Abstract
BackgroundTo explore the application effect of plan, do, check and action circulation management mode in improving the compliance of sepsis bundle treatment.Methods113 patients with sepsis admitted from January 1 to December 31, 2018 were selected as the control group, and the bundle treatment measures of sepsis were routinely implemented. The above treatment measures were completed within 6 h. 113 patients with sepsis admitted from January 1 to December 31, 2019 were selected as the study group. All clinical staff took the same measures as the control group, supplemented by PDCA cycle management. Objective to compare the changes of compliance of clinical staff to sepsis bundle treatment before and after the implementation of PDCA cycle management.ResultsCompared with the control group, the study group achieved the completion rate of sepsis bundle treatment in 1 h from 66.4 to 81.4%, the completion rate in 3 h from 77.0 to 89.4%, and the completion rate in 6 h from 82.3 to 95.6%. The difference was statistically significant (P < 0.05 for all).ConclusionsThe implementation of PDCA cycle management mode can effectively improve the compliance of clinical staff to the bundle treatment of sepsis, improve the treatment efficiency of sepsis, and improve the quality of medical care.
Highlights
To explore the application effect of plan, do, check and action circulation management mode in improving the compliance of sepsis bundle treatment
On the basis of bundle, we introduced the PDCA cycle into the study group
The first point is, with the application of PDCA, the importance and necessity of sepsis bundles therapy can be more profound understood by nursing and medical staff, and they will pay more attention to sepsis bundles therapy
Summary
To explore the application effect of plan, do, check and action circulation management mode in improving the compliance of sepsis bundle treatment. Poor adherence to guidelines and poor implementation by staff directly increase the 28d mortality of patients with severe sepsis and septic shock [9], which requires multidisciplinary awareness and compliance. The Plan, Do, Check, Act (PDCA) Cycle, known as the Deming Cycle, can assist clinical staff in clinical work to proactively identify problems, strictly link quality control and management and optimize workflow [12, 13]. The clinical use of PDCA for management can ensure more rigorous and effective medical and nursing practices, and improve medical and nursing quality [15]. PDCA cycle management is effective in improving the compliance of clinical staff to sepsis bundles
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