SHEL模式在分析护理差错事故中的作用  

The effect of SHEL model in analyzing errors

作　　者：阳世伟[1] 郑碧霞[1] 陈晖[1] 

机构地区：[1]深圳市第二人民医院护理部,广东省518035

出　　处：《中国护理管理》2008年第3期64-66,共3页Chinese Nursing Management

摘　　要：目的:探讨差错形成原因及SHEL模式在分析差错事故中的作用。方法:通过对2006年在该院52个护理单元所发生的50例差错的随月份分布、差错类别构成分析,以及用SHEL模式和护理差错环节分析法对每1例差错进行分析,提出相关改进措施,在全院交流。结果:2007年1～10月该院共发生差错26例,与2006年比较差异有统计学意义,P<0.01。结论:倡导缺陷分享文化,正视差错的危害性,分享缺陷经验,才能不断提高护理质量,更好地为广大病人服务。Objective： To explore the cause of errors and the effect of SHEL model in analyzing errors. Methods： 50 errors which happened in 52 wards in2006 were analyzed by month and by type. SHEL model and error link analysis method were used to analyzed each error and improvement measures were proposed and exchanged in the whole hospital. Results： There were 26 errors and 4 mistakes in 2037, less than 2006 （P〈0.01） Conclusion： The nursing quality can be improved by advocating error share culture, facing the hazards of errors correctly and sharing error experience.

关 键 词：SHEL模式 护理差错环节分析法 差错分析 改进措施 

分 类 号：R47[医药卫生—护理学] R192.6[医药卫生—临床医学]