EXPLORATION OF THE APPLICATION EFFECT OF BUNDLE NURSING AND QUALITY CONTROL SENSITIVE INDICATORS ON CONTINUOUS QUALITY IMPROVEMENT

Abstract

Objective: To explore the application effect of cluster nursing and sensitive indicators of nursing quality control in continuous quality improvement of pediatric endoscopy. Methods: A total of 200 pediatric endoscopes that were cleaned, sterilized and stored in the endoscopy room of our hospital from January to December 2022 were selected and divided into a control group (from January to June 2022) and an observation group (from July to December 2022) according to different quality control strategies, with 100 endoscopes in each group. The control group was given routine quality control of children's endoscopy, while the observation group was given cluster nursing combined with nursing quality control sensitive indicators, including establishing a nursing quality control sensitive indicator group and clarifying sensitive indicators of nursing quality control, implementing cluster nursing based on sensitive indicators of nursing quality control, information children's endoscopy traceability, safe storage and pathogen monitoring. The sensitive indicators of nursing quality, iatrogenic infection rate and family satisfaction were compared between the two groups. Results: The safe storage rate (98.00%), cleaning and disinfection quality (94.00%), decontamination record (97.00%), and biological culture qualification rate (95.00%) of children's endoscopes in the observation group were higher than those in the control group (80.00%, 81.00%, 83.00%, 86.00%) (P<0.05). The rate of nosocomial respiratory infection in the observation group (0.00%) was lower than that in the control group (6.00%) (P<0.05). The satisfaction scores of the family members of the observation group on the quality of nursing staff, the stability of the performance of endoscopic instruments, and the operation specification were higher than those of the control group (P<0.05). Conclusions: The application of cluster nursing combined with sensitive indicators of nursing quality control in the continuous quality improvement management of pediatric endoscopy has a significant effect, which can effectively improve the quality of care and family satisfaction, and reduce the iatrogenic infection rate, which is worthy of clinical promotion.