探讨PDCA管理系统下的APN排班及层级责任制护理对提高护理质量的影响。通过采用PDCA管理系统及责任制层级管理的护理模式提高病人满意度、护理质量、及减少护理差错发生率。PDCA管理系统下的APN排班及层级责任制护理对提高病人满意度、工作效率、护理差错发生率有显著意义,具有临床推广价值。 To explore the impact of APN scheduling and hierarchical responsibility system under the PDCA management system to improve the quality of nursing. Improve patient satisfaction, quality of care and reduce the incidence of nursing errors through the use of PDCA management systems and accountability hierarchy management. PDCA management system under the APN scheduling and level of responsibility to improve patient satisfaction to improve patient satisfaction, work efficiency, nursing errors have a significant incidence rate, with clinical value.