Application of PDCA cycle on reducing unplanned extubation of invasive arterial blood pressure monitoring in child patients
10.3760/cma.j.issn.1674-2907.2015.12.017
- VernacularTitle:PDCA循环在减少有创动脉血压监测患儿非计划性拔管中的应用
- Author:
Xiangmei HAO
1
;
Xue WEI
;
Shujuan LIU
Author Information
1. 221000 江苏省徐州市儿童医院新生儿重症监护室
- Keywords:
Child patients;
Invasive blood pressure monitoring;
Unplanned extubation;
PDCA cycle
- From:
Chinese Journal of Modern Nursing
2015;(12):1421-1422,1423
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application of PDCA cycle on reducing unplanned extubation ( UEX) incidence of invasive arterial blood pressure monitoring in child patients. Methods The PDCA cycle had been used to documented the UEX status of invasive arterial blood pressure monitoring in 2013, analyses the reason of UEX, set improvement goals, formulate measures, organize and implement the strategy, and compared and analyses the improved effect. Results After the introduction of PDCA cycle management approach, the experimental group of arterial indwelling catheter UEX rate (4. 5%) was lower than that of the observation group (15. 45%) (χ2 =6. 62,P <0. 05); for children of experimental group, the length of hospitalization was (22. 98 ± 2. 53) d, which was lower than that of the control group (22. 98 ± 2. 53) d (t=12. 846,P<0. 05), the expenditure of hospitalization of the control group (6 991. 1 ± 237. 1) yuan was higher than that observation group(5849.71±252.80) yuan(t=34.631,P<0.05).Conclusions ThePDCAnursingcanpreventand control the UEX rate of invasive arterial blood pressure monitoring standardize nursing operation, and improve nursing management level.
