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根因分析法3C护理对消毒供应中心护理质控成效的影响

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目的 探讨消毒供应中心在开展护理管理过程中运用根因分析法 3C护理模式对降低护理缺陷事件发生率以及质控成效的影响。方法 福建省立医院消毒供应中心 2022 年 6月 1 日开始运用根因分析法进行 3C护理,分析实施前后各1 年(2021 年 6 月—2023 年 6 月)消毒供应中心护理管理工作质量。结果 评估实施前后各护理管理质量,实施后环境管理(93。01±3。11)分、安全管理(94。15±1。86)分、物品管理(92。11±1。86)分、检查管理(93。46±1。58)分,均明显高于管理前的(82。14±2。34)分、(81。45±1。86)分、(83。45±1。45)分、(80。05±2。34)分(P<0。05)。随机抽选两观察时间段患者 500 例,实施后护理缺陷事件发生率为 0。20%,低于实施前的 5。00%(P<0。05)。实施后院内感染率为 1。00%,低于实施前的 9。40%(P<0。05)。实施后对消毒供应中心护理工作满意度为 98。00%,高于实施前的 92。00%(P<0。05)。结论 消毒供应中心在开展日常护理管理过程中将根因分析法 3C护理进行运用,可以降低护理缺陷事件发生率,提升质量控制效果,对于提升消毒供应中心护理工作质量有重要作用。
The Influence of Root Cause Analysis Method 3C Nursing on the Effectiveness of Nursing Quality Control in Disinfection Supply Centers
Objective To explore the impact of the 3C nursing model using root cause analysis in the disinfection supply center's nursing management process on reducing the incidence of nursing defect events and quality control effectiveness.Methods Disinfection supply center,Fujian Provincial Hospital began applying the root cause analysis method to 3C nursing management on June 1,2022,and analyzed the quality of nursing management work in this area before and after implementation for one year(from June 2021 to June 2023).Results Evaluate the quality of nursing management before and after implementation.After implementation,the scores for environmental management(93.01±3.11)points,safety management(94.15±1.86)points,item management(92.11±1.86)points,and inspection management(93.46±1.58)points were significantly higher than those before management(82.14±2.34)points,(81.45±1.86)points,(83.45±1.45)points,and(80.05±2.34)(P<0.05).500 patients were randomly selected from two observation periods,and the incidence of nursing defect events after implementation was 0.20%,lower than the 5.00%before implementation(P<0.05).The hospital infection rate after implementation was 1.00%,lower than the control group's 9.40%(P<0.05).After implementation,the satisfaction rate with the nursing work of the disinfection supply center was 98.00%,which was higher than the 92.00%before implementation(P<0.05).Compared with the two time periods,the satisfaction of survey subjects with the nursing work of the disinfection supply center was higher after implementation than before(P<0.05).Conclusion The application of root cause analysis in 3C nursing management in the daily nursing management process of disinfection supply centers can reduce the incidence of nursing defect events,improve quality control effectiveness,and play an important role in improving the quality of nursing work in disinfection supply centers.

root cause analysis method3C caredisinfection supply centernursing defect eventsquality control effectivenessnursing satisfaction

李晓云、邹玫、高丽真

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福建省立医院消毒供应中心,福建 福州 350001

根因分析法 3C护理 消毒供应中心 护理缺陷事件 质控成效 护理满意度

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(5)
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