静脉输液技术环节风险评价的研究  

Study on the evaluation of the steps risks in intravenous infusion

作　　者：毕娜[1,2] 王建荣[2] 

机构地区：[1]解放军第309医院神经外科,北京市100091 [2]解放军总医院护理部,100853

出　　处：《护理管理杂志》2011年第11期761-763,共3页Journal of Nursing Administration

基　　金：军队"十一五"面上课题(06MA051)

摘　　要：目的通过测量和分析静脉输液操作环节风险,为护理管理决策提供依据。方法 2010年12月至2011年4月,选择5个城市的120名护理人员进行问卷调查,采用0.1～10模拟评分法,测量静脉输液技术31个操作环节产生风险事件的可能性、风险事件的威胁性和纠纷的可能性。结果静脉输液技术总体风险值为4.86,风险可能性、威胁性和纠纷可能性分别为(5.12±2.03)、(5.01±2.28)和(4.39±2.35)。对风险可能性的评价,初级职称组低于中级职称组和高级职称组(P<0.05)。对风险威胁性和纠纷的可能性3组间比较差异无统计学意义(P>0.05)。31个操作环节分为高风险环节12个,中风险环节8个,低风险环节11个。结论静脉输液环节风险评价可以从护理安全管理、护理人力资源配备、护理纠纷规避和护理工作预见性等方面提高静脉输液技术安全性。Objective To evaluate the steps risks of intravenous infusion, so as to provide bases for nursing management decision. Methods A total of120 nurses from 5 cities were investigated with a self- designed questionnaire about risk probability and risk severity and its probability of causing nursing disputes in 31 different steps of intravenous infusion by 0 - 10 scales. Results The total score of risks of intravenous infusion was 4.86. The dimension scores of the probability, severity and dispute probability were （5.12 ±2.03 ）, （5.01 ±2.28） and （4.39±2.35 ）. In the evaluation of risk probability, the score of the nurses with primary job title was lower than the nurses with middle job title and high job title （ P 〈 0.05 ）. In the two dimensions of risk severity and dispute probability, there were no statistical differences among the nurses with different job titles （P 〉 0.05 ）. Among the 31 steps,there were 12 high - risk steps,8 mild - risk steps and 11 low - risk steps. Conclusion The risk evaluation of intravenous infusion steps can enhance the safety of intravenous infusion in these aspects of nursing safety management, nursing human resources allocation, avoiding nursing disputes, foreseeing the nursing work, and so on.

关 键 词：静脉输液 环节风险 风险管理 护理质量 

分 类 号：C931.2[经济管理—管理学]