CAJ | 학술논문

目的细化输液流程,关注要素质量,规范护理行为标准,提高过程预控能力.方法依据标准,2007年9～12月共抽查护理人员215名.实施跟踪过程质量及护理行为评价后2008年9、10月共抽查护理人员436名.以静脉置管为例比较两组在查对行为、操作行为、消毒行为、沟通行为、安全行为质量的变化.结果两组的质量指标差异有显著的统计学意义(P<0.001),关键环节的行为质量有效落实,加强了过程管理的预控和风险防范,主动控制输液质量.结论护理行为质量的控制是管理方法有终末转向环节,缺陷控制突出了预防为主,主动控制输液质量,达到持续改进的效果.
목적 세화수액류정,관주요소질량,규범호리행위표준,제고과정예공능력.방법 의거표준,2007년9～12월공추사호리인원215명.실시근종과정질량급호리행위평개후2008년9、10월공추사호리인원436명.이정맥치관위례비교량조재사대행위、조작행위、소독행위、구통행위、안전행위질량적변화.결과 량조적질량지표차이유현저적통계학의의(P<0.001),관건배절적행위질량유효락실,가강료과정관리적예공화풍험방범,주동공제수액질량.결론 호리행위질량적공제시관리방법 유종말전향배절,결함공제돌출료예방위주,주동공제수액질량,체도지속개진적효과.
Objective To confine the process of venous transfusion concern about the elements of quality, standardize the nursing standards of conduct, improve the ability of process control Methods The process of venous transfusion was confined, the action targets were refined, and the quality standards were developed. Then, 215 nurses were checked randomly basing on these standards during September to December in 2007. After conducting tracking process quality and evaluation of nursing behavior, 436 nurses were checked randomly during September to October in 2008. The changes between the two groups were compared at the following aspects: checking behavior, operation behavior, disinfection acts, communication behavior and safe behavior quality. Results There was statistical significance between the two groups in quality indicators (P<0. 001 ) . The effective implementation of conduct quality of key links and active control of the quality of transfusion enhanced the pre - control process management and risk prevention. Conclusions Conduct quality control of nursing is the management methods shifting from terminal to link, and defect control stresses the value of prevention. Active control of the quality of venous transfusion, and achieving continual improvement of the effectiveness make nursing control more scientific, standardized and programmed.