Objective To explore the effect of feed-forward control in process management of assistant examinations for hospitalized patients. Methods Problems and patients' complaint of and requirements for assistant examinations were recorded before feed-forward control was applied including setting up a feed-forward control group ,consulting relevant literatures, investigating the current situation of assistant examinations in different hospitals in Zhejiang province, training and assessment for nurses, preparing the registration sheet, setting up examination information board in the department, educating patients about the meaning, side effect and preparation before the examination and assessing patients ' condition after it. In addition, patients could do bedside examinations such as DCG. Results The incidence of adverse events and failure to complete the examination was significantly reduced and less interruption of nurses' working due to doing examinations occurred. Conclusion Feed-forward control in the process management of hospitalized patients' assistant examinations could guarantee patients security, complete the examinations in time and increase nursing efficiency.%目的 探讨前馈控制在住院患者辅助检查流程管理中的应用效果.方法 记录分析住院患者辅助检查过程中出现的问题及抱怨的原因,访谈、调查住院患者对辅助检查的需求,对检查流程实施前馈干预措施,具体包括科室组建前馈控制小组、查阅文献资料、在省级护理年会上调查省内医院住院患者辅助检查现状、护士培训考核、设立检查登记本、病房内设置信息提示板、检查前准备、评估、检查后宣教、主动告知检查结果的临床意义、针对性宣教观察护理等,还依据患者需求将原流程中的送患者到辅助科室做动态心电图、动态血压检查改为病区护士在床边为患者操作.结果 前馈控制管理实施后不良事件和未按时完成检查项目的发生率明显降低,与检查相关的患者中断护士工作行为的频次显著减少.结论 前馈控制应用于患者辅助检查流程管理,保障患者安全,患者得到及时诊断治疗护理.
展开▼
