标准化预警降低护理中断事件的效果分析
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摘要
目的探讨标准化预警在护理中断事件及护理结果指标中的应用效果。方法结合前期护理中断事件的来源、类型及不良结局制定标准化预警项目,进行解读与督查;比较实施前后护理中断事件发生率及护理中断导致的不良事件。结果实施标准化预警后护理中断事件发生率及护理中断导致的不良事件显著降低(均P<0.01)。结论标准化预警的制定与实施可降低护理中断事件发生率。
Objective To explore the effect of standardized warning applied in management of interruptions in clinical nursing practice. Methods We analyzed the causes, types and adverse outcomes of interruptions in nursing practice from the preliminary study to develop items of standardized warning, then explained to nurses and conducted inspection and supervision. The incidence of interruptions and adverse events induced by interruptions were compared before and after the intervention. Results The incidence of interruptions and adverse events induced by interruptions were significantly reduced after the intervention(P<0.01 for both). Conclusion Design and implementation of the standardized warning can reduce interruptions in clinical nursing practice.
Objective To explore the effect of standardized warning applied in management of interruptions in clinical nursing practice. Methods We analyzed the causes, types and adverse outcomes of interruptions in nursing practice from the preliminary study to develop items of standardized warning, then explained to nurses and conducted inspection and supervision. The incidence of interruptions and adverse events induced by interruptions were compared before and after the intervention. Results The incidence of interruptions and adverse events induced by interruptions were significantly reduced after the intervention(P<0.01 for both). Conclusion Design and implementation of the standardized warning can reduce interruptions in clinical nursing practice.
引文
[1] 陆晶,丁四清,谢建飞,等.护理中断事件管理的研究进展[J].中华护理杂志,2018,53(5):617-621.
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[4] 黄小梅,许乐,李琳,等.呼吸科用药护理中断事件现况调查分析[J].中华护理杂志,2015,50(12):1489-1493.
[5] 蔡梅杰,彭昕,梁樊,等.不良结局护理中断事件根本原因分析与改进[J].护理学杂志,2016,31(17):59-61.
[6] 罗小芹,余利娜,苏冬梅.“冬梅护理”安全预警管理对临床护理中断事件干预的效果评价[J].华南国防医学杂志,2016,30(10):670-672.
[7] 陈慧敏,许奕华,王艳,等.护理人员对不良结局护理中断事件体验的质性研究[J].护理学杂志,2017,32(9):50-52.
[8] Cooper C H,Tupper R,Holm K.Interruptions during medication administration:a descriptive study[J].Med Surg Nurs,2016,25(3):186-191.
[9] Yu M,Kang K J.Effectiveness of a role-play simulation program involving the sbar technique:a quasi-experimental study[J].Nurse Educ Today,2017,53(6):41-47.
[10] Craker N C,Myers R A,Eid J,et al.Nursing interruptions in a trauma Intensive Care Unit:a prospective observational study[J].J Nurs Adm,2017,47(4):205-211.
[2] 谢建飞,丁四清,曾赛男,等.护理中断事件的概念分析和启示[J].中华护理杂志,2013,48(2):175-178.
[3] 谢建飞,刘佳,刘立芳,等.护理中断事件管理的实践与成效[J].中华护理杂志,2016,51(8):951-955.
[4] 黄小梅,许乐,李琳,等.呼吸科用药护理中断事件现况调查分析[J].中华护理杂志,2015,50(12):1489-1493.
[5] 蔡梅杰,彭昕,梁樊,等.不良结局护理中断事件根本原因分析与改进[J].护理学杂志,2016,31(17):59-61.
[6] 罗小芹,余利娜,苏冬梅.“冬梅护理”安全预警管理对临床护理中断事件干预的效果评价[J].华南国防医学杂志,2016,30(10):670-672.
[7] 陈慧敏,许奕华,王艳,等.护理人员对不良结局护理中断事件体验的质性研究[J].护理学杂志,2017,32(9):50-52.
[8] Cooper C H,Tupper R,Holm K.Interruptions during medication administration:a descriptive study[J].Med Surg Nurs,2016,25(3):186-191.
[9] Yu M,Kang K J.Effectiveness of a role-play simulation program involving the sbar technique:a quasi-experimental study[J].Nurse Educ Today,2017,53(6):41-47.
[10] Craker N C,Myers R A,Eid J,et al.Nursing interruptions in a trauma Intensive Care Unit:a prospective observational study[J].J Nurs Adm,2017,47(4):205-211.