基于根因分析的正反馈闭环式护理风险管理对消化内科护理质量、护理风险事件的影响  

Influence of positive feedback closed-loop nursing risk management based on root cause analysis on nursing quality and nursing risk events in gastroenterology

作　　者：文吉珍 唐淑蓉[1] 任昌兰 Wen Jizhen;Tang Shurong;Ren Changlan(Digestive Internal Medicine,the First People's Hospital of Yibin,644000,China)

机构地区：[1]宜宾市第一人民医院消化内科,644000

出　　处：《国际护理学杂志》2022年第21期3841-3845,共5页international journal of nursing

基　　金：宜宾市科技计划项目(2021SF008)。

摘　　要：目的探讨基于根因分析正反馈闭环式护理风险管理对消化内科护理质量、护理风险事件的影响。方法选取2021年1月至2021年12月期间宜宾市第一人民医院消化内科治疗的患者212例,随机分为对照组和观察组,每组106例。对照组实施常规风险评估、风险干预、护理三级质控反馈的风险管理模式,观察组在常规风险评估、风险干预、护理三级质控反馈的风险管理模式基础上实施基于根因分析正反馈闭环式护理风险管理,比较两组患者护理安全发生情况(护理缺陷、护理不良事件、护理纠纷、并发症、死亡)、护理满意度、护理风险干预措施落实率、护理安全质量。结果观察组患者护理缺陷、护理不良事件、护理纠纷、并发症、死亡的发生均低于对照组,差异有统计学意义(P<0.05),观察组患者总护理满意度与落实率均高于对照组,差异有统计学意义(P<0.05),观察组患者护理安全质量评分均高于对照组,差异有统计学意义(P<0.05)。结论对消化内科实施基于根因分析正反馈闭环式三级追踪护理风险管理可显著降低不安全事件发生率、有效提高护理质量,升高护理风险干预措施落实率及患者护理满意度。Objective To analyze the impact of positive feedback closed-loop nursing risk management based on root cause analysis on nursing quality and nursing risk events in gastroenterology.MethodsA total of 212 patients treated in the department of gastroenterology of this hospital from January 2021 to December 2021 were selected and randomly divided into control group and observation group,with 106 cases in each group.The control group implemented the risk management mode of routine risk assessment,risk intervention and nursing three-level quality control feedback,while the observation group implemented positive feedback closed-loop nursing risk management based on root cause analysis on the basis of the risk management mode of routine risk assessment,risk intervention and nursing three-level quality control feedback.The occurrence of nursing safety(nursing defects,nursing adverse events,nursing disputes,complications,death),nursing satisfaction,implementation rate of nursing risk intervention measures,and nursing safety quality were compared between the two groups.Results The incidences of nursing defects,adverse nursing events,nursing disputes,complications and death in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total nursing satisfaction and implementation rate of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The nursing safety quality scores of patients in the observation group were higher than those in the control group,and the dfferences were statistically significant(P<0.05).Conclusions The implementation of positive feedback closed-loop three-level tracking nursing risk management based on root cause analysis in gastroenterology department can significantly reduce the incidence of unsafe events,effectively improve the quality of nursing,and increase the implementation rate of nursing risk intervention measures and patients nursing satisfaction.

关 键 词：根因分析 正反馈闭环式护理风险管理 消化内科 护理质量 护理风险 

分 类 号：R473.5[医药卫生—护理学]