品管圈活动在降低神经外科输液卡漏签名率中的作用.docx

2015年8月JOURNALOFNORTHSICHUANMEDICALCOLLEGEAug．2015561doi:10．3969/j．issn．1005-3697．2015．04.37■护理■品管圈活动在降低神经外科输液卡漏签名率中的作用姚惠,曾丽,罗春红,杜陈英,吴梦荣,王素青(绵阳市第三人民医院神经外科,四川绵阳621000)【摘要】目的:探讨品管圈活动在降低神经外科输液卡漏签名率中的作用,确保医疗安全,提高工作效率。方法:依照品管圈十大步骤:主题选定、活动计划拟定、现状把握、目标设定、解析、对策拟定、对策实施与检讨、效果确认、标准化、检讨及改进。以降低和杜绝输液卡漏签名的发生,确保医疗质量的安全。结果:①有形成果:输液卡漏签名率由对策实施前的2．86%降至0.30%,差异有统计学意义。②无形成果:和谐程度、积极性、责任感、沟通配合、愉悦感、凝聚力、解决问题的能力、品管圈手法8个方面得到显著提高。结论:开展品管圈活动,不仅降低了输液卡漏签名率,保证了医疗质量的安全,同时还提高了圈员的质量管理意识和团队精神。【关键词】品管圈;质量管理;输液卡漏签名【文章编号】1005-3697(2015)04-0561-04【中图分类号】R197.3【文献标志码】ATheroleofqualitycontrolcircleinreducinginfusioncardmissingsigna-tureinneurosurgerydepartmentYAOHui,ZENGLi,LUOChun-hong,DUChen-ying,WUMeng-rong,WANGSu-qing(DepartmentofNeurosurgery,TheThirdHospitalofMianyang,Mianyang621000,Sichuan,China)【Abstract】Objective:Toinvestigateroleofthequalitycontrolcircles(QCC)inreducingrateofmissingsignatureontheinfu-sioncardinofneurosurgerydepartment,whichaimedtoensuremedicalsafeandimproveworkingefficiency.Methods:ThestudywascarriedouttotestwhetherconductaQCCprogramwhichhastensteps(selectedsubject,activityplanning,situationcomprehension,goalsetting,analysis,strategyformulation,strategyimplementationandreview,resultsconfirmation,standardization,reviewandimprovement)couldhelptoreducetherateofforgettingwritesignatureoninfusioncardinordertoensureahighmedicalquality.Results:(1)Tangi-bleresults:therateofinfusioncardmissingsignaturewassignificantlydecreasedfrom2.87%beforeQCCimplementto0.31%.(2)Intangibleresults:eightQCCtechniqueswhichincludedharmoniousdegree,enthusiasm,senseofresponsibility,communicationandco-ordination,senseofpleasure,cohesion,theabilitytosolveproblemsweresignificantlyimproved.Conclusion:TheimplementationofQCCdidhelptoreducetherateofinfusioncardmissingsignaturerate,ensuremedicalqualitysafety,andthesenseofqualitycontrolandteamspiritwereimprovedaswell.【Keywords】Qualitycontrolcircle;Qualitycontrol;Missingsignatureoninfusioncard品管圈即品质管理圈,是指在工作岗位上为了解决问题,自发结成一个小团体,然后分工合作,应 用品管工具进行分析,解决工作场所的关键性问题以达到业绩改善的目标[1]。本