基于PDCA循环的流程优化对肿瘤科日间病房患者就医体验及不良事件发生率的影响
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张宝
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华中科技大学同济医学院附属同济医院——护理部，湖北武汉，430000
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摘要：目的 探讨基于PDCA循环的流程优化对肿瘤科日间病房患者就医体验及不良事件发生率的影响。方法 选取2024年5月至2025年5月期间我院肿瘤科日间病房收治的100例患者作为研究对象，按照随机数字表法分为两组，观察组患者50 例，对照组患者50 例，对照组采用常规护理，观察组在对照组的基础上实施基于PDCA 循环的流程优化，比较两组患者的在我院肿瘤科日间病房就医体验满意度及治疗相关不良事件的发生率。结果 实施PDCA循环管理后，观察组患者的就医体验满意度各项指标均显著优于对照组（P<0.05）。在不良事件方面，观察组总发生率显著低于对照组，尤其在化疗相关不良反应的规范化预处理与及时处理方面改善明显。结论 应用PDCA循环对肿瘤科日间病房诊疗流程进行系统优化，能有效缩短患者等候与在院时间，显著提升患者就医体验，并降低治疗相关不良事件的发生率，是一种科学、高效、可持续改进的管理模式。
关健词：PDCA循环；日间病房；肿瘤科；就医体验；不良事件；流程优化
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The Impact of Process Optimization Based on PDCA Cycle on Medical Experience and Adverse Event Rate of Patients in Oncology Day Ward
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Bao Zhang
Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei,430000, China
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Abstract：Objective To explore the impact of process optimization based on PDCA cycle on medical experience and adverse event rate of patients in oncology day ward. Methods A total of 100 patients admitted to the oncology day ward of our hospital from May 2024 to May 2025 were selected as research objects and divided into two groups by random number table method, with 50 patients in the observation group and 50 in the control group. The control group received routine nursing, while the ob-servation group implemented process optimization based on PDCA cycle on the basis of the control group. The satisfaction with medical experience and the incidence of treatment-related adverse events were compared between the two groups. Results After the implementation of PDCA cycle management, all indicators of satisfaction with medical experience in the observation group were significantly better than those in the control group (P<0.05). In terms of adverse events, the total incidence in the observa-tion group was significantly lower than that in the control group, especially with obvious improvement in the standardized pre-treatment and timely treatment of chemotherapy-related adverse reactions. Conclusion The systematic optimization of diagnosis and treatment processes in oncology day ward using PDCA cycle can effectively shorten patients’ waiting and hospitalization time, significantly improve patients’ medical experience, and reduce the incidence of treatment-related adverse events, which is a scientific, efficient and sustainable improvement management mode.
Keywords : PDCA cycle; Day ward; Oncology; Medical experience; Adverse events; Process optimization
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