儿科护理不良事件原因分析及防范对策

杨水萍，刘娟

（陕西省泾阳县医院，陕西 咸阳，713700）

浏览次数：114次 下载次数：285次

摘要：

目的 分析儿科护理不良事件发生类型与原因，并给出相应的预防管理措施。方法 回顾性分析我院上报的80例儿科护理不良事件，分析发生儿科护理不良事件发生的原因和类型。结果 80例儿科护理不良事件中，给药差错占30.0%、烫伤占5.0%、坠床/跌倒占15.0%、皮肤损伤占20.0%、液体外渗占20.0%、延误检查占10.0%。护士的工作时间越长、年龄越大、技术 职称越高、护士学历越高，发生护理不良事件的次数越少（P<0.05）。结论 增强儿科护理人员不良事件的防范意识，科室定期进行相关的安全知识培训，严格按照工作制度和流程执行各项护理工作，以降低科室不良事件的发生率，提高儿科护理质量。

关键词：儿科护理；不良事件；原因分析

中图分类号：R473.72文献标志码：A文章编号：2096-1413(2017)16-0162-02

Cause analysis and preventive measures of adverse events of pediatric nursing
YANG Shui-ping, LIU Juan
(Jingyang County Hospital, Xianyang 713700, China)

ABSTRACT: Objective To analyze the types and causes of adverse events in pediatric nursing and give the corresponding preventive measures. Methods Eighty cases of adverse events in pediatric nursing reported in our hospital were retrospectively analyzed, the causes and types of adverse events in pediatric nursing were analyzed. Results Of the 80 cases of adverse events in pediatric nursing, the incidence of medication errors, scald, falling bed/fall, skin damage, liquid extravasation, delay of inspection were 30.0%, 5.0%, 15.0%, 20.0%, 20.0% and 10.0% respectively. The longer of the nurses` working hours, older age of nurses, higher of the technical title and higher of nurses` education, the fewer the number of adverse nursing events (P<0.05). Conclusion Enhance the awareness of prevention of adverse events in pediatric nurses, regularly carry out relevant safety knowledge training and follow the work system and the implementation of the various nursing work strictly to reduce the incidence of adverse events and improve the quality of pediatric nursing.

KEYWORDS: pediatric nursing; adverse events; cause analyze

参考文献：
[1] 李素莲,王益平,李同莲.中医护理技术临床应用不良事件归因分析及防范措施的研究[J].河南中医,2014,34(B11):174-175.
[2] 唐旭丽,邓旭,钟毅,等.护理风险管理在高干科应用的效果评价[J].吉林医学,2014,35(8):1776-1778.
[3] 王宏,王志国,周山,等.医疗不良事件报告系统的应用与问题[J].解放军医院管理杂志,2015,22(8):755-757.
[4] 赵秀芳.根因分析法在儿科护理不良事件管理中的应用[J].中华现代护理杂志,2014,49(28):3634-3636.
[5] 王慧虹,韩燕,孙健霞,等.109例院内护理不良事件分析及管理对策[J].江苏医药,2015,41(4):490-492.
[6] 沈慧丽,常健,李萍.90例护理不良事件发生原因及管理对策[J].护理研究,2014,28(32):4088-4090.
[7] 付路易,程棣群,张翠萍.新疆某肿瘤医院89例院内上报护理不良事件原因分析及防范对策[J].中国护理管理,2015,15(7):854-856.
[8] 黄桂玲,顾希茜,汪祝莎,等.Vincent临床事件分析法在关节外科护理隐患控制中的应用[J].护理学杂志,2016,31(10):13-16.
[9] 胡昊,马礼坤,余华,等.糖化血红蛋白和血糖对非糖尿病ST段抬高心肌梗死患者预后的预测价值[J].中国临床保健杂志,2015,18(1):59-61.
[10] 候燕,靳小萍.根本原因分析法在儿科输液室不良事件管理中的应用效果分析[J].华西医学,2016,31(2):351-354.