持续质量改进对缩短输液室患者等候时间的效果

摘要

Objective To explore the effect of the continuous quality improvement ( CQI) on shortening the patients ’ waiting time and improving the satisfaction of the waiting time in transfusion room . Methods The CQI procedure including setting up CQI groups , collecting and analysis the data , analyzing the cause, setting goals, making improvement plan and implement method , evaluating effect, summarizing and formulating the consolidation measures etc were carried out , and the patients’ waiting time and the satisfaction of the waiting time in transfusion room were compared before and after the implementation of the CQI . Results The average patients’ waiting time in transfusion room was (18 ±3) min after the implementation of the CQI, and was significantly lower than (30 ±5 ) min before CQI, and the difference was statistically significant (t=20.580, P<0.05).The satisfaction of the waiting time in transfusion room was 89% after the implementation of the CQI, and was significantly higher than 65% before CQI, and the difference was statistically significant (χ2 =9.416, P=0.024).Conclusions The nurses find out the best way to solve the problem and strengthen the team cooperation spirit through the implementation of the CQI and the utilization of team wisdom.The nurse work flow is smoothly, and the performance evaluation mechanism is reasonable , which greatly enhance the work enthusiasm and efficiency , shorten the patients ’ waiting time, and improve the patients’ satisfaction.%目的：探讨护理持续质量持续改进（CQI）对缩短输液室患者等候时间，提高患者对输液等候时间的满意度的效果。方法通过CQI程序，即组建CQI小组、收集分析资料、原因分析、设定预期目标、制定改进计划及实施方法、效果评价、总结及制定巩固措施等，比较CQI前后输液患者等候时间及满意度。结果CQI后患者平均等候输液的时间从（30±5） min下降至（18±3） min，差异有统计学意义（t＝20．580，P＜0．05）；输液等候时间的满意度从65％提高到89％，差异有统计学意义（χ2＝9．416，P＝0．024）。结论通过持续质量改进，全科护士利用团体的智慧，找出最佳解决问题的办法，增强了护士的团队协作精神。护士工作流程顺畅，绩效考核机制合理，极大地提高了工作积极性和工作效率，缩短了输液患者的等候时间，让其能在可接受等候时间内得到治疗，同时也提高了患者满意度。