Application of nursing inspection log on nursing quality control

Abstract

Objective To study the role of nursing inspection log in the management of nursing quality control.Methods Totals of 10 wards of internal medicine were randomized into the intervention group (5 wards) and the control group (5 wards).From January 2012,nursing inspections log was used in the intervention group,combined with the rounds of the wards to inspect the daily work.The existed problem of last week was reviewed every week.Specified nurse was responsible for the quality control and recorded when the head nurse was off the shift.The head nurse checked the results of quality control regularly.The incidence of adverse events and quality control results were compared between groups.Results In the intervention group,the times of adverse events of completion of core system,nursing quality of hospital admission and discharge,nursing quality of severe patients,quality of nursing document,quality of disinfection and isolation and quality of wards' management were 26,28,25,15,10 and 14,which were less than 52,48,40,30,23 and 28 in the control group.The differences were significant (x2 =11.93,7.45,4.87,6.32,6.17,5.86,respectively; P ＜ 0.05).The control group discharged 6 259 patients,and the intervention group discharged 6 347 patients.The total number of adverse events was 32 patients in the intervention group (0.50％) and 73 patients in the control group (1.17％).The difference was significant (x2 =16.73,P ＜ 0.05).Conclusions The inspection log can improve nursing quality control and decrease adverse events. Key words: Nursing; Inspection log; Quality control; Adverse events