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目的探讨品管圈应用于急诊创伤患者护理病案质量管理的效果。方法成立科室品管圈活动小组,以提高急诊创伤患者护理病案质量为主题,分析影响急诊创伤患者护理病案书写质量的因素,制定并实施整改措施,以持续改进护理病案质量。结果实施品管圈活动以后,急诊创伤患者护理病案质量明显改善,甲级护理病案高于实施前(P<0.05),乙级护理病案和丙级护理病案均低于实施前(P<0.05);护士对护理病案质控的满意度由89.90%提高到97.33%(P<0.05)。结论品管圈活动明显提高了创伤患者的护理病案质量及护士满意度,值得临床推广应用。
Objective To investigate the effect of quality control ring on the quality management of medical records in emergency trauma patients. Methods A group of quality control circle activities was set up to improve the quality of nursing record in patients with emergency trauma. The factors influencing the writing quality of nursing record in emergency trauma patients were analyzed and corrective measures were formulated and implemented so as to continuously improve the quality of nursing record. Results The quality of nursing records of acute trauma patients was significantly improved after the quality control circle was administered. The grade A nursing cases were higher than those before the implementation (P <0.05), and the cases of Grade B and C were lower than those before the implementation (P <0.05) The satisfaction of nurses to quality control of nursing record increased from 89.90% to 97.33% (P <0.05). Conclusions QA activities significantly improve the quality of nursing records and nurses’ satisfaction in trauma patients, which is worthy of clinical promotion and application.