现行静脉输液执行单设计的缺陷分析与干预

目的探讨规范的静脉输液执行单应遵循的原则和规范,提高护理病历质量,探索适合于细节控制、杜绝差错、利于护理举证的静脉输液执行单。方法对1809份静脉输液执行单存在的缺陷进行统计分析。结果确定了静脉输液执行单产生缺陷的细节性原因,提出相应的干预措施,利于质控和举证。结论静脉输液执行单的设计应考虑细节性控制元素,体现护理质量管理和工作流程的特点,利于护理质控、减少或杜绝静脉输液执行单设计上的差错因素,更好地维护医患双方的权益。

Objective Standard investigation and discussion vein infusion carries out the principle and norm that Shan Ying abides by,improves the nursing medical record quality,the exploration appositeness is controlled in detail,completely eradicate error,favors venous transfusion execution list which nursing presents evidence.Methods Carries on the statistical analysis to 1809 venous transfusion execution list existence＇s flaw.Results Had determined the venous transfusion execution list has the flaw detail reason,proposes the corresponding intervention measure,conducive to quality control and the burden of proof.Conclusion Vein infusion carries out single design should think that detail controls an element,manifests the nursing quality control and the work flow characteristic,conducive to nursing quality control,reduced or the stop venous transfusion execution designs only mistake factor,to better safeguard the interests of both nurses and patients.