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目的探讨精益管理优化方案的实施对于手术护理差错的预防效果。方法选取精益管理优化方案实施前(2014年6月-2015年6月)和实施后(2015年7月-2016年10月)河源市龙川县人民医院432例手术病历资料为研究对象,实施前后各216例。采用标准化以及可视化的精益管理优化方案,全面深化优质服务理念,对比优化方案实施前后的手术护理差错发生率以及护理满意度等,了解优化方案的可行性以及临床应用价值。结果精益管理优化方案实施后的护理差错以及具体不良事件发生率均显著低于实施前,差异均有统计学意义(P<0.05);同时精益管理优化方案实施后的护理总满意度为93.06%显著高于实施前的75.00%,差异有统计学意义(P<0.05)。结论精益管理优化方案将优质护理贯彻到每一个环节,提高护理效率,实现了护理团队的高效、规范运行。
Objective To explore the preventive effect of the optimization of lean management on surgical nursing errors. Methods Before the implementation of the lean management optimization plan (June 2014-June 2015) and after implementation (July 2015-October 2016), 432 cases of surgical records of Longchuan County People’s Hospital of Heyuan City were selected as the research objects, 216 cases before and after each. Standardization and visualization of the lean management optimization program, comprehensively deepen the concept of quality service, compared to optimize the implementation of the program before and after the occurrence of surgical care errors and nursing satisfaction, understand the feasibility of optimization programs and clinical application value. Results The nursing errors and the incidence of specific adverse events after the implementation of the lean management optimization program were significantly lower than before the implementation (P <0.05). At the same time, the total satisfaction rate of the lean management optimization program was 93.06% Significantly higher than 75.00% before the implementation, the difference was statistically significant (P <0.05). Conclusion Lean management optimization program will be carried out in every aspect of quality care, improve nursing efficiency, to achieve the nursing team efficient and standardized operation.