30例新生儿科护理不良事件的原因分析与防范策略(1)
【摘要】 目的：分析笔者所在医院新生儿科中的30例护理不良事件的发生原因，总结此类事件的相关防范策略。方法：以笔者所在医院新生儿科中发生的30例不良护理事件作为对象，对发生时间、具体分类、护士工作年限、床位使用率以及发生原因等资料进行回顾分析，总结不良事件防范策略。结果：新生儿科中不良事件在10∶00～16∶00的发生率为63.33%，显著高于其他时间段(P<0.05)；皮肤损伤事件发生率为30.33%，显著高于其他各类事件(P<0.05)；护士工作年限不足1年的不良事件发生率为60.00%，高于其他年限的发生率(P<0.05)；床位使用率100%的患者不良事件发生率为63.33%，高于其他使用率患者(P<0.05)；查对工作落实不足所导致不良事件发生率为43.33%，明显高于其他原因(P<0.05)。结论：新生儿科护理中护士工作年限少、查对工作落实不足及患者过多使用床位等原因均为不良护理事件的诱因。此外，白班为护理事件的高发时段，皮肤损伤为高发的事件，护理人员应重点针对此类原因，改善护理工作，降低不良事件发生率。
【关键词】 新生儿科； 不良事件； 原因； 防范策略
, http://www.100md.com
中图分类号 R473.72 文献标识码 B 文章编号 1674-6805(2014)29-0086-02
Cause Analysis and Prevention Strategies on 30 Cases of Neonatal Care Incidents/ZHOU Yan，LIU Jing-fang.//Chinese and Foreign Medical Research，2014，12(29)：86-87
【Abstract】 Objective： To analyze the causes of 30 neonatal care 30 cases at our hospital and summarize the relevant preventive strategies.Method： Time of occurrence， the specific classification， nurse working time， bed utilization ratio and the causes were retrospectively analyzed and summarized adverse events preventive strategies based on the 30 cases of adverse events at our hospital.Result： 63.33 % of neonatal adverse events occurred at 10∶00-16∶00， significantly higher than any other time periods(P<0.05). Skin damage incident accounts for 30.33%， significantly higher than other types of events(P<0.05). Adverse events which involves nurses with less than one year of work experience account for 60.00%， higher than the incidence of other groups(P<0.05). Patients whose bed occupancy rate of 100% account for 63.33% of the adverse events， higher than the other use rate in patients(P<0.05). Adverse events caused by lack of checking on work implement account for 43.33%， significantly higher than for other reasons(P<0.05).Conclusion： Short working time of neonatal care nurses， lack of checking work on patients and excessive use of nursing beds are main causes to adverse events. In addition， day shift is the high time of care event， and skin damage is more common than other events. Therefore， care personnel should focus on such reasons to improve care and reduce the incidence of adverse events.
, http://www.100md.com
【Key words】 Neonatology； Adverse event； Reasons； Prevention strategies
First-author’s address： The People’s Hospital of the Xinjiang Uyghur Autonomous Region，Urumqi 830001，China
护理中突然出现的所有计划之外、未曾预计到、不为人所希望的事件，均被称作护理不良事件，此类事件的出现既会加剧患者的痛苦，造成组织气管功能障碍，还会使护患关系受到损害[1]。在医院的新生儿科中，由于作为护理对象的患儿语言表达与沟通能力较弱，且其各组织气管相对较为脆弱，护理中尤其容易出现不良事件[2]。因此，医院护理人员做好对于不良事件发生诱因的调查，掌握不良事件发生的特征，采取有效防范策略，对新生儿科中的护理工作加以完善，以提高临床护理的安全性，极为必要。笔者所在医院以新生儿科中发生的30例护理不良事件作为对象，回顾分析各项临床资料，总结了不良事件出现的原因及此类事件的防范策略，现报告如下。, http://www.100md.com(周艳 刘敬芳)
【关键词】 新生儿科； 不良事件； 原因； 防范策略
, http://www.100md.com
中图分类号 R473.72 文献标识码 B 文章编号 1674-6805(2014)29-0086-02
Cause Analysis and Prevention Strategies on 30 Cases of Neonatal Care Incidents/ZHOU Yan，LIU Jing-fang.//Chinese and Foreign Medical Research，2014，12(29)：86-87
【Abstract】 Objective： To analyze the causes of 30 neonatal care 30 cases at our hospital and summarize the relevant preventive strategies.Method： Time of occurrence， the specific classification， nurse working time， bed utilization ratio and the causes were retrospectively analyzed and summarized adverse events preventive strategies based on the 30 cases of adverse events at our hospital.Result： 63.33 % of neonatal adverse events occurred at 10∶00-16∶00， significantly higher than any other time periods(P<0.05). Skin damage incident accounts for 30.33%， significantly higher than other types of events(P<0.05). Adverse events which involves nurses with less than one year of work experience account for 60.00%， higher than the incidence of other groups(P<0.05). Patients whose bed occupancy rate of 100% account for 63.33% of the adverse events， higher than the other use rate in patients(P<0.05). Adverse events caused by lack of checking on work implement account for 43.33%， significantly higher than for other reasons(P<0.05).Conclusion： Short working time of neonatal care nurses， lack of checking work on patients and excessive use of nursing beds are main causes to adverse events. In addition， day shift is the high time of care event， and skin damage is more common than other events. Therefore， care personnel should focus on such reasons to improve care and reduce the incidence of adverse events.
, http://www.100md.com
【Key words】 Neonatology； Adverse event； Reasons； Prevention strategies
First-author’s address： The People’s Hospital of the Xinjiang Uyghur Autonomous Region，Urumqi 830001，China
护理中突然出现的所有计划之外、未曾预计到、不为人所希望的事件，均被称作护理不良事件，此类事件的出现既会加剧患者的痛苦，造成组织气管功能障碍，还会使护患关系受到损害[1]。在医院的新生儿科中，由于作为护理对象的患儿语言表达与沟通能力较弱，且其各组织气管相对较为脆弱，护理中尤其容易出现不良事件[2]。因此，医院护理人员做好对于不良事件发生诱因的调查，掌握不良事件发生的特征，采取有效防范策略，对新生儿科中的护理工作加以完善，以提高临床护理的安全性，极为必要。笔者所在医院以新生儿科中发生的30例护理不良事件作为对象，回顾分析各项临床资料，总结了不良事件出现的原因及此类事件的防范策略，现报告如下。, http://www.100md.com(周艳 刘敬芳)