目的 探討提高臨床護理質量的管理方法。 方法 利用歸因理論，對2009年12月－2010年11月護理部3級綜合質量檢查、午夜間及節假日2級護理質量檢查、科室1級護理質量自查存在的128項問題進行回顧性歸因分析。 結果 危重患者護理、病房規范化管理、5年內護士、午間時段為扣分項目多發點。 結論 護理人力資源合理配置、質控歸因分析會、低年資護士培訓、抓重點時間段、注重人性化管理等有望改變現狀。
ObjectiveTo summarize the method of quality management in long term video electroencephalogram (VEEG) monitoring process.MethodsTo summarize the VEEG monitoring process in 4 935 patients, the following methods were adopted: adequate preparation before examination, selection of suitable electrode wearing methods, regular inspection of the quality of the lead wire, inspection and observation of whether the electrodes have fallen off, process inspection, behavioral intervention guidance, timely manage the artifacts, pay more attention to the inducted experimental, timely identification of paroxysmal events, standardize the procedures for the management of seizures, standardize the processing of electrode cleaning and disinfection, continuously improve the quality.ResultsFour hundred and tworoy are paroxysmal events of various types occurred during the monitoring period. All of them were handled in time and the patients were all safe. Among these events, 4 children ended the examination in ahead of the normal procedure due to fever, crying or other reasons. two patients were transferred to intensive care unit due to changes in patients ’conditions such as hypopnea and decreased oxygen saturation of artery blood of finger. The remaining 4 829 patients completed VEEG detection for 8 ~ 24 h. and got good quality images.ConclusionsQuality management is a guarantee of qualified, high quality, low artifact EEG reports.