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目的:探讨在院前急救过程中提高静脉留置针的使用成功率的具体措施和效果分析。方法:通过科室自行设计的调查表,统计我院院前急救过程中病人静脉留置针的使用情况和穿刺成功率,应用QCC手法,分析原因,采取相应的对策予以改善。结果:改善后院前急救中病人使用静脉留置针穿刺成功率为92.26%,显著高于实施前(穿刺成功率80.8%)。结论:提高院前急救过程中静脉留置针的使用成功率,能够达到迅速给药、便于病人途中转运,避免了液体外渗,减少了漏针率、反复穿刺带来的痛苦、护士的工作量,降低了医疗成本及护士发生针刺伤的职业风险;提高了抢救成功率、患者肢体舒适度、提升了患者及病房护士的满意度。
Objective: To explore the specific measures and effects of raising the success rate of intravenous catheter in pre-hospital emergency treatment. Methods: According to the questionnaire designed by the department, statistics of the usage and puncturing success rate of venous indwelling needle in our hospital during first aid were given. The QCC method was used to analyze the reasons and take appropriate countermeasures to improve it. Results: The successful rate of using venous catheter for puncture was 92.26%, which was significantly higher than that before implementation (the puncture success rate was 80.8%). Conclusion: The success rate of using intravenous indwelling needle during pre-hospital emergency treatment can be rapidly administered, which is convenient for patient transit, avoids liquid extravasation, reduces the rate of needle leakage, pains caused by repeated punctures, workload of nurses , Reducing the medical costs and nurses occupational risks of acupuncture; improve the success rate of rescue, patient comfort, enhance the satisfaction of patients and ward nurses.