Effect of link quality management on improving the satisfaction rate of medical team in emergency department with the use of emergency instruments
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摘要: 本文探讨环节质量管理提高急诊医护团队对急救仪器使用满意率的效果。研究对象选择我院急诊科所有在职医护人员,采用自身前后对照,2019年1月—12月未实施干预的各项数据资料作为干预前资料,从2020年1月开始实施干预,将2020年1月—12月实施干预期间收集的数据资料作为干预后资料。干预前应用常规急救仪器管理方法,干预期应用环节质量管理模式。将干预前后急诊急救仪器管理效果、工作效率及医护团队仪器使用满意度作为评价指标,将干预前后各项数据资料进行比较,并做统计学分析。干预后仪器的交接班记录、定点摆放规范、仪器清洁良好、仪器维护完好、使用和维修记录完整性、仪器设备出现意外故障及时处理以及医护团队的配合等各项次数均明显高于干预前,差异有统计学意义(P< 0.05)。干预后急救仪器零部件缺损和不配套、使用过程中出故障以及维护保养不及时等问题得到明显改善。医护团队使用急救仪器设备的满意度有明显提升。环节质量管理模式使急诊科急救仪器管理更加规范、高效,能有效保障仪器性能及使用效率,提高急诊医护团队对急救仪器使用的满意率,使急救质量得到了保证。Abstract: To explore the effect of link quality management on improving the satisfaction rate of medical team in emergency department with the use of emergency instruments. All in-service personnel in the emergency department of our hospital were taken as the research objects. The intervention was implemented from January 2020, the period from January to December 2019 before the intervention, and the period from January to December 2020 after the intervention. Routine first-aid instrument management method was applied before intervention, and link quality management mode was applied after intervention. Management effect and work efficiency of emergency equipment were observed and compared before and after intervention. After the intervention, the times of shift handover records, standardized placement of fixed points, good cleaning of instruments, intact maintenance of instruments, integrity of use and maintenance records, and timely treatment of unexpected faults of instruments and equipment were significantly higher than those before the intervention(P< 0.05). After the intervention, the defects and mismatches of emergency equipment parts, the number of failures during use and the untimely maintenance have been significantly improved. Medical team' satisfaction was significantly improved. The link quality management mode makes the management of emergency instruments in the emergency department more standardized and efficient, can effectively ensure the performance and use efficiency of instruments, improve the satisfaction rate of emergency medical team.
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Key words:
- link quality management /
- emergency instruments /
- satisfaction
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表 1 干预前后管理效果比较
次 时间 次数 使用前 使用中 使用后 定点定编管理 定人定期管理 备用状态完好 规范使用 性能稳定 登记完整 交接清晰 调配合理 演练达标 干预前 36 22 20 19 23 25 17 19 22 24 干预后 36 34 35 36 32 34 33 34 32 35 χ2 11.571 17.362 22.255 6.237 7.604 16.756 16.087 7.407 11.359 P 0.001 < 0.001 < 0.001 0.013 0.006 < 0.001 < 0.001 0.006 0.001 表 2 干预前后急诊科医护人员使用急救仪器设备满意度比较
时间 次数 仪器维护满意率 仪器功能状态满意率 仪器正确使用满意率 正确/次 满意率/% 正确/次 满意率/% 正确/次 满意率/% 干预前 36 24 75.33 23 79.86 27 81.54 干预后 36 32 91.98 34 93.17 34 95.43 χ2 5.143 10.488 10.189 7.236 5.258 8.303 P 0.023 0.001 0.001 0.007 0.022 0.004 -
[1] 张波, 桂莉. 急危重症护理学[M]. 北京: 人民卫生出版社, 2017: 14.
[2] 何雯, 邓闪. JCI标准联合6S管理模式在急诊急救仪器管理中的应用[J]. 护理实践与研究, 2018, 15(20): 147-149. doi: 10.3969/j.issn.1672-9676.2018.20.060
[3] Kudavidanage BP, Amarasekara S, Wijewickrama S, et al. Auditon Evaluation of emergency equipment for cardiopulmonary resuscitation Available in clinical areas in Teaching Hospital Anuradhapura[J]. Galle Medical Journal, 2016, 20(2): 8-12. doi: 10.4038/gmj.v20i2.7931
[4] 孙艳, 周婷, 卓荦, 等. 急诊科医生应用床旁超声抢救不明原因休克的效果及可行性分析[J]. 临床急诊杂志, 2019, 20(6): 471-474. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZLC201906012.htm
[5] 徐海洲, 王美堂. 骨髓输液在创伤现场急救中的运用[J]. 临床急诊杂志, 2021, 22(6): 433-436. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZLC202106016.htm
[6] 邓爱华. 急诊科急救设备管理使用问题与对策[J]. 医学信息, 2015, 28(23): 272.
[7] 林益凯. 医院医疗器械管理中存在的问题及对策分析[J]. 中国设备工程, 2021, 47(3): 70-71. https://www.cnki.com.cn/Article/CJFDTOTAL-SBGL202103044.htm
[8] 赵静. 护士使用急救仪器的安全管理现状调查分析及对策研究[J]. 中国卫生产业, 2019, 16(10): 45-46. https://www.cnki.com.cn/Article/CJFDTOTAL-WSCY201910020.htm
[9] 李建国. 医院医疗设备管理问题及优化对策之研究[J]. 中国医疗器械信息, 2020, 26(23): 159-160. doi: 10.3969/j.issn.1006-6586.2020.23.073
[10] 张艳志, 刘鑫鑫, 张启伟. 应用FOCUS-PDCA提高急救类、生命支持类设备完好率[J]. 中国卫生质量管理, 2019, 26(5): 16-18. https://www.cnki.com.cn/Article/CJFDTOTAL-WSJG201905008.htm
[11] 胡琴燕, 韦琴, 黄晓波, 等. 广西新生儿科护理人力资源现状和培训需求的调查研究[J]. 中华护理杂志, 2019, 54(10): 1534-1539. doi: 10.3761/j.issn.0254-1769.2019.10.018
[12] 汪晖, 黄海珊, 朱娟, 等. 临床护理人员医疗仪器使用知识教育现状及分析[J]. 中国护理管理, 2010, 10(10): 14-17. https://www.cnki.com.cn/Article/CJFDTOTAL-GLHL201010010.htm
[13] 立足国情借鉴发达国家成功经验科学规范开展我国空中医疗急救——记首期全国空中医疗急救专业培训班[J]. 中国急救复苏与灾害医学杂志, 2018, 13(12): 1253-1254.
[14] 袁文文, 俞夏娣. 基于危机管理的缺陷情境模拟在低年资非急救科护士CPR技能培训中的应用[J]. 中国中西医结合急救杂志, 2018, 25(2): 201-204.