根因分析法在新生儿PICC导管风险管理中的应用  

Application of Root Analysis of PICC Catheter Risk Management in Neonatus

作　　者：潘长艳 赵凯丽 PAN Chang-yan;ZHAO Kai-li(Department of Oncology,Zhongwei People's Hospital,Zhongwei Ningxia,751700,China;Nursing Department,The Third Affi liated Hospital of Southern Medical University,Guangzhou Guangdong,510630,China)

机构地区：[1]中卫市人民医院肿瘤科,宁夏中卫751700 [2]南方医科大学第三附属医院护理部,广东广州510630

出　　处：《中华养生保健》2025年第6期139-142,共4页CHINESE HEALTH CARE

摘　　要：目的探讨根因分析法(RCA)优化新生儿PICC置管风险管理的应用效果。方法选取2020年6月—2022年6月某三级甲等医院新生儿科收治的188例留置PICC的患儿为研究对象,2020年6月—2022年5月收治的102例患儿为对照组,2020年7月1日—2022年6月30日收治的86例患儿为试验组,对照组按常规方法进行PICC置管管理,试验组应用基于RCA优化的PICC护理,比较两组置管期间并发症的发生率。同时纳入科室15名护理人员开展自身对照研究,比较实施基于RCA优化的PICC护理管理前后护理人员对PICC置管与维护的认知水平。结果管理后,试验组并发症发生率低于对照组,差异有统计学意义(P<0.05),并且实施后护理人员对PICC置管与维护认知水平明显高于管理前,差异有统计学意义(P<0.05)。结论应用根因分析法的风险管理可有效降低PICC置管期间患儿并发症的发生率并提高护理人员对PICC的相关认知水平,有助于提高临床护理质量。Objective To explore the eff ectiveness of root cause analysis(RCA)in optimizing risk management for neonatal PICC catheterization.Methods A total of 188 neonates who received PICC catheterization in the neonatal department of a tertiary hospital from June 2020 to June 2022 were selected as study subjects.They were divided into a control group(June 1,2020,to May 31,2022)and an experimental group(July 1,2020,to June 30,2022).The control group received routine PICC catheter management,while the experimental group received RCA-based optimized PICC care.The incidence of complications during catheterization was compared between the two groups.Additionally,a self-control study was conducted with 15 nursing staff members from the department to compare their knowledge of PICC catheterization and maintenance before and after the implementation of RCA-based optimized PICC care.Results The application of RCA in risk management signifi cantly reduced the incidence of PICC complications(P<0.05)and significantly improved the nursing staff's knowledge of PICC catheterization and maintenance(P<0.05).Conclusion The application of RCA in risk management effectively reduces the incidence of complications during PICC catheterization in neonates and improves the nursing staff's related knowledge,thereby enhancing clinical nursing quality.

关 键 词：根本原因分析法 经外周静脉置入中心静脉导管 风险管理 新生儿 

分 类 号：R473.72[医药卫生—护理学]