目的 探讨APP智能质量管理系统在手术室管理中的应用效果.方法2017年1月—6月(实施前)对手术室实施常规护理质量考评,2017年7月—12月(实施后)采用APP智能质量管理系统对手术室进行质量考评.比较实施前后手术室护理质量评分、不良事件发生率及患者对护理服务的满意率.结果 实施后,手术室护士在基础护理、专科护理、护理记录、危重病患救治、急救药品及器械管理、环境及安全管理等方面的护理质量评分均高于实施前(P＜0.01).实施后,手术器械数量不对、物品配备不齐全、急救药箱药品不全、药物外漏、药物器械摆放不规范、药品/仪器标识不清等不良事件发生率均明显低于实施前(P＜0.01).实施前后患者满意率分别为87.50％(105/120)和98.33％(118/120),2组比较差异有统计学意义(χ2=10.699,P=0.011).结论 APP智能质量管理系统能有效提高手术室护理服务质量,减少手术室不良事件.%Objective To explore the application effect of APP intelligent quality management system in the management of operating room. Methods In operating room, routine nursing management was used from January to June 2017 (before implementation), while APP intelligent quality management system was applied from July to December 2017 (after implementation). The nursing quality scores, adverse events, and the satisfactory degree of patients to nursing services were all compared before and after implementation. Results In terms of basic care, specialist care, nursing records, critical patient care, emergency drugs and device management, environmental and safety management, the nursing quality scores of nurses in operating room after implementation were higher than those before implementation (P ＜ 0. 01). The incidence of adverse events including incorrect number of surgical instruments, incomplete equipments, incomplete firstaid kits, leakage of drugs, non-standard placement of drug devices, and unclear drug /instrument identification after implementation was obviously lower than that before implementation (P ＜ 0. 05). The satisfactory degrees of patients to nursing services were 87. 50％ (105 /120) before implementation and 98. 33％ (118 /120) after implementation, and there was statistical significance (χ2 = 10. 699, P = 0. 011). Conclusion APP intelligent quality management system can effectively improve the quality of operating room nursing service, reduce the occurrence of adverse events and improve the patients' satisfactory degree.
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