Abstract：Objective To enhance shifting of duty quality in department of orthopedics and doctors-nurses and nursesnurses communication efficiency by using quality control circle and plan-do-check-action（PDCA）circulationmanagement technique，communication model of situation-background-assessment-recommendation（SBAR）.Methods Benchmark value was established and qualified rate of shifting of duty quality was evaluated by checking the bad factors of shifting of duty in our hospital from April to Setember 2015；report card of personalized SBAR of shifting of duty in orthopedics department was established，concentration and bedside handover process and shifting of duty quality assessment standard were perfected and formulated，"medical care integration"workingmode was promoted，clinical application of nursing procedure was implemented，the bad factors of shifting of duty quality in checking table before and after improvement were analyzed.Results After conducting quality improvement of shifting of duty，qualified rate of centralized shifting of duty and nurses′bedside shifting of duty was respectively increased to 80.95%and 79.89%from which was respectively 42.86%and 40.21%；proportion of nurse experience comprehensive score was increased to 81.60%after improvement from 60.53%before improvement；various bad factors in shifting of duty had been greatly improved，the difference before and after improvement was statistically significant（P＜0.05）.Conclusion Improved shifting of duty management in orthopedics department improves the nursing shifting of duty process，establishes doctors-nurses and nurses-nurses communication，promotes the professional value sense of nurses and enhances the nursing quality.
蓝玉清;刘茜;余芳;陈晨;周建国. 品管圈在提高骨科交接班质量的应用与效果评价[J]. 中国当代医药, 2016, 23(25): 185-188.
LAN Yu-qing;LIU Qian;YU Fang;CHEN Chen;ZHOU Jian-guo. App lication and effects evaluation of quality control circle in enhancing shifting of duty quality in department of orthopedics. 中国当代医药, 2016, 23(25): 185-188.
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