CAJ | 학술논문

目的探讨PDCA循环质量管理手段对护理关键指标持续质量改进的效果.方法将2009年应用终末质量管理控制手段进行质量管理的43 581例患者作为对照组,2010年应用PDCA循环质量管理对护理质量进行改进的33 983例患者作为观察组,比较两组护理质量.结果应用PDCA循环管理手段进行护理质量持续改进,患者跌倒/坠床、给药错误、非计划性拔管、压疮、患者走失/自杀的发生率合计为0.79％,低于对照组的1.18％,两者比较差异有统计学意义(x2=30.315,P=0.000).结论 PDCA循环管理能明显提高临床护理质量.
목적 탐토PDCA순배질량관리수단대호리관건지표지속질량개진적효과.방법 장2009년응용종말질량관리공제수단진행질량관리적43 581례환자작위대조조,2010년응용PDCA순배질량관리대호리질량진행개진적33 983례환자작위관찰조,비교량조호리질량.결과 응용PDCA순배관리수단진행호리질량지속개진,환자질도/추상、급약착오、비계화성발관、압창、환자주실/자살적발생솔합계위0.79％,저우대조조적1.18％,량자비교차이유통계학의의(x2=30.315,P=0.000).결론 PDCA순배관리능명현제고림상호리질량.
Objective To investigate the effect of adopting PDCA circling management in the continuous quality improvement of nursing key indicators.Methods PDCA circling management was adopted to promote nursing quality in 2010 as observation group,while Terminal Quality Control was adopted as the control group in 2009.Some key indexes of nursing quality control were observed,such as the occurrence of patients with falling/falling down from the bed,administration mistake,non-planned extubation,bedsore,patients being lost/suicide.Results Compared with the control group,the incidence of patients with falling/falling down from the bed,administration mistake,non-planned extubation,bedsore,patients being lost/suicide,needle stab in PDCA circling management group was decreased obviously,with significant difference ( x2 =30.315,P =0.000).Conclusions PDCA circling management can significantly improve clinical nursing quality.