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护理敏感质量指标应用与评价
$39.81
本书主要从“结构—过程—结果”三个维度,设计了系统的护理质量全流程的监控评价标准。结合医院管理实践,总结出护理质量全院通用护理指标、专科护理指标、专病护理指标。经反复讨论和征求多位护理专家意见,形成了对这些指标的计算方法、变量定义、数据来源和采集方式的共识。通过多年的数据收集、分析和反馈,广泛听取护理管理者及使用者意见和建议,不断修正和完善,终达成了目前的统一。可供广大的护理工作者和医护服务管理者参考使用。
段玉梅,玉溪市人民医院护理部副主任,多年从事护理质量管理工作。对于采用系统思维搭建管理体系、风险防控等质量改进工作有丰富的实践经验。
目录
章 概述 / 1 一、护理服务质量管理体系构建 / 1 二、测量护理敏感质量指标数据的注意事项 / 2
第二章 通用护理敏感质量指标 / 4 一、护理人力资源配置合格率 / 4 二、 病区管理合格率 / 8 三、护理文书管理合格率 / 12 四、患者身份识别管理合格率 / 14 五、输血管理合格率 / 16 六、危急值管理合格率 / 18 七、药品安全管理合格率 / 20 八、住院患者压力性损伤风险管理合格率 / 23 九、住院患者跌倒风险管理合格率 / 25 十、非计划拔管风险管理合格率 / 28 十一、疼痛护理管理合格率 / 30 十二、 住院患者健康教育管理合格率 / 32
第三章 临床科室专科指标 / 35 一、急诊预检分诊合格率 / 35 二、急诊患者安全转运护理管理合格率 / 40 三、危重患者输液通道建立时间达标率 / 43 四、呼吸机相关肺炎发生率 / 46 五、中心血管导管相关血流感染护理管理合格率 / 49 六、导尿管相关尿路感染护理管理合格率 / 53 七、腰椎穿刺患者护理管理合格率 / 57 八、脑卒中患者吞咽功能障碍护理管理合格率 / 60 九、 脑卒中患者营养护理管理合格率 / 62 十、 脑卒中二级预防护理管理合格率 / 65 十一、 卒中相关性肺炎护理管理合格率 / 67 十二、脑卒中患者深静脉血栓护理管理合格率 / 70 十三、住院患者肺康复护理管理合格率 / 72 十四、心脏康复护理管理合格率 / 78 十五、急诊PCI术后早期活动护理管理合格率 / 82 十六、消化内镜检查/治疗护理管理合格率 / 85 十七、IgA肾病患者随访护理管理合格率 / 88 十八、透析用水生物污染检验合格率 / 90 十九、血液透析中心静脉导管护理管理合格率 / 93 二十、血液透析患者容量护理管理合格率 / 96 二十一、血液透析动静脉内瘘长期使用护理管理合格率 / 99 二十二、化疗患者口腔黏膜炎护理管理合格率 / 102 二十三、 化疗患者肛周感染护理管理合格率 / 105 二十四、 糖皮质激素护理管理合格率 / 107 二十五、住院患者血糖规范护理管理合格率 / 111 二十六、癌痛规范化护理管理合格率 / 114 二十七、经外周静脉穿刺的中心静脉导管护理管理合格率 / 116 二十八、肛肠住院患者围术期肠道护理管理合格率 / 119 二十九、罐法操作护理管理合格率 / 121 三十、针法操作护理管理合格率 / 124 三十一、灸法操作护理管理合格率 / 126 三十二、放疗患者皮肤护理管理合格率 / 128 三十三、住院患者颅内引流管护理管理合格率 / 131 三十四、脑室引流管护理管理合格率 / 133 三十五、泪道冲洗护理管理合格率 / 135 三十六、耳鼻局部给药护理管理合格率 / 137 三十七、胸腔闭式引流管护理管理合格率 / 139 三十八、PIVC护理管理合格率 / 142 三十九、输液港颈内静脉血栓预防护理管理合格率 / 146 四十、肠内营养护理管理合格率 / 148 四十一、下肢深静脉血栓预防护理管理合格率 / 152 四十二、骨科康复训练操作护理管理合格率 / 154 四十三、留置负压封闭引流患者护理管理合格率 / 156 四十四、经尿道膀胱肿瘤切除术术后首次膀胱灌注化疗护理管理合格率 / 160 四十五、尿培养标本留检护理管理合格率 / 163 四十六、会阴侧切护理管理合格率 / 165 四十七、产后尿潴留护理管理合格率 / 167 四十八、母乳喂养护理管理合格率 / 170 四十九、尿布皮炎护理管理合格率 / 173 五十、静脉输液外渗/渗出护理管理合格率 / 175 五十一、手术安全核查护理管理合格率 / 178 五十二、体检指标高度异常值护理管理合格率 / 181 五十三、体检导引单护理管理合格率 / 183 五十四、体检中心13C、14C标本留取护理管理合格率 / 185
第四章 临床科室专病指标 / 189 一、急性中毒患者护理管理合格率 / 189 二、面神经炎患者护理管理合格率 / 192 三、帕金森病患者护理管理合格率 / 195 四、支气管哮喘患者护理管理合格率 / 200 五、慢性阻塞性肺疾病患者护理管理合格率 / 205 六、高血压患者护理管理合格率 / 209 七、急性心肌梗死患者护理管理合格率 / 212 八、慢性心力衰竭患者护理管理合格率 / 216 九、消化道出血患者护理管理合格率 / 220 十、急性胰腺炎患者护理管理合格率 / 223 十一、慢性肾脏病患者护理管理合格率 / 226 十二、肾病综合征患者护理管理合格率 / 228 十三、急性早幼粒细胞白血病患者护理管理合格率 / 230 十四、特发性血小板减少性紫癜患者护理管理合格率 / 234 十五、缺铁性贫血患者护理管理合格率 / 237 十六、类风湿关节炎患者护理管理合格率 / 240 十七、系统性红斑狼疮患者护理管理合格率 / 244 十八、痛风性关节炎患者护理管理合格率 / 247 十九、肺癌患者护理管理合格率 / 251 二十、直肠癌患者护理管理合格率 / 254 二十一、颈椎病患者护理管理合格率 / 256 二十二、腰椎间盘突出症患者护理管理合格率 / 258 二十三、偏瘫患者护理管理合格率 / 260 二十四、截瘫患者护理管理合格率 / 262 二十五、鼻咽癌放疗后并发症护理管理合格率 / 266 二十六、早产儿体温护理管理合格率 / 268 二十七、高胆红素血症患儿光疗护理管理合格率 / 271 二十八、新生儿呼吸窘迫综合征护理管理合格率 / 273 二十九、慢性硬膜下血肿患者护理管理合格率 / 277 三十、垂体瘤患者护理管理合格率 / 279 三十一、颅内动脉瘤介入术患者护理管理合格率 / 281 三十二、视网膜脱离患者护理管理合格率 / 283 三十三、慢性中耳炎患者护理管理合格率 / 286 三十四、慢性鼻窦炎患者护理管理合格率 / 289 三十五、慢性扁桃体炎患者护理管理合格率 / 292 三十六、腮腺良性肿瘤患者护理管理合格率 / 294 三十七、颌骨骨折患者护理管理合格率 / 297 三十八、自发性气胸患者护理管理合格率 / 299 三十九、肺癌患者护理管理合格率 / 302 四十、乳腺癌患者护理管理合格率 / 304 四十一、胆结石患者护理管理合格率 / 307 四十二、甲状腺肿大患者护理管理合格率 / 310 四十三、直肠癌患者护理管理合格率 / 312 四十四、颈部脊髓损伤患者护理管理合格率 / 315 四十五、脆性骨折患者护理管理合格率 / 317 四十六、股骨骨折患者护理管理合格率 / 319 四十七、股骨头缺血性坏死患者护理管理合格率 / 321 四十八、半月板损伤患者护理管理合格率 / 323 四十九、断肢(指)再植患者护理管理合格率 / 327 五十、手指肌腱断裂患者护理管理合格率 / 331 五十一、良性前列腺增生患者护理管理合格率 / 334 五十二、妊娠期高血压疾病患者护理管理合格率 / 338 五十三、 妊娠合并糖尿病患者护理管理合格率 / 341 五十四、卵巢囊肿(经腹腔镜手术)患者护理管理合格率 / 344 五十五、子宫肌瘤(经腹全子宫切除手术)患者护理管理合格率 / 346
参考文献 / 351
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