墨菲定律在血液透析患者护理安全管理中的应用  

Application of Murphy's law in the nursing safety management of hemodialysis patients

作　　者：谭艺真[1] 何敏毅[1] 王海琴[1] 甘华秀[1] 严红艳[1] 吕娟[1] 

机构地区：[1]南方医科大学珠江医院,广东广州510282

出　　处：《现代临床护理》2013年第1期52-55,共4页Modern Clinical Nursing

摘　　要：目的探讨墨菲定律在血液透析患者护理安全管理中的应用效果。方法选取2011年4～7月某三级甲等综合医院血液透析室4598例次透析设为实施前组,于应用墨菲定律3个月后,2011年11月～2012年1月,再次选取该医院血液透析室5683例次透析设为实施后组。比较墨菲定律实施前后血液透析室护理操作风险和透析设备故障各项指标情况。结果在墨菲定律实施前后,血液透析室护理操作风险及透析设备故障各项指标发生率比较,均P<0.05,差异具有统计学意义,实施后血液透析室护理操作风险及透析设备故障各项目发生率明显低于实施前。结论墨菲定律在血液透析患者安全管理中应用后,护理操作不安全事件及血液透析设备故障情况明显下降,同时其能强化护理人员安全意识,提高其参加安全管理的自觉性,变被动管理为主动管理,确保患者在血液透析中的安全与提高质量。Objective To investigate effect of Murphy＇s law on the nursing safety management of the hemodialysis patients. Methods 4598 hemodialysis cases in a blood purification center of a first class grade A hospital from April to July in 2011 was assigned as pre-implementation group. Then Murphy＇s law was used in the nursing practice. In the following, another 5683 hemodialysis cases from November in 2011 to January in 2012 were assigned as post-implementation group. The incidence of nursing risks and hemodialysis equipment failures were compared between the two groups. Result The incidences of nursing risks and hemodialysis equipment failures in the post-implementation group were significantly lower than those of the pre-implementation group （ P 〈 0.05）. Conclusions Murphy＇ s law is effective for the declines of nursing manipulative defects and hemodialysis equipment failures. Besides, the law can be good for the strengthened awareness of safety and enhanced consciousness of all staff participating in the safety management so as to ensure the safety

关 键 词：墨菲定律 血液透析 安全管理 

分 类 号：R473.5[医药卫生—护理学]