电子胎心监护警报管理质量改进实践
Alarm management for electronic fetal monitoring:a quality improvement initiative
钱湘子 1唐琴 2秦春香 3周秀1
作者信息
- 1. 中南大学湘雅三医院 产科(湖南 长沙,410013)
- 2. 中南大学湘雅三医院 产科(湖南 长沙,410013);中南大学湘雅三医院 护理部(湖南 长沙,410013)
- 3. 中南大学湘雅三医院 健康管理中心(湖南 长沙,410013)
- 折叠
摘要
目的 提高产科孕妇电子胎心监护警报管理水平,减少无效护理.方法 采取便利抽样法选取476例住院行胎心监护的孕妇,按时间段分为质量改进前组247例和质量改进后组229例;针对常规管理存在的问题,实施包括完善胎心监护管理制度、设置标准化胎心监护警报应答流程、开展胎心监护警报分层培训等改进措施;比较改进前后两组管理效果.结果 改进后电子胎心监护有效警报率、高优警报率显著提高(均P＜0.05);护士警报疲劳得分显著降低、低年资护士患者安全胜任力显著提高(均P＜0.05).结论 电子胎心监护警报管理质量改进实践达到了预期目标,使护患双方获益.
Abstract
Objective To enhance the level of alarm management for electronic fetal monitoring(EFM)in pregnant women in the ob-stetrics department and to reduce ineffective nursing care.Methods A convenience sample of 476 pregnant women who hospitalized for fetal heart rate monitoring were divided into two groups chronologically:247 cases before quality improvement(QI)and 229 af-ter QI.The QI interventions included improving the EFM management regulations,establishing a standardized response process for EFM alarm,and providing hierarchical training on EFM alarms.The management effect was compared before and after the QI in-tervention.Results There were significant increases in the effective alarm rate and high-priority alarm rate of EFM after the QI in-tervention(both P＜0.05).In addition,the alarm fatigue score of nurses significantly decreased,and patient safety competence of nurses with low seniority significantly improved(both P＜0.05).Conclusion QI practice in managing EFM alarms has achieved the expected goals,benefiting both nurses and patients.
关键词
孕妇/电子胎心监护/临床警报/警报疲劳/警报管理/质量改进/妇产科护理Key words
pregnant women/electronic fetal monitoring/clinical alarm/alarm fatigue/alarm management/quality im-provement/obstetric and gynecological nursing引用本文复制引用
出版年
2024
NETL
NSTL
万方数据