摘要
目的 分析某三级综合医院护理不良事件,制订改进措施.方法 收集并分析2023年1月1日-12月31日某院279例护理不良事件的级别、类型、患者年龄、发生时间、科室分布以及当事护理人员工作年限和职称等情况.结果 以Ⅲ级和Ⅳ级不良事件为主(91.76％),多发于41岁～<81岁中老年人(63.80％),当事护士工作年限以1 a～<6 a为主(34.05％),多发于工作日(74.19％)和早班班次(54.12％).非计划拔管(27.96％)、跌倒/坠床(15.05％)、给药错误(10.75％)占比较高,主要分布在消化内科(8.60％)、急诊科(8.24％)、ICU(7.53％),消化内科、ICU主要是非计划拔管,急诊科主要是检验相关事件.结论 加强护理不良事件规范化管理,建立护理不良事件管理系统,运用质量管理工具持续改进护理质量.
Abstract
Objective To analyze the nursing adverse events in a tertiary general hospital and formulate improve-ment measures. Methods The levels,types,patient age,occurrence time,department distribution,working years and professional titles of nursing staff were collected and analyzed for 279 nursing adverse events in a hospital from Janu-ary 1 to December 31,2023. Results The main adverse events were grade Ⅲ and Ⅳ(91.76％),mostly in the middle-aged and elderly people aged 41～<81 years (63.80％). The working years of the nurses were mainly 1 a～<6 a (34.05％),mostly on the working day (74.19％) and early shift (54.12％). Unplanned extubation (27.96％),fall/fall bed (15.05％),medication error (10.75％) accounted for a relatively high proportion. The patients were mainly dis-tributed in the department of gastroenterology (8.60％),emergency department (8.24％) and ICU (7.53％). Adverse events occurred in the department of gastroenterology,ICU were mainly unplanned extubation,in the emergency depart-ment was mainly test related events. Conclusion It is suggested that hospital should strengthen the standardized management of nursing adverse events,establish a nursing adverse event management system,and use quality manage-ment tools to continuously improve the quality of care.
维普
万方数据