[1]张博泉崔瑾吴晓玲.降低急性中毒患者血液净化过程中仪器报警发生率[J].中国卫生质量管理,2023,30(03):83-86.[doi:10.13912/j.cnki.chqm.2023.30.3.17 ]
　ZHANG Boquan,CUI Jin,WU Xiaoling.Reducing the Incidence of Instrument Alarm During Blood Purification in Patients with Acute Poisoning[J].Chinese Health Quality Management,2023,30(03):83-86.[doi:10.13912/j.cnki.chqm.2023.30.3.17 ]

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降低急性中毒患者血液净化过程中仪器报警发生率

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第30卷期数: 2023年03期页码: 83-86 栏目: QC小组平台出版日期: 2023-03-15

Title:: Reducing the Incidence of Instrument Alarm During Blood Purification in Patients with Acute Poisoning

作者:: 张博泉崔瑾吴晓玲; 中国医科大学附属盛京医院

Author(s):: ZHANG Boquan; CUI Jin; WU Xiaoling; Shengjing Hospital of China Medical University,Shenyang,Liaoning

关键词:: 品管圈; 问题解决型品管圈; 血液净化; 仪器报警; 急诊

Keywords:: Quality Control Circle; Problem Solving Quality Control Circle; Blood Purification; Instrument Alarm; Emergency

分类号:: R197.323；R459.7

DOI:: 10.13912/j.cnki.chqm.2023.30.3.17

文献标志码:: B

摘要:: 目的降低急性中毒患者血液净化过程中仪器报警发生率，提高治疗效率。方法开展问题解决型品管圈活动。通过现况查检、原因解析、对策拟定，从增设体位按摩装置、实施精细化约束评估、增设管路防滑缚带3方面进行改进。结果急性中毒患者血液净化过程中仪器报警发生率从31.0%降低至11.8%，血液净化过程中的仪器报警现象得到了显著改善。结论开展品管圈活动可降低急性中毒患者血液净化过程中仪器报警发生率，值得推广。

Abstract:: ObjectiveTo reduce the incidence of instrument alarm during blood purification in acute poisoning patients and improve the efficiency of treatment.MethodsProblem solving quality control circle activities were carried out. Through current situation inspection, cause analysis and countermeasure formulation, the improvement was made from three aspects: adding position massage device, implementing fine constraint evaluation and adding pipe protective binding belt.ResultsThe incidence of instrument alarm decreased from 31.0% to 11.8% in the process of blood purification in patients with acute poisoning. The phenomenon of instrument alarm was significantly improved.Conclusion Carrying out quality control circle activities can reduce the incidence of instrument alarm during blood purification of acute poisoning patients, which is worth promoting.

参考文献/References:

［1］尧国胜，李军，黄高，等.急性重症中毒血液净化治疗的进展［J］.右江民族医学院学报，2015，37（1）：131-134. ［2］徐敏，李晓晴，文静.儿童血液透析中常见机器报警及处理方法［C］//浙江省科学技术协会.第十三届江浙沪儿科学术会议暨2016年浙江省医学会儿科学学术年会论文汇编［A］.湖州，2016：1039-1042. ［3］LI A，LI WX，HAO FT，et al.Early stage blood purification for paraquat poisoning：a multicenter retrospective study［J］.Blood Purif，2016，42（2）：93-99. ［4］血液净化急诊临床应用专家共识组.血液净化急诊临床应用专家共识［J］.中华急诊医学杂志，2017，26（1）：24-36. ［5］刘雅.流程管理对连续性血液净化治疗肾病依从性及护理缺陷的影响［J］.西藏医药，2019，40（46）：111-112. ［6］杨文君，虞妙婷，薛素梅.降低维持性血液透析患者透析中低血糖发生率［J］.中国卫生质量管理，2017，24（S1）：37-41. ［7］王彩玲，郭锦丽.基于预警理念的过程质量控制方案用于重症患者连续性血液净化研究［J］.护理学杂志，2019，34（9）：1-4.

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更新日期/Last Update: 2023-03-15