品管圈管理工具在减少ICU床旁监护仪误报警应用效果

目的探讨品管圈管理工具在减少重症加强护理病房(ICU)床旁监护仪误报警应用效果。方法纳入2018年1月—2019年12月98例ICU患者,其中2018年1—12月实施品管圈管理前共48例为对照组,2019年1—12月实施品管圈管理共50例为观察组,参与品管圈活动护士共7名。设定品管圈名为“HOPE圈”,以“采用品管圈进行监护报警干预,降低监护仪误报警率”为主题,采用鱼骨图分析误报警出现的主要原因,制定相应护理措施及培训计划降低床旁监护仪误报警次数,提升有形成果与无形成果。结果观察组ICU床旁监护仪误报警率为29.16%,低于对照组64.32%,差异具有统计学意义(P<0.05);观察组护士责任感、凝聚力、沟通配合、积极性、问题解决能力、品管手法评分均高于对照组,差异具有统计学意义(P<0.05)。结论采用品管圈管理工具进行针对性对策实施与护理培训能够有效降低ICU床旁监护仪误报警率,并提高护士的综合护理能力。

Application effect of quality control circle management tools in reducing false alarms of ICU bedside monitors

Objective To explore the application effect of quality control circle management tools in reducing false alarms of intensive care unit(ICU)bedside monitors.Methods To enroll 98 cases of ICU patients from January 2018 to December 2019,of which 48 cases were set as a control group before the implementation of quality control circle management from January to December 2018,and another 50 cases from January to December 2019 were set as an observation group,and there were 7 nurses participating in the quality control circle activities.Set the name of the quality control circle as"HOPE circle",with the theme of"Using the quality control circle for monitoring and alarm intervention to reduce the false alarm rate of monitors",using fishbone diagrams to analyze the main causes of false alarms,and formulating corresponding nursing measures and the training plan to reduce the number of false alarms of bedside monitors,and improve tangible and intangible results.Results The false alarm rate of ICU bedside monitors in the observation group was 29.16%,which was lower than 64.32%in the control group,and the difference was statistically significant(P<0.05).The nurses in the observation group scored higher in responsibility,cohesion,communication and cooperation,enthusiasm,problem-solving ability,and quality control techniques than the control group,and the differences were statistically significant(P<0.05).Conclusion Using quality control circle management tools to implement targeted countermeasures and nursing training can effectively reduce the false alarm rate of ICU bedside monitors and improve the comprehensive nursing ability of nurses.