Application of PDCA cycle based nursing quality improvement program in reducing the occurrence rate of nursing adverse events in emergency department
基于PDCA循环的护理质量改进方案在降低急诊科护理不良事件发生率中的应用研究

摘要

目的 探究基于PDCA循环的护理质量改进方案在降低急诊科护理不良事件发生率中的应用效果。方法 回顾性选取本院急诊科2023年1月至2024年12月间收治的患者作为研究对象。经纳排标准筛选后，共纳入200例患者，男105例，女95例，年龄21岁至70岁，并基于护理方式分组，分对照组、观察组。对照组100例（2023年1月至2023年12月间入院），予以常规护理。观察组100例（2024年1月至2024年12月间入院），予以基于PDCA循环的护理质量改进方案。比较两组不良事件发生率、护理质量得分以及护理满意度。结果 观察组不良事件发生率低于对照组（P＜0.05）。观察组护理质量得分高于对照组（P＜0.05）。观察组护理满意度高于对照组（P＜0.05）。结论 急诊科护理中，基于PDCA循环的护理质量改进方案应用效果显著，可提升护理质量，减少不良事件，还可提高患者满意度，利于科室影响力提升，值得推广。

Abstract

Objective To investigate the application effect of a nursing quality improvement program based on the PDCA cycle in reducing the incidence of adverse events in the emergency department.
Methods A retrospective study was conducted on patients admitted to the emergency department of our hospital from January 2023 to December 2024. After screening according to inclusion criteria, a total of 200 patients were enrolled, including 105 males and 95 females, aged 21–70 years. The patients were divided into a control group and an observation group based on nursing approaches. The control group (n=100, admitted from January 2023 to December 2023) received routine nursing care, while the observation group (n=100, admitted from January 2024 to December 2024) received the PDCA cycle-based nursing quality improvement program. The incidence of adverse events, nursing quality scores, and nursing satisfaction were compared between the two groups.
Results The incidence of adverse events in the observation group was significantly lower than that in the control group (P<0.05). The nursing quality scores in the observation group were significantly higher than those in the control group (P<0.05). The nursing satisfaction in the observation group was significantly higher than that in the control group (P<0.05).
Conclusion   The application of the PDCA cycle-based nursing quality improvement program in the emergency department demonstrates significant efficacy in enhancing nursing quality, reducing adverse events, and improving patient satisfaction. This approach also contributes to the department's reputation and is worthy of promotion.