摘要
目的:通过对医院高频次护理不良事件的归因分析,寻找护理不良事件发生的薄弱环节,探讨对策,为护理管理提供依据。方法:采用回顾性调查的方法,对本院2016年1-9月护理系统上报的不良事件进行分类统计,用归因理论对护理不良事件进行分析。结果:护理不良事件排在前3名的依次为:给药错误18例,占33.3%,跌倒9例,占16.7%,管道脱落9例,占16.7%。结论:使用归因理论对高频次护理不良事件进行分析,采取有效预防措施,减少给药错误、跌倒和管道脱落的发生,有效降低护理不良事件的发生。
Objective:Causes of nursing adverse events in hospital were analyzed,to find the weak and explore countermeasures,for providing the basis for nursing management.Methods:Retrospective investigation was applied to classify the adverse events reported in our hospital from January to September in2016,and the adverse events were analyzed by attribution theory.Results:There were3types in adverse events:medication error in18cases,accounting for33.3%,fall in9cases,for16.7%,and pipe shed in9cases,for16.7%.Conclusion:Frequency nursing adverse events were analyzed by attribution theory.Taking effective preventive measures to reduce medication errors,fall and pipeline loss can effectively reduce nursing adverse events.
出处
《中医临床研究》
2017年第29期134-135,共2页
Clinical Journal Of Chinese Medicine
