全面施行风险管理在急诊科护理管理中的效果及应用价值

The Effect and Application Value of Comprehensive Implementation of Risk Management in Emergency Department Nursing Management

目的探讨在急诊科护理管理中全面施行风险管理对提升护理质量与护士专业水平的效果。方法选择2020年8月—2021年8月乌兰察布市中心医院47名急诊科护士,将其分为甲组(n=27,常规管理)与乙组(n=20,风险管理),同期随机纳入80例患者均分为甲组与乙组,每组40例,用以考核护理质量和不良事件发生率,对比两组不同护理管理措施的应用效果。结果乙组发生不良事件的概率(15.00%)明显低于甲组(44.44%),差异有统计学意义(P<0.05);乙组护士最终的各项考核成绩明显高于甲组,组间差异有统计学意义(P<0.05);实施管理后乙组患者满意度显著高于甲组,差异有统计学意义(P<0.05)。结论急诊科的护理管理措施中有效实施并合理运用风险管理,有利于提升护理人员的风险意识,降低护理过程中发生不良事件的概率,保证护理安全,患者急救成功率得以提升,且预后效果显著,可在临床推广。

Objective To explore the effect of comprehensively implementing risk management in emergency department nursing management on improving nursing quality and nurses'professional level.Methods From August 2020 to August 2021,47 emergency department nurses from Ulanqab Central Hospital were selected.They were divided into group A(n=27,routine management)and group B(n=20,risk management).During the same period,80 patients were randomly divided into group A and group B,40 cases in each group.It was used to assess the quality of nursing and the incidence of adverse events,and to compare the application effects of different nursing management measures in the two groups.Results The probability of adverse events in group B(15.00%)was significantly lower than that in group A(44.44%),the difference was statistically significant(P<0.05).The final assessment scores of nurses in group B were significantly higher than those in group A,and the difference between groups was statistically significant(P<0.05).After the implementation of management,the satisfaction of patients in group B was significantly higher than that in group A,and the difference was statistically significant(P<0.05).Conclusion The effective implementation and rational use of risk management in the nursing management measures of the emergency department is conducive to improving the risk awareness of nurses,reducing the probability of adverse events during the nursing process,ensuring nursing safety,and improving the success rate of patients'first aid,and the prognostic effect is significant,which can be promoted in clinical practice.