摘要
目的:通过分析县级医院护理不良事件的特点,探讨减少县级医院护理不良事件发生的方法及提高护理安全的有效措施。方法:总结2011年1-12月某县级二级甲等综合医院非惩罚性自愿上报的120例护理不良事件,分析发生率居前三位的护理不良事件类型及其发生的特点和原因。结果:在县级医院中,发生率居前三位的护理不良事件分别是给药错误、压疮、管路滑脱;不同班次、不同工作年限、不同职称的护士中,不良事件的发生率不同(P<0.05)。结论:基于县级医院的管理水平、技术能力、医疗设备的自身特点,其护理不良事件也具有相应的特点,护理管理者应根据县级医院的特点,对护理不良事件进行管理,以期达到减少不良事件的发生、提高护理安全的目的。
Objective： To explore the strategies to reduce adverse events and enhance patient safety management, the author analyzed the feature of nursing adverse events in a county-level hospital. Methods： Through summarizing a total of 120 cases of non-punitively and voluntarily reported adverse events in 2011 in a secondary hospital, the author analysed the top three kinds of nursing adverse events, their characteristics and causes. Results： The top three kinds of nursing adverse events were medication errors （n=40）, pressure sores （n=22） and unplanned extubation （n=22）. The occurrence of adverse events was different between different shifts, working years and professional titles of nurses. Conclusion： Because of differences in the level of management, technical skills and hardware in county-level hospital, nurse administrators should manage nursing adverse events effectively based on the characteristics of their own hospitals.
出处
《中国护理管理》
CSCD
2013年第7期54-56,共3页
Chinese Nursing Management
关键词
护理管理研究
安全管理
不良事件
nursing administration research
safety management
adverse event
