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根源性分析结合PDCA循环管理模式对降低护理差错事故的效果分析
Effect analysis of root cause analysis combined with PDCA cycle management mode in reducing nursing error accidents

内科 201606期 页码:849-852+864

作者机构:甘肃省妇幼保健院产科,兰州市730050

基金信息:

DOI:DOI:10.16121/j.cnki.cn45-1347/r.2016.06.10

  • 中文简介
  • 英文简介
  • 参考文献
目的探讨根源性分析(RCA)结合PDCA循环管理模式对降低护理差错事故的效果。方法选取我院护理人员60名作为研究对象,采用随机数字表法分为观察组和对照组,每组30名。对照组护理人员采用PDCA循环管理模式进行管理,观察组护理人员在对照组基础上结合采用RCA管理模式进行管理。观察比较的护理质量、患者满意度以及护理差错事故的发生情况。结果实施后两组护理质量各项评分显著高于实施前(P<0.05),观察组各项评分显著高于对照组(P<0.05);患者对观察组的护理服务包括护理操作、服务态度、用药指导、注意事项指导以及整体服务的满意度显著高于对照组(P<0.05);观察组护理差错事故发生率(6.67%)显著低于对照组(26.67%),差异有统计学意义(P<0.05)。结论RCA结合PDCA循环管理模式可有效降低护理差错事故发生率,提高护理质量和患者对护理服务的满意度。
ObjectiveTo explore the effects of root cause analysis (RCA)combined with PDCA cycle management mode in reducing nursing error accidents. MethodsA total of 60 cases of nurses in our hospital were selected as the study objects, and were divided into the observation group and control group according to the random and equal principle, with 30 cases in each group. The control group were given PDCA cycle management mode, while the observation group received RCA on the basis of the control group. Quality of nursing, patients′ satisfaction and the occurrence of nursing errors of the two groups were observed. ResultsAfter implementation, the quality of nursing scores in the two groups were significantly higher than those before implementation (P<0.05), and the scores of the observation group were significantly higher than those of the control group (P<0.05); Patients’ satisfaction (including nursing operation, service attitude, medicine guidance, note guidance and overall service satisfaction) in the observation group was significantly superior to that in the control group (P<0.05); the incidence rate of nursing errors in the observation group(6.67%) was significantly lower than that in the control group(26.67%, P<0.05). ConclusionsRCA combined with PDCA cycle management mode can effectively reduce the incidence of nursing errors, and improve the quality of nursing and patients′ satisfaction.

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