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基于可视化的婴幼儿PICC全链式管理方案构建

Construction of PICC Full-Chain Management Scheme for Infants and Young Children Based on Visualization

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目的 构建婴幼儿经外周置入中心静脉导管(PICC)可视化全链式管理方案.方法 采用课题研究型品管圈方法.结果 构建了涵盖3个环节7大步骤的婴幼儿PICC全链式管理方案,搭建了持续质量改进5大通道,使PICC一次性穿刺成功率提升至92.80%,PICC一次性尖端定位准确率提升至91.60%,PICC置管后14 d并发症发生率降低至2.70%,PICC相关知识知晓率提升至88.40%,平均置管时间缩短至16.13 min.结论 基于可视化的婴幼儿PICC全链式管理方案可减少患儿反复穿刺和定位,降低导管相关并发症发生率,提升临床护理质量,确保婴幼儿置管安全.
Objective To construct a visual full-chain management scheme for peripherally inserted center catheter(PICC)in infants and young children.Methods The research-oriented quality control circle method was adopted.Results A full-chain PICC management scheme for infants and young children covering 3 links and 7 steps was constructed,and 5 major channels for contin-uous quality improvement were built.The success rate of PICC one-time puncture was increased to 92.80%,the accuracy of PICC one-time tip positioning was increased to 91.60%,the incidence of complications at 14 days after PICC catheterization was reduced to 2.70%,the awareness rate of PICC-related knowledge was increased to 88.40%,and the average catheterization time was shortened to 16.13 min.Conclusion PICC full-chain management program for infants and young children based on visualization can reduce the repeated puncture and positioning of children,reduce the incidence of catheter-related complications,improve the quality of clinical care,and ensure the safety of catheterization of infants and young children.

Quality Control CircleResearch-Oriented Quality Control CircleInfants and Young ChildrenPeripherally Inserted Center CatheterFull-Chain ManagementNursing Quality

黎丽、冯梅、罗玉兰、唐梦琳、胡琳、曹型翠

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四川大学华西医院重症医学科 四川 成都 610041

四川大学华西护理学院 四川 成都 610041

品管圈 课题研究型品管圈 婴幼儿 经外周置入中心静脉导管 全链式管理 护理质量

四川大学华西医院学科卓越发展1.3.5工程临床研究孵化项目

18HXFH042

2024

10.13912/j.cnki.chqm.2024.31.10.14

中国卫生质量管理
中国医院协会,陕西省人民医院

中国卫生质量管理

CSTPCD
影响因子：1.091
ISSN：1006-7515
年,卷(期)：2024.31(10)