护理人为因素与患者安全研究新进展

Progress on human factors of nursing and patient safety

护理工作在患者安全中起着关键作用。随着患者安全不良事件非惩罚性研究的不断深入,分析发现'人为因素'与风险管理存在量化关系,通过改进风险管理方法和干预'人为因素'从而提高患者安全。有研究表明,医疗领域中护士注意力被分散的时长占工作时长的10%~25%。以往研究错误地认为被分散与医疗差错高度相关,而事实证明,差错发生的原因在本质上是同质的。以往研究认为护士配置与患者安全之间存在明显关系,而最新的研究证明,不能仅仅关注护理人力资源相应配置,还应关注护理工作需要一套多学科、客观的沟通工具,并更好地给护士定位,提高护士的专业性和自主性。

Nursing plays a core role in patient safety. With the deepening of non-punitive research of patient safety,the analysis of the human factors in the Adverse events can quantify the relationship between risk and human factors,improved risk management methods to help improve patient safety. Studies shows that the interrupted time is about 10%-25% accounted for nurses work. Interrupted and medical errors are highly correlated in previous studies. But the reason of errors happened is the homogeneous in fact. The relationship between nurse staf and patient safety is clear in previous studies. But the latest research shows that not only focus on the appropriate allocation of human resources,but also need pay more attention on nurse works that needs a multi-disciplinary objective communication tools,better positioned to nurses,nurses’ specialization and autonomy.