护理不良事件讨论会在患者安全管理的实践  

Practice of nursing adverse events discussion in patient safety management

作　　者：李瑶[1] 喻姣花[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院护理部,湖北武汉430022

出　　处：《护理学杂志》2017年第1期47-49,共3页Journal of Nursing Science

基　　金：华中科技大学同济医学附护理学院2016年自主创新研究基金资助项目(2016YXMS156)

摘　　要：目的探讨护理不良事件讨论会在患者安全管理实践中的应用效果。方法成立护理质量安全管理委员会,每月定期对上报的护理不良事件集中讨论,运用4M1E原因分类模式系统分析事件发生的根本原因,提出改进措施并实施。结果实施后护理不良事件发生率显著降低(P<0.05,P<0.01)。结论护理不良事件讨论会的实施可从系统角度完善护理安全管理,降低护理不良事件发生率,提高护理质量。Objective To explore the application effect of nursing adverse events discussion on patient safety management. Methods A nursing quality and safety management committee was set up, the members of the committee discussed the reported nursing adverse events together each month, then systematically analyzed the root causes of the events using 4M1E cause classification model, and put forward improving intervention and implemented. Results After implementation, the incidence of nursing adverse events was significantly lower than before（P〈0.05, P〈0.01）. Conclusion Practice of nursing adverse events discussion could improve nursing safety management from the systemic perspective, then decrease the incidence of nursing adverse events and improve nursing quality.

关 键 词：护理不良事件 讨论会 护理安全 护理管理 

分 类 号：R47[医药卫生—护理学] R197.323[医药卫生—临床医学]