基层医院护理不良事件管理现状调查分析

Investigation on management of nursing adverse events in grass-root hospitals

目的了解基层医院护理不良事件管理现状及护士对护理不良事件的认知,为基层医院护理不良事件的管理提供依据。方法自行设计调查问卷,对某市10所一级医院的171名在职护士进行问卷调查。结果89.47%的护士所在医院有不良事件的管理措施,分别有87.72%、91.81%、88.30%的护士所在医院对不良事件能提出有效预防措施、对不良事件能分析根本原因、发生不良事件会受处罚,74.85%护士会主动上报发生的不良事件。结论基层医院护理不良事件处罚现象较普遍,不利于安全文化的形成;护理人员对安全隐患重视不足。应提倡无处罚的安全文化,正确进行不良事件的管理,重视对预警案例及护理不良事件的分析改进。

Objective to explore how the grass-root hospitals manage nursing adverse events and how nurses perceive adverse events, and to provide basis for development of administrative strategies. Methods A total of 171 nurses from 10 grass-root hospitals were randomly selected to fill out a self-designed questionnaire. Results Totally, the hospitals where 89.47% of the nurses worked had developed management measures for nursing adverse events; the hospitals where 87. 72% of the nurses worked were able to take effective measures against adverse events; the hospitals where 91.81% of the nurses worked were able to analyze the root causes of the events; the hospitals where 88. 30% of the nurses worked would punish persons involved; 74. 85% of the nurses would voluntarily report nursing adverse events. Conclusion It is a common phenomenon that nurses would be punished for an adverse event in grass-root hospitals, which is not beneficial to building of a safety culture and would make nurses lack the attention to the events. We should advocate a non-punitive culture, formulate appropriate administrative measures, place great importance on previous cases, and improve methods analyzing adverse events.