“瑞士奶酪模型”在重症监护室安全用药管理中的应用

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

杨素¹ 

关键词: 瑞士奶酪模型;    重症监护室;    安全用药;    输液;   

DOI  :  10.11997/nitcwm.201809013

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To explore the effect of Swiss-Cheese model in the safe medication management of ICU. Methods 〓A retrospective analysis of 12 cases of medication errors occurred between January 2016 and December 2016 was conducted by using Swiss-Cheese model. Root causes of these medication errors were analyzed from the perspective of organization and management, unsafe monitoring, indicators of unsafe performance and unsafe operation. From January 2017 to December, corresponding measures were carried out. The incidence of medication errors, nurses' knowledge about drugs, patients' satisfaction degree were evaluated and compared before and after implementation of Swiss-Cheese model. Results 〓After implementation of Swiss-Cheese model, the incidence of medication errors in ICU decreased from 4.68‰ to 0.80‰, the rate of nurses' knowledge of drugs increased from 78.18% to 92.72%, the Patients' satisfaction degree increased from 80.56% to 97.22%, with significant differences(P<0.05). Conclusion The application of Swiss-Cheese model in the safe medication management of ICU can reduce the incidence of medication errors, improve the knowledge level of nurses and patients' satisfaction, and improve the quality of nursing management in ICU.

【 授权许可】

CC BY-NC