摘要
目的分析精神病患者出走的原因,为防范精神病患者出走提供对策依据。方法通过查看各病区上报的不良事件报告及原因、查阅病历等分析26例发生出走不良事件的精神病患者的相关资料,综合、分类后绘制鱼骨图。结果精神病患者出走发生的原因可概括为管理因素、患者因素、工作人员因素和环境因素,防范对策包括加强出走高危患者的看护和病情观察、强化工作人员的风险防范意识、应用"五常法"做好病区安全管理及保证持续安全质量控制。结论鱼骨图用于精神病患者出走原因的分析简便实用,为防范精神病患者出走提供了对策依据,为进一步实现持续安全质量改进提供了有力保证。
Objective To analyze the eloping reasons of hospitalized psychiatric patients so as to provide the basis for preventing the elopment of psychiatric patients.Methods A retrospective analysis was conducted on the relevant data through consulting the adverse event reports from different wards as well as eloping reason analysis and medical records to design a fishbone diagram.Results The eloping reasons included patients＇ condition,staff factors,environmental factors and management factors.Preventive measures included strengthening the nursing and observation of the disease of high-risk eloping patients,strengthening staff＇s awareness of risk prevention and applying five-elements method to ward management and ensure the continued safety and quality control.Conclusion Fishbone diagram is convenient in analyzing the eloping reasons of hospitalized psychiatric patients,which provides a basis for preventing eloping psychiatric patients and ensuring continued safety and quality control.
出处
《解放军护理杂志》
2011年第13期52-54,共3页
Nursing Journal of Chinese People's Liberation Army
关键词
鱼骨图
精神病患者
出走
原因
安全管理
fishbone diagram
psychiatric patient
elopment
reason
safety management
