CAJ | 학술논문

目的：探讨品质管理活动对急危重患者院内转运安全的影响，确保患者转运安全。方法2013年3—10月成立品质管理活动小组，设计危重患者转运、交接查检表，全程跟踪院内急危重患者转运交接流程，针对转运、交接过程中进行评分并将存在的问题及安全隐患进行汇总分析总结，确定并落实7项改进措施。结果研究组转运前合格者78例（91．76％），转运中合格者77例（90．59％），交接合格者75例（88．23％），护理文件记录合格者84例（98．82％），总分合格者84例（98．82％），均优于对照组，差异有统计学意义（χ2值分别为4．85，5．80，6．12，4．49，4．84；P＜0．05）。结论品质管理活动实施活动后，均达到安全转运的目的，确保了患者的转运安全，提高了工作效率，减少了医疗纠纷，降低了转运风险，保障了患者的生命安全。
목적：탐토품질관리활동대급위중환자원내전운안전적영향，학보환자전운안전。방법2013년3—10월성립품질관리활동소조，설계위중환자전운、교접사검표，전정근종원내급위중환자전운교접류정，침대전운、교접과정중진행평분병장존재적문제급안전은환진행회총분석총결，학정병락실7항개진조시。결과연구조전운전합격자78례（91．76％），전운중합격자77례（90．59％），교접합격자75례（88．23％），호리문건기록합격자84례（98．82％），총분합격자84례（98．82％），균우우대조조，차이유통계학의의（χ2치분별위4．85，5．80，6．12，4．49，4．84；P＜0．05）。결론품질관리활동실시활동후，균체도안전전운적목적，학보료환자적전운안전，제고료공작효솔，감소료의료규분，강저료전운풍험，보장료환자적생명안전。
Objective To explore the effect of quality management activities on transferring security of emergency patients, in order to make sure the safety of patients′transfer.Methods We founded the group carrying out the quality management activities from March to October 2013.Checking the scheme for emergency patients transferring, tracking of emergency patients transferring, summarized the problems during emergency patients transferring and implemented seven reforming measures, we improved 7 aspects.Results In the study group, 78 patients (91.76%) were qualified before transfer, and 77 patients (90.59%) were qualified during transfer;75 patients ( 88.23%) were qualified at the hand-over section and 84 patients ( 98.82%) were qualified in the nursing documents;84 patients in the study group (98.82%) were qualified in the total score. There were significant differences between the study group and the control group (χ2 =4.85,5.80,6.12,4.49, 4.84, respectively;P <0.05 ) .Conclusions After the quality management activities, the purpose of safe transferring was achieved, which make sure the patients′transferring security, improve the working efficiency, reduce the chance of medical misunderstanding, decrease the danger of transferring and assure patients life safety.