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目的探讨如何运用品管圈活动来降低静脉穿刺的失败率。方法 2015年4月成立品管圈小组,以《静脉治疗护理技术操作规范(WS/T433-2013)》为标准,对某县级市三级医院急诊室静脉穿刺情况进行调查,观察穿刺失败的现象,设定目标,分析这些现象产生的原因,拟定对策并实施。结果开展品管圈活动后,静脉穿刺失败率由21.19%下降至10.4%,差异有统计学意义(P<0.05);患者对护理人员操作技能的满意度由87.13%上升至92.26%;圈员在责任心、沟通协调能力、自信心、团队凝聚力、积极性、品管手法运用等方面均有不同程度的提高。结论运用品管圈活动来督导护士静脉治疗护理技术操作标准的规范执行,可以提升团队精神,有效降低静脉穿刺的失败率,提高患者对护理服务的满意度。
Objective To explore how to reduce the failure rate of venipuncture by using quality control ring activities. Methods A quality control circle team was set up in April 2015 to investigate the venipuncture in the emergency room at a tertiary hospital in a county level and to observe the failure of the puncture procedure in accordance with the "Code of Practice for Nursing Care of Venous Vein (WS / T433-2013) Phenomenon, set goals, analyze the causes of these phenomena, formulate countermeasures and implement them. Results The failure rate of venipuncture decreased from 21.19% to 10.4% after conducting QC activities (P <0.05). Satisfaction of patients with nursing staff operation skills rose from 87.13% to 92.26% In the sense of responsibility, communication and coordination, self-confidence, team cohesion, enthusiasm, quality control techniques used have improved in varying degrees. Conclusions The use of quality control activities to supervise the standard implementation of nurse intravenous care technology can enhance the team spirit, effectively reduce the failure rate of venipuncture and improve patient satisfaction with nursing services.