摘要
目的:通过护理不良事件上报信息的闭环管理,缩短管理路径,提升管理效率,降低护理不良事件的发生率,营造和谐的护理安全文化氛围。方法;将医院现有网络信息资源和北京市医政信息管理平台相结合,通过风险评估、预警提示、信息上报与整改分析、漏报筛查四个环节,快速、有效获取不良事件相关信息,科学、立体分析不良事件发生原因,客观、纵向发布不良事件数据结果,持续改进管理措施,动态评价改进效果,应用信息系统缩短闭环式管理路径。结果:2016年卜5月压疮、跌倒/坠床、管路滑脱、用药错误、意外事件、所有不良事件的发生率较2015年同比下降32.35%、40.00%、7.14%、33.33%、42.86%和30.43%,2016年压疮和所有不良事件的发生率和2015年同期相比有统计学差异(P<0.05)。结论:护理不良事件上报信息闭环管理有助于提升护理安全管理意识及效率,促进护理质量的持续改进。
Objective： To reduce the management path, to improve the management efficiency, to reduce the incidence of adverse events, and to create a harmonious nursing safety culture atmosphere through the closed loop management of nursing adverse events reported information. Methods： Combining the existing hospital network information resources and Beijing medical information management platform, through the risk assessment, warning, information reporting and analysis of rectification, missing reports screening, fast and effective access to information related to adverse events, scientific and rounded analysis of adverse events, objective and longitudinal release results of adverse event data, continuous improvement measures and dynamic evaluation of improvement, apply information system to reduce the closed loop management path. Results： From January to May in 2016, pressure ulcer, tumbling, pipe slippage, medication errors, accidents, all adverse events incidence compared with 2015 year dropped 32.35%, 40.00%, 7.14%, 33.33%, 42.86% and 30.43%, the incidence of pressure ulcer and all adverse events in 2016 compared to the period of 2015 had statistically difference （P〈0.05）. Conclusion： The closed loop management of nursing adverse events is helpful to improve the consciousness and efficiency of nursing safety management, and promote the continuous improvement of nursing quality.
出处
《中国护理管理》
CSCD
2016年第8期1029-1032,共4页
Chinese Nursing Management
关键词
不良事件
信息
闭环管理
adverse events
information
closed loop management
