[1]杜晓亮,范雪蕾,冯仁,等.精益质量管理在术中获得性压伤防治中的应用[J].中国临床神经外科杂志,2024,29(11):675-678685.[doi:10.13798/j.issn.1009-153X.2024.11.008]
　DU Xiao-ling,FAN Xue-lei,FENG Ren,et al.Application of lean quality management in the prevention and treatment of intraoperative acquired pressure injuries[J].,2024,29(11):675-678685.[doi:10.13798/j.issn.1009-153X.2024.11.008]
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精益质量管理在术中获得性压伤防治中的应用()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
29
期数:
2024年11期
页码:
675-678685
栏目:
护理技术
出版日期:
2024-11-30

文章信息/Info

Title:
Application of lean quality management in the prevention and treatment of intraoperative acquired pressure injuries
文章编号:
1009-153X（2024）11-0675-04
作者:
杜晓亮; 范雪蕾; 冯仁; 厉春林; 陈红
430030武汉，华中科技大学同济医学院附属同济医院神经外科（杜晓亮、范雪蕾、冯仁、厉春林），手术室（陈红）
Author(s):
DU Xiao-ling1;  FAN Xue-lei1;  FENG Ren1;  LI Chun-lin1;  CHEN Hong2
1. Department of Neurosurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China; 2. Operating Room, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 43
关键词:
术中获得性压伤; 精益质量管理; 预防
Keywords:
Intraoperative acquired compression injury;  Lean quality management;  Prevention
分类号:
R 651.1+1; R 473.6
DOI:
10.13798/j.issn.1009-153X.2024.11.008
文献标志码:
B
摘要:
目的 探讨精益质量管理在术中获得性压伤防治中的应用效果。方法 选取2020年1~12月手术治疗的2 720例神经外科病人为观察组，选取2019 年1~12月手术治疗的3 902例神经外科病人为对照组。观察组通过组建精益项目团队，构建基于精益质量管理预防术中压伤管理模式，优化工作流程，选取关键指标进行重点监测，对术中压伤预防护理质量进行持续改进。对照组采取常规护理措施预防术中获得性压伤。结果 观察组术中获得性压伤发生率（0.96%）显著低于对照组（2.13%；P<0.001）。观察组术中压伤管理关键质量指标落实率显著提升。结论 精益质量管理方案能够有效降低术中获得性压力性损伤的发生率，提升围术期术中压伤预防管理效能。
Abstract:
Objective To investigate the application efficacy of lean quality management in the prevention and control of intraoperative acquired pressure injuries. Methods A total of 2 720 cases undergoing neurosurgical treatment from January to December 2020 were designated as the observation group. Meanwhile, 3 902 cases undergoing surgical treatment from January to December 2019 were selected as the control group. In the observation group, a lean project team was formed, a management model for preventing intraoperative pressure injuries based on lean quality management was constructed, the workflow was optimized, key indicators were selected for focused monitoring, and continuous improvement was made to the quality of prevention and care for intraoperative pressure injuries. The control group adopted conventional nursing measures for preventing intraoperative acquired pressure injuries. Results The incidence of intraoperative acquired pressure injuries in the observation group (0.96%) was significantly lower than that (2.13%) in the control group (P<0.001). The implementation rate of key quality indicators for intraoperative pressure injury management in the observation group was significantly enhanced. Conclusion The lean quality management scheme can effectively reduce the incidence of intraoperative acquired pressure injuries and improve the efficiency of prevention and management of intraoperative pressure injuries during the perioperative period.

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备注/Memo

备注/Memo:
（2023-06-29收稿，2024-05-22修回）
更新日期/Last Update: 2024-11-30