风险管理在血液透析中心护理质量管理中的应用  

Risk Management in Nursing Quality Management of Hemodialysis Center in the Application

作　　者：郑晓艳[1] 陈磊[1] 黄桂英[1] 方莉[1] 林菊英[1] ZHENG Xiao-yan;CHEN Lei;HUANG Gui-ying;FANG Li;LIN Ju-ying(Blood Purification Department,Fujian Provincial Hospital,Fuzhou,Fujian Province,350000 China)

机构地区：[1]福建省立医院血液净化科,福建福州350000

出　　处：《中外医疗》2018年第1期160-162,共3页China & Foreign Medical Treatment

摘　　要：目的探讨风险管理在血液透析中心的应用。方法方便选取2015年3月—2016年12月该中心86例血液透析患者,随机单盲分成观察组和对照组。对照组按照血液透析护理常规进行护理,护士密切观察患者及机器运转情况。观察组除了按照血液透析护理常规进行护理外,还实施护理风险管理。结果通过实施风险管理,观察组血液透析中心患者对护理服务满意度95.83%,较对照组对护理服务满意度85.41%,有明显提高(P<0.05);护理不良事件发生率明显降低(P<0.05)。结论在血液透析中心的护理质量管理中,通过对现存的和潜在的护理风险进行识别、评估风险,采取预防措施进行规避,提高血液透析护士的风险防范意识和综合素质,使护士能正确迅速处理紧急问题,既可以提升患者的血透透析质量,又减少护理差错和不良事件的发生,提高患者对护理服务的满意率,保证患者的透析安全。Objective This paper tries to explore the application of risk management in hemodialysis center.Methods 86 hemodialysis patients in the center were randomly from March 2015 to December 2016 were conveniently divided into observation group and control group.The control group was treated by hemodialysis nursing routine,and the nurses observed the patients and the machine operation closely.In addition to the routine care of hemodialysis care,the observation group also implemented nursing risk management.Results Through the implementation of risk management,the observation group of patients with hemodialysis center nursing service satisfaction of 95.83%,higher than the control group on nursing service satisfaction of 85.41%,with significant difference(P<0.05);the incidence of nursing adverse events was significantly lower(P<0.05).Conclusion In the quality of care management of hemodialysis center,through the identification of existing and potential risk of care to assess the risk and take preventive measures to avoid and improve the risk prevention awareness and overall quality of hemodialysis nurses so that nurses can quickly and correctly handle urgent problem,can not only improve the quality of hemodialysis patients,but also reduce the occurrence of nursing errors and adverse events,improve patient satisfaction rate of nursing services,and ensure patient dialysis safety.

关 键 词：血液透析 风险管理 护理管理 

分 类 号：R473[医药卫生—护理学]