Abstract
<i>Objective</i>: To explore the application effect of continuous quality improvement in preoperative preparation management of patients undergoing interventional surgery. <i>Methods</i>: Set up a continuous quality improvement (CQI) group consisting of the head nurse of the interventional operation room, the nurse, the interventional physician, and the head nurse of the interventional ward. A total of 3099 patients undergoing elective interventional surgery from January to December 2017 were selected as the control group, and 4,048 patients undergoing elective interventional surgery from January to December 2018 as improved group, which preoperative preparation was carried out after the implementation of continuous quality improvement measures. The current problems existing in the preoperative preparation were analyzed retrospectively, formulation and implementation of improvement measures. The qualified rate of preoperative preparation before and after CQI was statistically obtained. In addition, a third-party satisfaction survey was conducted and 200 valid questionnaires were collected to obtain the satisfaction of the two groups of patients. <i>Results</i>: The pass rate of preoperative preparation was increased from 58.02% to 87.18%, and patient satisfaction was also improved in improved group, with statistically significant difference between the two groups (<i>P</i> < 0.05). <i>Conclusion</i>: The application of CQI in preoperative preparation management can improve the pass rate of preoperative preparation, optimize the quality of preoperative nursing, and also improve patient satisfaction.
Highlights
Interventional medicine is a new subject which has developed rapidly in the past 30 years [1]
A total of 4,048 patients undergoing elective interventional surgery from January to December 2018 were selected as improved group, which preoperative preparation was carried out after the implementation of continuous quality improvement measures, including 2,413 males and 1,635 females, aged 7-97 years, with an average age of (56.37±17.64) years
Set up a continuous quality improvement group consisting of the head nurse of the interventional operation room, the nurse, the interventional physician, and the head nurse of the interventional ward
Summary
Interventional medicine is a new subject which has developed rapidly in the past 30 years [1]. It is more and more popular because of minimally invasive precision. Professional interventional clinical nursing has not been widely popularized in all wards. Preoperative preparation of patients undergoing interventional surgery, such as gastrointestinal preparation, clothing and skin preparation, preoperative education and practice, preoperative medication and other aspects of nursing work need to be improved urgently. The imperfection of preoperative preparation can directly affect the time of receiving the stage of interventional surgery, the process of surgery and the postoperative rehabilitation of patients. Since January 2018, continuous quality improvement (CQI) [3] has been implemented in the interventional operation room of our hospital for patients undergoing interventional surgery, with significant improvement effect, and it is reported as American Journal of Nursing Science 2020; 9(5): 365-369 follows
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