Effects of hierarchical quantitative evaluation management in quality management of intravenous therapy
10.3760/cma.j.issn.1674-2907.2020.06.021
- VernacularTitle:分层量化考评管理在静脉治疗质量管理中的应用效果
- Author:
Li SHENG
1
;
Liqin WANG
;
Liyan TAN
Author Information
1. 解放军总医院第八医学中心全军结核病研究所结核一科，北京 100091
- Keywords:
Intravenous therapy;
Quality management;
Hierarchical quantitative evaluation management
- From:
Chinese Journal of Modern Nursing
2020;26(6):806-810
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To implement hierarchical quantitative evaluation management and test its effectiveness in the quality management of intravenous therapy was in order to improve the quality of intravenous therapy and ensure the safety of patients.Methods:In this cross-sectional study, totally 3 935 patients receiving infusion in 42 infusion departments at the Eighth Medical Center of Chinese PLA General Hospital from January to December 2018 were selected. The hierarchical quantitative evaluation management method was developed and applied in the quality management of intravenous therapy. Before the introduction of the hierarchical quantitative evaluation management in early January 2018, a cross-sectional survey of the infusion patients in the hospital that met the inclusion criteria was conducted based on the observation indicators. After the implementation, at the end of December 2018, a cross-sectional survey was performed again on the infusion patients who met the inclusion criteria based on the observation indicators. The infusion route, puncture site, infusion connection, medication, catheter maintenance, application fixation, indwelling time, and infusion-relation complications were compared before and after the implementation.Results:After the implementation of hierarchical quantitative evaluation, steel needle usage, application fixation and maintenance issues, wrong selection of infusion sites (lower limbs and joints) , incidence of redness at puncture points decreased, and the use of indwelling needles increased, and there were statistically significant differences compared with those before the implementation ( P<0.01) . Conclusions:The application of hierarchical quantitative evaluation in the quality management of intravenous therapy gives full play to the role of the intravenous therapy team, effectively mobilizes the enthusiasm for self-improvement of the department, which can improve the quality of intravenous therapy and the level of intravenous therapy for nurses, and ensure patients' safety.
