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45例护理不良事件原因分析 被引量:99

An analysis of 45 nursing related adverse events
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摘要 目的:分析护理不良事件发生的原因,为患者安全和风险管理提供依据。方法:对该院2007年1~12月上报的45例护理不良事件资料进行调查分析。结果:护理不良事件发生的原因有4类,其中最常见的为患者安全管理不到位(46.7%),护理核心制度不落实占33.0%。结论:为进一步提升护理服务品质,确保患者安全,应不断强化护理人员的安全意识,加强核心制度的落实,提高护理人员的专业素质。 Objective:To provide evidence for patient safety and risk management by analyzing the causes of nursing related adverse events.Methods:Forty-five nursing related adverse events reported during January to December in 2007 at our hospital were collected and analyzed.Results:Four major failures were identified as the underlying causes of the incidents.46.7% of the adverse events were caused by insufficient management of patient safety,and 33.0% of incidents were associated with inadequate implementation of rules and regulations, Conclusion: To further improve the quality of nursing service and ensure patient safety, nurses' awareness of patient safety should be strengthened, rules and regulations should be implemented strictly and nursesi- professional competency should be improved.
出处 《中国护理管理》 2008年第7期56-57,共2页 Chinese Nursing Management
关键词 患者安全 不良事件 护理方法 护理服务品质 nursing adverse event
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