持续质量改进在预防人工肝治疗并发症中的应用效果

    Application effect of continuous quality improvement in the prevention of complications caused by artificial liver therapy

    • 摘要: 目的:探讨持续质量改进在预防人工肝治疗并发症中的应用效果。方法:随机选择2015年10月至2016年12月人工肝治疗病人24例作为对照组,进行回顾性调查,总结人工肝治疗存在的主要并发症。另随机选择2017年4-12月人工肝治疗病人24例作为观察组,根据对照组存在的并发症,分析相关因素,制定相应对策,实施持续质量改进干预。比较2组病人感染、穿刺处出血和血肿、深静脉血栓及过敏反应发生率。结果:实施持续质量改进措施后观察组感染发生率、过敏反应发生率、穿刺部位出血和血肿发生率均低于对照组(P<0.05~P<0.01)。2组间深静脉血栓发生率差异无统计学意义(P>0.05)。结论:持续质量改进可以降低人工肝治疗并发症的发生率,提高治疗效果。

       

      Abstract: Objective: To explore the application effects of continuous quality improvement(CQI) in the prevention of complications caused by artificial liver therapy.Methods: The clinical data of 24 patients treated with artificial liver from October 2015 to December 2016 were retrospectively analyzed(control group),and the major complication of the patients was summarized.Twenty-four patients patients treated with artificial liver from April to December 2017 were randomly selected,and set as the observation group.The corresponding countermeasures to the related factors of complication in control group were formulated,and the CQI measurement was implemented in observation group.The incidence rates of infection,bleeding and hematoma,deep vein thrombosis and allergic reaction between two groups were compared.Results: The incidence rates of infection,allergic reaction and bleeding and hematoma in observation group,were lower than those in control group,respectively(P<0.05 to P<0.01).The difference of the incidence rate of deep vein thrombosis between the two groups was not statistically significant(P>0.05).Conclusions: Continuous quality improvement can reduce the incidence rate of complications caused by artificial liver therapy,and improve the therapeutic effects.

       

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