风险管理措施在内科护理中的实施效果观察

Effect Observation on the Implementation of Risk Management Measure in the Medical Nursing

目的探讨内科护理中实施风险管理措施的效果。方法选择在该院内科住院治疗的患者439例和该院内科护理工作人员43例为对象,观察实施风险管理前后护理人员的护理风险意识,评价护理质量,记录护理风险事件的发生率。结果护理人员风险管理知识、风险管理态度、风险管理行为、服务态度与意识、沟通意识和应急意识与能力评分实施风险管理前后比较差异非常明显(t=5.186、5.323、4.978、5.004、4.806、4.517,P<0.01);实施风险管理后护理风险事件的发生率和投诉率分别为2.63%和0.44%,与实施风险管理前的10.43%和3.79%比较差异明显(χ2=9.471和4.582,P<0.01和<0.05);基础护理、特或一级护理、消毒隔离、护理文书、病房管理和健康教育维度护理质量评分实施风险管理前后比较差异非常明显(t=5.371、4.972、4.683、4.715、4.889、5.517,P<0.01)。结论内科护理中实施风险管理能显著改善护理人员的风险意识,降低护理风险事件的发生率和投诉率,提高护理质量。

Objective To study the effect of the implementation of risk management measure in the medical nursing. Meth-ods 439 cases of inpatients in the department of medical of our hospital and 43 cases of nursing staff in the department of medicine of our hospital were semi-randomly selected as the objects, the nursing risk awareness of the nursing staff before and after the implementation of risk management was observed, the nursing quality was evaluated and the incidence rate of nursing risk events was recorded. Results The differences in the risk management knowledge, risk management attitude, risk management conduction, service attitude and awareness, communication awareness, emergency awareness and ability score before and after the implementation of risk management of the nursing staff were extremely obvious, （t=5.186, 5.323, 4.978, 5.004, 4.806, 4.517, P〈0.01）, the differences in the incidence rate and claims rate of nursing risk events after and before the implementation of risk management were obvious by comparison, （2.63%, 0.44% vs 10.43%, 3.79%）, （χ2=9.471 and 4.582,P〈0.01 and〈0.05）, the differences in the basic nursing, special nursing and first class nursing, disinfection and isola-tion, nursing documentation, ward management and health education and nursing quality score before and after the imple-mentation of risk management were extremely obvious by comparison, （t=5.371, 4.972, 4.683, 4.715, 4.889, 5.517, P〈0.01）. Conclusion The implementation of risk management in the medical nursing can obviously improve the risk awareness of nursing staff, reduce the incidence rate and claims rate of nursing risk events and improve the nursing quality.