零缺陷管理理念在改善护士给药差错中的应用进展

Application progress of zero defects theory in reducing nurses＆#39; medication errors

给药差错是最容易发生的护理不良事件之一,不仅给患者带来了额外的痛苦和经济负担,也造成了护患关系的紧张.零缺陷管理强调预防系统控制和过程控制,其目标是极力预防错误的发生,以＂零缺陷＂为标准,提供顾客满意的产品或服务,这种＂预防＂的思想在医学中具有较好的契合度.本文将概述零缺陷管理的基本内涵和基本原则,并使用该理论对护士给药安全的管理提出一些改进措施.

Medication error is one of the most incidental nursing adverse events, which not only brings additional pain and financial burden, but also creates tense nurse-patient relationship. Zero defects management focuses on the control of prevention system and procedure. The aim is to greatly prevent the mistake and provide satisfied product or service by the standard of zero defects. This prevention theory is fit in the medicine. The study reviews the basic content and principle of zero defects, and proposes improving measures for the management of nurses＇ medication safety according to the theory.