Continuous Quality Improvement in Preoperative Preparation Management of Patients Undergoing Interventional Surgery

Xianzhong Wu, Jiancong Chen, Wencai Yang, Feifeng Qiu
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Abstract

Objective: To explore the application effect of continuous quality improvement in preoperative preparation management of patients undergoing interventional surgery. Methods: Set up a continuous quality improvement (CQI) group consisting of the head nurse of the interventional operation room, the nurse, the interventional physician, and the head nurse of the interventional ward. A total of 3099 patients undergoing elective interventional surgery from January to December 2017 were selected as the control group, and 4,048 patients undergoing elective interventional surgery from January to December 2018 as improved group, which preoperative preparation was carried out after the implementation of continuous quality improvement measures. The current problems existing in the preoperative preparation were analyzed retrospectively, formulation and implementation of improvement measures. The qualified rate of preoperative preparation before and after CQI was statistically obtained. In addition, a third-party satisfaction survey was conducted and 200 valid questionnaires were collected to obtain the satisfaction of the two groups of patients. Results: The pass rate of preoperative preparation was increased from 58.02% to 87.18%, and patient satisfaction was also improved in improved group, with statistically significant difference between the two groups (P < 0.05). Conclusion: The application of CQI in preoperative preparation management can improve the pass rate of preoperative preparation, optimize the quality of preoperative nursing, and also improve patient satisfaction.
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介入手术患者术前准备管理的持续质量改进
目的:探讨持续质量改进在介入手术患者术前准备管理中的应用效果。方法:成立由介入手术室护士长、护士长、介入医师、介入病房护士长组成的持续质量改进(CQI)小组。选取2017年1月至12月行选择性介入手术患者3099例作为对照组,2018年1月至12月行选择性介入手术患者4048例作为改善组,在实施持续质量改进措施后进行术前准备。回顾性分析目前术前准备中存在的问题,制定并实施改进措施。统计CQI前后术前准备合格率。并进行第三方满意度调查,收集有效问卷200份,了解两组患者的满意度。结果:改进组术前准备通过率由58.02%提高至87.18%,患者满意度提高,两组比较差异有统计学意义(P < 0.05)。结论:CQI在术前准备管理中的应用,可以提高术前准备的通过率,优化术前护理质量,提高患者满意度。
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