神经重症的医疗风险分析及管理方法研究

Research on Medical Risk Analysis and Management Methods of Neurologically Critically Ill

该研究通过总结了神经重症常见的医疗风险,发现科室工作人员配置不当、护理文书中存在的风险、院内感染的风险、基础护理落实存在的风险、神经重症科室患者病情观察的风险、护患冲突存在的风险、神经科重症工作人员缺乏防范意识导致的风险等均是神经重症出现医疗风险的重要因素。为此制订了具体的预防管理对策,通过完善科室人员排班管理、规范护理文书的要求管理、完善消毒管理预防院内感染、完善基础管理、提升科室工作人员的观察能力、强化科室工作人员的交流和沟通能力、加强科室人员的业务能力和风险意识来进行针对性的处理,全面实施神经重症的风险防控管理,降低医疗风险与纠纷,保障神经重症患者的治疗安全。

The study summarizes the common medical risks of neurological critical illness,and it was found that the staff of the department was improperly configured,the risks in nursing documents,the risk of nosocomial infection,the risk of the implementation of basic nursing,the risk of observation of patients in the neurointensive department,the risk of conflict between nurses and patients,and the lack of awareness of neurological intensive care staff.The resulting risks are all important factors for the medical risk of neurologically critically ill.To this end,specific preventive management countermeasures have been formulated.By improving the management of department staff shifts,standardizing the management of nursing documents,improving disinfection management to prevent nosocomial infection,improving basic management,improving the observation ability of department staff,and strengthening the communication of department staff To carry out targeted treatment and communication ability,strengthen the professional ability and risk awareness of department personnel,comprehensively implement the risk prevention and control management of neurologically ill,reduce medical risks and disputes,and ensure the safety of neurologically ill patients.