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目的探讨品管圈在骨科老年患者跌倒中的应用。方法:根据2013年厦门市某中医院骨科老年患者跌到发生率及情况,针对骨科老年住院患者跌倒发生的原因,自发自愿成立品管圈组织,设定目标,明确品管圈主题,制定品管圈活动计划,实施整改措施,并对品管圈活动实施前后患者跌倒率进行比较。结果:2013年1~12月骨科住院患者总623人,跌倒发生例数15例,跌倒发生率为2.41%。2014年成立品管圈活动小组,旨在降低骨科老年住院患者跌倒发生率,2014年1~12月骨科住院患者698人,跌倒发生例数为9例,跌倒发生率为1.29%,两者跌倒发生率相比较χ2=8.175,P=0.031<0.05,差异有统计学意义。结论:通过品管圈活动降低了骨科住院患者跌倒发生,为高危患者提供了安全保障,提高了安全护理质量。
Objective To explore the application of quality control loop in the fall of orthopedic elderly patients. Methods: According to the incidence and incidence of geriatric orthopedic patients in a traditional Chinese medicine hospital in 2013 in Xiamen city, spontaneous voluntary establishment of quality control circle was set up for the cause of fall of orthopedic senile inpatients, and the target of the quality control circle was clarified. Coil activity plan, the implementation of corrective measures, and quality control activities before and after the implementation of the fall rate of patients were compared. Results: From January to December 2013, there were 623 orthopedic inpatients, 15 cases of fall and the incidence of fall was 2.41%. In 2014, a quality control circle activity group was set up to reduce the incidence of falls in elderly orthopedic inpatients. From January to December 2014, 698 orthopedic inpatients, 9 cases of fall and 1.29% fall, both fell Compared with the incidence of χ2 = 8.175, P = 0.031 <0.05, the difference was statistically significant. Conclusion: The fall of the orthopedic inpatient was reduced through the quality control circle activities, which provided the safety guarantee for high-risk patients and improved the quality of safety nursing.