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目的  探讨问题管理模式在护理质量管理中的应用。方法  采取分片区护理质量督导利用问题管理模式及时发现问题、分析问题、解决问题以达到护理质量持续改进。结果  提高了全体护士的质量意识每月护理质量和伤病员满意度得到明显提高。结论  应用问题管理模式有效提升了护理质量管理的实效性和预见性充分体现了一级护理质控人员在护理质量管理中的重要性。