pdca护理管理模式在急诊科护理管理中的应用效果.docVIP

PDCA护理管理模式在急诊科护理管理中的应用效果 　　[摘要]目的 探?PDCA护理管理模式在急诊科护理管理中的应用效果，以提高急诊科医生与患者的满意度。方法 抽取2011年1月～2012年12月急诊科接诊的6000例患者，另抽取实施PDCA护理管理模式后，2013年1月～2014年12月急诊科接诊的8000例患者，比较两组纠纷发生率；选取PDCA实施前后各100例患者，比较两组满意度；选取2011年1月1日～31日及2014年12月1日～31日同批30名护理人员，比较两组的护理质量。结果 PDCA护理管理模式实施前，纠纷发生率为2.38%，实施后为0.69%，纠纷发生率显著下降，差异有统计学意义（P 　　[关键词]PDCA；急诊科；纠纷；护理质量；护理管理 　　[中图分类号] R197.323 [文献标识码] A [文章编号] 1674-4721（2017）04（b）-0162-03 　　Application effect of PDCA nursing management mode in nursing management of emergency department 　　ZHOU Gui-zhi 　　Department of Emergency Medicine，the Second People′s Hospital of Chiping in Shandong Province，Chiping 252111，China 　　[Abstract]Objective To explore the application of PDCA nursing management mode in the emergency department nursing management，in order to improve the emergency department doctors and patients satisfaction.Methods A total of 6000 patients were enrolled in the emergency department from January 2011 to December 2012，respectively.After taking the PDCA nursing management model，the patients were enrolled in the emergency department from January 2013 to December 2014，and the incidence of medical disputes between two groups was compared.100 patients before PDCA implemented and 100 patients after PDCA implemented were selected and the degree of satisfaction between two groups was compared.The same 30 nurses in Jaunary 1-31 2011 and December 1-31 2014 were selected，and the quality of nuring between two groups was compared.Results Beforeimplementation of the PDCA nursing management pattern，the incidence of disputes is 2.38%，comparing to 0.69% after the implementation of PDCA，the incidence of disputes declined significantly，and the differences were statistically significant （P 　　[Key words]PDCA；Emergency department；Dispute；Quality of nursing；Nursing management 　　急诊科是医院的窗口科室，急诊科的形象往往代表了整个医院的形象，故急诊科护理工作尤为重要。PDCA护理管理模式即循环管理模式，是由美国著名的质量管理学家戴明博士在20世纪50年代首先提出的一种比较系统、科学、全面的管理方法，主要是通过制订计划、实施方案、检查计划结果和有效处理存在的问题等不断循环的工作过程，从而保证工作质量的持续改进[1]。PDCA护理管理模式主要分为计划阶段P（