内分泌科给药执行护理中断事件的调查分析  

Interruptions during medication administration in endocrinology department

作　　者：彭艳琼[1] 包利[1] 邓怡[1] 周小容 冯素英[1] Peng Yanqiong;Bao Li;Deng Yi;Zhou Xiaorong;Feng Suying(Department of Endocrinology and Metabolic Disease,Suining Central Hospital,Suining 629000,China)

机构地区：[1]遂宁市中心医院内分泌代谢病科

出　　处：《护理学杂志》2019年第22期54-56,共3页Journal of Nursing Science

基　　金：2018年四川省卫生计生委科研立项项目(18PJ289)

摘　　要：目的探讨内分泌科给药执行护理中断事件的特征及其影响因素,为护理中断事件和安全给药管理提供依据。方法观察工作日内给药高峰时段9:00~12:00的10名白班临床护士给药执行环节中所发生的护理中断事件,并分析每小时段发生频率与来源、主体角色与时间分布、类型及结局等。结果给药执行护理中断事件发生频率为8.83次/h,11:00~12:00发生频率最高,为13.20次/h。主要来源于患者及其家属(62.3%)、护士同事(20.0%)和环境(12.8%)。主体角色主要为预期接收型(73.2%)和物资中断型(12.8%)。类型以侵扰型(52.1%)和分心型(41.5%)为主;结局以消极型为主(98.1%)。结论内分泌科给药执行护理中断事件发生频率高。重点管控中断事件的主要时段、主要来源、主要主体角色分布等要素,以及分时段区别管理中断事件,对护理安全给药具有重要意义。Objective To explore the characteristics and factors associated with interruptions during medication administration in endocrinology department,and to provide information for reducing interruptions and ensuring medication safety.Methods This study used direct observations of nurses while administrating medications to patients.Ten clinical nurses on day shift were observed at 9:00-12:00,then frequency,source,main role,time distribution,type and outcome of interruptions were analyzed.Results An average of 8.83 interruptions per hour occurred during medication administration,with the peak being 13.20 at 11:00-12:00.Family/patient interruptions were the most(62.3%),followed by fellow nurse(20.0%)and environment(12.8%).More than seventy percent(73.2%)of the interruptions were inducde by expected encounter,whereas just over ten percent(12.8%)of the interruptions were material initiated breaks.More than half were intrusions(52.1%)and 41.5%were distractions.Most interruptions(98.1%)had negative outcomes.Conclusion Interruptions during medication administration are prevalent in endocrinology department.It is of great significance to manage and control the main time period,source and main role of interrupted events,to ensure medication safety.

关 键 词：内分泌科 给药 护理中断事件 胰岛素 血糖监测 

分 类 号：R473.5[医药卫生—护理学] C931.3[医药卫生—临床医学]