国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
22期
3498-3502
,共5页
涂辰哨%胡玉霞%张华丽%林晓君%李美金
塗辰哨%鬍玉霞%張華麗%林曉君%李美金
도신초%호옥하%장화려%림효군%리미금
风险管理%手术室%防范风险
風險管理%手術室%防範風險
풍험관리%수술실%방범풍험
Risk management%Operating room%Risk prevention
目的 探讨基层医院手术室应用风险管理防范手术风险的效果.方法 将2012年9月至2013年5月的1124例手术作为对照组,回顾性调查护理风险事件,分析风险因素,寻找管理对策;把2013年6月至2014年2月的1182例手术作为观察组,运用风险管理防范手术护理风险.前后对比护理风险事件发生率及手术医师满意率和护理人员风险意识评价.结果 对照组护理风险发生率为16.10%,观察组为5.16%;对照组手术医师对护理综合质量满意率为65.6%,观察组为91.7%;实施前手术室护理人员风险意识评分:风险因素的一般认识为(16.25±1.04)、对风险管理认识为(15.50±0.93)、对风险管理态度为(15.25±1.04)、对风险管理行为意向为(14.75±1.28),实施后评分:风险因素的一般认识为(22.00±2.07)、对风险管理认识为(19.63±2.13)、对风险管理态度为(21.37±2.33)、对风险管理行为意向为(21.88±2.30).结论 在基层医院实行风险管理有利于防范手术风险,提高手术护理质量.
目的 探討基層醫院手術室應用風險管理防範手術風險的效果.方法 將2012年9月至2013年5月的1124例手術作為對照組,迴顧性調查護理風險事件,分析風險因素,尋找管理對策;把2013年6月至2014年2月的1182例手術作為觀察組,運用風險管理防範手術護理風險.前後對比護理風險事件髮生率及手術醫師滿意率和護理人員風險意識評價.結果 對照組護理風險髮生率為16.10%,觀察組為5.16%;對照組手術醫師對護理綜閤質量滿意率為65.6%,觀察組為91.7%;實施前手術室護理人員風險意識評分:風險因素的一般認識為(16.25±1.04)、對風險管理認識為(15.50±0.93)、對風險管理態度為(15.25±1.04)、對風險管理行為意嚮為(14.75±1.28),實施後評分:風險因素的一般認識為(22.00±2.07)、對風險管理認識為(19.63±2.13)、對風險管理態度為(21.37±2.33)、對風險管理行為意嚮為(21.88±2.30).結論 在基層醫院實行風險管理有利于防範手術風險,提高手術護理質量.
목적 탐토기층의원수술실응용풍험관리방범수술풍험적효과.방법 장2012년9월지2013년5월적1124례수술작위대조조,회고성조사호리풍험사건,분석풍험인소,심조관리대책;파2013년6월지2014년2월적1182례수술작위관찰조,운용풍험관리방범수술호리풍험.전후대비호리풍험사건발생솔급수술의사만의솔화호리인원풍험의식평개.결과 대조조호리풍험발생솔위16.10%,관찰조위5.16%;대조조수술의사대호리종합질량만의솔위65.6%,관찰조위91.7%;실시전수술실호리인원풍험의식평분:풍험인소적일반인식위(16.25±1.04)、대풍험관리인식위(15.50±0.93)、대풍험관리태도위(15.25±1.04)、대풍험관리행위의향위(14.75±1.28),실시후평분:풍험인소적일반인식위(22.00±2.07)、대풍험관리인식위(19.63±2.13)、대풍험관리태도위(21.37±2.33)、대풍험관리행위의향위(21.88±2.30).결론 재기층의원실행풍험관리유리우방범수술풍험,제고수술호리질량.
Objective To investigate the effect of risk management in operating room of primary hospital to prevent risk in surgical nursing.Methods Nursing-related risk event in 1,124 cases of surgery from September 2012 to May 2013 (control group) was retrospectively analyzed to investigate risk factors and countermeasures.Risk management was applied for 1,182 cases of surgery from June 2013 to February 2014 (observation group) to prevent risk in surgical nursing.Incidence of risk event,satisfaction rate of surgeons and risk awareness of nurses were compared between two groups.Results Incidence of nursing-related risk event was 16.10% in control group,and 5.16% in observation group; satisfaction rate of surgeons on overall nursing quality was 65.6% in control group,and 91.7% in observation group.Before application of risk management,general awareness of risk factors in nurses scored (16.25 ± 1.04),awareness of risk management (15.50 ± 0.93),attitude toward risk management (15.25 ± 1.04) and behavioral intention of risk management (14.75 ± 1.28);after application of risk management,general awareness of risk factors scored (22.00 ± 2.07),awareness of risk management (19.63 ± 2.13),attitude toward risk management (21.37 ± 2.33) and behavioral intention of risk management (21.88 ± 2.30).Conclusion Implementation of risk management in primary hospital can reduce surgical risk and improve quality of surgical nursing.