摘要
目的观察持续质量改进(continuous quality improvement,CQI)对提高紧急气管插管一次成功率的效果。方法选择2007年1月～2008年12月本院ICU收治的50例患者为对照组,选择2009年1月～2010年12月收治的52例患者为实验组。对照组采用传统紧急气管插管方法为患者实施插管,实验组采用CQI的方法,分析紧急气管插管失败的原因,通过采用改善医护配合流程后对患者实施气管插管,比较两组患者紧急气管插管一次成功率的差异。结果两组患者紧急气管插管一次成功率比较,χ2=4.258,P<0.05,差异具有统计学意义,实验组紧急气管插管一次成功率高于对照组。结论实施CQI可提高紧急气管插管一次成功率,促进医护合作,优化插管流程,为患者的进一步抢救争取时间。
Objective To evaluate the effect of continuous quality improvement （CQI） on the success rate of emergency orotracheal intubation. Methods From Jan. 2007 to Dee. 2010, 24 patients undergoing the emergency orotraeheal intubation in our hospital were assigned as experimental group, and other 21 cases as control group. In the experimental group, the failure of emergency orotracheal intubation was analyzed by CQI and the orotracheal intubation was operated with improved medical care methods and processes. In the control group, traditional emergency orotracheal intubation was served. The success rates of emergency orotracheal intubation in two groups were compared. Results The difference of success rates between two groups was significant （X2 = 4.258, P 〈 0.05 ）. The success rate of emergency orotraeheal intubatior/in the experimental group was much higher than that in the control group. Conclusion Continuous quality improvement may increase the success rate of emergency orotraeheal intubation, promote the cooperation between doctor and nurse, optimize the orotracheal intubation process, and CQI should be utilized further in clinic.
出处
《现代临床护理》
2011年第12期67-68,73,共3页
Modern Clinical Nursing
关键词
持续质量改进
医护合作
气管插管
护理
continuous quality improvement
cooperation in doctors and nurses
endotracheal intubation
nursing
