急诊床边血液滤过的风险防范与质量控制  

Risk Prevention and Quality Control on Bedside Hemofiltration in Emergency Department

作　　者：梁桂兰[1] 殷贵兰[1] 戈海[1] 

机构地区：[1]南京大学医学院附属鼓楼医院,江苏南京210008

出　　处：《中国卫生质量管理》2016年第6期31-33,共3页Chinese Health Quality Management

摘　　要：目的探讨急诊床边血液滤过存在的风险及质量控制方法。方法制定护士岗位要求及考核方法,对急诊床边血液滤过的风险因素进行分析,从进行有效沟通,提升血液净化护士专业核心能力,建立医护一体化合作模式,强化专科健康教育等方面进行改进。结果与2012年-2013年比较,实施质量控制后,行急诊床边血液滤过的246例患者在治疗过程中凝血发生率显著下降,患者满意度显著提升。结论对急诊床边血液滤过患者实施风险防范与质量控制,可有效避免不良事件发生,提高护理质量。Objective To explore the risk and quality control methods of bedside hemofiltration in Emergency Department. Method Through the development of nurses＇job requirements and assessment methods, the risk factors were analyzed. Improve- ments were made from the aspects of effective communication, enhancing the core competence of nurses on blood purification, es- tablishing the cooperation mode of health care and strengthening the health education of specialties, etc. Result Compared with the patients in 2012 - 2013, 246 patients using bedside hemofiltration had significantly lower incidence of coagnlopathy after the application of quality control, and the patients＂ satisfaction was significantly improved. Conclusion Risk prevention and quality control on bedside hemofiltration in Emergency Departmentcan can effectively prevent the occurrence of adverse events and im- prove nursing quality.

关 键 词：急诊床边血液滤过 风险防范 质量控制 

分 类 号：R459.5[医药卫生—治疗学]