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目的探讨实施夜间护理行政值班制度对提高夜间护理质量与患者安全的效果。方法以护理管理人员与护理骨干组合的形式成立夜间护理行政值班力量,督查夜间护理工作质量,参与夜急诊高峰工作协调,受理支援或突发事件应对夜间紧急请示,比较实施前后夜间护理质量。结果实施夜间护理行政值班制度后,夜间护理质量督查成绩提高,实施前后相比差异有统计学意义(P<0.05)。结论夜间护理质量安全管理体系健全,落实举措有效,保障夜间质量安全,实施夜间护理质量安全管理可作为护理管理长效性机制推行。
Objective To explore the effect of implementing night care administrative duty on improving the quality of night care and patient safety. Methods Nursing administrators and nursing cadre combination form the night care administrative duty force, supervision of the quality of night care work, participate in the peak emergency coordination of night and emergency services, acceptance of emergency or emergency response instructions at night, compare the quality of night care before and after the implementation. Results After the implementation of night care administrative shift system, the night care quality supervision results improved, before and after the implementation of the difference was statistically significant (P <0.05). Conclusions The night care quality and safety management system is sound, the implementation of measures is effective to ensure the quality and safety at night, and the implementation of night care quality and safety management can be implemented as a long-term mechanism of nursing management.