Application of QCC in Reducing the Rate of Unplanned Extubation in the Department of Neurology with Indwelling Gastric Tube

Objective To discuss the effect QCC in reducing the unplanned extubation rate of nasogastric tube, nursing cost in Department of Neurology and improve the quality of nursing at the same time.Methods We randomly selected the Department of Neurology in the fourth affiliated hospital of Kunming Medical University.Before QCC management, there are indwelling nasogastric tube 50 cases as control group on July to August, 2015.After QCC management, there are indwelling nasogastric tube 51 cases as experimental group on December 2015 to February 2016.In the strategy step, We add evidence based nursing method, making the literature search strategy closely, chose nasal bridles.The contents of the survey include: The rate of unplanned extubation of nasogastric tube, working hours in indwelling nasogastric tube, nursing cost before and after the QCC management mode in Department of Neurology.Statistical analysis of data using SPSS17.0 statistical software.Result The two groups had no significant difference in age, gender, disease (P>0.05) . Compared with the two groups, the unplanned extubation rate decreased from 62% to 17.65%, the cost of materials decreased from (11.81 ± 9.08) yuan/person to 7.30 ± 2.53 yuan/person (P<0.05) , the working hours of nasogastric tube placement decreased from (13.22±10.77) minutes/person to (7.48±2.56) minutes/person (P<0.05) . The differences were statistically significant (P < 0.05) .Conclusions The QCC mode can reduce unplanned extubation rate of neurological nasogastric tube, reduce the cost of care and improve the quality of patient care in the Department of Neurology.