根因分析法在住院患者药患纠纷中的应用  

Application of root cause analysis on medication dispute in hospitalized patients

作　　者：叶美燕 周月琴[1] 董灿红 黄雅芳[1] 鄢琼[1] 裴敬波 

机构地区：[1]杭州市萧山区中医院内科,浙江杭州311201

出　　处：《中国医药导报》2015年第24期162-164,共3页China Medical Herald

基　　金：浙江省中医药(中西医结合)重点学科建设计划项目(2012-XK-D01)

摘　　要：应用根因分析法分析一起药患纠纷事件的原因。通过事件描述、事件调查、近端原因分析、确定根本原因、制订改进方法,认为发生药患纠纷的根本原因是风险管理理念不足,接药流程、摆药流程、配药流程不够合理,人力资源不足,各班工作职责不够明确,实习生的带教管理不规范。转变药患纠纷事件的风险管理理念、优化给药流程、重视给药环节的细节管理、增加人力资源配置、改变排班模式、完善新护士和实习护士的带教管理,以利于避免类似事件的发生,降低药患纠纷。Root cause analysis is applicated of the reason of medication disputes. By analyzing the root cause of medi-cation disputes and improving on methods through the event description, the investigation as well as the proximate cause, it is observed that the root cause of medication disputes is the lack of risk management concept, unreasonable management of handling, displaying and dispensing medicine process, the lack of human resources, unclear assignments of responsibilities as well as non-standard intern training management. In order to avoid the occurrence of similar inci-dents and reduce medication disputes, it is necessary to change the risk management concept, optimize the dispensing process, emphasize on detail management of handling medicines, increase the human resource configuration, improve the nurse scheduling model and the training programs of novice nurses.

关 键 词：药患纠纷 住院患者 根因分析法 

分 类 号：R47[医药卫生—护理学]