标题：PDCA循环在护理文书质量管理中的应用

      作者：林莉莉，赵 丹
    (中国人民解放军第187中心医院护理部，海南 海口 571159)

      卷次： 2014年25卷24期

      【摘要】 目的 探讨PDCA循环管理法在护理文书质量管理中的作用。方法 自2013年4至12月在护理
文书质量管理中实施PDCA循环管理，分为计划(P)、实施(D)、检查(C)和处理(A)四个阶段。依据《护理文书书写
质量考核标准》与2012年7月至2013年3月实施PDCA循环前的893份病历进行病历质量及护理记录主要缺陷
比较。结果 PDCA循环实施后甲级病历率(95.64%)明显高于实施前(83.99%)，差异有显著统计学意义(χ2=
70.10，P<0.01)。PDCA循环实施后，护理记录主要缺陷发生率明显低于实施前，差异均有显著统计学意义(P<
0.01)。结论 PDCA循环是护理文书质量管理的一种行之有效的管理方法。

      【关键词】 PDCA循环；护理文书质量；管理

      【中图分类号】 R47 【文献标识码】 A 【文章编号】 1003—6350（2014）24—3740—03


Application of the PDCA cycle in management of the quality of nursing documents.
LIN Li-li, ZHAO Dan.
Department of Nursing, the 187th Central Hospital of Chinese PLA, Haikou 571159, Hainan, CHINA

【Abstract】 Objective To investigate the effects of PDCA cycle in the management of the quality of nursing
documents. Methods From Apr 2013 to Dec 2013, PDCA cycle was used in the management of the quality of nurs-
ing documents. The cycle contained plan (P), do (D), check (C) and action (A). Quality of medical records and the
main defects of nursing records after implement were compared with that before implement (from Jul 2012 to Mar
2013, 893 cases). Results Rate of class A medical records after implement was significantly higher than that before
implement (95.64% vs 83.99%, χ 2=70.10, P<0.01). Incidence of the main defects of nursing records after implement
were significantly lower than that before implement (P<0.01). Conclusion PDCA cycle is an effective management
method for the quality of nursing documents.

      【Key words】 PDCA cycle; Quality of nursing documents; Management