CAJ | 학술논문

目的：分析和研究护理不良事件主动报告制度在护理安全管理中的应用效果。方法分别对2011年和2012年护理不良事件主动报告制度实施前、后各科室上报的护理不良事件进行分析，比较其护理不良事件主动上报数、不良事件发生数、护理投诉例数和患者满意度。结果2012年与2011年比较，主动报告制度实施后，护理不良事件主动上报数明显增加，差异有统计学意义（P＜0．01）；Ⅲ～Ⅳ级以上不良事件发生数下降，差异有统计学意义（P＜0．01）；护理投诉次数减少，差异有统计学意义（P＜0．01）；患者满意度提高，差异有统计学意义（P＜0．05）。结论护理不良事件主动报告制度的运用可明显增加护理人员主动上报不良事件，降低护理风险，减少护理投诉率，提高患者满意度，促进护理质量提高，从而维护和保证患者安全。
목적：분석화연구호리불량사건주동보고제도재호리안전관리중적응용효과。방법분별대2011년화2012년호리불량사건주동보고제도실시전、후각과실상보적호리불량사건진행분석，비교기호리불량사건주동상보수、불량사건발생수、호리투소례수화환자만의도。결과2012년여2011년비교，주동보고제도실시후，호리불량사건주동상보수명현증가，차이유통계학의의（P＜0．01）；Ⅲ～Ⅳ급이상불량사건발생수하강，차이유통계학의의（P＜0．01）；호리투소차수감소，차이유통계학의의（P＜0．01）；환자만의도제고，차이유통계학의의（P＜0．05）。결론호리불량사건주동보고제도적운용가명현증가호리인원주동상보불량사건，강저호리풍험，감소호리투소솔，제고환자만의도，촉진호리질량제고，종이유호화보증환자안전。
Objective To analyze the application of active report system of nursing adverse events in nursing safety management .Methods From 2011 to 2012 ,nursing adverse events ,reported before and after application of ac-tive report system ,were analyzed .Numbers of actively reported nursing adverse events ,numbers of adverse events , numbers of complaints ,and degree of patient satisfaction were compared .Results Compared with 2011 ,numbers of actively reported adverse events and degree of patient satisfaction increased ,numbers of adverse events of Ⅲ - Ⅳgrade and numbers of complaints decreased (P<0 .05) .Conclusion Application of active reporting system of nurs-ing adverse event could significantly promote nursing staffs to report adverse events ,reduce nursing risks ,reduce nursing complaint rate ,improve the satisfaction of patients ,improve nursing quality ,thus to maintain and ensure the safety of patients .