管道护理过程中不良事件原因分析及管理对策  

Analysis of causes of pipeline in process of nursing adverse events and management measures

作　　者：张晓松 岳淑玲 张卫红 陈桂芝 黄海玲 毕艳杰[3] 甘伟[4] 

机构地区：[1]华北理工大学附属医院护理部,河北唐山063000 [2]华北理工大学附属医院心胸外科,河北唐山063000 [3]唐山市人民医院 [4]唐山市卫生局

出　　处：《河北联合大学学报（医学版）》2015年第6期229-231,共3页Journal of North China Coal Medical College

基　　金：2014年度河北省医学科学研究重点课题(编号:ZD20140105)

摘　　要：1目的分析在管道护理过程中不良事件发生的原因,为患者风险管理提供依据。2方法对上报的39例与管道相关的护理不良事件资料进行分析。3结果 39例与管道相关的护理不良事件中,自行拔出管道34例,管路滑脱5例。发生的主要原因为:安全管理不到位、宣教及沟通不到位、对患者评估不到位、缺乏有效固定及护理人力资源不足。4结论为了确保患者的安全,应不断强化护理人员风险意识、安全意识,完善与护理安全相关的各种管理制度、宣教工作流程,加强核心制度的落实,进行相关安全教育,改革护理排班模式,从而达到降低管道护理过程中不良事件发生的目的。Objective Analysis cause of adverse events that occurred during the process of pipe care, providing evidence for patients＂ risk management.Methods Reported data of 39 cases, of nurs- ing adverse events associated with pipe, for analysis. Results 39 cases of nursing adverse events re- lated to the pipe, to pull out pipe. 34 cases, pipe slippage .5 cases. There is the main reason for the security management does not reach the standard, education and communication does not reach the standard, the inadequate assessment of patients with fixed and insufficient nursing human resources. Conclusion In order to ensure safety of patients, we should constantly strengthen nurses＂ risk con- sciousness, salty consciousness, improve various management systems related to nursing safety, missionary work process, strengthen the implementation of the core system, conduct related safety education, reforming r/ursing scheduling model, so as to achieve .the purpose of reducing pipeline nursing adverse events occurred in the process.

关 键 词：管道护理 不良事件 原因分析 管理对策 

分 类 号：R47[医药卫生—护理学]