International Journal of Nursing Research

Objective To investigate the application effect of a nursing quality improvement program based on the PDCA cycle in reducing the incidence of adverse events in the emergency department. Methods A retrospective study was conducted on patients admitted to the emergency department of our hospital from January 2023 to December 2024. After screening according to inclusion criteria, a total of 200 patients were enrolled, including 105 males and 95 females, aged 21–70 years. The patients were divided into a control group and an observation group based on nursing approaches. The control group (n=100, admitted from January 2023 to December 2023) received routine nursing care, while the observation group (n=100, admitted from January 2024 to December 2024) received the PDCA cycle-based nursing quality improvement program. The incidence of adverse events, nursing quality scores, and nursing satisfaction were compared between the two groups. Results The incidence of adverse events in the observation group was significantly lower than that in the control group (P<0.05). The nursing quality scores in the observation group were significantly higher than those in the control group (P<0.05). The nursing satisfaction in the observation group was significantly higher than that in the control group (P<0.05). Conclusion The application of the PDCA cycle-based nursing quality improvement program in the emergency department demonstrates significant efficacy in enhancing nursing quality, reducing adverse events, and improving patient satisfaction. This approach also contributes to the department's reputation and is worthy of promotion.

Emergency department; PDCA cycle; Nursing quality improvement program; Adverse events