中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
35期
4290-4293
,共4页
重症监护室,急诊%护理管理研究%安全文化
重癥鑑護室,急診%護理管理研究%安全文化
중증감호실,급진%호리관리연구%안전문화
Intensive care unit,emergency%Nursing administration research%Safety culture
目的 探讨急诊重症监护室(EICU)构建患者安全文化的成效.方法 通过识别护理风险,建立非惩罚性护理不良事件上报制度,建立学习型组织及护患之间有效地沟通交流,并鼓励患者及家属参与来构建患者安全文化.比较构建患者安全文化前后部分护理质量指标及护理缺陷的情况.结果 构建患者安全文化后护理文件、护理操作、仪器操作、压疮管理合格率和患者满意度均较构建前明显提高(94.6％比83.2％,96.2％比88.7％,99.0％比91.2％,97.3％比86.6％,98.6％比91.5％),差异有统计学意义(x2值分别为6.58,4.03,4.96,7.73,3.95;P均＜0.05).构建患者安全文化后护理事故、护患纠纷、一般护理差错明显减少,分别为:0与1件、1与4件、2与10件,护理不良事件主动报告情况明显增加(14与3件).结论 通过在EICU构建安全文化,护士的安全意识增强,对护理风险的识别与防范能力提高,从而提高了护理质量,保障了患者安全.
目的 探討急診重癥鑑護室(EICU)構建患者安全文化的成效.方法 通過識彆護理風險,建立非懲罰性護理不良事件上報製度,建立學習型組織及護患之間有效地溝通交流,併鼓勵患者及傢屬參與來構建患者安全文化.比較構建患者安全文化前後部分護理質量指標及護理缺陷的情況.結果 構建患者安全文化後護理文件、護理操作、儀器操作、壓瘡管理閤格率和患者滿意度均較構建前明顯提高(94.6％比83.2％,96.2％比88.7％,99.0％比91.2％,97.3％比86.6％,98.6％比91.5％),差異有統計學意義(x2值分彆為6.58,4.03,4.96,7.73,3.95;P均＜0.05).構建患者安全文化後護理事故、護患糾紛、一般護理差錯明顯減少,分彆為:0與1件、1與4件、2與10件,護理不良事件主動報告情況明顯增加(14與3件).結論 通過在EICU構建安全文化,護士的安全意識增彊,對護理風險的識彆與防範能力提高,從而提高瞭護理質量,保障瞭患者安全.
목적 탐토급진중증감호실(EICU)구건환자안전문화적성효.방법 통과식별호리풍험,건립비징벌성호리불량사건상보제도,건립학습형조직급호환지간유효지구통교류,병고려환자급가속삼여래구건환자안전문화.비교구건환자안전문화전후부분호리질량지표급호리결함적정황.결과 구건환자안전문화후호리문건、호리조작、의기조작、압창관리합격솔화환자만의도균교구건전명현제고(94.6％비83.2％,96.2％비88.7％,99.0％비91.2％,97.3％비86.6％,98.6％비91.5％),차이유통계학의의(x2치분별위6.58,4.03,4.96,7.73,3.95;P균＜0.05).구건환자안전문화후호리사고、호환규분、일반호리차착명현감소,분별위:0여1건、1여4건、2여10건,호리불량사건주동보고정황명현증가(14여3건).결론 통과재EICU구건안전문화,호사적안전의식증강,대호리풍험적식별여방범능력제고,종이제고료호리질량,보장료환자안전.
Objective To discuss the effect of building patient safety culture in EICU.Methods A non-punitive reporting system of nursing adverse events was set up by identifying nursing risks,a learning organization and effective communication were established,and patients and families were also encouraged to participate in building patient safety culture.Some indicators of nursing quality and nursing defects were compared before and after.Results After building patient safety culture,the qualified rate of nursing documentation,nursing operation,instrument operation and pressure sore management as well as the satisfaction degree of patients improved obviously (94.6％ vs 83.2％,96.2％ vs 88.7％,99.0％ vs 91.2％,97.3％ vs 86.6％,98.6％ vs 91.5％,respectively),and the differences were statistically significant (x2 =6.58,4.03,4.96,7.73,3.95,respectively; P ＜ 0.05).Nursing accidents,nurse-patient conflicts and nursing errors reduced obviously after building patient safety culture (0 vs 1,1 vs 4,2 vs 10,respectively),and active reports about nursing defects increased from 3 to 14.Conclusions Building a safety culture in EICU can enhance nurses' security awareness and their capabilities of identifying and preventing nursing risks,so as to improve nursing quality and assure patients safety.
