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目的:分析追踪管理法在产科护理质量持续改进中的应用效果,为提高产科护理质量提供参考。方法:宁波大学医学院附属医院从2015年2月实施追踪管理法对产科医护质量进行持续改进,收集实施追踪管理法前后各一年产科护理质量相关指标(19项临床护理过失的发生情况)并比较。结果:实施追踪管理法前后产科护理人员构成情况、产科接诊情况、手术情况等比较无明显差异(P>0.05),产科实施追踪管理法持续改进护理质量后的临床护理过失发生率为1.25%,护患纠纷发生率0.19%,明显低于实施追踪管理法前2.58%和0.34%,实施前后比较差异显著(P<0.05)。结论:追踪管理法持续改进产科护理质量可以显著降低临床护理过失发生率,提高护理质量,取得良好的经济和社会效益,利于医院的发展。
OBJECTIVE: To analyze the effect of follow-up management in the continuous improvement of obstetrics and nursing quality and provide reference for improving the quality of obstetrics and nursing. Methods: The Affiliated Hospital of Ningbo University School of Medicine implemented the follow-up management law in February 2015 to continuously improve the quality of obstetric care and collect the relevant indicators of quality of obstetric care one year before and after the implementation of the follow-up management law (19 cases of clinical nursing negligence) Compare Results: There was no significant difference in the status of obstetric caregivers, obstetric admissions and operation conditions before and after the implementation of follow-up management (P> 0.05). The incidence of clinical nursing negligence after obstetrics implementing follow-up management improved continuously was 1.25% The incidence of nurse-patient disputes was 0.19%, which was significantly lower than 2.58% and 0.34% before the implementation of the tracking management method. The difference was significant (P <0.05) before and after the implementation. Conclusion: The follow-up management method to continuously improve the quality of obstetric care can significantly reduce the incidence of clinical nursing errors and improve the quality of care, and obtain good economic and social benefits, which will benefit the development of the hospital.