护理不良事件原因分析及对策  

The cause analysis and measures of the nursing adverse events

作　　者：石兵[1] 邓敏[1] 张娜[1] 

机构地区：[1]四川省内江市第一人民医院,内江641000

出　　处：《当代护士（中旬刊）》2013年第8期179-181,共3页Modern Nurse

摘　　要：目的分析护理不良事件发生的原因,探讨减少护理不良事件发生的有效措施。方法回顾性分析本院2008～2011年117起护理不良事件,对护理不良事件的种类、原因、当事人情况进行分析。结果违反操作规程和制度、责任心不强,服务态度差(或沟通不良)是发生护理不良事件最主要的原因;护理不良事件的种类主要是用药错误、跌伤和坠床等;低年职、低学历的临床护士是发生护理不良事件的主要当事人,特别是外科。结论护理管理者应根据护理不良事件发生的原因、种类、高发人群和科室制定针对性的预防措施,才能有效减少护理不良事件发生。Objective To analyse the cause of nursing adverse events and explore the effective measures in order to reduse nursing adverse events. Methods After reviewing the 117 nursing adverse events happened from 2008 ~ 2011, we analysis those nursing adverse events＇type, cause and the situation of the parties. Results The main cause of nursing adverse events are violation of operating rules and system,lack of responsibility and poor service attitude. The type of nursing adverseevents mainly include medication errors,injuries and dropping bed etc. The parties are mainly nurses of low degree and low experence. Conlusion Nursing managers Should take pertinence preventive measures based on the cause, type, high-risk groups and departments in order to reduce the nursing adverse events.

关 键 词：护理不良事件 安全管理 

分 类 号：R471[医药卫生—护理学]