宝安区基层医院护理风险的调查研究

Research on nursing risk in primary hospitals of Baoan district

目的探讨广东省深圳市宝安区基层医院的护理风险类型、因素及风险程度。方法采用护理风险调查表对宝安区3家基层医院263名护士进行问卷调查，同时查阅宝安区3家基层医院2010年至2012年护理不良事件记录；对调查结果进行风险识别和风险程度评估。结果宝安区基层医院常见的护理风险类型是人力资源、患者服务与安全、物理资源；主要的护理风险因素为环境般备故障、职业安全、护患沟通、护理技术和用药安全；风险程度极高的护理因素5个，高风险因素9个，中风险因素2个。结论基层医院应结合各自实际情况建立有效的风险管理体系对护理风险进行识别和评估，以根据风险程度高低采取不同的应对方案。

Objective To explore the types, factors and grades of nursing risk in primary hospitals of Shenzhen Baoan district, Guangdong province. Methods Questionnaire surveys of nursing risk were conducted among 263 clinical nurses in three primary hospitals in Shenzhen Baoan district; nursing adverse events from 2010 to 2012 were collected in three primary hospitals of Shenzhen Baoan district. The survey results were assessed to identify the type and the grade of nursing risk. Results Human resource risk, pa- tient care and safety risk, physical resource risk were the most frequent types of nursing risk in three primary hospitals of Baoan district; facilities/equipment malfunction, occupational safety, nurse-patient communication, nursing technology and drug safety were the most frequent factors of nursing risk. There were five nursing fac- tors at extremely high risk grade, nine at high risk grade, two at middle risk grade. Conclusions Primary hospitals should identify and assess nursing risk according to effective risk management system built on their actual circumstances, and take different measures based on the levels of risk.