场景分析法在减少门诊输液室护理安全隐患中的应用

Appfication of scene analysis method on reducing the potential risk of nursing safety in Outpatient Transfusion Room

目的探讨场景分析法在减少门诊输液室护理安全隐患中的应用效果。方法将门诊输液室2000例患者按入院先后顺序分为对照组和试验组，对照组采用常规方法，试验组采用场景分析法进行门诊输液室护理安全隐患分析并制定相应护理措施后进行临床实践。结果试验组护士护理差错，患者出现输液反应、并发症，医疗纠纷发生率分别为0，1．2％，0．5％，0．3％均低于对照组的0．6％，2．8％，2．5％，1．6％，两组比较差异有统计学意义（x2值分别为4．179，6．531，13．536，8．980；P〈0．05）；试验组患者满意率为96．6％，高于对照组的86．4％，差异有统计学意义（x2=66．885，P〈0．01）。结论应用场景分析法促进了门诊输液室护理质量持续改进，减少了护理安全隐患的发生，提高了门诊输液患者的满意度。

Objective To investigate the effect of scene analysis method on reducing the hidden nursing dangers of Outpatient at Transfusion Room. Methods A total of 2 000 patients at Transfusion Room were randomly divided into control group and experimental group on average according to the sequence of recruitment. The nurses of control group used conventional nursing, while the nurses of experimental group analyzed hidden nursing risks by scene analysis method and formulate the corresponding nursing measures, then put it into effect. Results The incidence of nursing errors, infusion reaction, complication and medical conflict in the experimental group were reduced to 0, 1.2% and O. 5% and O. 3% , significantly lower than O. 6%, 2.8%, 2.5%, 1.6% in the control group （~2 = 4. 179, 6. 531, 13. 536, 8. 980;P 〈 0.05）. The patients＇ satisfaction in the experimental group was 96.6%, higher than 86.4% of the control group. The differences is statistically significant （~z = 66. 885 ,P 〈 O. 05 ）. Conclusions The scene analysis method can promote nursing quality of the outpatient transfusion room, reduce the incidence of hidden nursing risks, and improve the patients＇ satisfaction.