骨科病房危急值报告纵向分析及护理应用价值

目的分析骨科病房危急值报告的分布特点,探讨危急值管理在护理质量管理及护理安全上的应用价值。方法收集2018年1月至2019年6月骨科病房90例(127次)患者的危急值报告结果,分析危急值发生的时间、项目、原因和处理。结果骨科病房危急值多发生在8∶00-17∶00(106次,占83.5%),其血电解质异常报告最常见,血钾、血钠和血钙分别为44次、16次和11次,各占34.6%、12.6%和8.7%,血气氧分压(PO2)和标本培养MRSA异常报告各6次,各占4.7%,白细胞计数、肌钙蛋白和血培养G-异常报告各5次、4次和4次,各占3.9%、3.1%和3.1%。结论通过分析骨科病房危急值报告的分布时间、项目和原因,获取骨科常见危急值及高危危急值患者,给予预见性护理及治疗,同时识别及减少“假危急值”报告,体现危急值管理在护理质量管理及护理安全的应用价值。

Objective To analyze the distribution characteristics of critical value report in orthopedic ward,and to explore the application value of critical value in nursing quality management and safety.Methods 90 patients(127 times)in orthopedic ward were collected from January 2018 to June 2019,and the time,items,causes and treatment of critical value were analyzed.Result The critical value of orthopedic ward mostly occurred at 8∶00-17∶00(106 times,accounting for 83.5%).The most common reports were blood electrolyte abnormality.Blood potassium,sodium and calcium were 44 times,16 times and 11 times,respectively,accounted for 34.6%,12.6%and 8.7%.The abnormal reports of PO2 and MRSA were 6 times,respectively,accounted for 4.7%.The abnormal reports of leukocyte count,troponin and gculture were 5 times,4 times and 4 times,accounted for 3.9%,3.1%and 3.1%respectively.Conclusion By analyzing the distribution time,items and reasons of critical value report in orthopedic ward,we can obtain common critical value and high-risk critical value patients,give them predictive nursing and treatment,identify and reduce the false critical value report,and reflect the application value of critical value management in nursing quality management and safety.