急诊科实施护理风险管理的效果分析
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摘要
目的探讨急诊科实施护理风险管理的价值。方法 2017年1—12月在该院急诊科患者110例作为对照组,2018年1—12月110例作为对照组,观察组常规急诊护理,观察组实施下列实施风险管理:成立护理风险管理小组、培养急诊室护理人员风险意识、制定完善常见急诊护理工作流程、完善规章制度、提升护理人员的专业技能和职业素质、强化管理急救用药及仪器、加强护患沟通履行告知义务、定期开展急救演练。结果观察组急诊科护士三基考试(95.22±1.34)分、护理文书合格率99.09%,抢救物品情况完好100.00%均高于对照组(87.65±8.25)分、91.82%、92.73%(t=3.22、6.70、χ2=8.30;P<0.05);观察组院内转运时间(13.40±3.35)min、不良事件0.91%低于对照组的(17.17±4.22)min、8.18%(t=4.12、χ2=4.67,P<0.05)。结论对急诊患者采用护理风险管理可以减少护理缺陷事件的发生,提高护理质量、合格率及满意度。
Objective To explore the value of nursing risk management in emergency department. Methods A total of 110 patients in emergency department of our hospital from January to December 2017 were taken as control group. From January to December 2018, 110 cases were served as observation group. The control group received routine emergency nursing. The observation group implemented the following risk management measures: setting up nursing risk management team, cultivating risk awareness of nurses in emergency room, formulating and perfecting common emergency nursing work flow, perfecting rules and regulations, improving professional skills and professional quality of nurses, strengthening management of emergency medication and instruments, strengthening communication between nurses and patients, fulfilling informing obligations, and conducting emergency drills regularly. Results The observation group three-basic examination for nurses in emergency department(95.22 ±1.34)points, the qualified rate of nursing documents 99.09%, the salvage items in good condition 100.00% were higher than those of the control group(87.65±8.25)points, 91.82% and 92.73%(t=3.22、6.70,χ2=8.30;P<0.05). In the observation group, transit time(13.40±3.35)min. adverse events 0.91% were lower than those in the control group(17.17±4.22)min, 8.18%(t=4.12,χ2=4.67,P<0.05). Conclusion Nursing risk management for emergency patients can reduce the occurrence of nursing defects and improve nursing quality, eligibility rate and satisfaction.
Objective To explore the value of nursing risk management in emergency department. Methods A total of 110 patients in emergency department of our hospital from January to December 2017 were taken as control group. From January to December 2018, 110 cases were served as observation group. The control group received routine emergency nursing. The observation group implemented the following risk management measures: setting up nursing risk management team, cultivating risk awareness of nurses in emergency room, formulating and perfecting common emergency nursing work flow, perfecting rules and regulations, improving professional skills and professional quality of nurses, strengthening management of emergency medication and instruments, strengthening communication between nurses and patients, fulfilling informing obligations, and conducting emergency drills regularly. Results The observation group three-basic examination for nurses in emergency department(95.22 ±1.34)points, the qualified rate of nursing documents 99.09%, the salvage items in good condition 100.00% were higher than those of the control group(87.65±8.25)points, 91.82% and 92.73%(t=3.22、6.70,χ2=8.30;P<0.05). In the observation group, transit time(13.40±3.35)min. adverse events 0.91% were lower than those in the control group(17.17±4.22)min, 8.18%(t=4.12,χ2=4.67,P<0.05). Conclusion Nursing risk management for emergency patients can reduce the occurrence of nursing defects and improve nursing quality, eligibility rate and satisfaction.
引文
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[2]车松英护理风险管理在急诊患者安全管理中的应用效果分析[J].中国医药指南,2015,12(17):213-214.
[3]陈晚梅.李敏护理风险管理在惠诊患者安垒管理的实践价值[J].中国卫生标准管理,2015,8(6):21-22.
[4]陶宝英,朱紫英.护理风险管理在门诊高危患者就诊中的应用[J].护士进修杂志,2014,29(23):2149-2151.
[5]付雪飞,宗彩霞,张呈,等.个性化护理在急诊患者安全管理中的实施效果评价[J].河北医药,2015,37(17):2719-2720.
[6]闫红丽,张玲.急诊护理风险影响因素分析及防范[J].解放军医院管理杂志,2017,24(7):683-684.
[7]徐小英.探讨风险护理管理在医院急诊内科中的临床护理效果实用[J].临床护理学杂志,2017,2(27):168-170.
[8]陈绮坚,孟金凤,赵华宇.风险管理标准在急诊护理管理中的应用[J].护理实践与研究,2015,13(1):108-109.
[9]赖伟兰,黄秋萍,胡佳俊,等.急诊分诊安全管理结合风险管理对急诊科护理质量的影响[J].全科护理,2016,14(7):730-731.
[10]张卓一,黄小民,陆如风,等.风险管理在急诊科的应用医院[J].管理论坛,2016,33(10):15-17.
[11]谢文莲.“风险管理”在急诊内科护理管理中的应用当代护士,2016,11(下旬刊):183-184.
[12]赵映霞,刘永.风险护理管理在医院急诊内科中的实施效果研究[J].中外医学研究,2016,14(10):87-89.