“STAR行动”安全文化建设项目的构建与实施.pdfVIP

中国实用护理杂志 2015 年 8 月 21 日第 31 卷第 24 期 Chin J Prac Nurs.AulWst 212015. VoU1.N坠11 1817 ·论著· 咆TAR 行动安全文化建设项目的 构建与实施 王伟 :;L 冬封秀萍周文红杨红梅高倩芦凤娟李振香 [摘要] 目的 构建并实施 STAR 行动安全文化建设项目，评价其应用效果，探讨安全文化建设 的意义和应注意的问题，为医院安全文化建设提供可操作性案例和实施依据。方法 通过文献回顾和 专家咨询形成 STAR 行动安全文化建设实施方案，统计项目实施期间各项工作落实情况，比较与患者 安全相关的护理创新、护理观察典型案例、不良事件主动报告例数等数量的变化趋势，以半结构式访谈 法总结护士对项目实施的看法。结果 分别对 113 项护理工作制度、 27 项工作流程、 27 项应急预案、 946 项护理常规等进行了修订和完善，护理不良事件主动上报例数、与患者安全相关的护理创新、专利 以及护理观察典型案例较实施前明显提高。结论 安全文化建设对培养护士安全意识、规范安全行为 具有重要的意义。安全文化建设项目应设置明确的建设主线，注重文化各个层次的协调发展与多学科 合作，以确保项目实施效果。 [关键词] 病人; 安全; 护理; 建设体系 Construction and application of safety culture construction project called STAR action W ang Wei, Kong Dong, Feng X iuping, Zhou Wenhong, Yang Hongmei, Gω Qian ， Lu Fengjuan, Li Zhenxiang. Nursing Department, Provincia1 Hospita1 AffiliaJed to Shandong University, Jinan 250021, China Corresponding ωthor: Li Zhe nxiang, Emω l:zhe 阳 iangsd@163.com [Abstract] Objective To construct and implement the safety culture construction project called STAR action and evaluate the application effectiveness. To discuss the significance and the problems, and provide the technical evidences for construction of safety culture in hospital. Methods Through literature review and expe时 consultation ， the STAR action plan was established. The results were used to compare the changes of the nursing innovation for the patient safety, nursing observation typical cases, spontaneous reporting of the adverse events before and after the implementation of this project. And semi structure interview was used to evaluate the nurses perceptions about this project. Results There were 13 nursing related rules and regulations, 27 workf1ows, 27 con