基于决策试用和评估实验室分析法对身份识别错误的风险因素分析
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摘要
[目的]采用决策试用和评估实验室分析(DEMATEL)法对身份识别错误的风险因素进行分析。[方法]成立护理质量安全小组,采取4M1E理论和专家咨询法对2014年网络上报的22例身份识别错误护理不良事件的风险因素进行分析,构建身份识别错误因素的直接影响矩阵,再通过DEMATEL软件公式计算因素间的综合影响度、被影响度、中心度和原因度。[结果]身份识别错误的风险因素主要包括护士核对意识、护士核对方法、身份识别内容培训、护士责任心、核对时段工作量、病人风险意识等,其中护士核对意识是最关键的风险因素。[结论]DEMATEL可作为分析身份识别错误事件风险因素及制定改进措施的有效方法。
Objective:To analyze the identification errors by using DEMATEL.Methods:A total of 22 nursing adverse events of identification errors reported in 2014 network were analyzed on the risk factors with the establishment of nursing quality and safety team and taking the 4M1 Etheory and expert consultation.The directly influencing matrix of identification errors factors was constructed and then to calculate the comprehensive influence degree,influenced degree,centrality degree and reason degree by the software of DEMATEL formula.Results:Risk factors of identification errors mainly included nurses' check consciousness,nurses' check method,identification content training,nurses' sense of responsibility,workload of check time period,risk awareness of patients and so on,in which nurses' check consciousness was the key risk factors.Conclusion:DEMATEL could be used as an effective method to analyze the risk factors of identification error events and to make improvement measures.
Objective:To analyze the identification errors by using DEMATEL.Methods:A total of 22 nursing adverse events of identification errors reported in 2014 network were analyzed on the risk factors with the establishment of nursing quality and safety team and taking the 4M1 Etheory and expert consultation.The directly influencing matrix of identification errors factors was constructed and then to calculate the comprehensive influence degree,influenced degree,centrality degree and reason degree by the software of DEMATEL formula.Results:Risk factors of identification errors mainly included nurses' check consciousness,nurses' check method,identification content training,nurses' sense of responsibility,workload of check time period,risk awareness of patients and so on,in which nurses' check consciousness was the key risk factors.Conclusion:DEMATEL could be used as an effective method to analyze the risk factors of identification error events and to make improvement measures.
引文
[1]Fontela E,Gabus A.The DEMATEL observer,DEMATEL 1976report[R].Geneva:Battlle Geneva Research Center,1976:1.
[2]Fontela E,Gabus A.Current perceptions of the world problematique[M].Amsterdam:North—Holland Pubhshing Company,1976:1.
[3]郭泳亨,龚传信,李文生.基于DEMATEL的面向目标的弹药需求影响因素分析[J].科学技术与工程,2010,10(35):8936-8940.
[4]Gabus A.World problems,an invitation to further thought with in the framework of DEMATEL[M].Geneva:Battelle Geneva Research Centre,1973:5-57.
[5]刘晨琛,邵珠艳.基于DEMATEL方法的影响医院信息系统安全的因素分析[J].中国医院统计,2009,16(4):299-301.
[6]张晓琳,焦明丽,王国栋,等.基于DEMATEL方法的医疗质量管理对策研究[J].中国医院管理,2015,35(12):36-39.
[7]杨卉,黄会.患者身份确认的研究进展[J].中国护理管理,2008,8(1):50-51.
[8]金环,喻姣花,王玉梅,等.基于DEMATEL的非计划性拔管风险因素分析[J].护理学杂志,2016,31(9):49-51.
[9]Singer SJ,Gaba DM,Geppen JJ,et al.The culture of safety:results of organization wide survey in 15 California hospitals[J].Qual Safety Health Care,2003,12(2):112-118.
[10]王艳,王加凤,谢雯俊.以等级医院评审为契机促进护理质量安全持续改进[J].护理学杂志,2013,28(19):1-3.
[11]钱援芳,徐东娥.根本原因分析法在住院患者非计划性拔管管理中的应用[J].中华护理杂志,2012,47(11):979-980.
[12]Hams J,Sehmitt L.National pational safety goals guide safe are[J].Journal of Nursing Care Quality,2004,19(2):88-91.
[2]Fontela E,Gabus A.Current perceptions of the world problematique[M].Amsterdam:North—Holland Pubhshing Company,1976:1.
[3]郭泳亨,龚传信,李文生.基于DEMATEL的面向目标的弹药需求影响因素分析[J].科学技术与工程,2010,10(35):8936-8940.
[4]Gabus A.World problems,an invitation to further thought with in the framework of DEMATEL[M].Geneva:Battelle Geneva Research Centre,1973:5-57.
[5]刘晨琛,邵珠艳.基于DEMATEL方法的影响医院信息系统安全的因素分析[J].中国医院统计,2009,16(4):299-301.
[6]张晓琳,焦明丽,王国栋,等.基于DEMATEL方法的医疗质量管理对策研究[J].中国医院管理,2015,35(12):36-39.
[7]杨卉,黄会.患者身份确认的研究进展[J].中国护理管理,2008,8(1):50-51.
[8]金环,喻姣花,王玉梅,等.基于DEMATEL的非计划性拔管风险因素分析[J].护理学杂志,2016,31(9):49-51.
[9]Singer SJ,Gaba DM,Geppen JJ,et al.The culture of safety:results of organization wide survey in 15 California hospitals[J].Qual Safety Health Care,2003,12(2):112-118.
[10]王艳,王加凤,谢雯俊.以等级医院评审为契机促进护理质量安全持续改进[J].护理学杂志,2013,28(19):1-3.
[11]钱援芳,徐东娥.根本原因分析法在住院患者非计划性拔管管理中的应用[J].中华护理杂志,2012,47(11):979-980.
[12]Hams J,Sehmitt L.National pational safety goals guide safe are[J].Journal of Nursing Care Quality,2004,19(2):88-91.