主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2018, Vol. 18 ›› Issue (9): 1160-1165.doi: 10.3969/j.issn.1672-1756.2018.09.003

• • 上一篇    下一篇

360°护理质量信息化管理模式的构建

梁业梅;杨雪群;梁雁芳;朱新青   

  1. 玉林市第一人民医院护理部, 537000 广西壮族自治区(梁业梅、梁雁芳、朱新青);肾内科(杨雪群)
  • 出版日期:2019-01-07 发布日期:2019-01-07
  • 基金资助:
    玉林市科学研究与技术开发计划财政经费项目(玉市科攻20173053)

Construction and practice of 360-degree information-based management mode of nursing quality

  • Online:2019-01-07 Published:2019-01-07

摘要: 目的:建立信息化的全员、全面护理质量管理模式,并分析应用效果。方法:用专家咨询形式确定护理质量问题、用风险优先指数(Risk Priority Number,RPN)量化护理质量存在问题;提炼护理环节质量敏感指标;改革传统单项、定期检查方式,建立360°的护理质量信息化防控体系。结果:确定和量化了74个护理质量存在问题;提炼了37项护理环节质量敏感指标;360°护理质量信息化管理模式与传统的单项、定期检查模式比较,一级质控的护士参与率上升37.9%(P<0.05);一至三级质控护士每月平均花费时间分别减少126.095 h、142.950 h和169.359 h(P<0.001)。结论:360°护理质量防控体系通过信息平台支持,实施标准化、常态化的全员全面质量管理,是全面质量管理理论在医院护理管理的具体实践,值得推广。

关键词: 360°;质量信息化;失效模式与效应分析

Abstract: Objective: To establish an informatized nursing quality management model and explore its application effects. Methods: The 360-Degree Information-Based Management Mode was established from the following aspects, quantifying the problems in quality of care by expert consultations and risk priority numbers (RPN, Risk Priority Number), refining sensitive indicators of nursing quality, and reforming the traditional single-item and periodic inspection of quality. Results: Total 74 nursing quality problems were found, and 37 sensitive indexes of nursing quality were extracted in the process of this model. Compared with the traditional single-item and regular nursing quality management modes, the nurses participation rate in the first-level quality control increased by 37.9%, the time of nurses spent in one to three level quality control was reduced by 126.095, 142.950, 169.359 hours respectively (P<0.001) in this mode. Conclusions: The 360-Degree Information-Based Management Mode is a standardized and normalized quality management mode. It is the specific practice of TQM theory in nursing quality management, and it is benefit for the improvement of overall nursing quality.

Key words: 360 degrees; quality informatization; Failure Modes and Effects Analysis