品管圈活动在降低胸外科中高危导管非计划性拔管中的应用

摘要

Objective To investigate the effects of Quality Control Circle ( QCC ) in decreasing unplanned extubation incidence among thoracic surgery patients with medium -high risk catheter .Methods QCC team was set up to organize specific theme , analyze problems and reasons , formulate rectification measures , and asses relative outcomes afterwards .Results After implemented QCC activity , the incidence of unplanned extubation was reduced significantly from 11.5% to 3.8%(P<0.05) .Conclusions QCC can effectively decrease unplanned extubation incidence among thoracic surgery patients with medium -high risk catheter by analyzing relative factors .It has the advantages of improving nurses'responsibility and nursing quality and the consciousness of safety .%目的：探讨品管圈活动对降低胸外病房中高危导管非计划性拔管中的应用。方法通过成立品管圈活动小组，确定品管圈主题、制定品管圈活动计划，对导致中高危导管非计划性拔管的因素进行分析，制定整改措施，并对品管圈活动实施前后的相关指标评价。结果实施品管圈活动前后中高危导管非计划性拔管率由11．5％下降至3．8％，差异具统计学意义（P＜0．05）。结论品管圈活动对于降低中高危导管非计划性拔管率效果显著，合理的圈内讨论研究中高危导管非计划性拔管因素，可以提高护理人员的责任感以及安全意识，确保患者安全，改善护理品质。