Duan Bao Feng , Zhang Rui Zhi , Li Xiong Ju , Song Ping , Wen Wen , Du Rui , Zhang Li Li . Application of QCC in Reducing the Rate of Unplanned Extubation in the Department of Neurology with Indwelling Gastric Tube[J]. Journal of Kunming Medical University, 2017, 38(10): 141-144.
Citation: Duan Bao Feng , Zhang Rui Zhi , Li Xiong Ju , Song Ping , Wen Wen , Du Rui , Zhang Li Li . Application of QCC in Reducing the Rate of Unplanned Extubation in the Department of Neurology with Indwelling Gastric Tube[J]. Journal of Kunming Medical University, 2017, 38(10): 141-144.

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

Funds:

基金: 全国高等医学教育学会护理教育分会教育科学基金资助项目 (GJHLQZ160023);

  • Received Date: 2017-05-21
  • 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.
  • loading
  • [1]姜玉萍.气管插管患者9例意外拔管的原因分析及对策[J].基层医学论坛, 2013, 33 (33) :4424-4426.
    [2]王晓艳, 赵红军.ICU患者非计划性拔脱气管插管的原因分析与对策[J].现代医药卫生, 2010, 26 (10) :1580-1581.
    [3] 罗曙光.正确运用QCC管理, 全面提升医院质管理[J].中外健康文摘, 2010, 7 (17) :351-352.
    [4]刘庭芳.我国医院品管圈活动综述[J].中国医院, 2015, 19 (07) :1-3.
    [5]胡雁.正确认识循证护理推动护理实践发展[J].中华护理杂志, 2005, 40 (9) :714-717.
    [6]王临润, 李盈.医院品管圈进阶手册[M].杭州:浙江大学出版社, 2016:13-40.
    [7]
    [7]BRUGNOLLI, AMBROSI.2014.Securing of naso-gastric tubes in adult patients:A review[J].International Journal of Nursing Studies, 2014, 51 (2014) :943-950.
    [8]
    [8]BECHTOLD, NGUYEN.Nasal bridles for securing nasoenteric tubes:A meta-Analysis[J].Nutrition in Clinical Practice, 2014, 29 (5) :667-671.
    [9]刘庭芳.中国医院品管圈操作手册[M].北京:人民卫生出版社, 2012:118-124.
  • Relative Articles

    [1] Yun WANG, Hui WANG, Haixiao HUANG, Ruying LI, Ruiqin SHA, Ying TIAN. Application of PBL and Evidence-based Teaching Method in Critical Thinking Ability Training for Nursing Students in Emergency Department. Journal of Kunming Medical University, 2022, 43(8): 166-172.  doi: 10.12259/j.issn.2095-610X.S20220827
    [2] Zhao Yu Bin , Qu Qi Cai , Si Yong Yu . . Journal of Kunming Medical University, 2019, 40(08): 93-96.
    [3] Liu Zhong Yi , Hou Jie . . Journal of Kunming Medical University, 2017, 38(03): 107-110.
    [4] Cen Mei , Jin Ming , Yang Li Fang , He Yan , Luo Mei Yan . Investigation and Evaluation of Evidence-based Extension Intervention on Low-salt Diet in Elderly Hypertensive Patients. Journal of Kunming Medical University, 2017, 38(09): 144-148.
    [5] Liu Tian Yun , Zhou Yu E . Study on the Pressing Time and Puncture Site Bleeding after Extubation of Superficial Venous Catheter in E Iderly Patients. Journal of Kunming Medical University, 2016, 37(11): 142-144.
    [6] Jin Ming . Effect Evaluation of Comprehensive Intervention with Low-salt Diet in Elderly Patients with High Blood Pressure. Journal of Kunming Medical University,
    [7] Huang Song Xia . The Effect of Evidence-based Care on the Complication Rate and Comfort in Patients with Coronary Heart Disease after Intervention Therapy. Journal of Kunming Medical University,
    [8] Yang Xiao Ling . . Journal of Kunming Medical University,
    [9] Kong Li Ping . . Journal of Kunming Medical University,
    [10] Xiao Jian Feng . . Journal of Kunming Medical University,
    [11] Tao Jing Nan . . Journal of Kunming Medical University,
    [12] Ren Ai Hong . . Journal of Kunming Medical University,
    [13] Zhang Jing . . Journal of Kunming Medical University,
    [14] Zhang Jing . . Journal of Kunming Medical University,
    [15] Zhu Jin Teng . . Journal of Kunming Medical University,
    [16] Cai Ying . . Journal of Kunming Medical University,
    [17] Chen Shi Gui . Application of Evidence-based Care in the Patients Received Enhanced Abdominal CT Scan. Journal of Kunming Medical University,
    [18] . . Journal of Kunming Medical University,
    [19] . . Journal of Kunming Medical University,
    [20] Liu Xue Lian . . Journal of Kunming Medical University,
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (1732) PDF downloads(185) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return