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Application of the PDCA cycle for standardized nursing management in sepsis bundles
Chunxia Liu1, Yun Liu1, Yiqing Tian2
1Department of ICU, Hebei General Hospital, No. 348 Heping West Road, Shijiazhuang, 050051, China.
Background:
To explore the application effect of plan, do, check and action circulation management mode in improving the compliance of sepsis bundle treatment.
Methods:
113 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.
Results:
Compared 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).
Conclusions:
The 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.
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