关键事件分析法在手术室护理安全培训中的应用
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摘要
目的通过关键事件分析法对手术室护理人员进行安全培训,提高护理人员辨别、处理风险的能力。方法收集近5年来发生在国内外及本科室的典型不良事件,由护士长和安全质控小组成员进行筛选,确定本科室的关键事件,制定关键事件专题培训计划,每个季度选择一个关键事件主题,采用头脑风暴法各抒己见,找出科室的薄弱环节,提出改进措施。结果护理人员接受安全培训后,降低了科室的不良事件发生率、护理安全质量有较大的提高(P<0.05,P<0.01),护士主动上报安全隐患的事例增加。结论关键事件分析法能降低手术室不良事件的发生,保障手术患者安全,提高手术室护理质量。
Objective To improve nurses′ability to identify and handle risks by providing safety training in the operating room through Critical Incident Method(CIM).Methods Typical adverse events occurred in the operating room or reported at local and abroad in recent five years were collected and selected by head nurses and quality control group members to establish a'critical incident'file,and critical incident training plan was worked out:one theme of critical event was chosen for a season,then nurses putforward their views on the weak points through brainstorming,and then improvement measures were formulated and implemented.Results After training,the incidence of adverse nursing events declined significantly,while the nursing safety quality was improved significantly(P<0.05,P<0.01).Counts of nurses′voluntarily reporting safety hazards increased.Conclusion The implementation of Critical Incident Method helps to reduce the incidence of adverse events,guarantee patient safety and improve the nursing quality of surgery in the operating room.
Objective To improve nurses′ability to identify and handle risks by providing safety training in the operating room through Critical Incident Method(CIM).Methods Typical adverse events occurred in the operating room or reported at local and abroad in recent five years were collected and selected by head nurses and quality control group members to establish a'critical incident'file,and critical incident training plan was worked out:one theme of critical event was chosen for a season,then nurses putforward their views on the weak points through brainstorming,and then improvement measures were formulated and implemented.Results After training,the incidence of adverse nursing events declined significantly,while the nursing safety quality was improved significantly(P<0.05,P<0.01).Counts of nurses′voluntarily reporting safety hazards increased.Conclusion The implementation of Critical Incident Method helps to reduce the incidence of adverse events,guarantee patient safety and improve the nursing quality of surgery in the operating room.
引文
[1]张云勤.基于关键事件法的跨文化交际教学模式的构建研究[J].湖南科技学院学报,2013,34(4):161-163.
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[3]陈锐.电子手术配合常规在手术室护士定向能力轮训中的应用[J].护理学杂志,2011,26(2):9-11.
[4]林映兰,陈瑜,陈晃香,等.护理安全教育在手术室中的应用[J].华北煤炭医学院学报,2011,13(5):716-717.
[5]李芝山.关键事件法在员工绩效管理中的规范应用[J].中国集体经济,2008,8(22):65-66.
[6]胡庆芳.关键教育事件研究的国际背景与国内实线思考[J].外国中小学教育,2010(4):63-65.
[7]邱惠琴.手术患者术中发生皮肤意外损伤的危险因素及预防研究进展[J].中华现代护理杂志,2012,26(18):3211-3212.
[8]李培梅,陈金月.加强手术室安全管理防范差错事故[J].现代保健:医学创新研究,2008,5(12):118.
[9]郑汉文,罗书全.关键事件分析:培养跨文化交际能力的新途径[J].韶关学院学报:社会科学版,2011,32(7):150-153.
[10]赵岚,孙利华.医护人员对手卫生的认知误区及影响手卫生执行的因素调查[J].中华医院感染学杂志,2008,18(10):1410-1412.
[11]张秀平,陆燕弟,任杰平.手术室护士手卫生知信行现状调查分析[J].护理学杂志,2011,26(6):52-53.
[2]焦娜,张宁.关键事件是促进教师专业自主发展的关键[J].现代教育科学·小学教师,2011(4):29-43.
[3]陈锐.电子手术配合常规在手术室护士定向能力轮训中的应用[J].护理学杂志,2011,26(2):9-11.
[4]林映兰,陈瑜,陈晃香,等.护理安全教育在手术室中的应用[J].华北煤炭医学院学报,2011,13(5):716-717.
[5]李芝山.关键事件法在员工绩效管理中的规范应用[J].中国集体经济,2008,8(22):65-66.
[6]胡庆芳.关键教育事件研究的国际背景与国内实线思考[J].外国中小学教育,2010(4):63-65.
[7]邱惠琴.手术患者术中发生皮肤意外损伤的危险因素及预防研究进展[J].中华现代护理杂志,2012,26(18):3211-3212.
[8]李培梅,陈金月.加强手术室安全管理防范差错事故[J].现代保健:医学创新研究,2008,5(12):118.
[9]郑汉文,罗书全.关键事件分析:培养跨文化交际能力的新途径[J].韶关学院学报:社会科学版,2011,32(7):150-153.
[10]赵岚,孙利华.医护人员对手卫生的认知误区及影响手卫生执行的因素调查[J].中华医院感染学杂志,2008,18(10):1410-1412.
[11]张秀平,陆燕弟,任杰平.手术室护士手卫生知信行现状调查分析[J].护理学杂志,2011,26(6):52-53.