构建静脉输液不良事件报告与管理的有效模式  

Building effective model for intravenous infusion adverse event reporting and management

作　　者：黄天雯[1] 肖萍[1] 李小银[1] 王熠平[1] 陈晓玲[1] 翁小杰[1] 桂自珍[1] 

机构地区：[1]广州中山大学附属第一医院,510080

出　　处：《当代护士（下旬刊）》2013年第3期1-3,共3页Modern Nurse

摘　　要：目的建立静脉输液不良事件报告与管理模式,提高护士的认知正确率,提高临床护理质量。方法成立静脉输液不良事件报告与管理小组;进行全员培训,建立无惩罚的安全文化氛围,建立激励制度;制订专门报表;建立多途径的填报方式;将静脉输液不良事件报告与管理纳入护士长日常管理工作。实施前及实施后3个月调查护士对静脉输液不良事件的认知情况及报告静脉输液不良事件的情况。结果实施前、后护士对输液不良事件的认知正确率经χ2检验,差异有统计学意义(P<0.01)。实施前及实施后3个月报告静脉输液不良事件例数经χ2检验,差异有统计学意义(P<0.01)。结论构建静脉输液不良事件报告与管理的有效模式能提高护士对静脉输液不良事件的认知正确率,建立安全公正的文化环境,提高护士的安全责任与态度,管理者及护士前瞻性地预防护理差错和不良事件发生。Objective Buiding intravenous infusion adverse event reporting and management mode, to improve nurses＂ cognitive about intravenous infusion unsafety,and the quality of clinical care.Methods Establishing intravenous infusion adverse event reporting and management team;staff training;the establishment of a non-punitive safety culture and an incentive system; specifically tailored reports; reporting methods in various ways;adverse event reporting and administration of intravenous transfusion were added into the matrons＂ day-to-day work. Survey nurses＂ awareness of intravenous infusion unsafety and cases of reporting adverse events before and 3 months after the implementation.Results Before and after the implementation of new mode, nurses＂ cognitive accuracy was statistically different by chi-square test（P〈0.01）,and reporting cases of adverse events also was statistically different by chi-square test（P〈0.01）.Conclusion Building intravenous transfusion adverse event reporting and management mode can improve the nurses＂ cognitive, establish a safety fair culture environment,improve the safety responsibility and attitude of nurses, and prevent nursing error and adverse events.

关 键 词：静脉输液 护理不良事件 管理 

分 类 号：R472[医药卫生—护理学]