摘要
目的：通过对上报的护理不良事件发生相关因素进行调查分析,为制定相应的防范措施,减少护理不良事件的发生提供依据。方法：回顾2013年1月至12月上报的58例护理不良事件,对护理不良事件的分级、分类及相关因素进行分析。结果：排名前3位护理不良事件依次为跌倒事件、导管相关事件、治疗错误事件;发生的重点时段为08：00-12：00;发生的当事人以低年龄、低学历、低护龄、低职称护士为主。通过整改,护理不良事件发生例数由2013年的58例下降至2014年的25例（下降率达56.90%）。结论：经过统计分析和及时整改,2014年护理不良事件发生率明显下降,对策实施有效。由此可见,关注排名前3位护理不良事件,加强对重点护理人群及重点时段的监管,可有效降低护理不良事件的发生,确保护理安全。
Objective： To set preventions for adverse nursing events and to provide bases for reducing the events. Methods： 58 cases of adverse caring events at our hospital from January to December in 2013 were reviewed, graded, and classified; relevant factors were analyzed. Results： Three most severe adverse events were stumble, misoperation in catheter and treatment. Adverse events happened mostly at 8 am to 12 am. Nurses involved were mainly young green hands with lower education levels and professional titles. After the improvement, there were 25 cases of adverse nursing events in 2014（the descent rate was 56.90%）. Conclusion： After the statistical analysis and improvement, the incidents of adverse nursing events were significantly reduced in 2014. Therefore adverse events could be effectively reduced when severe adverse nursing events were concerned, nursing staff and period were regulated.
出处
《大理大学学报》
CAS
2016年第2期83-85,共3页
Journal of Dali University
关键词
护理安全管理
不良事件
对策
security control of nursing
adverse event
countermeasure
