Preventive effect of PDCA circulation mode on cross infection of venous blood collection in emergency medicine
OBJECTIVE To explore the preventive effect of the Plan,Do,Check,Act(PDCA)cycle mode on cross infection in emergency venous blood collection.METHODS Totally 600 cases of venous blood collection patients who underwent routine nursing care in the emergency department from Jan.to May 2023 were selected as the con-trol group,and after Jun.2023,the PDCA circulation mode was activated in the emergency department,and 600 cases of venous blood collection patients who underwent PDCA circulation mode in the emergency department from Jun.to Dec.2023 were selected as the study group.The success rate of puncture and postoperative complica-tions between two groups of patients were compared and analyzed.The number of indoor air bacterial colonies be-fore and after the change in nursing mode were compared.The medical device handling,hand hygiene compliance,and nursing quality of 10 nurses in the emergency department were compared.RESULTS The highest incidence of pain among venous puncture complications in the study group was 33.33％,which was lower than that in the con-trol group(P=0.001);the indoor air bacterial count after PDCA circulation in the emergency department from Jun.to Dec.2023 was(6.72±1.67)CFU/cm2,which was lower than that from Jan.to May 2023(P＜0.001).The theoretical knowledge,practical operation ability,and nursing quality evaluation scores of 10 nurses in the e-mergency department were(98.63±1.25)points,(97.39±1.04)points,and(98.40±4.36)points,respec-tively,all higher than those from Jan.to May 2023(P＜0.05);The success rate of venous blood collection and puncture in the study group was 96.67％,which was higher than that in the control group(P=0.694).The qual-ified rate of hand hygiene after emergency PDCA circulation from June to December 2023 was 100.00％,which was higher than that from January to May 2023(P=0.369).CONCLUSION The PDCA circulation mode had a good preventive effect on cross infection in emergency venous blood collection.
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