眼科护理风险与管理  

Risks and Management of Ophthalmologic Nursing

作　　者：金晓丹[1] 张燕[2] 章灵芝[2] 戴杰[2] 

机构地区：[1]浙江省台州市眼科医院暨台州市立医院 [2]浙江省台州医院路桥院区

出　　处：《医院管理论坛》2016年第8期13-16,共4页Hospital Management Forum

摘　　要：目的探讨眼科护理中风险因素及防范对策。方法通过查阅2013年1月至2015年12月的眼科护理病历和护理记录单、警讯事件报告记录、不良事件报告记录、药品不良反应上报记录及患者建议投诉等记录,分析归纳影响眼科护理的风险因素。结果护理相关、疾病本身、患者自身、环境相关、药物相关、管理相关及其他相关因素等均是眼科护理工作中所存在的风险因素。结论影响眼科护理质量的因素很多,护理人员要提高自我的风险防范意识,严格执行各项规章制度,不断增强医德医风,不断提高专科理论与业务水平,重视应急能力培训,加强护患沟通、健康宣教和心理护理,建立药物分类提醒和护理标识警示,做好感染预防,实行风险控制管理,才能有效减少不良事件的发生,保证患者安全从而减少医疗纠纷、提高眼科护理质量。Objective To discuss the risk factors of ophthalmologic nursing and preventive measures. Methods Analyzed and summarized the risk factors of ophthalmologic nursing by reviewing the medical records of ophthalmologic nursing, reports of sentinel events and adverse events as well as adverse drug reactions reports and patients＇ recommendations and complaints from January 2013 to December 2015. Results Nursing, the disease itself, patients themselves, environment, drug, management and other related factors were all relevant risk factors for ophthalmologic nursing. Conclusions There were many factors that influenced the quality of ophthalmologic nursing. Nurses should increase self-awareness of risks, fully implement rules and regulations, and constantly enhance their ethics and theoretical and professional skills. They should pay more attention to the training of emergency response capacity, strengthen nurse-patient communication, enhance health education and psychological care and establish drug classification sign. Besides, nurses should make good preparation for infection prevention and implement risk control and management so as to effectively reduce the occurrence of adverse events, ensure patient safety, reduce medical disputes and improve the quality of ophthalmologic nursing.

关 键 词：眼科护理 护理风险 护理缺陷 质量 

分 类 号：R473.77[医药卫生—护理学]