目的:探讨柏拉图分析法在气管插管非计划性拔管风险管理中的作用。方法:2011年10月-2012年10月应用柏拉图分析对UEX 相关因素进行调查分析,找出主要因素,结合科室实际情况制定切实可行的改进措施。并进行实施前后效果对比。结果:实施后非计划性拔管的发生情况低于实施前(P<0.05),患者死亡情况前后差异无统计学意义(P>0.05)。结论:采取柏拉图分析方法能针对性地找出存在的不足,减少气管插管患者非计划性拔管的发生率。%Objective:To investigate effect of the Platon analysis method in tracheal intubation of unplanned extubation risk management. Method:From October 2011 to October 2012,the main factors of UEX were investigated and analyzed by Platon analysis,and the actual formulation of feasible improvement measures were done.compared before and after the implementation effect.Result:After the implementation of UEX occurred less than before(P<0.05),before and after the death of patients had no significant difference(P>0.05).Conclusion:Platon analysis method can find out the main problems,reduce the incidence of tracheal intubation in patients with UEX.
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