护患双核对签字模式在静脉给药安全管理中的应用效果

Effect of the pattern of nurse-patient double-check and signature in security management of intravenous administration

目的 探讨＂护患双核对签字模式＂在静脉给药安全管理中应用的效果,了解患者对安全用药管理的满意度.方法 总结2015年12月—2017年1月四川大学华西医院肿瘤科住院患者静脉给药安全管理的经验.将2015年12月—2016年6月住院静脉给药的患者作为对照组,采用常规的静脉给药管理方法;2016年7月—2017年1月住院静脉给药的患者作为改进组,采用＂护患双核对签字模式＂管理方法.比较两组住院患者静脉给药的安全管理情况及患者对安全用药的满意度.结果 实施静脉给药时＂护患双核对签字模式＂后,没有发生给药错误;患者对安全用药的满意度由94.20%上升至100.00%,差异具有统计学意义（P〈0.01）.结论 ＂护患双核对签字模式＂落实了患者参与医疗安全的目标,确保了患者输液安全,值得在临床上推广应用.

Objective To explore the effect of the pattern of nurse-patient double-check and signature in security management of intravenous administration and to understand the degree of satisfaction of patients with safe medication management.Methods The experience on security management of intravenous administration in inpatients from Oncology Department in the West China Hospital of Sichuan University were summarized from December 2015 to January 2017. Inpatients with intravenous administration between December 2015 and June 2016 acted as control group. Inpatients with intravenous administration between July 2016 and January 2017 acted as improved group along with the management method of the pattern of nurse-patient double-check and signature. The situation on security management of intravenous administration and the degree of satisfaction of patients with safe medication was compared between two groups.Results After implementing the pattern of nurse-patient double-check and signature along with intravenous administration, there was no medication administering errors （MAE）. The degree of satisfaction of patients with safe medication raised from 94.20 % to 100.00% with a significant difference （P〈 0.01）.Conclusions The pattern of nurse-patient double-check and signature realizes the goal of patients＇ involvement in medical safety, ensures the infusion safety. It is worth to be used widely in clinical application.