Vincent临床事件分析法对术中交接班引起护理缺陷的归因分析  

Using Vincent clinical incidence system to analyze potential factors of the defect induced by nursing shift at perioperative period

作　　者：朱聪萍[1] 王晓蔚[1] 周晓梅[1] ZHU Congping;WANG Xiaowei;ZHOU Xiaomei(Operating Theater,Nantong Tumor Hospital,Nantong,Jiangsu,226361)

机构地区：[1]江苏省南通市肿瘤医院手术室,江苏南通226361

出　　处：《中西医结合护理（中英文）》2018年第3期93-96,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨Vincent临床事件分析法在手术室术中交接班质量持续改进中的作用。方法应用Vincent临床事件分析系统对2017年中发生的因术中交接班引起的护理缺陷进行归因分析,并提出有效的改进措施。结果归因分析显示:术中交接班所致护理缺陷的组织管理因素主要是人力资源调配不合理占82.93%;团队因素主要是沟通不力和协作观点不强占36.59%;工作任务因素主要是工作负荷大、交接次数多占60.98%;环境因素主要为后勤保障不到位占36.59%;个人因素主要是低年资护士知识与经验不足占75.61%;患者因素主要是手术复杂、需用物品繁杂占78.05%。结论通过Vincent临床事件归因分析可以减少术中交接发生的护理缺陷,确保护理安全。Objective To evaluate the Vincent clinical incidence system in quality improvement of nursing shift at perioperative period.Methods To analyze the potential factors of the nursing shift defect in year 2017 by using Vincent clinical incidence system,and to provide improvement approaches.Results The main organizational reason of nursing shift defect was irrational management of human resource,accounting for 82.93%.The main team factor was poor communication and cooperation,accounting for 36.59%.The main job factor was heavy workload and high frequency of nursing shift,accounting for 60.98%.The main environmental factor was inadequate logistical support,accounting for 36.59%.The main individual factor was inadequate experience of junior nurses,accounting for 75.61%.The main patient-associated factor was complicated surgery and related materials,accounting for 78.05%.Conclusion Vincent clinical incidence system is an effective to improve the quality of nursing shift at perioperative period.

关 键 词：安全管理 临床事件 手术 交接班 护理缺陷 归因分析 

分 类 号：C931.2[经济管理—管理学]