CAJ | 학술논문

目的探索累计考核管理模式在护理安全管理中的应用及效果评价.方法在原有“累计扣分制”被动处罚式的管理模式的基础上逐步建立主动预防式的安全管理模式.以5个试点病房为研究对象,比较实施前后护士安全意识及患者安全文化的认知、不良事件主动报告、护理质量及患者满意度的变化情况.结果 5个试点病房的护理人员安全意识及患者安全文化的认知度提高,不良事件主动呈报率较前增多,护理质量及患者满意度提高.结论通过建立累计考核管理模式改变了以前“扣分、批评、通报、处罚”的管理模式,强化了护士的安全认知和安全行为,构建了积极的患者安全文化氛围,采用“不惩罚”及“保密”的原则,系统地收集、分析、梳理、总结、共享不良事件信息,并着重分析系统层面、管理因素、环境因素的综合成因,逐步实现从系统的角度处理安全隐患的风险管理策略,达到前馈控制安全事件的发生,形成一个利用差错信息来提高护理质量和患者安全的主动预防式管理模式.
목적 탐색루계고핵관리모식재호리안전관리중적응용급효과평개.방법 재원유“루계구분제”피동처벌식적관리모식적기출상축보건립주동예방식적안전관리모식.이5개시점병방위연구대상,비교실시전후호사안전의식급환자안전문화적인지、불량사건주동보고、호리질량급환자만의도적변화정황.결과 5개시점병방적호리인원안전의식급환자안전문화적인지도제고,불량사건주동정보솔교전증다,호리질량급환자만의도제고.결론 통과건립루계고핵관리모식개변료이전“구분、비평、통보、처벌”적관리모식,강화료호사적안전인지화안전행위,구건료적겁적환자안전문화분위,채용“불징벌”급“보밀”적원칙,계통지수집、분석、소리、총결、공향불량사건신식,병착중분석계통층면、관리인소、배경인소적종합성인,축보실현종계통적각도처리안전은환적풍험관리책략,체도전궤공제안전사건적발생,형성일개이용차착신식래제고호리질량화환자안전적주동예방식관리모식.
Objective To explore the application and the effect evaluation of cumulative assessment management model in nursing safety control.Methods The original passive punishment management such as "cumulative deduction model" was gradually transformed into active precaution safety management model.The objects of research were 5 wards that the cumulative assessment model was applied to.The results were used to compare the changes of the nurses' safety consciousness,patients' safety culture cognition,spontaneous reporting of the adverse events,nursing quality and patients satisfaction before and after the implementation of active precaution safety management.Results In the 5 wards,nurses' safety consciousness and patients' safety culture cognition were improved; the spontaneous reporting of the adverse events increased and the nursing quality and patients' satisfaction both uplifted.Conclusions The cumulative assessment model changed the previous "deduction,criticism,notification and punishment" model,strengthened the nurses' safety awareness and safety behavior and set up a positive patient safety cultural environment.By using the"no punishment" and "confidential" principle,in together with systematic collection,analysis,reviewing and summarizing the adverse events,stressing on the sharing and analyzing of the complex causes on the systematic,managerial and environmental levels,gradually realized the systematic security risk management strategy and achieved the feed-forward control of security incidents.The useful information analyzed from safety mistakes can be helpful in improving the nursing quality,patient safety and the implementation of active precaution management model.