精神科护理不良事件的原因分析及对策

Cause Analysis and Countermeasures of Psychiatric Nursing Adverse Events

目的对精神科发生的不良事件进行分析,找出事件发生的原因并制定出防范对策,减少对病人的意外伤害。方法采用回顾性调查研究方法,对该院1998年12月—2015年3月期间的不良事件进行分析。结果 54例不良事件中外逃占22.22%、自杀占14.81%、跌倒占12.96%、冲动伤人占12.96%、误服药品占9.26%、吐食异物占7.40%、猝死占7.40%、烫伤占5.56%、噎食占3.70%、压疮占1.85%、食物中毒占1.85%。结论精神病人因为疾病和非疾病等因素,意外事件的发生率高,医务人员防止护理不良事件发生作用重大,精神科要不断加强病房和门诊的安全管理,严格执行各项核心制度,进行安全教育和专科培训。

Objective To analyze the adverse events occurring in the psychiatric department, find out the causes of the incident and formulate the preventive measures to reduce the accidental injury to the patients. Methods A retrospective study method was used to analyze the adverse events of our hospital from March 2015 to December 1998. Results 54 cases of adverse events and escape accounted for 22.22%, suicides account for 14.81%, falls accounted for 12.96%, impulse hurt for12.96%, accidental drug, accounting for 9.26%, spit food foreign body 7.40%, sudden death 7.40%, scald 5.56%, choking3.70%, pressure ulcer 1.85%, food poisoning 1.85%. Conclusion Mental patients because of disease and non disease and other factors, the incidence of unexpected events, medical personnel in the prevention of adverse events, the role of major,the spirit of the hospital should continue to strengthen the safety management of wards and outpatient, strictly implement the core system, safety education and training.