摘要
目的评价开展品管圈缩短急性缺血性脑卒中患者DNT的效果。方法组建品管圈活动小组,分析急性缺血性脑卒中患者DNT过长的原因,确定重点改善环节,制定并实施对策。选取我院2016年3~4月实行品管圈前的15例脑卒中患者为对照组,2016年5~8月品管圈活动实施后32例脑卒中患者为观察组。对比两组溶栓病例的DNT,比较并优化急诊、化验、沟通三个关键环节多耗时。结果观察组脑卒中患者DNT平均耗时显著低于对照组,差异有统计学意义(P<0.05);对照组急性缺血性脑卒中患者超过110 min的病例5例,观察组超过110 min的病例0例,差异有统计学意义(P<0.05)。观察组患者急诊处置、血标本化验和沟通签字三项平均耗时显著低于对照组,差异有统计学意义(P<0.05)。结论品管圈活动能有效规范脑卒中急诊救治流程,缩短急性缺血性患者DNT。
Objective To evaluate the application effect of the quality control circle（QCC） on shortening DNT in patients with cerebral ischemic stroke. Methods QCC activity group had been established and the reasons for the DNT extension in patients with cerebral ischemic stroke were analyzed so as to identify key improvement links and to formulate and to implement countermeasures. Fifteen cases with cerebral ischemic stroke in our hospital before the implementation of QCC from March to April in 2016 were selected as the control group, and 32 cases of patients with cerebral ischemic stroke after the implementation of QCC activities from May to August in 2016 were selected as the observation group. DNT in the two groups of thrombolytic cases were compared, and the more time consuming of emergency, blood test and signature communication were compared and optimized. Results The average DNT of patients with acute cerebral stroke in the observation group was significantly shorter than that in the control group,and the difference was statistically significant（P〈0.05）. There were 5 cases with more than 110 min DNT in the control group and no case with more than 110 min DNT in the observation group, and the difference was statistically significant（P〈0.05）. The average time consuming in emergency treatment, blood specimen test and signature communication in the observation group was significantly shorter than that in the control group, and the differences were statistically significant（P〈0.05）. Conclusion Through the implementation of QCC can effectively regulate the emergency treatment process of stroke and shorten the DNT in patients with cerebral ischemic diseases.
作者
李瑞莉
赵建萍
魏万宏
马芳芳
郭敏
LI Ruili;ZHAO Jianping;WEI Wanhong;MA Fangfang;GUO Min(Department of Neurology,the People＇s Hospital of Xingyang in He＇nan Province,Xingyang 450100,China;Depart-ment of Emergency,the People＇s Hospital of Xingyang in He＇nan Province,Xingyang 450100,China;College ofNursing,Zhengzhou University,Zhengzhou 450001,China;Department of Quality Safety,the People＇s Hospital ofXingyang in He＇nan Province,Xingyang 450100,China;College of Public Health,Zhengzhou university,Zhengzhou450001,China)
出处
《中国现代医生》
2018年第13期134-136,141,共4页
China Modern Doctor
基金
河南省科技发展计划(182400410167)
