58例护理不良事件分析

J4 ›› 2016, Vol. 15 ›› Issue (2): 83-85.

58例护理不良事件分析

（大理大学大理教学医院，云南大理671000）

收稿日期:2014-10-17 出版日期:2016-02-15 发布日期:2016-02-15
作者简介:李如钿，副主任护师，主要从事护理管理与临床护理研究.

Analysis of the Adverse Nursing Events in 58 Cases

（The First People's Hospital of Dali City, Dali, Yunnan 671000, China）

Received:2014-10-17 Online:2016-02-15 Published:2016-02-15

摘要/Abstract

摘要：

目的：通过对上报的护理不良事件发生相关因素进行调查分析，为制定相应的防范措施，减少护理不良事件的发生提
供依据。方法：回顾2013年1月至12月上报的58例护理不良事件，对护理不良事件的分级、分类及相关因素进行分析。结果：排名前3位护理不良事件依次为跌倒事件、导管相关事件、治疗错误事件；发生的重点时段为08：00~12：00；发生的当事人以低年龄、低学历、低护龄、低职称护士为主。通过整改，护理不良事件发生例数由2013年的58例下降至2014年的25例（下降率达56.90%）。结论：经过统计分析和及时整改，2014年护理不良事件发生率明显下降，对策实施有效。由此可见，关注排名前3位护理不良事件，加强对重点护理人群及重点时段的监管，可有效降低护理不良事件的发生，确保护理安全。

关键词: 护理安全管理, 不良事件, 对策

Abstract:

Objective: To set preventions for adverse nursing events and to provide bases for reducing the events. Methods: 58 cases
of adverse caring events at our hospital from January to December in 2013 were reviewed, graded, and classified; relevant factors were analyzed. Results: Three most severe adverse events were stumble, misoperation in catheter and treatment. Adverse events happened mostly at 8 am to 12 am. Nurses involved were mainly young green hands with lower education levels and professional titles. After the improvement, there were 25 cases of adverse nursing events in 2014（the descent rate was 56.90%）. Conclusion: After the statistical analysis and improvement, the incidents of adverse nursing events were significantly reduced in 2014. Therefore adverse events could be effectively reduced when severe adverse nursing events were concerned, nursing staff and period were regulated.

Key words: security control of nursing, adverse event, countermeasure

中图分类号:

李如钿，董芳萍，李婷. 58例护理不良事件分析[J]. J4, 2016, 15(2): 83-85.

Li Rutian, Dong Fangping, Li Ting. Analysis of the Adverse Nursing Events in 58 Cases[J]. J4, 2016, 15(2): 83-85.

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