基于Kaiser模型的灾害脆弱性分析在妇科护理风险管理中的应用研究

Application of Hazard Vulnerability Analysis Based on Kaiser Model in Risk Management of Gynecological Nursing

目的运用基于Kaiser模型的灾害脆弱性分析(HVA)对妇科护理管理相关事件进行风险评估,识别高风险事件,为开展风险管理提供依据。方法构建妇科护理管理风险事件指标体系,运用HVA对3大类51项指标进行风险评估,通过指标可能性与严重性矩阵分析,对排名前5的高风险事件开展应急演练和改进。结果通过HVA对妇科护理高风险事件进行干预前后比较,原高风险5项优先改进指标风险值均有所下降,干预后的原高风险5项护理安全事件发生比例均低于干预前,差异有统计学意义(p<0.05)。结论采用HVA评估妇科护理风险事件,提高妇科护理风险管理效率,保障医疗质量与患者安全。

Objective To apply hazard vulnerability analysis(HVA)based on Kaiser model to assess the risk of gynecological nursing management-related events,identify high-risk events,and provide basis for risk management.Methods The index system of risk events in gynecological nursing management was constructed,and 51 indicators in 3 categories were assessed by HVA.Through the matrix analysis of index possibility and severity,the top 5 high-risk events were drilled and improved.Results By comparing before and after HVA intervention on high-risk nursing events in gynecology,the risk values of the original high-risk five priority improvement indicators decreased,and the proportion of the original high-risk five nursing safety events after intervention was lower than that before intervention,and the difference was statistically significant(p<0.05).Conclusion Using HVA to evaluate gynecological nursing risk events can improve the efficiency of gynecological nursing risk management and ensure medical quality and patient safety.