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86例院内护理不良事件分析

Analysis of 86 Nursing Adverse Events Based on Reporting System in a Comprehensive Grade 2A Hospital
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摘要 目的通过分析不良事件发生的特点,为避免不良事件的发生提供相关依据。方法针对2015年某二级甲等医院发生的86例不良事件的分类、发生时间、患者年龄、自理能力以及护理人员职称和年资等特点进行研究。结果护理不良事件前三位分别是压疮、跌倒、管路滑脱;低年资、初级职称护士更容易发生不良事件;不良事件的发生与患者年龄、自理能力有关;在一天之内,7:00-9:00、17:00-19:00为不良事件发生的高峰期。结论转变管理理念,强调无责上报,不断强化护理人员的安全意识,加强对老年患者的护理,合理使用人力资源,是预防护理不良事件发生,降低不良事件发生率的有效途径。 Objective In order to avoid nursing adverse events and provide relevant evidences,the causes and features of nursing adverse events were analyzed in this research. Methods A total of 86 cases of nursing adverse events reported in a comprehensive Grade 2 A hospital in 2015 through medical information management platform were studied by retrospective analysis. The categorizations and time characteristics of the adverse events,the ages and self-care abilities of the patients combined with the work experiences and professional titles of the nurses were mainly investigated. Results The top three kinds of nursing adverse events were pressure sores(n=25),falls(n=22)and tube emersion(n=19). A large number of adverse events occurred on junior nurses. The ages and self-care abilities of the patients had significant effects on nursing adverse events(P<0.01). More adverse events happening times were 7:00-9:00 and 17:00-19:00. Conclusion Innovative the principles of management,improve the risk awareness and report consciousness of medical staffs,enhance the nursing care of senile patients,and intelligently using human resources are themost effective ways to reduce the incidences of adverse events.
作者 王玉
出处 《大医生》 2017年第8期138-139,144,共3页 Doctor
关键词 护理 不良事件 回顾性分析 nursing care adverse events retrospective analysis
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