风险管理在门诊输液患儿使用浅静脉留置针中的应用及效果评价

Application of risk management in outpatient infusion children with superficial venous indwelling needle and effect assessment Detaining Needle in Our Pediatric Outpatient

目的探讨风险管理方法在门诊输液患儿使用浅静脉留置针护理中的实施效果。方法根据风险管理方法,找出门诊患儿使用留置针护理中常见的风险问题,制定护理对策,比较实施对策后常见风险问题变化情况。结果实施风险管理后留置针脱出、堵塞、静脉炎及护理纠纷的发生情况明显低于风险管理实施前,留置针使用率及患儿家长满意度明显提高,与实施前比较差异有统计学意义(P<0.05)。结论应用风险管理方法,可有效保证门诊使用留置针输液患儿护理的连续性和安全性。

Objective To explore the effect of risk management on the outpatient infusion children with superficial venous indwelling needle. Method According to risk management method, the frequent risk problems of nursing for outpatient children underwent indwelling needle were found out in order to formulate nursing countermeasures. Changes and conditions of frequent risk problems were compared before and after the implementation of countermeasures. Results Af- ter implementation of risk management, the incidence of conditions such as the emergence and ob- struction of indwelling needle, phlebitis and nursing disputes were significantly lower than that be- fore implementation of risk management, as a result, usage of indwelling needle and patents＇satis- factions improved obviously. There were statistical differences before and after implementation of risk management （P 〈 0.05）. Conclusion Risk management can effectively guarantee the continu- ity and safety of nursing for outpatient children with indwelling needle infusion.