首页|PDCA循环管理在降低阴道分娩并发症发生率中的效果

PDCA循环管理在降低阴道分娩并发症发生率中的效果

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目的 运用PDCA(plan-do-check-action)管理法分析阴道分娩并发症发生的原因,针对要因制订和实施改进措施,探讨PDCA循环应用于降低阴道分娩并发症的效果,为产科降低分娩并发症提供科学的管理方法。方法 收集肇庆市第一人民医院 2020 年 1-12 月实施PDCA循环管理前的 2 170份阴道分娩产妇病案作为对照组,2022 年 1-12 月实施PDCA循环管理后的 2 697 份阴道分娩产妇病案作为试验组。比较PDCA循环管理法实施前后2组阴道分娩并发症发生率的差异。结果 运用PDCA循环管理法,通过完善规章制度流程、加强督导和反馈、强化全员培训,使阴道分娩并发症发生率从2020年的31。66%下降到2022年的17。35%,差异有统计学意义(P<0。05)。结论 PDCA循环管理法有效降低阴道分娩并发症的发生率,是医疗质量管理的一种科学的管理方法。
The Effect of PDCA Circulation Management on Reducing the Incidence of Complications in Vaginal Delivery
Objective To analyze the causes of vaginal delivery complications using the PDCA(plan-do-check-action)management method,develop and implement improvement measures for the main factors,and explore the effectiveness of PDCA cycle application in reducing vaginal delivery complications,providing scientific management methods for obstetrics to reduce delivery complications.Methods A total of 2 170 medical records of vaginal delivery mothers before implementing PDCA circulation management in the First People's Hospital of Zhaoqing from January to December 2020 were collected as the control group,and 2 697 medical records of vaginal delivery mothers after implementing PDCA circulation management from January to December 2022 were collected as the experimental group.The differences in the incidence of vaginal delivery complications between the two groups before and after the implementation of PDCAcirculation management method were compared.Results The PDCA circulation management method was applied to improve the rules and regulations,strengthen supervision and feedback,and enhance training for all staff,resulting in a decrease in the incidence of vaginal delivery complications from 31.66%in 2020 to 17.35%in 2022,the differences were statistically significant(P<0.05).Conclusion The PDCA cycle management method effectively reduces the incidence of vaginal delivery complications and is a scientific management method for medical quality management.

PDCA circulationmedical quality managementvaginal deliverycomplicationspostpartum hemorrhageobstetric laceration

何智芬、黄淑环、王筱、梁衍胜

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肇庆市第一人民医院医疗质量管理与控制部,广东肇庆 526000

PDCA循环 医疗质量管理 阴道分娩 并发症 产后出血 产科裂伤

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(9)