新疆某肿瘤医院89例院内上报护理不良事件原因分析及防范对策  

Cause analysis and preventive countermeasures of 89 nursing adverse events in a tumour hospital in Xinjiang

作　　者：付路易[1] 程棣群[1] 张翠萍[1] 

机构地区：[1]新疆医科大学附属肿瘤医院护理部,乌鲁木齐市830011

出　　处：《中国护理管理》2015年第7期854-856,共3页Chinese Nursing Management

摘　　要：目的 :分析89例护理不良事件的原因,提出有效防范对策。方法 :对新疆某肿瘤医院护理部2014年度上报的不良事件进行回顾性研究,对发生的不良事件的特征进行分析。结果 :输液反应发生率最高(58.4%),初级职称护士更易发生不良事件(93.3%)。结论 :对不良事件的分析可为护理安全管理提供重要的信息依据,尤其是对可预防的不良事件进行分析,可以最大限度地避免或降低护理不良事件的发生,促进护理不良事件的良性转归,保障病人安全,避免护理纠纷。Objective： To analyze the causes of 89 nursing adverse events, and to put forward the effective preventive countermeasures. Methods： Nursing Department of a special hospital in Xinjiang collected the adverse events in 2014 and analyzed it retrospectively. The occurrence of adverse events of nurses with different titles, different occur time and different outcomes were statistically analyzed. Results： The occurrence of adverse effect of infusion was the highest（58.4%）, and the junior nurses are more likely to lead to the occurrence of adverse events（93.3%）. Conclusion： The analysis of adverse events could provide important information for nursing safety management, especially for preventable adverse events, furthest avoid or reduce the occurrence of nursing adverse events, promote nursing adverse events to optimum outcome, guarantee the patients＇ safety, and avoid nursing disputes.

关 键 词：护理不良事件 护理质量 病人安全 

分 类 号：R47[医药卫生—护理学]