124例护理不良事件的分析与启示

Analysis and enlightenment of 124 cases of nursing adverse events

目的探讨减少护理不良事件发生的对策及相应的防范措施。方法将124例护理不良事件的案例从原因、类型、人群、时间段等方面进行分析。结果发现不良事件易发生的人群是工龄在5年以下的年轻护理人员;易发生的类别是药物治疗尤其是注射药物治疗;不良事件易发生的主要原因是未落实"查对"制度;易发生的时间段主要集中工作日的白班时间段。结论提高护理人员的综合素质和安全意识水平、加强对护理人员安全工作的相关培训与教育、改革排班模式、制定详实的临床护理操作流程、规范护理人员的行为准则是护理工作中减少与杜绝护理不良事件发生的保障。

Objective To find countermeasures and relevant preventive measures to reduced nursing adverse events .Methods 124 cases of nursing adverse events were analyzed from causes , types ,population ,time and so on .Results Young nurses working within 5 years was high-risk population of adverse events .Nursing adverse events often occurred on drug treatment especially the drug injection .The main causes of adverse events was not implementing the check system .The time period of nursing adverse events was mainly in the working day . Conclusion Enhancing the comprehensive quality and the level of safety awareness of nursing staff ,strengthening the relevant training and education ,reforming nursing scheduling ,developing detailed clinical nursing operation process ,standardizing nursing behavior criterionto are security of reducing and avoiding nursing adverse events in nursing work .