持续质量改进在老年病房安全管理中的应用效果
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摘要
目的:研究在老年病房安全管理中实施持续质量改进的应用效果。方法:选择2016年在某院住院的100例老年患者作为对照组,对其护理过程中出现安全不良事件进行分析,并明确原因;选择2017年在某院住院的100例老年患者作为持续质量改进组,对该组患者实施持续质量改进的规范管理,对比两组患者的护理满意情况以及护理安全不良事件的发生情况。结果:持续质量改进组患者在病区环境与设施、患者安全教育、护理服务水平、护理安全用具以及护理安全的护理满意度方面明显高于对照组患者(P<0.05);持续质量改进组患者发生导管滑落、皮肤损伤以及跌倒事件的情况明显低于对照组患者(P<0.05)。结论:在老年病房安全管理中实施持续质量改进有较好效果,不仅提高患者护理满意度,而且降低护理安全不良事件发生率,保障老年患者的安全。
Objective: To study the application effect of continuous quality improvement in the safety management in senile ward. Methods: 100 elderly patients who were hospitalized in a hospital in 2016 were selected as the control group, and the safety adverse events occurred in the nursing process were analyzed and the reasons were clear. The 100 elderly patients who were hospitalized in a hospital in 2017 were selected as the continuous quality improvement group, and the standardized management of continuous quality improvement was implemented in the group. Compared the nursing satisfaction of the two groups and the occurrence of nursing safety adverse events. Results: Nursing satisfaction in ward environment and facilities, patient safety education, nursing service level, nursing safety appliances and nursing safety of the continuous quality improvement group was obviously higher than that of control group patients(P<0.05); The occurrence rate of catheter slip, skin injury, and fall events of patients in continuous quality improvement group were significantly lower than those in the control group(P<0.05). Conclusion: The implementation of continuous quality improvement on safety management in the elderly ward has a good effect, which not only improves patient satisfaction, but also effectively reduces nursing safety adverse events, and ensures hospitalization safety for elderly patients.
Objective: To study the application effect of continuous quality improvement in the safety management in senile ward. Methods: 100 elderly patients who were hospitalized in a hospital in 2016 were selected as the control group, and the safety adverse events occurred in the nursing process were analyzed and the reasons were clear. The 100 elderly patients who were hospitalized in a hospital in 2017 were selected as the continuous quality improvement group, and the standardized management of continuous quality improvement was implemented in the group. Compared the nursing satisfaction of the two groups and the occurrence of nursing safety adverse events. Results: Nursing satisfaction in ward environment and facilities, patient safety education, nursing service level, nursing safety appliances and nursing safety of the continuous quality improvement group was obviously higher than that of control group patients(P<0.05); The occurrence rate of catheter slip, skin injury, and fall events of patients in continuous quality improvement group were significantly lower than those in the control group(P<0.05). Conclusion: The implementation of continuous quality improvement on safety management in the elderly ward has a good effect, which not only improves patient satisfaction, but also effectively reduces nursing safety adverse events, and ensures hospitalization safety for elderly patients.
引文
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7 郑懿.我国老年护理的现状及发展趋势研究.安徽卫生职业技术学院学报,2017,16(2):22～23.
8 王玉洁,张华英.持续质量改进在神经内科病房管理中的应用.中国实用神经疾病杂志,2017,27(2):135～137.
9 李丽君,董双华.老年病房护理管理中持续质量改进策略的研究.世界最新医学信息文摘:连续型电子期刊,2015,15(93):193;196.
2 万孟超,陈燕.CQI在老年干部病房住院患者跌倒/坠床管理中的应用.实用中西医结合临床,2016,16(4):67～68.
3 余兰仙,汤娟娟,朱翔贞,等.提高老年病房护生临床沟通能力的持续质量改进实践.护理与康复,2015,14(6):579～580.
4 王燕.持续质量改进在预防老年卧床患者皮肤问题中的应用.当代护士:学术版旬刊,2016(12):127～129.
5 郑瑜.持续质量改进管理法在内科病房安全管理中的应用.中医药管理杂志,2015(2):55～56.
6 张娴.持续质量改进在社区老年病房安全管理中的应用效果.中国全科医学,2017,20(Z2):311～313.
7 郑懿.我国老年护理的现状及发展趋势研究.安徽卫生职业技术学院学报,2017,16(2):22～23.
8 王玉洁,张华英.持续质量改进在神经内科病房管理中的应用.中国实用神经疾病杂志,2017,27(2):135～137.
9 李丽君,董双华.老年病房护理管理中持续质量改进策略的研究.世界最新医学信息文摘:连续型电子期刊,2015,15(93):193;196.