根本原因分析法用于气管插管患者安全管理实践体会

目的分析呼吸科气管插管患者脱管、拔管、堵塞、漏气或梗阻、肺炎、误入食管等并发症发生的原因，探讨减少并发症发生及提高患者护理安全的有效管理措施。方法对气管插管并发症的发生进行分析，用根本原因分析法分析原因，采用对全科护士进行培训，成立根本原因分析法小组，找出近端原因，确认根本原因，制订整改措施并实施等方法。结果减少了气管插管患者并发症的发生，提高了护理质量，保证了患者的生命安全。结论应用根本原因分析管理方法在气管插管患者安全管理中的应用是切实可行的管理方法之一，提高了护理质量，确保了患者的安全。

Objective To compare the clinical effect of amiodarone and lidocaine in treating ventricular arrhythmia after acute myocardial infarction. Methods 50 patients with acute myocardial infarction were randomly divided into observation group and control group, 25 cases in each group. The control group was treated with lidocaine, the observation group was treated with amiodarone, the clinical effect and adverse reactions of the two groups were compared. Results The total effective rate of the observation group was 96%, the total effective rate was 84% in the control group, the total effective rate in the observation group was significantly higher than that in the control group, the difference was statistically significant（P 〈 0.05）. The difference between the observation group and the control group was not statistically significant （P〉 0.05）. Conclusion In the treatment of ventricular arrhythmia after acute myocardial infarction, the clinical effect of amiodarone was significantly better than that of traditional drugs, and the adverse reactions and lidoeaine were not significant, efficient and safe, and can be used as the first choice for treatment of ventricular arrhythmia after acute myocardial infarction.