品管圈在规范临床医师换药操作中的应用研究

万艳春1　黄建军2　李淑艳3　陈家应4

您当前的位置：

首页 >

文章列表页 >

品管圈在规范临床医师换药操作中的应用研究

请选择... | 更新时间：2024-09-19

- 品管圈在规范临床医师换药操作中的应用研究
- Application of quality control circle in standardizing dressing change among clinical physicians
- 中华医学教育探索杂志 2020年19卷第1期页码：96-101
- 作者机构：
  
  1. 江苏省淮安市第一人民医院分院感管科
  2. 江苏省淮安市第一人民医院分院普外科
  3. 江苏省淮安市第一人民医院感管处
  4. 南京医科大学医政学院
- 作者简介：
- 基金信息：
- DOI：
  中图分类号：
- 纸质出版日期：2020，
- 稿件说明：
移动端阅览
万艳春1　黄建军2　李淑艳3　陈家应4. 品管圈在规范临床医师换药操作中的应用研究[J]. 中华医学教育探索杂志, 2020,19(1):96-101.

Application of quality control circle in standardizing dressing change among clinical physicians[J]. 2020,19(1):96-101.
万艳春1　黄建军2　李淑艳3　陈家应4. 品管圈在规范临床医师换药操作中的应用研究[J]. 中华医学教育探索杂志, 2020,19(1):96-101. DOI：

Application of quality control circle in standardizing dressing change among clinical physicians[J]. 2020,19(1):96-101. DOI：

摘要

目的　调查某医院临床医师外科换药操作规范执行情况及影响其规范执行的相关因素，并制定相应对策，提升临床医师换药操作规范化。方法　2016年2至9月综合运用品管圈管理方法，通过主题选定、计划拟定、现况把握、目标设定、原因解析、对策拟定、对策实施、效果确认、标准化等步骤，实施品管圈活动，按照PDCA循环进行持续质量改进，比较评价活动效果。本研究应用自身对照研究，通过成立品管圈活动小组“携手圈”，运用品质管理工具，使用自拟的“换药操作实践技能考核表”和“换药操作不规范原因调查表”，对77名临床医师进行问卷调查和观察，比较品管圈活动干预前后提高临床医师换药操作规范合格率的情况。采用SPSS 20.0进行t检验和?字2检验。结果　品管圈活动干预后

临床医师换药操作规范相关质量指标均明显升高。活动前均分（80.45±9.42），活动后均分（90.06±3.43）（P＜0.01）。临床医师换药操作规范合格率由活动前的57.14%提升至活动后的98.70%（P＜0.01），达到了设定的90.98%目标值。操作关键项目中的衣着规范率、手卫生措施执行率、消毒隔离措施合格率、无菌操作合格率、物品处理合格率与品管圈活动实施前相比，差异均具有统计学意义。品管圈活动后医师各项能力也均有不同程度提升。结论　通过开展品管圈活动进行持续质量改进，能取得良好效果。品管圈质量管理方法可以有效地解决感染管理工作中的问题，是感染管理工作规范化、标准化、科学化的有效工具

Abstract

Objective　To investigate the implementation of surgical dressing change standard and related factors influencing the implementation in a hospital

and to formulate the corresponding countermeasure for improving the dressing change standardization of clinicians. Methods　From February to September

2018

the quality control circle (QCC) was comprehensively exerted and QCC activities were implemented through selecting topic

making plans

controlling current status

setting goals

analyzing causes

proposing and practicing countermeasures

confirming effects and standardizing the process. The quality was continuously improved on the basis of the PDCA cycle and effects were evaluated. In this study

self-control study was used; QCC activity team of hand-in-hand circle was set up; quality management tools were used; self-designed assessment table of dressing change skills and questionnaire for nonstandard reasons of dressing change were used to conduct the questionnaire survey and observation for 77 clinicians

and improvement of standard rate before and after the QCC intervention was compared. SPSS 20.0 was used to perform the t-test and χ2 test. Results　After QCC activity

relative quality indexes of dressing change were significantly increased. The pre-activity average score was (80.45±9.42) and the post-activity average score was (90.06±3.43) (P<0.01). The standard rate of dressing change of the clinical physician was increased from pre-activity 57.14% to post-activity 98.70% (P<0.01)

which reached the target value of 90.98%. After QCC activity

dress standard rate

enforced rate of hand hygiene measures

qualification rates of disinfection isolation measures

aseptic operation and disposed items were improved significantly. In addition

the ability of circle members also improved differently. Conclusion　QCC activities can continuously improve the quality

obtaining good results. Quality management of QCC can effectively solve problems in infection management

which is an effective tool in the standardization

normalization and scientization of infection management.

关键词

品管圈　临床医师　换药操作　规范率

Keywords

Quality control circle　Clinicians　Dressing change　Standard rate

references

浏览量

625

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

从学科建设角度思考中青年医师学术素养和特色的培养

品管圈在医院感染管理中的应用