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45例护理不良事件原因分析
引用本文:宋慧娟,刘雪琴,李漓,毛惠娜,赵晓琳.45例护理不良事件原因分析[J].中国护理管理,2008,8(7):56-57.
作者姓名:宋慧娟  刘雪琴  李漓  毛惠娜  赵晓琳
作者单位:南方医科大学珠江医院护理部,510282,广东省广州市
摘    要:目的:分析护理不良事件发生的原因,为患者安全和风险管理提供依据。方法:对该院2007年1~12月上报的45例护理不良事件资料进行调查分析。结果:护理不良事件发生的原因有4类,其中最常见的为患者安全管理不到位(46.7%),护理核心制度不落实占33.0%。结论:为进一步提升护理服务品质,确保患者安全,应不断强化护理人员的安全意识,加强核心制度的落实,提高护理人员的专业素质。

关 键 词:患者安全  不良事件  护理方法  护理服务品质

An analysis of 45 nursing related adverse events
SONG Huijuan,LIU Xueqin,LLi,et al..An analysis of 45 nursing related adverse events[J].Journal of Chinese Nursing Management,2008,8(7):56-57.
Authors:SONG Huijuan  LIU Xueqin  LLi  
Affiliation:SONG Huijuan,LIU Xueqin,LLi,et al.Nursing Department,Zhujiang Hospital of Southern Medical University,Guangdong Province,510282 China
Abstract:Objective:To provide evidence for patient safety and risk management by analyzing the causes of nursing related adverse events.Methods:Forty-five nursing related adverse events reported during January to December in 2007 at our hospital were collected and analyzed.Results:Four major failures were identified as the underlying causes of the incidents.46.7% of the adverse events were caused by insufficient management of patient safety,and 33.0% of incidents were associated with inadequate implementation of rul...
Keywords:nursing  adverse event  
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