首页|基于4R危机管理理论的风险管理方案对急诊科院内转运质量及安全的影响

基于4R危机管理理论的风险管理方案对急诊科院内转运质量及安全的影响

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目的 探讨4R危机管理理论的风险管理方案对急诊科院内转运质量及安全的影响。方法 选取本院2021年6月-2022年6月收治的142例急诊科危重症患者作为研究对象,将2021年6-12月急诊收治的71位患者作为对照组,2022年1-6月急诊收治的71位患者作为观察组。对照组患者实施常规的护理干预,观察组患者在对照组常规护理的基础上,实施4R危机管理理论的风险管理方案,分析两种护理模式对急诊科院内转运质量及安全的影响。结果 护理干预后,观察组患者转运安全及转运质量显著优于对照组,组间差异有统计学意义(P<0。05);观察组患者转运过程中各类不良事件发生情况及发生率显著低于对照组,组间差异有统计学意义(P<0。05);观察组患者及患者家属护理服务满意度显著优于对照组,组间差异有统计学意义(P<0。05)。结论 急诊科室运用基于4R危机管理理论的风险管理方案,能大大缩短转运时间,提高转运成功率,减少患者在急诊科室转运期间各类不良事件的发生,并提高患者及其家属的整体护理满意度,效果明显,具有临床推广价值。
Impact of Risk Management Scheme Based on 4R Crisis Management Theory on Hospital Transport Quality and Safety in Emergency Department
Objective To discuss impact of risk management scheme based on 4R crisis management theory on hospital transport quality and safety in emergency department.Methods The paper chose 142 critically ill patients in emergency department of our hospital from June 2021 to June 2022 as study object,71 cases in the emergency department from June to December 2021 were included in control group,and 71 cases in the emergency department from January to June 2022 in observation group.Control group was treated with usual nursing intervention in our hospital,and observation group with risk management plan based on the 4R crisis management theory based on control group.Impact of two nursing modes on quality and safety of hospital transport in emergency department was analyzed.Results After four-step continuous dynamic assessment of nursing intervention,transport safety and quality was significantly better than control group(P<0.05).Incidence of adverse events in transport group was significantly lower than control group(P<0.05),and nursing service satisfaction degree of patients and their families was significantly better than control group(P<0.05).Conclusion Risk management scheme based on 4R crisis management theory can greatly reduce transport time,improve transport success rate,reduce incidence of various adverse events during transfer of patients in emergency department,and improve overall nursing satisfaction degree of patients and their families,which has obvious effect and clinical promotion value.

4R Crisis management theoryRisk management schemeEmergency department hospital transport qualityEmergency efficiency

王爱爱、相宏艳

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北京市密云区医院/北京大学第一医院密云医院,北京 101500

4R危机管理理论 风险管理方案 急诊科院内转运质量 急诊效率

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(13)