医院护理不良事件上报内容的初步研究

Establishing nursing adverse events' reporting content

目的:初步探索医院护理不良事件的上报内容。方法:采用专家会议法和Delphi法。邀请8名专家召开会议,确定医院上报的护理不良事件范畴和具体事件定义;对15名专家进行两轮函询,确定具体护理不良事件的上报内容。结果:医院上报的护理不良事件包括压疮、跌倒/坠床、管路滑脱、用药错误和意外事件,同时得出这些事件科学、全面的具体上报内容。结论:研究得出了医院护理不良事件上报内容,为形成护理不良事件上报反馈系统奠定了基础。

Objective： To develop nursing adverse events＇ reporting content of hospital. Methods： The study included two phases. The first phase was to develop the category and definition of nursing adverse events that need reported through expert meeting. The second phase was to develop every nursing adverse event＇s reporting content by using the Delphi technique. Totally eight experts attended the meeting and fifteen experts conducted two rounds of consultation letter. Results： Nursing adverse events that need reported of hospital include pressure sore, fall/falling from bed, unplanned extubation, medication error and accident. Reporting content of these events in details had also been obtained. Conclusion： The reporting content of the nursing adverse event of hospital is established, and it is a basis for further study of the development of nursing adverse event reporting and feedback system.