CAJ | 학술논문

目的探讨持续质量改进在预防普外科意外拨管中的应用效果。方法成立持续质量改进（CQI）活动小组，围绕普外科意外拨管问题进行讨论，整个活动运用持续质量改进方法，收集资料，评估改进前意外拨管现状，并进行原因分析，制定预期目标，采取相应预防意外拨管改进方案，对实施改进措施前后的防意外拨管情况进行统计学分析。结果应用 CQI 后的意外拨管发生率比改进前显著下降(P＜0.01)。结论应用持续质量改进预防意外拨管，可明显降低普外科意外拨管的发生。
목적탐토지속질량개진재예방보외과의외발관중적응용효과。방법성립지속질량개진（CQI）활동소조，위요보외과의외발관문제진행토론，정개활동운용지속질량개진방법，수집자료，평고개진전의외발관현상，병진행원인분석，제정예기목표，채취상응예방의외발관개진방안，대실시개진조시전후적방의외발관정황진행통계학분석。결과응용 CQI 후적의외발관발생솔비개진전현저하강(P＜0.01)。결론응용지속질량개진예방의외발관，가명현강저보외과의외발관적발생。
Objective The study was designed to investigate the application effect of Continuous Quality Improvement (CQI) in preventing unplanned extubation (UEX) in general surgery department. Methods CQI management group was established to discuss the issues of UEX in general surgery with the application of CQI methods in the whole process, including information collection, assessing UEX situation before and after improvement, cause analysis, targets making and preventing UEX by corresponding improvement measures, statistical analysis for UEX before and after the implementation of measures. Result The incidence of UEX fell significantly after application of CQI (P<0.01). Conclusion The application of CQI can significantly reduce the occurrence of UEX in General Surgery Department.