Multidisciplinary team-based FOCUS-PDCA reduces the adverse event rate caused by junior nurses
10.3760/cma.j.issn.1672-7088.2019.30.013
- VernacularTitle: 基于多学科合作的FOCUS-PDCA在低年资护士不良事件管理中的应用
- Author:
Yajuan WENG
1
;
Yun YE
1
;
Huiyu QIAN
2
;
Wenjun WU
3
;
Yajuan HUANG
4
;
Jingyu NI
1
Author Information
1. Department of Nursing, the Third Affiliated Hospital of Soochow University, Changzhou 213003, China
2. Department of Gastroenterological Surgery, the Third Affiliated Hospital of Soochow University, Changzhou 213003, China
3. Department of Cardiolog, the Third Affiliated Hospital of Soochow University, Changzhou 213003, China
4. Department of Emergency, the Third Affiliated Hospital of Soochow University, Changzhou 213003, China
- Publication Type:Journal Article
- Keywords:
Multidisciplinary team;
FOCUS-PDCA mode;
Junior nurses;
Adverse event
- From:
Chinese Journal of Practical Nursing
2019;35(30):2385-2390
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of FOCUS(F:find; O:organize; C:clarify; U:understand; S:select)-PDCA on reducing the adverse event rate caused by junior nurses.
Methods:A historical control design was used, traditional method to manage adverse events among junior nurses from January to June 2017. Interdisciplinary team combined with FOCUS-PDCA courses was established from July to December 2017. In the course problems were found and analyzed, the present procedures and standard were issued and improved. And these data were summarized and analyzed to improve the quality of management continuously.
Results:Before applying the FOCUS-PDCA model, the total incidence of adverse events caused by junior nurses, bachelor′s degree or above, nurse practitioners, and working career of 1-3 years were respectively as follows: 42.66%(285/668), 46.67%(112/240), 40.54%(105/259), 51.61%(176/341). After using this model, the above four indicators were 33.04%(229/693), 33.33%(84/252), 27.04%(73/270), 38.97%(136/349) respectively. There were significant differences before and after the FOCUS-PDCA (χ2=4.20-13.39, P<0.01 or 0.05).
Conclusions:Multidisciplinary team-based FOCUS-PDCA management reduces the adverse event rate caused by junior nurses and improves the quality of management continuously.
