耳鼻咽喉头颈外科临床护理风险因素分析与干预

Analysis and intervention of clinical nursing risk factor in otolaryngology head and neck surgery

目的探讨耳鼻咽喉头颈外科护理工作中存在的风险因素,分析各项因素的发生原因,研究如何对其进行有效的干预,使风险降到最低。方法评估2013年1月至2014年12月我科发生护理不良事件的原因和潜在的风险因素,利用鱼骨图、柏拉图等工具进行分析,并对患者采取多种有效的护理干预,以提高疗效。结果护理风险干预后,患者的满意度和护理质控评分明显提高(P<0.05),护理风险率明显下降。结论通过对护理人员风险防范意识和方法的培训教育,健全完善护理管理机制,加强后勤保障系统,加大护士长风险管理力度,强化管理理念,加强薄弱环节、高危时段的管理,可有效降低风险发生率,确保医疗护理安全。

Objective To explore the nursing risk factors existing in the work of otolaryngology head and neck surgery,and to study how to carry out the effective intervention to make the risk to a minimum. Methods Our study evaluated the reasons of my unit nursing adverse events and potential risk factors during January 2013 to December 2014, used tools such as fishbone diagram, Plato to take a variety of effective nursing intervention. Results Compared with before intervention, nursing risk after intervention of the patient's satisfaction and quality score increased significantly(P<0.05),and the nursing risk rate dropped significantly. Conclusion Based on the nursing staff with educating risk prevention methods of training, improving the nursing management mechanism, strengthening the logistics system to intensify the head nurse risk management and the management concept to reduce the incidence of risk, which will guarantee the safety of medical care.