surgical nursing, prone position, intraoperative acquired pressure injuries, quality control circle, 手术护理, 俯卧位, 术中获得性压力性损伤, 品管圈, Nursing, RT1-120

Objective To explore the application effect of quality control circle (QCC) activities in reducing the incidence of intraoperative acquired pressure injuries(IAPI)in patients undergoing surgery in the prone position. Methods A QCC team was established, and ten steps of problem-solving QCC activities including determination of theme and activity plan, analysis of facts and data, setting targets, analysis existing conditions and cause, countermeasures and plan improvements, standardization and planning the next steps were conducted, and quality management tools were employed to improve the prevention of pressure injuries in patients undergoing surgery in the prone position. The incidences of IAPI were observed before and after implementation of QCC activities. Results There were 230 patients recruited before implementation of QCC activities and 232 patients recruited after implementation of QCC activities were included as research subjects. The incidence of IAPI in patients undergoing prone position surgery decreased from 6. 52% before the improvement to 1. 72% after the improvement, with a statistically significant difference(P