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目的:探讨运用品管圈对降低介入术后患者对比剂肾病发生率的效果,提高医疗质量。方法:2014年1~6月由本院8个心血管内科医护人员组成品管圈,通过现状掌握寻找到水化方案不规范为关键点,并采用特性要因图根据关键点进行原因分析,从中找到真因,并制订改进方案。按程序进行整改和效果确认。结果:通过品管圈活动使介入术后患者对比剂肾病发生率从17.89%降低到3.03%,差异具有统计学意义(P<0.05)。结论:开展品管圈活动不仅有效降低了对比剂肾病的发生率,同时还能提高团队意识,增强自信心。
Objective: To explore the use of quality control ring to reduce the incidence of contrast-induced nephropathy in patients after intervention and improve the quality of medical treatment. Methods: From January to June 2014, 8 cardiovascular medical care workers in our hospital composed a quality control ring. Based on the status quo, it was the key point to find out the non-standardization of hydration regimen. The cause-effect chart was used to analyze the causes based on the key points. Find the cause, and develop improvement programs. According to the procedure rectification and effect confirmation. Results: The incidence of contrast agent nephropathy in interventional patients decreased from 17.89% to 3.03% through the quality control circle, the difference was statistically significant (P <0.05). CONCLUSION: Conducting QC activities not only effectively reduces the incidence of contrast-induced nephropathy, but also enhances team awareness and enhances self-confidence.