493例次临床护理缺点分析及防范对策(1)
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2010年2月1日
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【摘要】目的:分析护理缺点发生的相关因素,制定防范对策,使护理缺点消灭在萌芽状态,杜绝差错事故的发生。方法:选取2009年度内科493例次用药以外护理缺点,按护士职责、护理记录书写、基础护理、医嘱处理四个方面分类,并进行分析;按不同班次、不同工作年限及不同职称护理缺点的情况进行比较分析。结果:护理缺点发生从高至低依次为护士职责、护理记录、基础护理、医嘱处理;班次分布依次为日班、夜班、中班;不同工作年限依次为5年内、10年内、10年以上;不同职称依次为护士、护师、主管护师。结论:倡导预防为主,加强护理缺陷管理,合理调配和使用护理人力资源,对低年资护士进行规范化培训,严格执行各项职责、制度和操作规程等,可有效预防或杜绝护理缺点的发生。
【关键词】护理缺点;原因分析;防范对策
【中图分类号】R47 【文献标识码】A 【文章编号】1008-6455(2010)08-0009-02
Causative Analysis and Its prevention Countermeasures on Nursing Defects of 493 cases of clinical medicine.
Shi Huibi Huang Kaiqun
【Abstract】Objectives:To analyze relative factors occurred in nursing defects and formulate preventive measures, so that nursing defecs could be nipped in the bud and prevent the occurrence of medical mistakes and accidents. Methods: We analyzed 493 cases of internal medicine nursing defects outside medication occurred in 2009 according to classification of nursing duties,nursing records writing,basic nursing care and medical order processing; and compared situation of nursing defects according to different schedules, different working years and different titles. Results: Nursing defects occurred from high to low order was nursing duties, nursing records writing,basic nursing care and medical order processing;The order from high to low according to schedule was day shift,night shift,evening shift;According to working years was within 5years,within 10 years,more than 10 years;The order from high to low according to titles was nurse,nurse prapractitioner,nurse-in-charge. Conclusions: Advocating prevention first, Strengthening nursing defects management, rational allocation and use of nursing human resources, giving standardized training to low seniority nurses, rigorous implementation of the duties,systems and operating procedures, etc., which could effectively prevent or eliminate the occurrence of nursing defects.
【Key words】Nursing defects; Causative analysis;Prevention countermeasures
护理缺点是指发生差错尚未对病人引起不良后果,或尚未实施即被发现并纠正者,也属于护理缺陷的范畴[1]。护理缺点是构成护理差错的危险因素[2],在临床护理工作中能及时发现护理缺点,及早提出防范措施,就能够很好的避免差错事故的发生。现将我院大内科2009年发生的493例次用药以外的护理缺点进行分析研究,为预防和杜绝差错事故的发生提供管理对策。
1 资料与方法
1.1 一般资料:我院护理部根据广西壮族自治区卫生厅下发的《护理缺陷分类及评定标准》(试行)统一制定《护理缺陷管理报告表》,此表分《护理差错事故报告表》及用药以外的《护理缺点报告表》;形成护理部-科护士长-病区护士长三级护理安全监控网络 ......
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