摘要
目的探讨PDCA质量管理工具在改进非计划拔管（UEX）发生率项目事件中的效果。方法运用根因分析和PDCA管理工具,对2013年10-12月全院发生的20例UEX事件进行分析。按照PDCA循环方法与医务、院感及后勤形成合力,针对性修订了管道管理制度,规范了管道的固定方法,对相关内容进行全员培训,专项督查与指导。结果 2014年4-6月UEX事件的发生率为1.46%,较前有明显下降,差异有统计学意义（P〈0.05）;护士相关知识考核得分较前也明显上升（93.48vs.84.17）。结论运用PDCA质量管理工具改善临床护理管理中的问题是有效、具有可操作性的,值得临床推广。
Objective To explore the effect of the PDCA cycle management on unscheduled extubation.Methods Catheter management was amended and the catheter fixation was regulated well-directedly cooperating with Nursing Department,Medical Affairs Department,Infection Management Department and rear services according to the 20 UEX cases from October to December 2013 which were analyzed by the PDCA and RCA tools.All staffs were trained and checked and the professional projects were supervised.Results Unplanned extubation rate was fallen to 1.46%from April to June 2014 by the application of PDCA cycle management,compared with 3.47% from October to December 2013（P〈0.05）.And the test scores were increased obviously（93.48 vs.84.17）.Conclusion The Application of the PDCA cycle management is effective and operational to solve the problems of nursing management.It deserves to spread.
出处
《成都医学院学报》
CAS
2014年第5期653-657,共5页
Journal of Chengdu Medical College
