CAJ | 학술논문

目的：观察“四查八对制度在预防临床护理差错中的应用效果。方法在临床护理操作中执行“四查八对制度，即在原“三查七对的基础上增加一查一对，即增加患者或家属参与查；增加药物质量和有效期的核对。观察实施“四查八对制度前后护理差错发生率、纠错率。结果执行“四查八对制度后护理差错发生率由0.23％下降至0.13％，（χ2＝7.89），给药质量和有效期相关事件由10.3％下降至0，给药差错发生率由0.12％下降至0.05％，（χ2＝8.29）纠错率由0.01％提高至0.04％（χ2＝4.24），差异均有统计学意义（P＜0.05）。结论“四查八对作为护理核心制度应用于临床，保障了护理安全措施的进一步落实，较“三查七对具有优越性，且具有可行性，值得推广应用。
목적：관찰“사사팔대제도재예방림상호리차착중적응용효과。방법재림상호리조작중집행“사사팔대제도，즉재원“삼사칠대적기출상증가일사일대，즉증가환자혹가속삼여사；증가약물질량화유효기적핵대。관찰실시“사사팔대제도전후호리차착발생솔、규착솔。결과집행“사사팔대제도후호리차착발생솔유0.23％하강지0.13％，（χ2＝7.89），급약질량화유효기상관사건유10.3％하강지0，급약차착발생솔유0.12％하강지0.05％，（χ2＝8.29）규착솔유0.01％제고지0.04％（χ2＝4.24），차이균유통계학의의（P＜0.05）。결론“사사팔대작위호리핵심제도응용우림상，보장료호리안전조시적진일보락실，교“삼사칠대구유우월성，차구유가행성，치득추엄응용。
Objective To investigate the effect of "Four Inspections and Eight Verifications"on preventing clinical nursing errors.Methods On the basis of the analysis about the nursing errors from our department of nursing in 2009, based on the request of the ten safety goal,"Four Inspections and Eight Verifications"was set up and carried out."Four Inspections and Eight Verifications"was executed into practice in clinical care operations, into which one In-spection and Verification was added on the basis of"Three Inspections and Seven Verifications".That was, the patients or their families participating to the survey, drug quality and validity are added.The rate of error occurrence and error correction were observed.Results Compared to the control group of"Three Inspections and Seven Verifications", the nursing error rate dropped from 0.23%to 0.13%(χ2=7.89, P<0.01) , the error rate of drug release decreased from 0.05%to 0.12%(χ2=8.29, P<0.01), the error rate of correction increased from 0.01% to 0.04% (χ2=4.24, P<0.05) .There was statistical significance between these two groups, which could guarantee the further implementation of the nursing safety measures.Conclusions It has superiority and feasibility, and is worthy of wide application com-pared with Three Inspections and Seven Verifications.