The Application of Peer Review Method in the Quality Management of Critical Care Nursing Record Sheet
Objectives In order to reduce the writing defects and improve the quality of the nursing record sheet,the management of the nursing record sheet in the emergency intensive care unit was carried out by peer review method.Methods A random sampling method was used to select 200 critical care records in an emergency department of a hospital from March 1st,2021 to December 31st,2021 as the control group,and 200 critical care records in an emergency department of a hospital from March 1 st,2022 to December 31 st,2022 as the intervention group.Routine management was adopted in the control group,and team mutual examination was adopted in the intervention group.The quality and writing defects of nursing records were compared between the two groups.Counting and Chi-square test were used for statistics and analysis.Results The single pass rate of nursing records in the intervention group was 99.50％,higher than 95.50％in the control group,and the difference was statistically significant(P＜0.05).In the intervention group,the incidence of inconsistent nursing records with medical conditions was 2.00％,medical records were inconsistent 0.00％,nursing records were incomplete and incoherent 0.00％,medical terms were not used 1.00％,specialty characteristics were not reflected 1.50％,and copy and paste records were 3.25％.The effect evaluation of nursing measures was lower at 1.00％than that of control group(8.00％,7.00％,5.50％,10.25％,11.75％,14.50％,9.25％),and the difference was statistically significant(P＜0.05).Conclusions Peer review method could improve the qualification rate of critical care records,reduce writing defects,and promote continuous quality improvement of critical care records.
Peer review methodCritical careNursing record sheetQuality management
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