目的：探讨运用品管圈对降低介入术后患者对比剂肾病发生率的效果，提高医疗质量。方法：2014年1~6月由本院8个心血管内科医护人员组成品管圈，通过现状掌握寻找到水化方案不规范为关键点，并采用特性要因图根据关键点进行原因分析，从中找到真因，并制订改进方案。按程序进行整改和效果确认。结果：通过品管圈活动使介入术后患者对比剂肾病发生率从17．89%降低到3．03%，差异具有统计学意义（P <0．05）。结论：开展品管圈活动不仅有效降低了对比剂肾病的发生率，同时还能提高团队意识，增强自信心。%Objective:To discuss effects of quality control circle on reducing contrast - induced nephropathy rate after intervention in the hope of improving quality of medical care. Methods:A quality control circle was constituted by 8 medical staffs from our vasculocardiology department from January to June in 2014. Non - standard hydration scheme discovered by grasping current situations was the key point,which became the basis of cause analysis that was con-ducted with cause - and - effect diagram. Improvement plans were formulated after identifying real causes through analysis and implemented orderly. Im-provement effects were confirmed afterwards. Results:Contrast - induced nephropathy rate of patients after intervention was reduced from 17. 89% to 3. 03%after quality control circle activities,the differences had statistical significances(P < 0. 05). Conclusion:Quality control circle activities not only reduce con-trast - induced nephropathy rate effectively,but also enhance team spirit and self - confidence in medical staffs.
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