护理相关不良事件分类规范的初步构建  

Preliminary establishment of classification standard of nursing related adverse events

作　　者：朱晓萍[1] 施雁[1] 

机构地区：[1]同济大学附属第十人民医院护理部,上海200072

出　　处：《中华现代护理杂志》2014年第8期877-881,共5页Chinese Journal of Modern Nursing

基　　金：上海市卫生局立项课题（2010254）

摘　　要：目的初步构建护理相关不良事件分类规范，明确事件类型，统筹事件特征信息，通过对不良事件分类标准化处理，理顺护理相关不良事件报告与分析链条，实现患者安全管理的实时监控、系统汇总和专业分析，提升患者安全管理水平。方法运用内容分析法对上海市某三级综合性医院2006-2010年216例护理相关不良事件报告资料进行回顾性分析，以WHO患者安全国际分类法（ICPS）类目为理论框架构建研究工具，筛选、提炼和添加护理相关不良事件分类及具体条目，最终确立护理相关不良事件规范的主体内容。结果确定了护理相关不良事件分类规范10个一级类目，即事件类型、患者结果、患者特征、事件特征、贡献因子、应急补救、发现／监测、组织结果、改进行动、预控措施；形成一套分别含有10个一级类目、45个二级类目的护理相关不良事件分类规范初稿。结论该护理相关不良事件分类规范的构建能够帮助有效识别事件关键特征，掌握动态发展，挖掘潜在因素，实施准确预控，并实现患者安全资源的有效集中、快速传递和及时反馈，有利于护理安全管理的持续改进。Objective To establish classification standard of nursing related adverse events, define type of the events and summarize their characteristics. To straighten out the event report and analysis by standardizing classification of adverse events, to realize real time monitoring, systematic summary and professional analysis of patients＇ safety, so as to improve management level. Methods Content analysis was used to analyze the data of 216 cases of nursing related adverse events in a 3-grade general hospital from 2006 to 2010. Research tool was established by the concept framework of International Classification of Patient Safety to choose, extract and formulate the category and specific items, and finally determine the main content of the classification standard. Results Ten Class One classification standards of nursing related adverse events were determined, which were incident type; patients outcome, patient＇s characteristics, incident characteristics, contributing factors, emergency, detection and monitoring, organizational outcome, improvement and precaution measures. And the draft included 10 Class One items and 45 Class Two items. Conclusions The establishment of classification standard of nursing related adverse events can help identify the key incident characteristics, grasp dynamic development, find implicit factors, implement appropriate precaution measures, and realize the effect concentration, quick transition and timely feedback of patients＇ safety resources, which is helpful to improve the nursing safety management.

关 键 词：护理 不良事件分类 患者安全国际分类法 构建 

分 类 号：R47[医药卫生—护理学]