Objective Reduce the rate of wrist band wearing defect in children with liver transplantation through continuous quality improvement. Methods 78 cases of children admitted to our department in March 2018 participated in 709 wrist strap investigations, and underwent the analysis of wrist strap wearing management. In view of the reasons affecting the effective wearing, a continuous quality improvement nursing team was established in April to improve the quality according to PDCA（Plan，Do，Check，Act）cycle. Results Through PDCA circulation, the rate of wrist band wearing defects in our department decreased from 23.41%（ before improvement ）to 8.6%（ after improvement）. Conclusion Continuous quality improvement of wristband management in children with liver transplantation can effectively reduce the rate of wristband wearing defects, ensure the accuracy and safety of nursing behavior, and improve the quality of nursing.

目的 通过持续质量改进，降低肝移植患儿腕带佩戴缺陷率。方法 对天津市第一中心医 院器官移植中心 2018 年 3 月收治患儿 78 例，共参与腕带调查 709 次，通过腕带佩戴管理情况分析，针对 影响有效佩戴的原因，4 月成立持续质量改进护理小组，依据计划（Plan）、执行（Do）、检查（Check）、 处理（Act）—— PDCA 循环进行质量改进。结果 通过 PDCA 循环，我科患儿腕带佩戴缺陷率由改善前的 23.41% 降至改善后 8.6%。结论 对肝移植患儿腕带管理进行持续质量改进，可有效降低腕带佩戴缺陷率， 保证护理行为准确和安全，提高护理质量。