Application of PDCA cycle on reducing unplanned extubation of invasive arterial blood pressure monitoring in child patients

Abstract

Objective To explore the application of PDCA cycle on reducing unplanned extubation (UEX) incidence of invasive arterial blood pressure monitoring in child patients. Methods The PDCA cycle had been used to documented the UEX status of invasive arterial blood pressure monitoring in 2013, analyses the reason of UEX, set improvement goals, formulate measures, organize and implement the strategy, and compared and analyses the improved effect. Results After the introduction of PDCA cycle management approach, the experimental group of arterial indwelling catheter UEX rate (4.5%) was lower than that of the observation group (15.45%) (χ2=6.62, P<0.05); for children of experimental group, the length of hospitalization was (22.98±2.53) d, which was lower than that of the control group (22.98±2.53) d (t=12.846, P<0.05), the expenditure of hospitalization of the control group (6 991.1±237.1) yuan was higher than that observation group (5 849.71±252.80) yuan (t=34.631, P<0.05). Conclusions The PDCA nursing can prevent and control the UEX rate of invasive arterial blood pressure monitoring standardize nursing operation, and improve nursing management level. Key words: Child patients; Invasive blood pressure monitoring; Unplanned extubation; PDCA cycle