摘要
目的 运用＂疑特难护理事件＂信息上报及监控系统优化护理工作流程,有效减少护理不良事件发生率,保证患者医疗护理安全.方法 通过文献回顾、近三年不良事件发生原因汇总分析遴选十大＂疑特难护理事件＂并植入信息化平台.比较＂疑特难护理事件＂系统实施前（2015年4—9月）与实施后（2015年10月—2016年3月）护理不良事件发生率.采用SPSS 19.0软件建立数据库并完成数据分析.结果 ＂疑特难护理事件＂系统实施前发生护理不良事件188起,发生率为0.53%;实施后发生护理不良事件116起,发生率为0.30%,实施前后比较差异有统计学意义（χ^2=19.77,P 〈 0.01）;实施后病情危重病例、住院〉30 d、疑难病例、潜在纠纷病例及其他疑特难护理事件发生率均有下降,实施前后差异均有统计学意义（P 〈 0.05）.结论 该系统能够优化临床护理工作流程,有效规避护理潜在风险,达到对护理不良事件的前馈控制,最大限度地降低不良事件的发生与发展.
Objective To optimize nursing work process by applying the ＂suspected special difficult care＂ information reporting and monitoring system, so as to effectively reduce the incidence of adverse nursing events and ensure patients＇ medical care safety. Methods Through literature review and summary analysis of the causes of adverse events in the past recent 3 years, the top 10 cases of ＂suspected special difficult care＂ were selected and implanted into the information platform. The incidence of adverse events before the implementation of ＂suspected special difficult care＂ system （April to September 2015） were compared with that after the implementation （October 2015 to March 2016）. SPSS 19.0 software was used to establish a database and complete data analysis. Results There were 188 cases of nursing adverse events before the implementation of the ＂suspected special difficult care＂ system, with a incidence rate of 0.53%. After the implementation, there were 116 cases of adverse events and the incidence rate decreased to 0.30%. The difference was statistically signficant （χ2=19.77, P〈0.01）. At the same time, the incidence of critical cases, hospitalization duration over 30 days, difficult cases, cases of potential disputes and other difficult nursing incidents all had decreased, the differences were statisticlly significant （P〈0.05）. Conclusions This system can optimize the clinical nursing work flow, effectively avoid the potential risks of nursing care, so as to achieve the feedforward control of nursing adverse events and minimize the occurrence and development of adverse events.
作者
陈蓓敏
吴茜
刘聪香
周姝
Chen Beimin;Wu Qian;Liu Congxiang;Zhou Shu(Nursing Department, Shanghai Tenth People＇s Hospital, Shanghai 200072, China（Chen BM;Gastroenterological Surgery, Shanghai Tenth People＇s Hospital, Shanghai 200072, China（Wu Q;Obsterics Department, Shanghai Tenth People＇s Hospital, Shanghai 200072, China（Liu CX;Gastroenterology Department, Shanghai Tenth People＇s Hospital, Shanghai 200072, China（Zhou S)
出处
《中华现代护理杂志》
2018年第8期968-971,共4页
Chinese Journal of Modern Nursing
关键词
护理信息学
疑特难护理
上报系统
监测系统
Nursing informafics
Difficult special difficult care
Reporting system
Monitoring system
