榫欐簮鏈熷垔缃?/p>
http://www.qikan.com.cn
鏍规湰鍘熷洜鍒嗘瀽娉曞湪闄嶄綆鐣欑疆瀵煎翱鎮ｈ�呮嫈闄ゅ翱
绠″悗灏挎酱鐣欎簨浠朵腑鐨勫簲鐢?/p>
浣滆�咃細寮犵娉?/p>
鏉ユ簮锛氥�婁腑鍥藉尰瀛﹀垱鏂般�?/p>
2015
骞寸
28
鏈?/p>
銆愭憳瑕併�?/p>
鐩殑锛氭帰璁ㄦ牴鏈師鍥犲垎鏋愭硶锛?/p>
RCA
锛夊湪闄嶄綆鐣欑疆瀵煎翱鎮ｈ�呮嫈闄ゅ翱绠″悗灏挎酱鐣欎簨
浠朵腑鐨勫簲鐢ㄥ強鏁堟灉銆傛柟娉曪細鎴愮珛
RCA
灏忕粍锛屾敹闆嗙浉鍏虫暟鎹祫鏂欙紝閲囩敤楸奸鍥炬壘鍑烘嫈闄ゅ翱绠″悗
鍙戠敓灏挎酱鐣欑殑杩戠鍘熷洜锛岀‘瀹氭牴鏈師鍥狅紝鍒惰骞跺疄鏂芥敼杩涙帾鏂斤紝姣旇緝搴旂敤
RCA
鍓嶅悗鐨勬晥鏋溿�?/p>
缁撴灉锛氬簲鐢?/p>
RCA
鍚庯紝鐣欑疆瀵煎翱鎮ｈ�呮嫈闄ゅ翱绠″悗灏挎酱鐣欏彂鐢熺巼鐢?/p>
17.65%
涓嬮檷鑷?/p>
6.37%
锛屾偅鑰呮弧
鎰忓害鐢?/p>
83.33%
鎻愰珮鑷?/p>
94.55%
锛屽疄鏂藉墠鍚庢瘮杈冨樊寮傚潎鏈夌粺璁″鎰忎箟锛?/p>
P
銆愬叧閿瘝銆?/p>
鏍规湰鍘熷洜鍒嗘瀽娉曪紱
鎷旈櫎灏跨锛?/p>
灏挎酱鐣?/p>
銆?/p>
Abstract
銆?/p>
Objective
锛?/p>
To explore the effect of root cause analysis
锛?/p>
RCA
锛?/p>
in reducing the
incident of urine retention after catheter removal among patients with indwelling catheter. Method
锛?/p>
RCA group was established
锛?/p>
the related data were collected
锛?/p>
the fishbone diagram was used to
identify the immediate causes of the incident of urine retention after catheter removal
锛?/p>
the root causes
were determined
锛?/p>
then improvement measures were developed and implemented
锛?/p>
and the effects
before and after the application of RCA were compared. Result
锛?/p>
After implementation the method of
RCA
锛?/p>
the incidence of urine retention after catheter removal among patients with indwelling catheter
decreased from 17.65% to 6.37%
锛?/p>
the pa
tients鈥?nbsp;satisfaction improved from 83.33% to 94.55%
锛?/p>
the
difference was statistically significant
锛?/p>
P
銆?/p>
Key words
銆?/p>
Root cause analysis
锛?/p>
Catheter removal
锛?/p>
Urine retention
First-
author鈥檚 address
锛?/p>
The People鈥檚 Hospital of Xiajin County
锛?/p>
Xiajin 253200
锛?/p>
China
doi
锛?/p>
10.3969/j.issn.1674-4985.2015.28.026
鏍规湰鍘熷洜鍒嗘瀽娉曪紙
Root Cause Analysis
锛?/p>
RCA
锛夋槸涓�绉嶅洖婧け璇垎鏋愬伐鍏凤紝瀵瑰凡鍙戠敓鐨勪笉
鑹簨浠惰繘琛岀瀛﹀垎鏋愬苟鎵惧嚭绯荤粺涓殑鏍规湰鍘熷洜鍔犱互绾犳锛屽彲閬垮厤绫讳技浜嬩欢鍐嶆鍙戠敓
[1]
銆傜暀缃?/p>
灏跨鏄复搴婂翱澶辩銆佸翱娼寸暀鍙婃槒杩锋偅鑰呯殑甯歌鍩烘湰鎿嶄綔锛屾嫈闄ゅ翱绠″悗绾︽湁
20%
鐨勬偅鑰呭彂鐢熷翱娼?/p>
鐣?/p>
[2-3]
銆傚啀娆″灏夸笉浣嗗鍔犻�嗚鎰熸煋鐨勬満浼氾紝鐢氳嚦寤堕暱浣忛櫌鏃堕棿锛屽鍔犱綇闄㈣垂鐢紝鑰屼笖瀵规偅鑰?/p>
鍙婂灞炵殑韬績閫犳垚涓ラ噸鐨勫奖鍝?/p>
[4]
銆傚浣曢檷浣庢嫈闄ゅ翱绠″悗灏挎酱鐣欑殑鍙戠敓锛屽凡瓒婃潵瓒婂紩璧峰尰鍔′汉
鍛樼殑鍏虫敞銆傛湰绉戣嚜
2013
骞?/p>
1
鏈堜互鏉ワ紝搴旂敤
RCA
瀵规嫈闄ょ暀缃灏跨鍚庡翱娼寸暀浜嬩欢杩涜鍥為【鎬у垎
鏋愶紝鎵惧嚭鏍规湰鍘熷洜锛屽埗瀹氶闃叉敼杩涙帾鏂斤紝鍙栧緱浜嗚壇濂芥晥鏋滐紝鐜版姤鍛婂涓嬨�?/p>