不良事件制度化管理对提升护理人员上报意识的效果分析

Analysis of the Effect of Institutionalized Management of Adverse Events on Raising the Awareness of Reporting of Nursing Staff

目的探讨不良事件管理制度的制定与规范落实对提升护理人员不良事件上报意识的效果。方法对该院急诊科2015年1月—2018年12月护理人员自愿上报的不良事件进行连续跟踪,分析自2016年该院制定并落实《不良事件管理制度》后,对护士上报不良事件的参与率及所上报的不良事件的类型方面的影响。结果2015年急诊科护理人员不良事件上报的参与率为11.76%,2016年为59.09%,随后2年参与率分别为87.50%、89.47%(χ2=28.838,P<0.05);2015年急诊科护理人员不良事件所涉及的类型构成比为7.69%,2016年升至34.62%,随后2年的构成比分别为50.00%、53.85%(χ2=14.762,P<0.05)。结论不良事件制度化的管理与规范落实,能够提高护士不良事件上报的参与率,并在提升不良事件上报涉及的类型方面发挥明显作用。

Objective To explore the formulation and standard implementation of the adverse event management system,and to analyze the effect of raising the awareness of nursing staff to report adverse events.Methods Continuous follow-up of adverse events reported by nursing staff from January 2015 to December 2018 in the hospital's emergency department,and analysis of the participation of nurses in reporting adverse events since the hospital formulated and implemented the"Adverse Event Management System"in 2016 and the type of adverse event reported.Results The participation rate of adverse events reported by nurses in the emergency department in 2015 was 11.76%,in 2016 it was 59.09%,and the participation rates in the subsequent two years were 87.50%and 89.47%(χ2=28.838,P<0.05);in the emergency department in 2015 of the composition ratio of the types of adverse events of nursing staff was 7.69%,which rose to 34.62%in 2016,and the composition ratios in the following two years were 50.00%and 53.85%respectively(χ2=14.762,P<0.05).Conclusion Adverse events Institutionalized management and standardized implementation can increase the participation rate of nurses in reporting adverse events and play a significant role in increasing the types of adverse events reported.