血液透析室护理不良事件原因分析及防范对策  

Hemodialysis Room Nursing Adverse Events Cause Analysis and Prevention Countermeasures

作　　者：隋红霞[1] 隋然[1] 谭丽君[1] 焦海红[1] 陈智[1] 谭秋贞[1] 高磊[1] 

机构地区：[1]香港大学深圳医院,广东深圳518053

出　　处：《中外医学研究》2013年第20期123-124,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析探讨血液透析室护理方面发生不良事件的原因,并且提出相应的应对措施。方法:回顾性分析笔者所在医院2005年6月-2012年12月血液透析中心发生的70例护理不良事件,总结其原因,并统计出高概率引发血液透析中心不良事件的危险因素,同时提出防范对策。结果:引发血液透析中心不良事件的原因包括护理人员落实医院关于护理方面规章制度不到位22例,护理人员责任心不强20例,护理人员对护理规范以及各种护理仪器的操作流程不能很好的掌握16例,护理人员缺乏无菌操作观念14例,患者对于护理人员的工作不配合8例。结论:对血液净化中心的护理人员工作流程进行合理的规划制定,加强安全方面的管理工作,重视护理工作人员的综合素质尤其是其业务水平的提高,对于血液透析中心发生的不良事件设定必要的奖惩措施用以督促护理工作人员的护理水平的提高、护理责任心的加强。上述措施可以有效的避免血液透析中心护理不良事件的发生,有利于护理质量的提高,避免发生医患纠纷事件。Objective:Analyze the cause of the adverse events occurred hemodialysis room care,and propose the corresponding countermeasures to prevent it from happening again.Methods:The author’s hospital were retrospectively analyzed on June 6,2005-December 2012 hemodialysis center of 70 cases of nursing adverse events,summarizes its reason,and statistics of the high probability risk factor for adverse events caused by hemodialysis center,and puts forward prevention countermeasures.Results:Causes of hemodialysis center of adverse events including nursing staff to carry out the hospital rules and regulations about care does not reach the designated position 22 cases,20 cases in nursing staff the sense of responsibility is not strong,the nursing staff of nursing standard and operation process of nursing instruments cannot very good master in 16 cases,care staff lack of 14 cases of aseptic operation ideas,8 patients for the nursing staff is not fit.Conclusion:Strengthen the management of hemodialysis room safe,work to develop a reasonable process to improve the level of nursing services and the overall quality,which can effectively control the occurrence of adverse events in hemodialysis room to improve the quality of care.

关 键 词：血液透析室 不良事件 原因 对策 

分 类 号：R47[医药卫生—护理学]