Application of continuous quality improvement in nursing safety management of thoracic surgery
持续质量改进在胸外科护理安全管理中的应用

摘要

目的 探析持续质量改进在胸外科护理安全管理中的应用价值。方法 于我院胸外科选取70例患者作为研究对象，均被确诊为胸外科类疾病，需接受胸外科手术治疗，为进一步提升胸外科护理安全性，将组内70例患者随机分为两组，每组35例患者，一组使用常规护理管理方式，另一组使用持续质量改进，对比两种不同护理安全管理模式的风险事件发生率以及安全管理评分。结果 据实验结果分析来看，观察组中未出现风险事件，风险事件发生率为0，而使用常规护理管理的对照组，出现2例风险事件，发生率为5.71%，相比之下观察组风险事件发生率更低，（P＜0.05）。同时，观察组病区管理、基础护理、护理文件书写、查对制度、病情观察、无菌技术操作等方面的护理安全管理评分也更高于对照组，数据间统计学意义明显，（P＜0.05）。结论 在胸外科护理安全管理中应用持续质量改进对提升护理安全性有重要作用。

Abstract

Objective: To explore the application value of continuous quality improvement in the nursing safety management of thoracic surgery.
Methods: Seventy patients were selected from the Thoracic Surgery Department of our hospital as research subjects. All of them were diagnosed with thoracic surgery diseases and required thoracic surgery. In order to further improve the safety of thoracic surgery care, 70 patients in the group were randomly divided into two There were 35 patients in each group, one group used conventional nursing management methods, and the other group used continuous quality improvement. The risk event incidence and safety management scores of two different nursing safety management models were compared.
Results: According to the analysis of experimental results, there were no risk events in the observation group, and the incidence rate of risk events was 0. In the control group using conventional nursing management, there were 2 risk events with an incidence rate of 5.71%. The incidence of risk events in the group was lower, (P＜0.05). At the same time, the observation group's nursing safety management scores in ward management, basic nursing, nursing document writing, checking system, condition observation, aseptic technique operation, etc. were also higher than those of the control group, and the statistical significance between the data was obvious, (P< 0.05).
Conclusion  : The application of continuous quality improvement in the nursing safety management of thoracic surgery plays an important role in improving nursing safety.