摘要
目的浅谈精神科住院患者护理风险评估长效机制的构建与实践体会，探索精神科护理安全管理方法。方法将医院进行前期筹备至构建形成风险评估长效机制的过程作一回顾总结；将本院2012年1月至2016年5月的风险评估合格率及隐性病情上报例数逐年进行回顾性统计；分别选取2010年5月至2011年12月人住本院的1901名患者和2012年1月至2016年5月入住本院的4953名患者（排除住院期间发生病死及住院天数〈2周者）为对照组和实验组，将两组患者住院期间的不良事件发生率进行比较。结果2012年1月至2016年5月，风险评估合格率达99．37％，共计上报隐性病情835例；两组患者住院期间不良事件发生率的差异有统计学意义（χ2=13．148，P=0．001）。结论构建精神科住院患者护理风险评估长效机制对于提升护理人员基本能力、提高风险评估合格率、发现隐性病情、规避潜在风险、降低不良事件发生率具有显著成效。
Objective To discuss the estabishment and practice of long-term effective mechanism of nursing risk assessment for psychiatric inpatients and to explore some management methods for psychiatric nursing safety. Methods The process establishing the long-term effective mechanism of nursing risk assessment for psychiatric inpatients from January, 2012 to May, 2016 was retrospectively summarized. 1 901 patients treated at our hospital from May, 2010 to December, 2011 and 4 953 from January, 2012 to May, 2016 （the ones died during hospitalization or whose hospital stay was less than 2 weeks were exluded） were selected as a control group and an experimental group. The incidence of adverse events during hospitalization were compared between these two groups. Results From January, 2012 to May, 2016, the qualified rate of risk assessment was 99.37% and 835 cases of recessive disease were reported. There was statistical difference in the incidence of adverse events between these two groups （X z= 13.148, P=0.001）. Conclusions Establishing the long-term effective mechanism of nursing risk assessment for psychiatric inpatients can improve nurses＇ basic ability, increase the qualified rate of risk assessment, find out recessive disease, avoid potential risk, and decrease the incidence of adverse events.
出处
《国际医药卫生导报》
2017年第17期2799-2802,共4页
International Medicine and Health Guidance News
关键词
精神科
风险评估
机制构建
住院患者
Department of Psychiatrics
System establishment
Inpatients
