RCA2在1例潜在不良事件中的应用  

作　　者：李金学[1] 申炜[2] 彭玲 王玉莲[2] 

机构地区：[1]四川省绵阳市中心医院心胸外科,621000 [2]四川省绵阳市中心医院心信息中心,621000 [3]四川省绵阳市中心医院心妇产科,621000

出　　处：《国际护理医学》2019年第2期47-48,共2页INTERNATIONAL NURSING MEDICINE

摘　　要：目的通过1例潜在新生儿身份识别错误事件的分析,介绍RCA2在身份识别安全管理的应用。方法运用根本原因分析法回顾性分析绵阳市中心医院1例潜在新生儿身份识别错误事件发生的根本原因。结果以产妇姓名为新生儿身份的电子腕带打印有助于杜绝新生儿身份识别错误事件的发生。结论互联网时代充分利用好信息技术产品,有利于帮助保障患者安全。Objective The application of RCA2 in identity identification security management was introduced through the analysis of one potential neonatal identification error event.Methods The root cause of a potential neonatal identification error in Mianyang Central Hospital was analyzed retrospectively by means of root cause analysis..Results The electronic wristband printing with the mother's name as the newborn's identity was helpful to prevent the occurrence of the neonatal identification error.Conclusion The electronic wristband printing with the mother's name as the newborn's identity is helpful to prevent the occurrence of the neonatal identification error.

关 键 词：RCA2 潜在不良事件 应用 

分 类 号：R47[医药卫生—护理学]