根本原因分析在妇科护理不良事件中的应用  

Application of root cause analysis in gynecological nursing adverse events

作　　者：霍然[1] 罗捷[2] 

机构地区：[1]香港大学深圳医院妇产科,518000 [2]北京大学深圳医院妇科

出　　处：《中国实用医药》2017年第20期138-140,共3页China Practical Medicine

基　　金：深圳市科技局立项项目(项目编号:201203006)

摘　　要：目的观察分析应用根本原因分析(RCA)对妇科护理不良事件的影响。方法 300例妇科住院患者,将2013年2月~2014年1月行常规护理管理的患者列为对照组,将2014年2月~2015年1月行根本原因分析法的患者列为观察组,各150例。比较两组护理不良事件发生情况及护理不良事件上报率。结果观察组不良事件总发生率为4.00%,低于对照组的20.00%,差异具有统计学意义(χ~2=18.18,P<0.05)。观察组各项护理不良事件明显少于对照组,差异具有统计学意义(P<0.05)。观察组上报率为83.33%,高于对照组的36.67%,差异具有统计学意义(χ~2=4.41,P<0.05)。结论在妇科护理管理中应用RCA可有效降低护理不良事件发生率,提高护士的上报率,值得推广。Objective To observe and analyze the effect of root cause analysis （RCA） in gynecological nursing adverse events. Methods There were 300 gynecological inpatients, and patients undergoing routine nursing care from February 2013 to January 2014 were taken as control group, patients undergoing root cause analysis form February 2014 to January 2015 were taken as observation group, with 150 cases in each group. Comparison were made on incidence of nursing adverse events and report rate of nursing adverse events between the two groups. Results The observation group had lower total incidence of adverse reactions as 4.00% than 20.00% in the control group, and the difference had statistical significance （X2=18.18, P〈0.05）. The observation group had obviously less adverse nursing events than the control group, and the difference had statistical significance （P〈0.05）. The observation group had higher report rate as 83.33% than 36.67% in the control group, and the difference had statistical significance （X2=4.41, P〈0.05）. Conclusion The application of RCA in gynecological nursing management can effectively reduce the incidence of nursing adverse events and improve the reported rate of nurses, and it is worth popularizing,

关 键 词：根本原因分析 妇科护理不良事件 应用效果 

分 类 号：R473.71[医药卫生—护理学]