持续质量改进在静脉输液患者预防药物外渗中的应用

摘要

目的 探讨持续质量改进(continuons quality improvement,CQI)在预防患者静脉输液药物外渗的效果.方法 采用配对的方法,将748例在消化内科住院的患者分为两组,观察组422例,采用CQI护理管理方法预防患者静脉输液药物外渗；对照组326例,采用传统护理管理方法预防患者静脉输液药物外渗.比较两组患者药物外渗情况.结果 观察组患者药物外渗发生率为6.2％,对照组患者药物外渗发生率为24.9％,两组比较,P＜0.001,差异具有统计学意义.结论 CQI可有效减少患者静脉注射药物外渗发生率,确保患者用药安全,使患者治疗质量得到保障,提高护理管理质量,值得临床推广应用.%Objective To investigate the application of continuous quality improvement in prevention of drug extravasation during intravenous transfusion. Methods 748 inpatients hospitalized in the gastroenterology department were randomly divided into treatment group (n = 422) and control group (n = 326). Those in the former group were intervened with continuous quality improvement to prevent drug extravasation and those in the latter with traditional care system. The drug extravasations were observed and compared between the two groups. Results The incidence rates of drug extravasation in the treatment group and the control group were 6.2% and 24.9%, respectively. The difference was statistically significant (P < 0.001). Conclusion Continuous quality improvement may be effective in reducing the incidence of drug extravasation in hospitalized patients, ensuring the medication safety, protecting the quality of inpatient treatment, preventing risks of medical care and improving the quality of nursing supervision.