分级护理干预防范高危患者就诊突发意外的效果观察

目的改进分诊工作模式,防范门诊高危患者就诊突发意外。方法收集对门诊高危患者实施分级护理干预前后的有关数据资料,以突发意外例数及发生率、突发意外死亡例数及死亡率为观察指标,比较实施分级护理干预对防范门诊高危患者就诊突发意外的效果。结果实施干预措施后就诊突发意外上述各项指标均有不同程度下降,与之前同类指标比较差异有显著性(P<0.01)。结论在门诊尝试性开展分级护理干预并形成规范,能够规范护士执业行为,增强责任心,自觉提高风险预见、防范及急救能力,从而提高门诊护理质量,提升服务内涵,减少门诊高危患者就诊突发意外现象,降低意外的发生率和死亡率,规避由此引发的医疗纠纷,减少医院的经济和社会声誉损失。

Efficacy observation of grading nursing intervention on prevention of sudden medical accidents in high-risk patients

Objective To improve the diagnosis model to prevent sudden medical accidents in high-risk patients in the outpatient department.Methods The relevant data on high-risk patients in the outpatient department before and after grading nursing intervention were collected.The observation indices include the incidence rate of sudden medical accidents,the mortality and death counts.The effects on prevention of sudden medical accidents in high-risk patients were compared after grading nursing intervention.Results After nursing interventions,each index of sudden medical accidents mentioned above was declined with varying degrees.The differences were statistically significant when those indices were compared with previous indices(P<0.01).Conclusion The application of regular grading nursing intervention in the outpatient department can regulate the behaviors of nursing staff,improve their sense of responsibility,conscientiously improve their ability to foresee and prevent risks and ultimately enhance their rescue ability.It also can improve the nursing quality and service connotations,reduce incidence rates of accidents and mortality,avoid medical disputes,and decrease losses both in finance and social reputation.