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129例院内上报护理不良事件分析 被引量:48

The Analysis of 129 Adverse Events Reported Through Intra-Hospital Reporting System
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摘要 目的:分析该院院内上报护理不良事件发生的特点。方法:对由院内不良事件上报系统收集的不良事件进行回顾性研究,对发生不良事件的患者性别及年龄、责任人职称、发生时间及不良事件的结局和分类进行统计学分析。结果:药物相关不良事件发生率最高(57.4%),约50%的跌倒、坠床事件可导致患者重度伤害;白天发生不良事件率高于夜间(χ2=7.054,P=0.008),初级职称护士更易导致不良事件的发生(χ2=22.278,df=2,P=0.001);无伤害事件报告比例少(20.86%)。结论:对不良事件的分析可为护理安全管理提供重要的信息依据,目前国内护理不良事件报告制度需加以完善,研究需要进一步深入。 Objective:To analyze the characters of adverse events reported through intra-hospital reporting system.Methods: A retrospective study was conducted to analyze the adverse events collected through the intra-hospital reporting system,and statistical analysis was used to analyze such items as patients' age and sex, professional title of the person involed in the adverse events, and the time distribution, classification and outcome of the adverse events.Results: Medication/IV ?uid incidents had the highest frequency (57.4%); nearly 50% falls led to a serious harm to the patients;Incidents happened more frequently in daytime than at night (χ2 =8.308, P=0.004); and the responsible persons were more likely to be the junior staffs (χ2 =22.278, df=2, P=0.001). No harm incidents were reported at a very low percentage (20.8%). Conclusion: The adverse events analysis can provide great reference to patient safety management.More improvement and further researches should be done on the field of adverse events.
出处 《中国护理管理》 2011年第12期62-65,共4页 Chinese Nursing Management
关键词 患者安全 不良事件分类 安全管理 患者结局 patient safety adverse events classification safety management patient outcome
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