患者卫生间门锁风险防控的专案管理
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摘要
目的对病区卫生间门锁进行风险防控专案管理,以预防患者在卫生间发生意外事件。方法对医院106个病区进行现场查房,获取责任护士对病房卫生间门锁风险防控方面存在的问题并进行根本原因分析,成立专案管理团队,制订专案管理措施,对卫生间门锁管理、钥匙配置要求、钥匙放置位置与日常管理等进行细化与规范,专案管理后评估临床护士对卫生间门锁钥匙位置的知晓率、卫生间通用钥匙的性能与护士一次性开卫生间门锁成功率。结果抽查的病区卫生间门锁100%使用通用钥匙;卫生间门锁钥匙统一放置在应急箱内,位置100%一致;病区责任护士一次性准确开锁率为100%。结论对病房卫生间门锁风险防控开展专案管理,有助于提高护士安全管理的参与性,可以有效落实病房卫生间门锁风险防控措施,以保障患者安全。
Objective To conduct project management on risk prevention and control for locks of washrooms in wards, and to prevent accident occurring in patients′ washroom.Methods Totally 106 wards in the hospital were checked on site, and primary nurses′ problems on risk prevention and control for locks of washrooms in wards were collected and root cause analysis was conducted. A project management team was established and project management measures were formulated, then the locks management, the configuration requirements and location of keys, and daily management were refined and standardized. Clinical nurses′ awareness rate on location of keys to the washrooms, the function of the universal keys to the washrooms and nurses′ success rate of opening the door at one time after the project management were assessed.Results All the locks of the washrooms were opened using the universal keys, the keys were placed in the emergency box uniformly, and all were in the same place, and all the primary nurses in the wards could open the locks at one time.Conclusion Project management on risk prevention and control for locks of washrooms in wards is conducive to enhancing nurses′ participation in safe management, it could promote the risk prevention and control interventions taking into action effectively, and ensure patients′ safety.
Objective To conduct project management on risk prevention and control for locks of washrooms in wards, and to prevent accident occurring in patients′ washroom.Methods Totally 106 wards in the hospital were checked on site, and primary nurses′ problems on risk prevention and control for locks of washrooms in wards were collected and root cause analysis was conducted. A project management team was established and project management measures were formulated, then the locks management, the configuration requirements and location of keys, and daily management were refined and standardized. Clinical nurses′ awareness rate on location of keys to the washrooms, the function of the universal keys to the washrooms and nurses′ success rate of opening the door at one time after the project management were assessed.Results All the locks of the washrooms were opened using the universal keys, the keys were placed in the emergency box uniformly, and all were in the same place, and all the primary nurses in the wards could open the locks at one time.Conclusion Project management on risk prevention and control for locks of washrooms in wards is conducive to enhancing nurses′ participation in safe management, it could promote the risk prevention and control interventions taking into action effectively, and ensure patients′ safety.
引文
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[3] 孟祥飞,尹丽萍,苑永攀,等.住院精神病患者自杀行为分析及对策[J].中国民康医学,2015,27(19):27-28.
[4] 余丽娜,钱新毅,盛静,等.医疗安全不良事件告知患者/家属的研究进展[J].护理学杂志,2017,32(21):103-107.
[5] 邱文莉,宋润珞,王萧逸,等.风险管理提高神经内科监护病房安全质量[J].护理学杂志,2014,29(23):20-22.
[6] Centers for Disease Control and Prevention (CDC).Nonfatal bathroom injuries among persons aged ≥15 years — United States,2008[EB/OL].[2018-11-27].https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6022a1.htm?s_cid=mm6022a1_w.
[7] 中华人民共和国国家卫生计生委.国家卫生计生委办公厅关于加强医疗机构卫生间管理工作的通知[EB/OB].(2013-07-17)[2018-03-01].http://www.nhfpc.gov.cn/yzygj/s3593/201307/b0a0c0e97dd840cdbf39eba56200a879.shtml.
[8] 谭蓉,胡德英,刘义兰,等.基于系统理论的综合医院住院患者自杀影响因素的研究进展[J].护理学杂志,2017,32(7):103-106.
[9] 黄定凤,李京波,刘冬姣,等.应用6S管理模式提高临床护理管理质量[J].护理学杂志,2015,30(13):20-21.
[10] 中华人民共和国国家卫生计生委.国家卫生计生委关于发布《医疗机构患者活动场所及坐卧设施安全要求第1部分:活动场所》等2项强制性卫生行业标准的通告(国卫通[2014]6号).(2014-07-01)[2018-03-01].http://www.nhfpc.gov.cn/fzs/s7852d/201406/da3f9f9280b74ecb86d13828985748d0.shtml.