CAJ | 학술논문

目的：探讨精神科安全风险动态评估系统的临床应用效果,对精神疾病患者的安全风险实施无缝隙管理,确保患者安全。方法建立安全风险动态评估系统,选取2012年8月—2014年9月入住我院的2722例患者设为研究组,2010年5月—2012年7月入住我院的2387例患者设为对照组,排除住院期间发生死亡及住院天数<2周者。对研究组运用安全风险动态评估系统进行干预并评估效果。结果运用安全风险动态评估系统后,患者对安全宣教内容知晓率明显提高,不良事件发生率下降,护士不良事件报告流程及应急处置流程的考核合格率提高,与干预前比较差异均有统计学意义(P <0.01)。结论运用精神科安全风险动态评估系统对住院患者进行干预,对降低不良事件发生率、提高患者安全意识、强化护理人员的临床应急能力具有显著成效。
목적：탐토정신과안전풍험동태평고계통적림상응용효과,대정신질병환자적안전풍험실시무봉극관리,학보환자안전。방법건립안전풍험동태평고계통,선취2012년8월—2014년9월입주아원적2722례환자설위연구조,2010년5월—2012년7월입주아원적2387례환자설위대조조,배제주원기간발생사망급주원천수<2주자。대연구조운용안전풍험동태평고계통진행간예병평고효과。결과운용안전풍험동태평고계통후,환자대안전선교내용지효솔명현제고,불량사건발생솔하강,호사불량사건보고류정급응급처치류정적고핵합격솔제고,여간예전비교차이균유통계학의의(P <0.01)。결론운용정신과안전풍험동태평고계통대주원환자진행간예,대강저불량사건발생솔、제고환자안전의식、강화호리인원적림상응급능력구유현저성효。
Objective To explore clinical application effects of safety risks dynamic assessment system in Psychiatric Department, so as to carry out mental patients′ seamless management of safety risks to ensure patients′ safety. Methods To built up safety risks dynamic assessment system, a total of 2 722 mental inpatients were selected as experimental group who admitted our hospital from August 2012 to September 2014, while 2 387 patients, who admitted our hospital from May 2010 to July 2012, were selected as control group except patients died during hospitalization or with the length of hospitalization below 2 weeks. Results After the utilization of safety risks dynamic assessment system, patients′ awareness rate of safety educated knowledge improved apparently;adverse event decreased;the passed rate improved in reporting process of nurses′adverse event and examination of emergency process (P < 0. 01). Conclusions To utilize safety risks dynamic assessment system of Psychiatric Department to intervene inpatients can decrease incidence of adverse events, enhance patients′awareness of safety, and strengthen nursing staffs clinical emergency response capability.