护理质量持续改进原因分析及整改措施 护理方案质控存在问题及整改措施
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1.\u4e00\u5468\u4e00\u6b21\u6838\u5fc3\u5236\u5ea6\u7684\u5b66\u4e60\u3002
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3.\u52a0\u5927\u884c\u653f\u67e5\u623f\u7684\u68c0\u67e5\u7763\u4fc3\u529b\u5ea6\u3002
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1. \u8ba4\u771f\u5b66\u4e60\u4e30\u536b[2014]168\u53f7\u6587\u4ef6\u300a\u52a0\u5f3a\u533b\u60a3\u6c9f\u901a\u5de5\u4f5c\u7684\u5b9e\u65bd\u610f\u89c1\u300b\u3002
2. \u5207\u5b9e\u8f6c\u53d8\u601d\u60f3\uff0c\u63d0\u5021\u4ee5\u75c5\u4eba\u4e3a\u4e2d\u5fc3\u7684\u4e3b\u52a8\u670d\u52a1\u3002
3. \u7ed3\u5408\u521b\u5efa\u4f18\u8d28\u62a4\u7406\u670d\u52a1\u793a\u8303\u75c5\u623f\u505a\u597d\u62a4\u60a3\u6c9f\u901a\u3002
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\u5177\u4f53\u63aa\u65bd\uff1a
1. \u5236\u8ba2\u62a2\u6551\u5668\u68b0\u7684\u4fee\u517b\u4e0e\u7ef4\u4fee\u5236\u5ea6\u3002
2. \u79ef\u6781\u5f15\u8fdb\u65b0\u578b\u7684\u62a2\u6551\u5668\u68b0\u3002
3. \u505a\u597d\u62a2\u6551\u836f\u54c1\u3001\u7269\u54c1\u7684\u5904\u5907\u7528\u72b6\u6001\u7684\u68c0\u67e5\u5de5\u4f5c
4. \u52a0\u5f3a\u503c\u73ed\u4ea4\u63a5\u73ed\u7684\u8d23\u4efb\u5fc3\u3002
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2. \u52a0\u5f3a\u8d23\u4efb\u5fc3\uff0c\u4e25\u683c\u5c65\u544a\u77e5\u5236\u5ea6\u3002
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2. \u6cbb\u7597\u5ba4\u589e\u52a0\u63d0\u793a\u201c\u836f\u54c1\u8d28\u91cf\u4f60\u67e5\u5bf9\u4e86\u5417?\u201d\uff0c\u4ee5\u9632\u62a4\u58eb\u7684\u7c97\u5fc3\u5927\u610f\u3002
3. \u52a0\u5f3a\u8d23\u4efb\u5fc3\u7684\u6559\u80b2\u3002
护理文书质控原因分析及整改措施：
1、病房管理：危重病人物品多而乱。
2、基础护理：颜面不洁净，未能达到质量要求。
3、技术操作：技术操作考核12人次，包括皮肤护理、口腔护理、会阴护理等。存在问题：病人身体暴露过多、手法不准确、与病人交流少、关心体贴病人不够。
4、消毒隔离：对4个班次进行检查考评，存在问题：紫外线灯管保洁处理后记录不全。
整改措施：
1、病房管理：危重病人探视多、陪护多、物品多而乱，应耐心做解释协助家属把物品整理归放好。
2、基础护理：个别病人眼角有分泌物，主管护士应及时清洗。
3、技术操作：操作过程中应尽量减少病人身体暴露的时间、手法应多练习多体会，关心体贴病人应体现在整个操作过程中。
4、消毒隔离：紫外线灯管保洁处理后6个灯管只记录了一个，原因是：记了一个时病人呼叫处理病人后忘记了，下班之前应将本班所有工作自查一遍。
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