门诊注射治疗中的医院感染因素分析与干预  

Risk factors of injection treatment in Outpatient department and interventions

作　　者：许玉冰 聂英娟[2] 王娜[2] 

机构地区：[1]解放军总医院海南分院,海南三亚572000 [2]解放军总医院门诊部,北京100853

出　　处：《中华医院感染学杂志》2013年第16期3998-3999,共2页Chinese Journal of Nosocomiology

摘　　要：目的分析门诊注射治疗工作出现的新情况、新问题,探讨加强风险因素的控制与干预措施,以确保患者安全。方法对两所医院门诊注射室2012年3月-2013年3月44 541例各种注射治疗患者进行回顾性的统计分析,探讨其中存在的风险隐患。结果 44 541例患者中有8154例存在的安全风险因素,主要有新药特药不断增多、知识缺乏;药品价格昂贵、溶解及注射方法特殊;患者格外关注注射过程,要求高;护士工作繁忙、新护士多、操作欠娴熟;与患者交流沟通不到位等。结论门诊注射治疗工作存在很大的安全风险隐患,要不断强化护士的安全风险防范意识,加强教育、质量控制、培训和管理,严格无菌操作和查对,及时掌握新药特药知识,加强与患者的交流与沟通是注射治疗中风险因素干预管理的有效措施。OBJECTIVE To analyze the existing problems in the injection treatment of outpatient department,explore the risk factors and put forward the intervention measures so as to ensure the safety of patients.METHODS A total of 44541cases of patients who received various injection therapies in the outpatient department from Mar 2012to Mar 2013were enrolled in the study and were statistically analyzed,then the hidden risks were explored.RESULTS There were risk factors in 8154of 44541patients,including the continuous increase of new drugs or special drugs,lack of relevant knowledge,high price of drugs,special method of dissolution,particular care about the injection process,high requirement,heavy workload,lack of nursing experience,unskilled operation,and insufficient communication with patients.CONCLUSIONThere are a variety of hidden risks in the injection therapy in the outpatient department;it is necessary to continuously strengthen the awareness of prevention of hidden risks,intensify the education,quality control,training and management,grasp the relevant knowledge of the special medicine,and enhance the communication between the patients and the nurses so as to effectively control the risk factors.

关 键 词：门诊部 注射治疗 风险因素 分析 干预 

分 类 号：R181.32[医药卫生—流行病学]