查对错误护理不良事件原因分析与对策

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

冉玉芹¹ 

关键词: 查对错误;    护理不良事件;    安全意识;    风险评估;   

DOI  :  10.11997/nitcwm.201701043

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To analysis the cause of errors in nursing checkup and to provide related countermeasures.Methods To retrospectively collect the 90 cases of errors in nursing checkup, and to investigate potential reasons in terms of errors classification, causes, occurrence time, nursing human resource.Results Errors in nursing checkup were distributed in process of intravenous medication, oral medication dispensing, blood sampling and medical orders checkup. Causes of errors mainly included inadequacy of safety awareness, poor ability to risk assessment, subjective assumption, inappropriate simplification the workflow, and poor performance of medical orders system. Other remote causes were inadequate human resource and management deficiency.Conclusion Organizing the system, establishing organizational safety culture, strengthening the training of nursing staff, improving the general risk awareness evaluation ability are fundamental ways to reduce the incidence of errors in nursing checkups. Efforts should be made in implementation of performance appraisal, reforming nursing scheduling mode according to the real demand of patients.

【 授权许可】

CC BY-NC