CAJ | 학술논문

目的：通过对护理不良事件的发生时间、类型及原因进行分析,提出改进措施,以预防和减少不良事件的发生。方法对某三级甲等医院2013年上报的210例护理不良事件进行回顾性分析,统计护理不良事件的类型、原因、不良事件高发的时间段等资料。结果不良事件高发的主要时间段集中在7：00—8：59和10：00—10：59,占28.57%；交接班前后、上午班、下午班及晚班是不良事件发生的高峰期。结论护理管理者可调整当前护理排班模式,减少护理人员交接班次数,提高护理人员业务水平熟练程度,以期减少护理不良事件的发生。
목적：통과대호리불량사건적발생시간、류형급원인진행분석,제출개진조시,이예방화감소불량사건적발생。방법대모삼급갑등의원2013년상보적210례호리불량사건진행회고성분석,통계호리불량사건적류형、원인、불량사건고발적시간단등자료。결과불량사건고발적주요시간단집중재7：00—8：59화10：00—10：59,점28.57%；교접반전후、상오반、하오반급만반시불량사건발생적고봉기。결론호리관리자가조정당전호리배반모식,감소호리인원교접반차수,제고호리인원업무수평숙련정도,이기감소호리불량사건적발생。
Objective To analyze the time, types and causes of nursing adverse events, and find out the corrective actions to prevent and decrease the incidence of adverse events. Methods A total of 210 nursing adverse events reported in 2013 in one three level class-A hospital was analyzed its types, causes and time period of high incidence of events by regression analysis. Results The time period of high incidence of events were centralized at 7:00—8:59 and 10:00—10:59 occupying 28. 57% of the events. The time of hand over, morning shift, afternoon shift and late shift were the time of high incidence of events. The nursing manager could adjust current roster to reduce the time of shift change, promote nurses professional level of proficiency, so as to minimize the incidence of adverse events. Conclusions The nursing manager could adjust current roster to reduce the time of shift change, promote nurses professional level of proficiency, so as to minimize the incidence of adverse events.