Application of double checklist in quality control before the start of treatment of continuous renal replacement therapy
10.3760/cma.j.issn.1674-2907.2018.09.019
- VernacularTitle:双人核查清单在连续性肾脏替代治疗质量控制中的应用研究
- Author:
Haiyang YU
1
;
Sha XIAO
;
Rui CHEN
Author Information
1. 510010,广州军区广州总医院老年重症医学科 广州市老年感染与脏器功能支持实验室
- Keywords:
Quality control;
Double checklist;
Continuous renal replacement therapy
- From:
Chinese Journal of Modern Nursing
2018;24(9):1071-1075
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the application effect of self-made double checklist on quality control before the start of treatment of continuous renal replacement therapy (CRRT). Methods Using the convenience sampling method, a number of 200 cases undergoing CRRT were chosen as control group in the Department of Geriatric Critical Care Medicine of a Class Ⅲ Grade A hospital in Guangzhou from January to May 2016. Another 200 cases undertaking CRRT from June to September 2016 were treated as observation group. CRRT quality control of the control group was implemented in accordance with the department principle, while the observation group had an extra double checklist before the start of treatment of CRRT. CRRT risk events, time duration before starting treatment of CRRT, CRRT treatment time, and satisfaction of both doctors and nurses before and after the checklist using of two groups were compared. Results The incidence of risk events before, during and after CRRT of the observation group were lower than those of the control group (P<0.01). Time duration before starting treatment of CRRT and CRRT treatment time of the observation group were superior than those of the control group [(10.84±3.34) vs. (18.38±6.44) min, (20.88±6.45) vs. (18.48±7.51) h;P< 0.01]. Satisfaction of the observation group of doctors to nurses' CRRT technical operation and nurses to double checklist using for CRRT quality control were higher than those of the control group (P<0.01). Conclusions Application of double checklist on quality control before the start of treatment of CRRT could greatly reduce the incidence of CRRT risk events, shorten time duration before starting treatment of CRRT, extend the CRRT treatment time, improve the medical and nursing satisfaction and ensure quality control of CRRT as well.
