麻醉安全与质控2017，Vol.1Issue(3)：133-135,3.DOI:10.3969/j.issn.2096-2681.2017.03.006
PDCA循环在降低麻醉复苏期间非计划二次插管率中的应用
Application of PDCA cycle in reducing PACU unintended secondary intubation rate
朴明燚 1赵利 1俞小玲 1严敏 1郑周鹏1
作者信息
- 1. 浙江大学医学院附属第二医院麻醉科, 浙江 杭州 310009
- 折叠
摘要
Abstract
Objective Using the plan-do-check-action(PDCA) cycle theory to reduce the rate of unintended secondary intubation during resuscitation and improve the quality and safety of anesthesia.Methods A total of 73664 patients undergoing tracheal intubation in second affiliate hospital of Zhejiang university post-anesthesia care unit (PACU) from Jan.2014 to Dec.2015 were seleted.We analyzed 17 patients who underwent unintended secondary intubation and provided the prompt examination and summary to formulate a standardized protocol to guide clinical extubation.Results Compared with 2014, the rate of unintended secondary intubation was reduced from 0.04% to 0.01% and the quality and safety of anesthesia improved in 2015.Conclusion PDCA cycle theory can effectively reduce the rate of unintended secondary intubation during resuscitation.关键词
PDCA/非计划二次插管/麻醉质量控制Key words
PDCA/unintended secondary intubation/anesthesia quality control引用本文复制引用
朴明燚,赵利,俞小玲,严敏,郑周鹏..PDCA循环在降低麻醉复苏期间非计划二次插管率中的应用[J].麻醉安全与质控,2017,1(3):133-135,3.
