摘要
目的 :探讨前馈控制在护理不良事件管理中的应用效果。方法 :运用前馈控制对护理不良事件进行管理,同时将护理隐患和不良事件进行分类。分析前馈控制应用前后,不良事件上报情况及其对患者产生的影响。结果 :运用前馈控制对护理不良事件进行管理后,2012年全院上报护理隐患(A类事件)625例,2011年与2010年无A类事件上报记录;2012年上报护理不良事件(B类和C类事件)总例数为44例,较前增加(2011年36例、2010年39例);2012年对患者产生影响的护理不良事件(C类事件)占比为25.00%,较前降低(2011年为52.78%、2010年为61.54%)。结论 :运用前馈控制对护理不良事件进行管理,可鼓励护士对不良事件进行上报,降低不良事件对患者产生的影响。
Objective: To study the effect of applying feedforward control theory in nursing adverse events management. Method: In 2012, we used feedforward control theory in the management of nursing adverse events, and classified nursing hidden trouble events(type A events) and adverse events based on the original nursing adverse events classification. Then, we analyzed the number of reported adverse events and their impact on patients. Results: After using feedforward control in the management of nursing adverse events, 625 nursing hidden trouble events(type A events) were reported in 2012. While there were no type A events reported before 2012. In 2012, there were 44 type B and type C nursing adverse events reported, which were more than 36 cases and 39 cases reported in 2011 and 2010 respectively. Type C events accounted for 25.00% of all nursing adverse events in 2012, which was lower compared to those of 52.78% in 2011 and 61.54% in 2010. Conclusion: Application of feedforward control in management of nursing adverse events can enhance nursing adverse events reporting rate and reduce their impact on patients.
出处
《中国护理管理》
CSCD
2014年第11期1190-1192,共3页
Chinese Nursing Management
基金
卫生部临床重点专科建设项目(55405-01)
关键词
不良事件
前馈控制
安全管理
护理管理
adverse event
feedforward control
safety management
nursing management