心脏介入术后心包填塞患者急救的护理安全管理  

Nursing Safety Management of Patients with Postoperative Cardiac Tamponade after Cardiac Interventional Therapy

作　　者：朱欢欢[1] 胡蕾[1] 徐南娇 孙春艳 Zhu Huanhuan;Hu Lei;Xu Nanjiao;Sun Chunyan(Coronary Care Unit,Nanjing Drum Tower Hospital Affiliated to Nanjing University School of Medicine,Nanjing 210008,Jiangsu Province,China)

机构地区：[1]南京大学医学院附属鼓楼医院心内科监护室,江苏南京210008

出　　处：《解放军护理杂志》2017年第22期67-70,76,共5页Nursing Journal of Chinese People's Liberation Army

基　　金：国家卫生部临床专科重点建设项目(卫办医政函(2011)872号)

摘　　要：目的改进心脏介入术后心包填塞患者的护理措施,以提高护理质量。方法组建护理安全质量管理小组,应用失效模式和效果分析的风险管理模式,对心脏介入术后心包填塞患者急救流程进行隐患分析,查找影响患者安全的高危失效模式,制订相应的护理改进措施并实施。结果改进后的护理安全管理的高危风险值降低,护士专业知识的掌握程度增加、急救流程护理配合及专业实践能力均提升,急救备物时间缩短。结论应用失效模式和效果分析风险管理模式,可有效规范心脏介入术后心包填塞患者的护理安全管理,提高患者的护理安全。Objective To improve nursing measures for patients with postoperative cardiac tamponade after cardiac interventional therapy,in order to enhance nursing quality.Methods The nursing security quality management team was set up and failure mode and effect analysis(FMEA)were applied.The first aid procedure for patients with postoperative cardiac tamponade after cardiac interventional therapy was analyzed to find out the high risk failure mode that affects patient’s safety,and the corresponding nursing countermeasures were implemented.Results The improved nursing safety management can decrease high risk value,increase nurses’professional knowledge improve,first aid process nursing cooperation and professional practice ability,and reduce the time of first aid materials preparation.Conclusion The application of FMEA model can effectively normalize nursing safety management and enhance nursing security.

关 键 词：心脏介入术 心包填塞 安全管理 

分 类 号：R542.1[医药卫生—心血管疾病] R472.2[医药卫生—内科学]