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目的探讨路径式质量管理在薄弱环节护理质量持续改进中的效果。方法 2017年1月运用6项护理质量检查路径对30个临床护理单元质量进行全面普查,以指标落实率作为衡量依据,将排名后10名科室和未达标或落实率最低的3个指标作为薄弱环节,护理部每月检查一次、科系每半月检查一次,并结合日常三级巡查,促进薄弱环节的质量持续改进。结果 2017年上半年各项护理质量指标逐月上升(P<0.05),与2016年下半年护理质量对比各项护理质量指标上升(P<0.05),护理不良事件、意外事件和护理投诉事件的发生率明显下降(P<0.05)。结论路径式质量管理能够有效促进薄弱环节护理质量的持续改进。
Objective To explore the effect of path quality management in continuous improvement of nursing quality in the weakness. Methods In January 2017, a total of 30 clinical nursing units were censored by using 6 nursing quality examinations. Based on the index implementation rate, 10 departments after ranking and 3 indicators with the lowest or the lowest implementation rate were regarded as weak Link, the Department of Nursing once a month, the department checks once every half month, combined with the daily inspection of the three levels to promote continuous improvement of the quality of the weak links. Results In the first half of 2017, the indicators of quality of care increased month by month (P <0.05), and all the indicators of quality of care increased with the quality of care in the second half of 2016 (P <0.05). The incidences of adverse events, accidents and nursing complaints The incidence decreased significantly (P <0.05). Conclusion Path-based quality management can effectively promote the continuous improvement of quality of care in the weak link.