专科护理小组联合PDCA循环在手术室管理中的应用
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摘要
目的探讨专科护理小组联合PDCA循环在手术室管理中的应用。方法选取2017年2—11月90例在我院接受手术治疗的患者为研究对象,2017年2—6月的45例手术治疗的患者为对照组,实行常规护理,2017年7—11月的45例手术治疗的患者为观察组,实行专科护理小组联合PDCA循环,比较两组患者的手术室护理满意度、手术环节时间、手术间管理合格、交接班规范、不良事件主动上报情况。结果观察组手术期间护理质量明显高于对照组(P<0.05);观察组手术间管理合格、交接班规范、不良事件主动上报情况均高于对照组(P<0.05);观察组病房等待时间、手术室等待时间、送患者交接时间均低于对照组,差异具有统计学意义(P<0.05)。结论专科护理小组联合PDCA循环能有效提高手术室护理质量和医护人员的积极性,增强患者的护理满意度,减少等待时间。
Objective To explore the application of specialist nursing group combined with PDCA cycle in operation room management. Methods To select a total of 90 patients who underwent surgical treatment in our hospital from February 2017 to November 2017 as the study object,among which 45 patients who received surgical treatment from February 2017 to June 2017 were selected as the control group to receive routine nursing. A total of 45 patients who underwent surgical treatment in our hospital from July 2017 to November 2017 were selected as the observation group and they were treated with specialist nursing group combined with PDCA cycle. The satisfaction of the operating room nursing,the time of the operation,the qualified management of the operation room,the specification of the shift schedule,and the active reporting of adverse events in the two groups were compared. Results The quality of nursing in the observation group was significantly higher than that in the control group during the operation period( P < 0. 05). The qualified management of operation room,the specification of the shift schedule,and active report of adverse events in the observation group were higher than that of the control group( P < 0. 05). The waiting time in the ward,waiting time at the operating room,and patient handover time of the observation group were lower than that of the control group,and the difference was statistically significant( P < 0. 05). Conclusion The combination of the specialist nursing group and the PDCA cycle can effectively improve the nursing quality in the operating room and the enthusiasm of the medical staff. In addition,it can enhance the patient's satisfaction with the nursing and reduce the waiting time.
Objective To explore the application of specialist nursing group combined with PDCA cycle in operation room management. Methods To select a total of 90 patients who underwent surgical treatment in our hospital from February 2017 to November 2017 as the study object,among which 45 patients who received surgical treatment from February 2017 to June 2017 were selected as the control group to receive routine nursing. A total of 45 patients who underwent surgical treatment in our hospital from July 2017 to November 2017 were selected as the observation group and they were treated with specialist nursing group combined with PDCA cycle. The satisfaction of the operating room nursing,the time of the operation,the qualified management of the operation room,the specification of the shift schedule,and the active reporting of adverse events in the two groups were compared. Results The quality of nursing in the observation group was significantly higher than that in the control group during the operation period( P < 0. 05). The qualified management of operation room,the specification of the shift schedule,and active report of adverse events in the observation group were higher than that of the control group( P < 0. 05). The waiting time in the ward,waiting time at the operating room,and patient handover time of the observation group were lower than that of the control group,and the difference was statistically significant( P < 0. 05). Conclusion The combination of the specialist nursing group and the PDCA cycle can effectively improve the nursing quality in the operating room and the enthusiasm of the medical staff. In addition,it can enhance the patient's satisfaction with the nursing and reduce the waiting time.
引文
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[2]关柏秋,曹晓艳,董淑琴,等.手术室细节护理在确保手术室护理安全中的应用效果研究[J].实用临床医药杂志,2014,18(12):57-60.
[3]王娟.循证护理对手术室患者手术认知及术中不良反应的影响[J].实用临床医药杂志,2015,19(16):89-91.
[4]Lange VR.Eyewear contamination levels in the operating room:Infection risk[J].Am J Infection Control,2014,42(4):446-447.
[5]Evans AS,Yee MS,Hogue CW,et al.Often overlooked problems with handoffs:from the I ntensive care unit to the operating room[J].Anesth Analg,2014,118(3):687-689.
[6]Kodali BS,Kim D,Bleday R,et al.Successful strategies for the reduction of operating room turnover times in a tertiary care academic medical center[J].J Surg Res,2014,187(2):403-411.
[7]Fitzgerald RK,Yu JC,Rajasekaran S,et al.Cost and safety of pediatric intensive care physician-placed broviac catheters[J].Pediatr crit care med,2014,15(1):71-76.
[8]庞静,赵叶,韩琦.能级原则在手术室护理质量管理中的应用[J].医学信息,2015(33):236-237.
[9]齐永华.探究手术室护士长管理中存在的问题及对策[J].中国药物与临床,2017,17(6):926-927.
[10]张东红,吴芙,周如聪,等.优质服务干预在预防手术室患者感染的效果研究[J].中华医院感染学杂志,2014,24(4):1020-1021.