广东省110家三级医院护理不良事件监测及报告现状  

The investigation of nursing adverse event monitoring and reporting in 110 tertiary hospitals of Guangdong province

作　　者：史瑞芬 刘银燕 张振路 

机构地区：[1]广东省护理质控中心,广州市510080

出　　处：《中国护理管理》2015年第9期1098-1101,共4页Chinese Nursing Management

基　　金：中国科协学会改革发展基础工程项目(GGFZ2014001-A)

摘　　要：目的:调查广东省三级医院护理不良事件报告情况,为完善护理不良事件管理提供依据。方法:采用整群抽样法,对全省110家三级医院进行问卷调查。结果 :广东省三级医院均建立了护理不良事件报告制度,2013年全年共报告17 211件,平均每家医院报告156.5件,每万名出院患者报告39.4件;不同类别的不良事件监测报告程度有差异,院内跌倒、给药错误、院内压疮的监测上报比例较高,分别达到98.2%、97.2%、94.5%;对尿管引发泌尿系感染的监测上报率最低(74.5%);综合医院的患者压疮、跌倒、自杀发生率高于专科医院;护士人力资源配置较足的医院压疮、跌倒致伤的发生率较低。结论 :我省三级医院护理不良事件报告系统已初步建立;各医院对护理不良事件的报告情况有较大差异;应加强护理人力资源配置,进一步完善护理不良事件监测及上报信息系统,多举措提高护理不良事件的上报水平,保障患者安全。Objective： To explore the situation of nursing adverse events reporting in tertiary hospitals of Guangdong province, to provide the basis for improving nursing management of adverse events. Methods： Cluster sampling method was used, and a questionnaire survey of 110 tertiary hospitals of Guangdong province was used. Result： All of the tertiary hospitals had established safety adverse events reporting system. 17 211 adverse events for various types of nursing have been reported in 2013, and on average, every hospital reported 156.5. Every the thousand discharge patients reported 39.4. There were significant differences in the degree of adverse event monitoring reports in different categories. In-hospital falls, medication errors, hospital bed sore were reported higher, which were 98.2%, 97.2% and 94.5% respectively, meanwhile, the urinary system infection, which was caused by ureter, was reported a lowest one, and it was 74.5%. The incidence of pressure sores, falls and suicides in patients of general hospital was significantly higher than that of the specialist hospital. The hospital with sufficient nurse human resource allocation had a lower incidence of pressure sores and falls. Conclusion： The tertiary hospitals of Guangdong province all had initially established safety adverse events reporting system. The nurse human resource configuration should be strengthened and the nursing adverse events monitoring and reporting information system should be further improved. Many initiatives should be taken to improve level of nursing report of adverse events, and thus effectively protect patient safety.

关 键 词：护理不良事件 报告系统 患者安全 

分 类 号：R47[医药卫生—护理学]