目的：：探讨运用品管圈管理工具在降低妇科术后患者非计划性拔管发生率中的作用。方法：在妇科病区成立品管圈活动小组，回顾分析2013年1~4月妇科住院病区腹腔镜及宫腔镜术后放置Ⅰ、Ⅱ类导管患者发生非计划性拔管的状况，通过现状调查与原因分析找出引起非计划性拔管的主要原因，制定相应的防范措施，并组织实施，将改进前、后非计划拔管发生率进行比较。结果：妇科术后患者非计划性拔管发生率由品管圈活动前的1.52%降低至活动后的0.41%，两者比较差异有统计学意义(P<0.05)。结论：通过运用品管圈质量改进工具，有效降低了妇科术后患者非计划性拔管发生率，提高了患者安全管理质量，增强了护理人员的品质意识和参与质量管理的能力，提高了质量改进效率和效果。%Objective:To explore the application effect of the quality control circle management tools in reducing the non-planned extubation rate of gyne-cology postoperative patients. Methods:Built the quality control circle activity team in the gynecology inpatient area. Made retrospective analysis of the non-planned extubation conditions of the patients with type I and type II inserted catheters after the laparoscope operation and hysteroscope operation in the gyne-cology inpatient area from January to April 2013. Through the status investigation and causes analysis,observed the primary causes of the non-planned ex-tubation, then made corresponding precautionary measures and made the organization for implementation. Compared the non-planned extubation occur-rence rate before and after the modification. Results:After the implementation of activity, the non-planned extubation occurrence rate of gynecology postop-erative patients dropped from 1. 52%,which marked before the quality control circle activity, to 0. 41%. The difference had statistic significance ( P<0. 05). Conclusion:The application of quality control circle quality-modification tools effectively reduce the non-planned extubation rate of gynecology postoperative patients, improve the safety management quality of patients, strengthen the quality awareness and ability to participate the quality management of the nursing personnel, thus enhancing the quality modification efficiency and effect.
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