护理相关药物不良事件分类规范的构建和应用  

The construction and application of medication errors classification standard in nursing based on the International Classification of Patient Safety

作　　者：朱晓萍[1] 段霞[1] 施雁[1] 

机构地区：[1]上海市同济大学附属第十人民医院护理部,200072

出　　处：《中华护理杂志》2014年第8期961-964,共4页Chinese Journal of Nursing

基　　金：上海市卫生局立项课题(编号:2010254)

摘　　要：目的为了规范护理相关药物事件分类,理顺护理相关药物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,有针对性地提出有效的预控措施,提升患者安全管理水平。方法识别和分析护理相关药物不良事件分类中的常见问题,以WHO患者安全国际分类法(ICPS)类目为理论框架,构建护理相关药物事件分类规范并实施应用。结果护理相关药物不良事件的分类法将所有可能具有意义的统计信息纳入到药物相关不良事件的报告内容中,临床护士进行护理相关药物不良事件上报时填报类别错误明显减少,有利于护理管理者进行数据的标准化处理和统计分析,从而提出有针对性的预防措施。结论应用ICPS概念框架规范护理相关药物不良事件分类规范类目,有利于护理管理者从多个不同角度更准确甄别系统和流程缺陷,提出有针对性的措施,提升患者安全管理水平。Objective To standardize the classification,reporting and analysis of medication errors in nursing in order to achieve real-time monitoring and systemic analysis in patient safety management and improve the level of safety management. Methods The problems in the existing classification medication errors in nursing were identified and a new classification standard was formulated based on the International Classification of Patient Safety（ICPS）. Results The new medication errors classification standard included all significant statistical information in the reporting system,which reduced the category related errors in the reporting and contributed to the standardization of data analysis and targeted improvement strategies. Conclusion The construction of medication errors classification standard based on ICPS can help nursing administrators to accurately detect the system-related and process-related defects from muhiple perspectives and propose targeted improvement measures,and thereby to improve the level of patient safety management.

关 键 词：患者安全 护理 给药错误 分类法 不良事件 

分 类 号：R47[医药卫生—护理学]