首页|敏感指标在住院患者输液质量安全管理中的效果

敏感指标在住院患者输液质量安全管理中的效果

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目的:探讨敏感指标在住院患者输液质量安全管理中的应用效果.方法:科室设定敏感指标"输液安全抽查规范率",进行数据收集分析,应用PDCA循环法,比较敏感指标,对管理前后输液安全规范率进行抽查;比较护士静脉治疗核查、装置固定、冲封管、观察处置记录的情况;最终比较前后患者发生静脉炎、药物外渗、医用粘胶皮肤损伤、导管堵塞和导管滑脱的变化.结果:进行敏感指标管理后,观察组输液安全抽查规范率高于对照组(P<0.05),静脉治疗核查、装置固定、冲封管、观察处置记录的不规范率低于对照组(P<0.05);观察组患者发生静脉炎、药物外渗、医用粘胶皮肤损伤、导管堵塞和导管滑脱例数少于对照组(P<0.05),差异均有统计学意义.结论:敏感指标"输液安全抽查规范率"旨在找出静脉治疗安全中的隐患和不足,进行原因分析和整改,能有效保证静脉治疗安全性,提高护理质量.
Effect analysis of sensitive indexes in infusion quality and safety management of inpatients
Objective:To explore the application effect of sensitive indexes in transfusion quality and safety management of inpatients.Methods:Sensitive index,"the standard rate of transfusion safety sampling"was set in the department,and data collection and analysis were carried out from January to December 2021.PDCA cycle method was used to compare the sensitive index before and after the management of the standard rate of transfusion safety sampling,nurses'venous treatment verification,device fixation,tube flushing,and records of observation and disposal.Finally,the differences in phlebitis,drug exosmosis,medical adhesive skin injury,catheter blockage,and catheter slip were compared.Results:After the management of sensitive indicators,the standard rate of transfusion safety sampling in the observation group was higher than that in the control group(P<0.05),and the non-standard rate of nurses'venous treatment verification,device fixation,tube flushing,observation and disposal records was lower than that in the control group(P<0.05).The cases of phlebitis,drug extravasation,medical adhesive skin injury,catheter blockage,and catheter slippage in the observation group were less than those in the control group(P<0.05),and the differences were statistically significant.Conclusion:The sensitive index"the standard rate of transfusion safety sampling"aims to discover the hidden dangers and deficiencies in the safety of intravenous therapy,analyze the causes and rectify them,which can effectively ensure the safety of intravenous therapy and improve the quality of nursing.

sensitive indexquality of caretransfusion safety

凤春燕、周艳、江萍、李晓英

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上海市浦东新区人民医院,上海 201200

敏感指标 护理质量 输液安全

2024

河南大学学报(医学版)
河南大学

河南大学学报(医学版)

影响因子:0.494
ISSN:1672-7606
年,卷(期):2024.43(1)
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