|本期目录/Table of Contents|

[1]游 昕,潘雪飞.中型综合性医院婴幼儿心脏手术的持续质量改进[J].医学研究与战创伤救治(原医学研究生学报),2014,16(01):45-47.
　YOU Xin,PAN Xue-fei..Continuous quality improvement for the cardiac surgery of infants in medium-sized hospital[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2014,16(01):45-47.
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中型综合性医院婴幼儿心脏手术的持续质量改进()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第16卷
期数:
2014年01期
页码:
45-47
栏目:
出版日期:
2014-02-20

文章信息/Info

Title:
Continuous quality improvement for the cardiac surgery of infants in medium-sized hospital
作者:
游 昕1; 潘雪飞2
210002 江苏南京,解放军454医院,1.心胸外科,2.质量控制科
Author(s):
YOU Xin1; PAN Xue-fei2.
1.Cardiothoracic Surgery Department,2.Quality Control Department,454 Hospital of PLA,Nanjing,Jiangsu 210002,China
关键词:
先天性心脏病; 婴幼儿; 心脏外科手术; 质量控制
Keywords:
congenital heart disease;  infants;  the cardiac surgery;  quality control
分类号:
R726.2
DOI:
-
文献标志码:
A
摘要:
目的 研究中型综合性医院婴幼儿体外循环(CPB)心脏手术的质量管理和持续质量改进方法。方法 将婴幼儿先天性心脏病(CHD)CPB心内直视手术251例，分为对照组108例,改进组143例。分别对比住院病死率、主要并发症发生率、CPB时间、呼吸机辅助时间、住ICU时间、住院时间、住院总费用、家长满意度、投诉事件数量及纠纷产生的医院补偿费用等。结果 251例患儿总住院病死率为4.4%。对照组病死率6.4%高于改进组的2.8%，差异有统计学意义。改进组主要并发症发生率、呼吸机辅助时间、住ICU时间、住院时间、投诉事件数量及纠纷产生的医院补偿费用等均明显减少，家长满意度明显增加,差异有统计学意义。结论 中型综合性医院可以开展高质量的婴幼儿心脏手术，但要注重质量控制，不断提高婴幼儿CHD手术的整体疗效。
Abstract:
Objective To evaluate quality management and methods of continuous quality improvement for the cardiac surgery of infants under cardiopulmonary bypass (CPB) in medium-sized hospital.Methods Summarize retrospectively 251 cases of open heart surgery for congenital heart disease (CHD) within less than 3 years old under CPB since 2002，108 cases before December 2008 as the control group (group C) and 143 cases after January 2009 as the quality improvement group (group Q).Compare respectively hospital mortality,incidence of major complications,CPB time,mechanical ventilation time,ICU admission time,hospitalization time,total hospitalization cost,parents satisfaction.Results 11 patients died of postoperation,and the total hospital mortality was 4.4%.Mortality in group C was 6.4%,while in group Q was 2.8%.The two groups had significant differences.CPB time,total hospitalization cost had no significant difference,but the incidence of major complications,mechanical ventilation time,ICU admission time,hospitalization time,the number of complaints,hospital compensation cost resulting from disputes etc decreased dramatically (had significant differences),and parent satisfaction increased obviously (had significant differences).Conclusion Continuous quality improvement should become an important part of managers' daily work.Correctly grasp three basic steps of quality control in the cardiac surgical field,namely insight into the problem and find possible factors causing the problem and correct errors seriously.Only in this way we will make overall treatments for the cardiac surgery of infants with CHD increase constantly.

参考文献/References:

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备注/Memo

备注/Memo:
-
更新日期/Last Update: 2014-01-20