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品管圈在提高VTE中高风险患者预防措施落实率中的应用效果

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目的 探讨品管圈(QCC)在提高静脉血栓栓塞(VTE)中高风险患者预防措施落实率中的应用效果.方法 选取我院2021年5月至6月收治的108例神经外科VTE中高风险患者为实施前组,另选取我院2021年12月至2022年1 月收治的 108 例神经外科VTE中高风险患者为实施后组.2021 年 7 月成立QCC小组并确定活动主题后,通过QCC步骤开展活动,对引起患者VTE预防措施落实率低的现象进行现状调查和原因分析,并确定改善重点,设定目标值,拟定对策并实施.分析QCC活动的实施效果.结果 QCC活动实施后的预防措施落实率为85.2%,显著高于实施前的40.5%,差异具有统计学意义(P<0.01);目标达成率为108.0%,进步率为110.4%.QCC活动实施后,患者的平均住院时间显著短于实施前,平均住院费用显著少于实施前,差异具有统计学意义(P<0.01).QCC活动实施后,圈员综合能力均有一定程度的提升.结论 实施QCC活动能够显著提高VTE中高风险患者的预防措施落实率,对住院患者VTE预防具有十分重要的意义,还可以提高医护人员参与临床质量管理的能动性,促进神经外科VTE防治工作的持续改进,值得在临床当中推广与应用.
Application effect of quality control circle in improving the implementation rate of preventive measures in moderate and high risk patients with VTE
Objective To explore the application effect of quality control circle(QCC)in improving the implementation rate of preventive measures in moderate and high risk patients with venous thromboembolism(VTE).Methods A total of 108 patients with moderate and high risk of VTE in neurosurgery department admitted in our hospital from May to June 2021 were selected as pre-implementation group,and 108 patients with moderate and high risk of VTE in neurosurgery department admitted in our hospital from December 2021 to January 2022 were selected as post-implementation group.After the QCC group was established in July 2021 and the theme of the activity was determined,the activity was carried out through the QCC steps to investigate the current situation and analyze the causes of the low implementation rate of VTE preventive measures in patients,and to determine the improvement focus,set the target value,formulate countermeasures and implement them.The implementation effect of QCC activity was analyzed.Results The implementation rate of preventive measures after the implementation of QCC activity was 85.2%,which was significantly higher than 40.5%before the implementation,and the difference was statistically significant(P<0.01);the target achievement rate was 108.0%,and the progress rate was 110.4%.After the implementation of QCC activity,the average hospitalization time of patients was significantly shorter than that before the implementation,the average hospitalization cost was significantly less than that before the implementation,and the differences were statistically significant(P<0.01).After the implementation of QCC activity,the comprehensive ability of circle members improved to a certain extent.Conclusion The implementation of QCC activity can significantly improve the implementation rate of preventive measures for moderate and high risk patients with VTE,which is of great significance for the prevention of VTE in hospitalized patients.It can also improve the initiative of medical staff to participate in clinical quality management and promote the continuous improvement of VTE prevention and treatment in neurosurgery department,which is worthy of promtion and application in chinical practice.

quality control circlevenous thromboembolismmoderate and high riskpreventive measureclinical quality management

王婷、刘维、任飞霞、罗盈、赵世巧、刘倩

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西安大兴医院神经外科,陕西 西安,710061

品管圈 静脉血栓栓塞 中高风险 预防措施 临床质量管理

陕西省科技计划(2022)

2022SF-589

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(18)