基于危险预知训练模式的护理不良事件风险管理成效  

Risk management effectiveness of nursing adverse events based on Kiken-Yochi training(KYT)model

作　　者：王静[1] 颜琼[2] 方萍萍 Wang Jing;Yan Qiong;Fang Pingping(Department of Nursing,The First Affiliated Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第一附属医院护理部,江西南昌330006 [2]南昌大学第一附属医院心血管内科,江西南昌330006 [3]南昌大学第一附属医院内分泌代谢科,江西南昌330006

出　　处：《护理学杂志》2023年第19期44-47,共4页Journal of Nursing Science

摘　　要：目的探讨危险预知训练模式在护理不良事件风险管理中的应用效果。方法采取前瞻性类实验研究设计,2022年1-6月收治患者13346例纳入干预前组,2022年7-12月收治患者11520例纳入干预后组。干预前组采用常规护理不良事件管理方法,干预后组采用基于危险预知训练模式的护理不良事件风险管理。比较干预前后护士安全行为得分,以及2组患者不良事件、投诉纠纷发生率。结果干预后护士安全行为得分较干预前显著提高(P<0.05);干预后组患者用药错误、跌倒、非计划性拔管类不良事件、投诉纠纷发生率显著低于干预前组(均P<0.05)。结论基于危险预知训练模式的护理不良事件风险管理能够有效提高护士的安全行为,降低不良事件、投诉纠纷的发生率。Objective To explore the effect of applying Kiken-Yochi Training(KYT)model in risk management for nursing adverse events.Methods In the prospective quasi-experimental study,13346 patients admitted from January to June 2022 were included into the pre-intervention group and another 11520 patients admitted from July to December 2022 were included in the post-intervention group.The pre-intervention group was subjected to nursing adverse event management using conventional method,while the post-intervention group was subjected to nursing adverse event management based on the Kiken-Yochi training model.The safety beha-vior scores of nurses before and after the intervention were compared,and the incidence rates of patient adverse events and complaints and disputes in the pre-intervention group and the post-intervention group were compared.Results After intervention,the safety behavior score of nurses significantly increased from before(P<0.05).The incidence rates of such adverse events as medication errors,falls,unplanned extubation,and the incidence rate of complaints and disputes in the post-intervention group was significantly lower than those in the pre-intervention group(all P<0.05).Conclusion KYT model can effectively improve nurses′safety behavior and reduce the incidence of adverse events,as well as incidence of complaints and disputes.

关 键 词：护理不良事件 护理风险 危险预知训练 投诉纠纷 风险管理 安全行为 护理安全 

分 类 号：R47[医药卫生—护理学] G931.2[医药卫生—临床医学]