CAJ | 학술논문

目的：构建一套标准的不良事件管理体系，以提升医院管理水平，保障患者安全。方法成立护理不良事件管理委员会和质量管理小组，完善护理不良事件报告系统，开展全员医护人员不良事件培训，形成一套符合JCI评审标准的不良事件管理体系。结果护理不良事件上报从2014年1月份的80例（6.02%）上升到2014年12月份的142例（10.68%）。不良事件管理系统实施后，医护人员不良事件知识理论知识得分及不良事件督查得分均较实施前提高（P<0.01）。结论护理不良事件管理体系的构建有利于促进医护人员上报不良事件，提高医护人员不良事件管理理论知识水平和督查得分，对维护患者安全和提高护理质量有促进作用，值得进一步推广和应用。
목적：구건일투표준적불량사건관리체계，이제승의원관리수평，보장환자안전。방법성립호리불량사건관리위원회화질량관리소조，완선호리불량사건보고계통，개전전원의호인원불량사건배훈，형성일투부합JCI평심표준적불량사건관리체계。결과호리불량사건상보종2014년1월빈적80례（6.02%）상승도2014년12월빈적142례（10.68%）。불량사건관리계통실시후，의호인원불량사건지식이론지식득분급불량사건독사득분균교실시전제고（P<0.01）。결론호리불량사건관리체계적구건유리우촉진의호인원상보불량사건，제고의호인원불량사건관리이론지식수평화독사득분，대유호환자안전화제고호리질량유촉진작용，치득진일보추엄화응용。
Objective To construct a standard nursing adverse events management system in order to improve the management level and ensure patient safety. Methods A nursing adverse events management system which is in accordance with JCI standards was constructed. The measures included setting up a nursing adverse events man-agement committee and quality control team,improving adverse events reporting system and providing adverse events training for all medical staff. Results The reporting rate of nursing adverse events increased from 6.02% to 10.68%. After the implementation of adverse events management system,the knowledge score of adverse events and adverse events check practice among medical staff were significantly improved than before(P<0.01). Conclusion The construction of nursing adverse events management system can effectively increase the reporting rate of adverse events,improve medical staff's adverse events related knowledge and practice,and contribute to patient safety and high-quality nursing care.