患者参与身份双重确认在预防静脉输液差错中的应用效果

Effective observation on prevention for mismatched intravenous infusion by patients＇ participation in double-identity confirmation

目的为提高患者身份识别的准确性，规范核对细节，有效预防静脉输液差错。方法采用随机数字表法，选取2008年9月至2011年5月住院的2713例患者，分为对照组和观察组。对照组患者1410例，静脉输液42026组，采用常规输液查对的流程确认身份；观察组患者1303例，静脉输液41102组，除常规输液查对流程外，让患者说出自己的姓名和年龄并由患者或家属参与亲自查看输液瓶标签上姓名，确认身份。观察两组患者输液穿刺或更换输液瓶时因身份识别而发生临界差错的患者例数和静脉输液组数。结果对照组患者身份识别准确1404例，发生临界差错6例，观察组患者身份识别准确1303例，发生临界差错0例，两组比较差异具有统计学意义（P=0．032）；对照组身份识别准确42020组，发生临界差错6组，观察组身份识别准确41102组，发生临界差错0组，两者比较差异具有统计学意义（P=0．031）。结论患者亲自参与双重身份确认能有效预防静脉输液差错。

Objective To improve the accuracy of patient＇ s identification and normalize the checking details for preventing from the error intravenous （i. v. ） infusion. Methods Participants who were eligible for this study from Department of Orthopedics, Nanxishan Hospital of Guangxi Zhuang Autonomous Region were assigned to control group and observational group by random number method. The control group included 1 410 patients which had 42 026 set intravenous infusion solutions and confirmed identity by the traditional procedure. The observation group included 41 102 set intravenous infusion solutions in 1 303 patients. In observational group, we confirmed patients＇ identity by speaking out their name and age and looking over the patient＇ s label on the infusion bottle by their family members along with the traditional procedure. The number of patients and i.v. solutions set regarding borderline errors of identification during vcnepuncture or replacing infusion bottle were investigated in two groups. Results 1 404 patients in control group were accurately confirmed identity and 6 patients had borderline errors. 1 303 patients in observation group were accurately confirmed identity and 0 patients had borderline errors, the difference between the two groups showed statistical significance （P = 0. 032）. In control group, 42 020 set were accurately confirmed identity and 6 set had borderline errors, however, in observation group 41 102 set were accurately confirmed identity and 0 set had borderline errors, the difference between the two groups showed statistical significance （ P = 0. 031 ）. Conclusions Patients participate in double-identity confirmation can effectively prevent from error of i.v. solutions.