以质量求发展，以服务铸品牌

护理学报 ›› 2018, Vol. 25 ›› Issue (23): 10-14.doi: 10.16460/j.issn1008-9969.2018.23.010

• 护理管理 • 上一篇    下一篇

降低普通病区多参数监护仪错误警报发生率的品管圈实践

尹茂贞a, 闫城a, 韩辉武a, 岳丽青b   

  1. 中南大学湘雅医院 a.心内科; b.护理部,湖南 长沙 410008
  • 收稿日期:2018-04-13 出版日期:2020-07-09 发布日期:2020-07-09
  • 通讯作者: 闫城（1986-）,女,湖南长沙人,硕士,主管护师。E-mail:59385307@qq.com
  • 作者简介:尹茂贞（1989-）,女,湖南邵阳人,本科学历,护师。
  • 基金资助:
    湖南省自然科学基金面上项目（2018JJ2622）

Quality Control Circle to Reduce Incidence of False Alarm of Multi-parameter Monitors in General Wards

YIN Mao-zhena, YAN Chenga, HAN Hui-wua, YUE Li-qingb   

  1. a. Dept. of Cardiology; b. Dept. of Nursing Administration, Xiangya Hospital, Central South University, Changsha 410008, China
  • Received:2018-04-13 Online:2020-07-09 Published:2020-07-09

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摘要： 目的 降低普通病区多参数监护仪错误警报发生率,规范多参数监护仪警报管理流程。方法 对50例品管圈活动前接受多参数监护仪辅助治疗的普通病区住院患者错误警报率发生高的原因进行分析,制定改进措施,规范监护仪操作流程,实施2个月后评价效果。结果 品管圈活动后多参数监护仪错误警报发生率从92%降到31%;目标达成率为111%,进步率为66%;患者对监护仪使用知识掌握度由82%上升到98%,差异均有统计学意义（P<0.05）;无警报相关不良事件发生;本次品管圈活动提高了护士参与护理工作质量管理的意识和能力。结论 品管圈活动可有效降低普通病区多参数监护仪的错误警报发生率,提高患者的监护仪使用知识掌握度,值得临床推广使用。

关键词: 品管圈, 普通病区, 多参数监护仪, 错误警报

Abstract: Objective To reduce the incidence of false alarm in multi-parameter monitors in general wards, and standardize the alarm management of the monitors. Methods The reasons for the high rate of false alarm of 50 inpatients with multi-parameter monitors in the ordinary wards were analyzed, then the improvement measures were proposed and the operation of the monitor was standardized. The intervention effect was assessed 2 months later. Results The incidence of false alarm in multi-parameter monitor was reduced from 92% to 31%. The target reaching rate was 111% and the improvement rate 66%. Patient's knowledge mastery rate of the monitor increased from 82% to 98%; and the difference was statistically significant (P<0.05). No warning-related adverse events occurred. The quality control circle activity improved nurses' consciousness and ability to participate in nursing quality management. Conclusion The activity of quality control circle can effectively reduce the incidence of false alarm in multi-parameter monitors in common wards, improve patients' knowledge mastery rate of the monitor. It is worth to be popularized in clinical practice.

Key words: quality control circle, general ward, multi parameter monitor, false alarm

中图分类号: 

  • R47
[1] 赵海侠,王薇.医护人员对心电监护仪报警疲劳的研究进展[J].护理学报,2015,22(17):26-29.DOI:10.16460/j.issn1008-9969.2015.17.026.
[2] Siebig S, Kuhls S, Imhoff M, et al.Intensive Care Unit Alarms-How Many Do We Needs[J].Crit Care Med,2010,38(2):451-456.DOI:10.1097/CCM.0b013e3181cb0888.
[3] 邹莎,岳丽青.临床警报的研究进展[J].解放军护理杂志,2016,33(23):27-30. DOI:10.3969/j.issn.1008-9993.2016.23.007.
[4] 李丹丹. 品管圈在降低心电监护仪报警设置无效率中的应用研究[J].循证护理,2015,1(3):126-129. DOI:10.3969/j.issn.2095-8668.2015.03.009.
[5] 殷欣,朱光影,于姗姗,等.重症监护病房护士对临床警报认知及警报疲劳程度调查[J].中国护理管理, 2018,18(2):260-264. DOI:10.3969/j.issn.1672-1756.2018.02.025.
[6] 邓小燕,马嫣,段雪兰,等.提高脑卒中患者健康教育质量的品管圈实践[J].护理学报,2018,25(7):70-74. DOI:10.16460/j.issn1008-9969.2018.07.070.
[7] 陈肖,张红,丁翔,等.降低器官移植中心责任护士交接班内容缺陷率的品管圈实践[J].护理学报,2016,23(8):9-12.DOI:10.16460/j.issn1008-9969.2016.08.009.
[8] Chambrin M C.Alarms in the Intensive Care Unit: How Can the Number of False Alarms be Reduced[J]. Crit Care, 2012,5(4):184-188.
[9] Cvach M.Monitor Alarm Fatigue: An Integrative Review[J]. Biomed Instrum Technol,2012, 46(4):268-277.DOI:10.2345/0899-8205-46.4.268.
[10] ECRI Institute.The Life Cycle of an Alarm: A Conceptual Model for Understanding Clinical Alarm Hazards[J]. Health Devices, 2013,42(9):294-300.
[11] 李金銮. 监护室心电监护仪心律失常报警的原因及处理[J].全科护理,2017,15(29):3685-3686. DOI:10.3969/j.issn.1674-4748.2017.29.041.
[12] 王婧,王建宁,周松,等.ICU护士医疗设备报警疲劳程度及其影响因素的研究[J].中华护理杂志,2017, 52(2):211-215.DOI:10.3761/j.issn.0254-1769.2017.02.019.
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