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学科主题: 临床医学
题名:
集束化护理降低ICU非计划性拔管率的实践
其他题名: Practicing for reducing the incidence of unplanned extubation for patients in ICU by cluster nursing
作者: 袁翠; 张建霞; 王玉英; 邓兰芬; 胡美华; 贾亚丽; 王晓月; 高玲玲
关键词: 非计划性拔管 ; ICU ; 集束化 ; 品管圈 ; 护理 ; Unplanned extubation ; ICU ; Cluster ; Quality control circle ; Nursing
刊名: 护士进修杂志
发表日期: 2015
期: 17, 页:1592-1596
收录类别: 中国科技核心期刊
文章类型: Journal Article
摘要: 目的:调查及分析非计划性拔管的发生率及原因,降低非计划性拔管的发生率。方法借用品管圈管理手法,通过分析非计划性拔管发生的原因,制订一系列集束化干预措施,并实施于临床,如减轻胃管刺激方法的培训,改善胃管固定流程,常规评估RASS躁动-镇静评分,制订并填写胃管、气管护理日志;改良约束手套等方法。结果非计划性拔管的发生率由1.72%降低到0.55%。结论集束化干预措施可有效降低IC U的非计划性拔管率;品管圈的管理手法促进了IC U普通护士参与护理质量的持续改进。 Objective To investigate and analyze the reasons of the incidence of unplanned extubation (UEX) by studying All patients with indwelling catheter in certain time ,and take steps to reduce the incidence of the UEX . Method The quality control circle(QCC) were used for studying and analyzing the reason of UEX .a series of meas‐ures was formulated and implemented in clinical care ,such as reducing gastric tube stimulation methods of training ;improving gastric tube fixed process ,regular assessment RASS agitation sedation scores ,formulate and fill out the gastric and tracheal tube nursing recording ,modifying constraint gloves ,etc .Result The incidence of UEX reduced from 1 .72% to 0 .55% by applying the targeted measures .Conclusion The incidence of UCE can be reduced by im‐plement the effective cluster intervention measures .The participating and continuous improvement of nursing quality for ICU nurses can be achieved be applying QCC management .The unresolved issues should be put in the next qual‐ity management circle or PDCA circle .
语种: 中文
原文出处: 查看原文
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/46885
Appears in Collections:北京大学第一临床医学院_期刊论文

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作者单位: 北京大学第一医院,北京,100034

Recommended Citation:
袁翠,张建霞,王玉英,等. 集束化护理降低ICU非计划性拔管率的实践[J]. 护士进修杂志,2015(17):1592-1596.
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