精神科护理不良事件相关分析及应对策略

Related Analysis and Coping Strategies of Psychiatric Nursing Adverse Events

目的:探讨精神科护理不良事件的特点及应对策略。方法:分析2013至2015年发生的171例护理不良事件,了解其原因、特点、不良后果及涉事人员情况。结果:精神科护理不良事件多发生于值班与交接时间段,大多表现为冲动、跌倒、噎食,大多数患者入院时间不长、病情不稳定,涉事人群基本为低年资护理人员。结论:通过加强医护、护患沟通,强化人员培训,核心制度落实到位,合理调配人力资源,加强患者安全管理及完善护理质控体系的建设,可以减少护理不良事件的发生。

Objective： To explore the characteristics and coping strategies of psychiatric nursing adverse events. Methods： Analysis of 171 cases of nursing adverse events in our hospital from 2013 to 2015, to understand the reasons, characteristics, adverse consequences and related personnel. Results： Psychiatric nursing adverse events occurred in the duty and transfer time, mostly for impulse, fall, choking, admission time of most patients are not long, the condition is unstable, the crowd involved basic for junior nurses. Conclusions： By strengthening health care, patient communication, personnel training, and the implementation of core system to standardize nursing behavior, the occurrence of nursing adverse events can be reduced by rational allocating of hu- man resources, strengthening the construction, patient safety management and nursing quality control system.