摘要
目的研究PDCA循环在医疗安全不良事件管理中的实践效果。方法选取2024年1—12月南通市海门区中医院45名参与医疗安全管理的工作人员作为研究对象,2024年1—6月实施常规不良事件上报与管理流程,设为参照组;2024年7—12月应用PDCA循环管理流程,设为观察组。对比两组不良事件发生情况、职业暴露发生情况、管理质量。结果观察组发生不良事件4起,其中医疗相关1起,护理相关1起,涉药相关2起;参照组发生不良事件12起,其中医疗相关3起,护理相关4起,涉药相关5起。观察组职业暴露少于参照组。观察组理论知识、技术水平、应急处理、操作技能评分分别为(9.15±0.75)分、(9.18±0.71)分、(9.12±0.73)分、(9.17±0.72)分,高于参照组的(8.25±0.74)分、(8.16±0.78)分、(8.29±0.74)分、(8.31±0.71)分,差异均有统计学意义(t=5.730,6.487,5.356,5.705;P均<0.05)。结论在医疗安全不良事件管理中应用PDCA循环管理流程,不仅可以提高医疗管理质量,还可以降低职业暴露发生情况。
Objective To study the practical effect of the PDCA cycle in the management of adverse medical safety events.Methods A total of forty-five staff members engaged in medical safety management at Haimen District Hospital of Traditional Chinese Medicine,Nantong City from January to December 2024 were selected as the research subjects.The conventional reporting and management process for adverse events was implemented from January to June 2024,which was set as the reference group;the PDCA cycle management process was applied from July to December 2024,which was set as the observation group.The occurrence of adverse events,occupational exposure,and management quality were compared between the two groups.Results There were 4 adverse events in the observation group,including 1 medical-related event,1 nursing-related event,and 2 drug-related events;there were 12 adverse events in the reference group,including 3 medical-related events,4 nursing-related events,and 5 drug-related events.The incidence of occupational exposure in the observation group was less than that in the reference group.The scores of theoretical knowledge,technical level,emergency response,and operational skills in the observation group were 9.15±0.75,9.18±0.71,9.12±0.73,and 9.17±0.72 respectively,which were higher than 8.25±0.74,8.16±0.78,8.29±0.74,and 8.31±0.71 in the reference group,and the differences were all statistically significant(t=5.730,6.487,5.356,5.705;all P<0.05).Conclusion The application of the PDCA cycle management process in the management of adverse medical safety events can not only improve the quality of medical management but also reduce the occurrence of occupational exposure.
作者
颜甜甜
伍栩瑶
邵陆姣
YAN Tiantian;WU Xuyao;SHAO Lujiao(Department of Medical Affairs,Haimen District Hospital of Traditional Chinese Medicine,Nantong City,Nantong 226100,Jiangsu,China;Department of Rehabilitation,Haimen District Hospital of Traditional Chinese Medicine,Nantong City,Nantong 226100,Jiangsu,China;Party and Government Office,Haimen District Hospital of Traditional Chinese Medicine,Nantong City,Nantong 226100,Jiangsu,China)
出处
《中国卫生产业》
2025年第23期84-87,共4页
China Health Industry
