例上报护理不良事件的分析及对策[J].实用中西医结合临床,2014,14(5):87-88.
[3]林家谊. 69起护理不良事件的原因分析与对策[J].吉林医学,2014,35(1):196-197.
[4]孙美娟,王素琴,田祝华. 86例护理不良事件分析与防范对策[J].吉林医学,2014,35(14):3125-3126.
[5]韩素琴,陈秋弟,陈晓红. ICU40例护理不良事件分析与对策[J].全科护理,2014,12(9):827-828.
[6]刘春霞.某二甲医院儿科护理不良事件分析与对策探讨[J].中医药管理杂志,2014,24(5):817-818.
[7]冯成梅,林玉筠.护理不良事件的原因分析与对策研究[J].护士进修杂志,2014,29(12):1089-1091.
[8]王丹,张慧兰,罗羽.我国护理不良事件上报存在的问题及管理策略[J].护理学杂志,2015,30(13):108-110.
[9]雷渊秀. PDCA循环管理模式对妇科不良事件的影响[J].护理实践与研究,2014,11(7):119-120.
[10]张萍. PDCA循环管理模式对妇科手术患者术后并发症和护理满意度的影响[J].齐齐哈尔医学院学报,2014,35(2):298-300.
[11]田欢欢.北京市护士护理不良事件报告意向现状及其影响因素的研究[D].北京:协和医科大学,2011:63-64.
[12]魏容容,丁四清,谢建飞,等.安全文化培训提高临床护理人员相关认知水平的效果[J].解放军护理杂志,2013,30(21):29-31,40.
[13]梁雪茵,魏理,罗红英.应用PDCA循环实现我院高危药品安全管理可行性分析[J].中国医药导报,2014,11(13):141-143.